one page to two page

Families &

Health

&

Intimate

Relationships

& Health Day 21

Agenda

T O P I C S T O C O V E R

· Review · Families & Health · Intimate Relationships & Health · Activity · Homework

Family

Sources: (Trenholm & Jensen, 2013)

“A network of people who live together over long periods of time-bound by ties of marriage, blood, or commitment, legal, or otherwise” (p. 231).

Families have different structures and functions Family Structures:

1 Power Authority (positional or position- oriented) 2 Decision Making (consensus/ accommodation/defacto) 3 Interaction Networking (centralized or decentralized)

Power

Authority

Sources: (Trenholm & Jensen, 2013)

1. power authority —defines who has the ultimate authority to control the behaviors of other family members.

There are two types of power-authority structures discussed in the text: positional and person-oriented.

In a positional family, lines of authority are hierarchically arranged, in a traditional family In a person-oriented structure, authority is not necessarily assigned in terms of age and gender roles, but rather on basis of personal attributes. This type relies in a much greater extent on communication as a means of influence.

Decision-

Making

Sources: (Trenholm & Jensen, 2013)

Decision-making-- how decisions are reached in the family Three ways of decision making: families may reach an agreement by….

1. Consensus: where everyone is involved in the decision making EX. family vacation: If a family sits around a kitchen table and has a family conference or discussion about where to go on vacation, then it is a consensus.

2. Accommodation: the less articulate or less dominating give in to those who hold the power or are more persistent

Ex. If Dad really wants to go to Montana and kids really want to go to Florida, and Dad gives in to kids because they’re persistent, that’s accommodation.

3. De facto manner: the decision is made by one person or on the basis of external constraints

Ex. If Mom goes out and buys tickets for a trip without consulting anyone, that’s de facto. Or if during a family conversation Mom gets annoyed and says “that’s it, we’re going to Maine and I don’t want to hear anything else about it”—that’s de facto.

How are dating/marriage decisions considered in your family?

Interaction

Networking

Sources: (Trenholm & Jensen, 2013)

3. interaction networks: shows who talks to whom in the family the most.

Networks are centralized or noncentralized/decentralized In a centralized network, there is a single member who acts as a gate-keeper, messages are filtered through him/her before being sent on to other members. In a decentralized network, there is more direct contact between family members.

Families &

Health:

With

Children

Be calm Reassure them Be available Avoid blame Observe what they are observing Be honest Age-appropriate Teach

Sources: https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/talking-with-children.html; https://www.health.harvard.edu/blog/how-to-talk-to-children-about-the-serious-illness-of-a-loved-one-2019120218468

Talk with your partner Setting and Time is important Simple Express feelings Discuss helpers Discuss impact Encourage questions Obtain help

Families &

Health:

With Older

Adults

Source: https://libguides.massgeneral.org/communication

Avoid stereotyping or patronizing FTF Clear Reduce outside noises Open questions LISTEN COM with everyone in the room Shared decision making

An ideal

listener...

Source: (Kreps & Thornton, 1984)

FHC

What is intimacy?

" A U N I Q U E B O N D C R E A T E D B Y T W O P E O P L E T H R O U G H S O M E C O M B I N A T I O N O F H I G H L Y I N T E R D E P E N D E N T A C T I O N S , I N D I V I D U A L I Z E D R U L E S , A N D P E R S O N A L D I S C L O S U R E S , A N D V I E W E D B Y B O T H P A R T I E S A S

R E L A T I V E L Y A F F E C T I O N A T E , I N T R I N S I C A L L Y R E W A R D I N G , A N D I R R E P L A C E A B L E "

Source: (Trenholm & Jensen, 2013)

COM in Intimate

Relationships:

Within Intimate

Relationships...

P A Y A T T E N T I O N

S P E N D T I M E

S H A R E W I T H

U N D E R S T A N D B E H A V I O R S

Source: https://hhma.org/healthadvisor/aha-verb-bha/

COM in Intimate

Relationships: COM

in a Multitude of

Ways

W O R D S

Phone In-Person In-Writing

G E S T U R E S

Nods Leaning In/Out Turning In/Out

F A C I A L

E X P R E S S I O N S

Eye Contact Smiling Anger/Sad

T O U C H I N G

Hugs Holding Hands .....

Source: https://hhma.org/healthadvisor/aha-verb-bha/

COM in Intimate

Relationships:

Stronger COM

A C T I V E L I S T E N I N G

N O M I N D - R E A D I N G

Source: https://hhma.org/healtha dvisor/aha-verb-bha/

L E A R N T O T A L K A B O U T Y O U

R E S P E C T & S U P P O R T

N O M I N D - R E A D I N G

G E N U I N E

M A N A G E C O N F L I C T S H A R E . T O U C H . P R I O R I T Y .

Shame vs. Guilt

B R E N É B R O W N

Health COM within

IPC Relationships

S E X U A L H E A L T H C O M M U N I C A T I O N

E A T I N G D I S O R D E R S P M S

Wednesday

R A 1 3 D U E

W E D N E S D A Y

B Y 1 1 : 5 9 P M R E A D

G R E E N E

( 2 0 0 9 )

E X P L O R E

C P M

R A 1 4 D U E

F R I D A Y B Y

1 1 : 5 9 P M