Family Therapy in Cases of Interminable Grief for the Loss of a Child

1989 ◽  
Vol 19 (3) ◽  
pp. 187-202 ◽  
Author(s):  
Elliott J. Rosen
Keyword(s):  
Family Therapy ◽  
Family History ◽  
Clinical Assessment ◽  
Family Members ◽  
Treatment Method ◽  
Grief Work ◽  
Death Of A Child ◽  
Loss Of A Child ◽  
The Individual

This paper presents a treatment method in cases where grieving for the death of a child extends beyond normal parameters. The symptoms of interminable grief are likely to continue unless there is direct, and often dramatic intervention. Guidelines for clinical assessment are presented, with particular emphasis upon the investigation of family history in which an early, unresolved death may have occurred. This approach integrates grief work with the individual into a family therapy framework and reflects the notion that grieving, even if identified in one person, is a family affair. Criteria for the inclusion of family members in treatment are considered, the stresses upon the therapist are addressed, a course of treatment is outlined, and two representative cases are presented.

MULTIPLE ENDOCRINE NEOPLASIA IN PRACTICE OF PRIMARY CARE AND FAMILY PHYISICIANS

2020 ◽  
pp. 11-15
Author(s):  
V. I Pozhar ◽  
O. V. Doroshenko ◽  
M. I. Shevchuk
Keyword(s):  
Family History ◽  
Genetic Analysis ◽  
Multiple Endocrine Neoplasia ◽  
Ganglion Cells ◽  
Family Members ◽  
Clinical Manifestations ◽  
Neurofibromatosis Type ◽  
Endocrine Tumors ◽  
Endocrine Neoplasia ◽  
Cutaneous Lichen Amyloidosis

Multiple endocrine neoplasia is characterized with a predisposition to tumors involving two or more endocrine glands. The four main forms of the disease are inherited as an autosomal dominant syndrome or may occur sporadically. In addition to these four forms, six other syndromes are associated with the presence of multiple endocrine and other neoplasms of the organs: hyperparathyroidism − jaw tumors, Carney complex, von Hippel−Lindau disease, neurofibromatosis type 1, Cowden syndrome and McCune − Albright syndrome. The diagnosis of multiple endocrine neoplasia syndrome can be established in humans by one of the three available criteria: clinical features, family history, genetic analysis. Mutation analysis during these syndromes is useful in clinical practice to confirm the clinical diagnosis; identifying family members who tolerate the mutation and need to be screened, and identifying family members who do not tolerate the mutation. Syndrome of multiple endocrine neoplasia (Wermer syndrome) is characterized by the presence of a triad of tumors, including tumors of the parathyroid glands, pheochromocytoma and tumors of the parathyroid gland. It occurs less frequently in combination with Hirschsprung's disease, caused by the absence of vegetative ganglion cells in the intestine terminal parts, that leads to colonic enlargement, severe constipation and obstruction. This syndrome may be associated with cutaneous lichen amyloidosis, the clinical manifestations of which are pruritus and lichenoid lesions, usually located in the upper back. A clinical case of MEN2 syndrome in a 52−year−old patient is presented. It is noted that for such patients, in addition to timely syndromic rather than component diagnosis of this endocrine multipathology, the spread of neoplastic process in medullary thyroid cancer to its capsule and surrounding tissues, as well as the presence of metastases in peripheral lymph nodes are important. As a rule, such patients cannot be timely cured. Key words: multiple endocrine neoplasia, endocrine tumors, genetic analysis, family history.

The Neuropathic Diathesis, or the Diathesis of the Degenerate

1888 ◽  
Vol 34 (146) ◽  
pp. 167-176
Author(s):  
G. T. Revington
Keyword(s):  
Family History ◽  
Normal Development ◽  
Personal History ◽  
Striking Feature ◽  
General Paralysis ◽  
History Of ◽  
The Creation ◽  
The Individual ◽  
The Mind

I think that the foregoing statistics, and those which follow, together with the large number of cases which I quote, and which connect general paralysis with almost every form of neurotic manifestation, will prove conclusively that neurotic inheritance is a striking feature in the causation of general paralysis. I question whether a distinction between “the cerebral and the insane element” in general paralysis can be maintained. If general paralysis is not a degeneration of the mind-tissue, then the pathology of insanity has no existence, and I would say that the subtle influence for evil, which is transmitted from parents, whose brains are deteriorated by neurotic outbursts, or soaked in alcohol, or wrecked by physiological immorality, tends strongly towards such degeneration. If insanity is, as Dr. Savage says, a perversion of the ego, then a general paralytic is the in-sanest of the insane. We know that the children of a melancholic parent, for example, may develop any form of neurosis—in other words, it is not that melancholia or general paralysis, or any other definite disease, is transmitted, but that a certain tendency to deviate from normal development is transmitted. This tendency to deviate is the neurotic diathesis, and the form of its development is determined by collateral circumstances, and a certain series of collateral circumstances determine the development of general paralysis. Perhaps neurotic inheritance may mean in some cases a limited capital of nervous energy, and if this is wasted recklessly the individual breaks down suddenly and pathologically, as we all do slowly and physiologically. I would also point out that considering the number of histories of insanity which owing to ignorance or reticence we, do not receive, and considering that we never receive information as to the existence of the slighter neuroses, it is marvellous that we get so high a percentage as 51. Of the 145 general paralytics with a reliable history, 38 had a family history of insanity, 28 a family history of drink, 8 of both, 43 had a personal history of drink, 8 of a previous attack too remote to be considered, at least, according to our present ideas, as part of the disease, and the vast majority had a history of some physiological irregularity which must be considered as conducive to the creation of an acquired neurosis. We may now pass to some further statistics.

FAMILY TENSION AS A CAUSE OF COLIC IN INFANTS

PEDIATRICS ◽  
1956 ◽  
Vol 18 (5) ◽  
pp. 835-836
Author(s):  
John C. Cobb
Keyword(s):  
Family History ◽  
Allergic Disease ◽  
Family Members ◽  
Clinical Impression ◽  
Family Histories ◽  
The Family

A study of colic in infancy was undertaken as part of the Yale Rooming-In Project. The longitudinal records of 98 infants who were study subjects were analyzed with respect to incidence, duration, and severity of colic. Forty-eight of the infants were classified as fussy or colicky and 50 as contented. Because I had formed the clinical impression that allergy was an important contributing factor in the causation of colic, careful family histories were taken for all of these infants with particular attention to allergic disease in any member of either parent's family. An adequate family history was obtained in 95 of these infants. These data were analyzed both according to the incidence of allergic disease and according to the severity of allergic disease in family members. Among the relatives of the 45 "fussy" or "colicky" infants 7.3 per cent had severe allergy, 17.7 pen cent had mild allergy and 74 per cent had little or no allergy. Among the relatives of the 50 contented infants 7.6 per cent had severe allergy, 14.7 per cent had mild allergy and 77 per cent had no allergy. The family histories included a total of 957 relatives. The 45 families of the babies who were fussy or colicky were divided as follows as to amount of allergy among the relatives. In 7 families there was much allergy, in 30 families there was some allergy and in 8 families there was little or no allergy. The [See Table I in Source PDF] families of the 50 contented infants were divided as follows, in 7 families there was much allergy, in 33 there was some allergy and in 10 there was little on no allergy.

scholarly journals “TNOs are Cool”: A survey of the trans-Neptunian region

2018 ◽  
Vol 618 ◽  
pp. A136 ◽  
Author(s):  
E. Vilenius ◽  
J. Stansberry ◽  
T. Müller ◽  
M. Mueller ◽  
C. Kiss ◽  
...  
Keyword(s):  
Power Law ◽  
Total Mass ◽  
Size Range ◽  
Family Members ◽  
Far Infrared ◽  
Effective Diameter ◽  
Water Ice ◽  
The Family ◽  
The Individual ◽  
Geometric Albedo

Context. A group of trans-Neptunian objects (TNOs) are dynamically related to the dwarf planet 136108 Haumea. Ten of them show strong indications of water ice on their surfaces, are assumed to have resulted from a collision, and are accepted as the only known TNO collisional family. Nineteen other dynamically similar objects lack water ice absorptions and are hypothesized to be dynamical interlopers. Aims. We have made observations to determine sizes and geometric albedos of six of the accepted Haumea family members and one dynamical interloper. Ten other dynamical interlopers have been measured by previous works. We compare the individual and statistical properties of the family members and interlopers, examining the size and albedo distributions of both groups. We also examine implications for the total mass of the family and their ejection velocities. Methods. We use far-infrared space-based telescopes to observe the target TNOs near their thermal peak and combine these data with optical magnitudes to derive sizes and albedos using radiometric techniques. Using measured and inferred sizes together with ejection velocities, we determine the power-law slope of ejection velocity as a function of effective diameter. Results. The detected Haumea family members have a diversity of geometric albedos ~0.3–0.8, which are higher than geometric albedos of dynamically similar objects without water ice. The median geometric albedo for accepted family members is pV = 0.48−0.18+0.28, compared to 0.08−0.05+0.07 for the dynamical interlopers. In the size range D = 175−300 km, the slope of the cumulative size distribution is q = 3.2−0.4+0.7 for accepted family members, steeper than the q = 2.0 ± 0.6 slope for the dynamical interlopers with D < 500 km. The total mass of Haumea’s moons and family members is 2.4% of Haumea’s mass. The ejection velocities required to emplace them on their current orbits show a dependence on diameter, with a power-law slope of 0.21–0.50.

scholarly journals Considering Family Therapy Process and Relevant Theories

2017 ◽  
Vol 9 (1) ◽  
pp. 182
Author(s):  
Hamid Aran
Keyword(s):  
Family Therapy ◽  
Social System ◽  
Family Members ◽  
Power Structure ◽  
Problem Solution ◽  
Therapy Process ◽  
Family Function ◽  
Psychological Space ◽  
Living Together ◽  
Effective Performance

Family is more than a group of individuals living together in certain physical and psychological space. In other words, family is a natural and social system with specific features. It is a system postulating certain principles, roles, power structure, socializing relationships and communications, talking methods, and problem solution for effective performance of diverse duties.Most difficulties in life are traceable best way within family. Families are powerful forces in their entirety effective on members’ health or compatibility, whether in their advantage or disadvantage. Consequently, family therapy is interference concentrated on dealings among family members that attempts to enhance family function as a unit made of individual members of family.

Bulimia: A Systemic Family History Perspective

1992 ◽  
Vol 73 (10) ◽  
pp. 604-612 ◽  
Author(s):  
Becky Kuntz ◽  
Victor Groze ◽  
William R. Yates
Keyword(s):  
Eating Disorders ◽  
Family Therapy ◽  
Family History ◽  
Systems Theory ◽  
Biological Theory ◽  
Cognitive Theory ◽  
Genetic Influences ◽  
Thought Processes

Explanations of the origin of eating disorders range from biological theory, which studies metabolic, hormonal, and genetic influences, to cognitive theory, which emphasizes illogical thought processes. Although these theories have components that help explain the etiology of eating disorders, systems theory takes into consideration the significance of family in the development of eating disorders. The authors propose that systems theory coupled with family therapy can be successful in the treatment of bulimia.

Group and Family Therapy Abnormalities in Siblings of Schizophrenic Children

1967 ◽  
Vol 12 (4) ◽  
pp. 363-369 ◽  
Author(s):  
Milada Havelkova
Keyword(s):  
Family Therapy ◽  
Family Members ◽  
Marital Discord ◽  
Speech Delay ◽  
Childhood Schizophrenia ◽  
Normal Intelligence ◽  
Intellectual Function ◽  
High Incidence ◽  
Borderline Intelligence ◽  
Mental Defect

In 209 families with schizophrenic children, 18 families with more than one abnormal child were found. Among the parents of this group there was a high incidence of marital discord, schizoid personalities and different forms of schizophrenia. Among the siblings mental defect, speech delay, and schizophrenia were found. Because of the high incidence of the children in this group functioning on a mentally defective level, special attention was paid to the problem of the intellectual function of all family members. Twenty-four (40%) of the 60 children in these 18 families studied presented a picture of intellectual defects along with schizophrenic process. In three (5%) mental defect was found without typical symptoms of childhood schizophrenia. None of the parents were found to be mentally defective and only one was found to be of borderline intelligence. Twenty (55%) parents were of normal intelligence and 15 (42%) were bright normal to superior, while the corresponding figures for the children were 22 (36.6%) and six (10%). There were only four children whose intellectual function improved while there were 16 who deteriorated considerably. There was an unexplained finding of an unusually high number of twins among the 18 families. We found five pairs of twins. Two pairs were monozygotic, concordant for schizophrenia. Two pairs were dizygotic, discordant for schizophrenia. One of the fifth pair died early; the second was mentally defective.

scholarly journals Face to face with the suicidal

1998 ◽  
Vol 4 (4) ◽  
pp. 188-196 ◽  
Author(s):  
Gethin Morgan ◽  
Carole Buckley ◽  
Mike Nowers
Keyword(s):  
Clinical Assessment ◽  
Suicide Risk ◽  
Clinical Intervention ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Face To Face ◽  
The Individual ◽  
Near Future

The clinical assessment and management of suicide risk depends primarily on face to face contact with the individual who presents the risk, and aims to predict behaviour in the very near future. Whether or not clinical intervention prevents suicide depends a great deal on the clinician's skill in reaching out to the individual patient. This poses a dilemma, because much of what has been written about predicting suicide has been based on averaged data concerning long-term outcome in large cohorts of patients.

scholarly journals “Swinging Pendulum”: Lives of Family Members Caring for A Dying Relative

2019 ◽  
Author(s):  
Robert Sumaguingsing ◽  
Rudolf Cymorr Kirby Palogan Martinez
Keyword(s):  
Health Care Providers ◽  
Family Members ◽  
Spiritual Support ◽  
Care Providers ◽  
Interpretive Phenomenology ◽  
Home Setting ◽  
Face To Face ◽  
Van Manen ◽  
Informal Carers ◽  
The Individual

Among cultures which place emphasis on the centrality of family in ones lives, the care for the dying patient is more often than not delegated on family members. Given this context, it is interesting to note that few research have been done on the experiences of these individuals who provide care to their dying relatives. This research aims to understand the lives of these informal carers as they provide care to their dying relatives. After securing clearance from an IRB, seven (5) informants, deemed as coresearchers, were recruited and agreed to participate in this study. The co-researchers where selected based on a pre-set criteria and the number were reached based on theoretical saturation. Multiple individual in-depth face-to-face interviews were done to create the individual narratives which was later reflectively analysed. Interpretive phenomenology as espoused by van Manen served as the philosophical underpinning of the study. Consequently, the proposed analytic technique of van Manen was utilized as the process of reflective analysis. After the process of reflective analysis, three (3) themes were gathered, namely: Ambivalence in anticipation, Courage in uncertainty, Meaning in suffering. These themes represent for the co-researchers their lives as they care for their dying relatives. Further, these themes reflects for the co-researchers a phenomenon of living moment-to-moment, unsure of what tomorrow will bring, patiently waiting for their relative to cross over. For them, there seems to be a constant struggle of finding a reason for being and a sense of what has happened, what is happening and what could happen to their dying relative and their family after their death. This essence can be symbolically represented by a swinging pendulum, constantly in motion trying to situate ambivalence in their anticipation, looking for courage amidst uncertainty and finding formeaning in their experience of suffering. The insights suggest that there is a need for constant dialogue among family members and health care providers as they assumed the role of primary caregivers. Further continued emotional, moral and spiritual support is implied during this transition as well as follow-ups when the families are at the home setting.

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