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Family Environmental Scale (FES) used to measure the social-environmental characteristics of family The scale is a 90-item inventory that has a 10 subscales.

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Presentation on theme: "Family Environmental Scale (FES) used to measure the social-environmental characteristics of family The scale is a 90-item inventory that has a 10 subscales."— Presentation transcript:

1 Family Environmental Scale (FES) used to measure the social-environmental characteristics of family The scale is a 90-item inventory that has a 10 subscales measuring – interpersonal Relationship dimension – Personal Growth – System Maintenance

2 Family Environmental Scale (FES) Relationship dimension includes measurements of cohesion, expressiveness, and conflict Five subscales refer to Personal Growth: independence, achievement orientation, intellectual- cultural orientation, active-recreational orientation, and moral-religious emphasis System Maintenance measure how much planning is put into family activities and responsibilities and how much set rules and procedures are used to run family life

3 Family Environmental Scale (FES) In addition, three separate forms of the FES are used to measure perception of the family – Real Form (Form R):people's attitude about their family current environment – Ideal Form (Form I): person's ideal family perception – Expectations Form (Form E): assess the family ability to withstand change

4 Clinical Biographies and life chart Facilitate in the analysis of connection between a person’s experiences of health and illness Help show the correlation between the life events and clinical events

5 SCREEM Very important in the assessment of the family as to its capacity to participate in the provision of health care or to cope with crisis Social, Cultural, Religious, Economic, Educational, Medical

6 resourcespathology Social Social interaction is evident among family members. Family have a well balanced lines of communication with extra familial social groups such as friends, sports, clubs, and other community groups Isolated from extra familial Problem of over commitment Culture Cultural pride or satisfaction can be identified, especially in distinct ethnic groups Ethnic/cultural inferiority Religious Religion offers satisfying spiritual experiences as well as contacts with an extra familial support group Rigid dogma rituals Economic Economic stability is sufficient to provide both reasonable satisfaction with financial status and an ability to meet economic demands of normative life events Economic deficiency Inappropriate economic plan Educational Education of family members is adequate to allow members to solve or comprehend most of the problems that arise within the format of the lifestyle established by the family Handicapped to comprehend Medical health care is available through channels that are easily established and have previously been experienced in a satisfactory manner Not utilizing health care facilities or resources

7 Draw-a-family test (D.R.A.F.T.) Projective technique that can be administered individually or in-group test Provide clues on individual family member’s personalities and works as a diagnostic device Does not measure the inherent ability to draw but how he pictures his family members

8 Draw-a-family test (D.R.A.F.T.) Projective drawing like D.R.A.F.T. has been found to be useful and revealing because: – Patients exhibiting evasiveness and guardedness seem more likely to reveal their underlying traits and psychodynamics in the drawing because subjects are more intellectually aware of what they might expose through verbal communications – Drawing can be an expression of the unconscious label that represents an adultered basic needs – Drawings are first to show incipient psychopathology and the last to lose signs of illness after the patient recovers

9 Family Mapping Facilitates the communication of informations about a family system to colleagues so that they can be understood

10 Family Mapping functional dysfunction Over involved relationship where there is plenty of intrusion Rigid boundary where the rules are clear but non negotiable _ _ _ _ _ _ _Boundary that is clear but negotiable..........Boundary that is diffuse or unclear [ ]presence or coalition or alliance between several people Pointing away from the system= escape from the system Open end embracing 2 individuals and the pointed end pointing to a third signifies that the third person is being triangulated by the conflict between the other 2


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