Divorce Forms for Georgia (PowerPoint download) by kfl57581

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									HEALTH AND FAMILY
    DYNAMICS
   Kai-Lit Phua, PhD FLMI
     Associate Professor
 School of Medicine & Health
           Sciences
 Monash University Malaysia
         Biographical Details
Kai-Lit Phua received his BA (cum laude) in
Public Health & Population Studies from the
University of Rochester and his PhD in Sociology
(Medical Sociology) from Johns Hopkins
University. He also holds professional
qualifications from the insurance industry.
Prior to joining academia, he worked as a
research statistician for the Maryland
Department of Health and Mental Hygiene and
for the Managed Care Department of a leading
insurance company in Singapore.
He was awarded an Asian Public Intellectual
Senior Fellowship by the Nippon Foundation in
2003.
         Highly Recommended
“The Lost Children of Rockdale County”

   http://www.pbs.org/wgbh/pages/frontline
    /shows/georgia/etc/script.html

   http://www.pbs.org/wgbh/pages/frontline
    /shows/georgia/isolated
          WHAT IS A “FAMILY”?
   Major social institution found in all human
    societies

   Usual image: working father + housewife
    mother + dependent children

   Reality: This is becoming less and less common
    as more & more mothers work outside the
    home. Also because of rising divorce rates.
    New Forms of the “Family”
 Cohabiting couples (with or without
  children)
 Single parent family (because of teen
  pregnancy, divorce or abandonment)
 “Blended” family
 Homosexual couples e.g. Netherlands has
  legalised homosexual marriages
      Functions of the Family
Functions:

 Companionship (“marry for love”)
 Sex and reproduction
 Socialisation of children
 Social support (especially during crises)
 Economic cooperation
             Family Structure
   Nuclear family: Father, mother and kids

   Extended family: The above plus
    grandparents

   “Family life cycle” – structure of an
    individual family changes over time
       The Family is Changing
Changing roles (role = “expected behaviour” that
  goes with a social position)

People marry later, have fewer kids, and also have
  them later

More divorces

Single parent families (these are more likely to be
  poor)
      The Family is Changing
 More working mothers and “latchkey kids”
 Children may be unsupervised and feel
  neglected and unloved
 Working mothers are stressed
  (“Supermom Syndrome” and “Double
  Burden of Women”)
    Stressed Working Mothers
Examples:
 Female nurses with children
 Female doctors with children


Role conflict: Being a good doctor to one’s
 patients versus being a good mother to
 one’s kids
    Effects of Family on Health
1) Effects on Illness Behaviour:
   Stoic? self-medicate? seek alternative
  medicine? Effects on medical adherence

e.g. religion & health (faith healing,
  Jehovah’s Witness)
    Effects of Family on Health
2) Effects on patients with long term illness:

 Quality of care provided by family
 members (female relatives as care
 providers for kids, husbands, in-laws and
 elderly parents)
   Effects of Family on Health
3) Family and social networks promote
  health:

Socially isolated have poorer mental health;
  recover slower from sickness
     The Dysfunctional Family
“Troubled family that has a negative effect
  on the physical or psychological well-being
  of its individual family members”
      Effects of Family on Health
4) Dysfunctional families and poor parenting:

   Child abuse – neglect, physical abuse, verbal
    abuse, sexual abuse
   Overindulgence
   Domestic violence
   Alcoholism and substance-abuse in the family
   Gambling problems
                NOTE !!
Families with divorced parents are NOT
  NECESSARILY dysfunctional families !
   Effects of Family on Health
5) Learning of health-related behaviour

e.g. quality of diet and health (including
  obesity), smoking and passive smoking,
  alcohol (religion & alcohol consumption),
  risk-taking behaviour, values and
  behaviour (including sexual behaviour)
    Effects of Family on Health
6) Family changes can affect health

“Stressful life events” such as marital
  breakdown and divorce, death of spouse
  etc. increase risk of sickness for other
  family members

Large families: can affect health of kids in a
  negative manner
Effect of Sickness on the Family
1) Effect of chronic disease or death

Role changes: if the wife gets sick or dies,
  the husband has to adjust (or vice-versa)
Economic pressures: family member stops
  work to care for the sick, patient is unable
  to work, medical bills become high
Effect of Sickness on the Family
2) Stress from taking care of sick family
  member
  e.g. Alzheimer’s disease, serious mental
  illness, relative who is bed-ridden or
  incontinent

3) Stigmatizing diseases such as HIV/AIDS
   e.g. hostility from neighbours,
  abandonment by own family
THE END
THANK YOU

								
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