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Family Wellness and Recovery presentation
Transcript of Family Wellness and Recovery presentation
Institute of Wellness and Recovery Initiatives Tom Pyle
Family Member Family "Lived Experience": 6 stages The
Spiral" 2. Storm Instability, Recurrence
Anger, Grief, Loss
Stigmatization 3. Drift Regain “control”
React --> Act 4. Realignment Develop expertise
Share with others
Navigate The System 5. Mastery Empowerment
Transcendence 6. Growth Exacerbation
Depletion Concern Alarm! Help-
seeking Negation Recognition Family Wellness and Recovery A presentation for
Institute for Wellness and Recovery Initiatives Tom Pyle
Family Member Family Burden 1. Warning
6. Growth History of What Some Thought... The Schizophrenogenic Mother 1845: SMI as brain pathology (Griesinger)
1896: Dementia praecox: organic (Kraepplin)
1911: SZ as autism (Bleuer)
1913: SZ as hereditary (Freud)
1931: American psychiatrics break away
Harry Stack Sullivan:
SZ: from painful early relationships
Maternal behavior causality
Contrary to Freud’s biological basis The Schizophrenogenic Mother Frieda Fromm-Reichmann
Established rapport with those with SZ
The SZ pathogen: “environmental” Mother of the Schizophrenogenic Mother 1950s: chlorpromazine (Thorazine)
Positive symptoms addressed
Fewer side effects
Expectations change Pharmacological advances Psychoanalysis emphasized, then discredited
Transference out; collaboration in
Trust; therapeutic alliance
Skills development emerges
Coping skill training Psychosocial developments 1990s: Psychiatric Rehabilitation
Out: training, treating, changing
In: inclusion, integration, normalization, resilience, strengths- based, recovery, hope
Skills and supports development
Integration with clinical services
(One goal: Better relationships with families) Psychosocial, 3 1. Warnings 1960s: Rise of biopsychiatry
Family “balance of power”
Women’s liberation movement
Civil Rights movement
1967: Transmission of SZ Conference
Hereditary basis Etiology: Coming to the light… Family work
Education, support, coping
Reduced anxiety, less stress,
fewer relapses, less hospitalization
Outreaches Psychosocial, 2 1. Empathize with families.
2. Recognize what families want and need.
3. Learn how to support families.
4. Help families help their loved ones.
5. Teach families how help themselves. Objectives Getting Started... ...the impact on the family is like… What happens when ill child has children?
Custodial, co-resident, nonresident…
Child’s exposure to mother’s illness
Divided loyalties Grandparents (Seeman, 2009) One step removed…
Reactions to illness
Strategies for coping
Whether, how to intervene?
Resentment, anger, hopeless?
Efforts to obtain services
Wish for validation
Efforts to help themselves Siblings (Lukens, Thorning & Lorher, 2002) Reflection on roles
Devastation and vulnerability
Sadness and loss
Frustration with the system
Admiration for the child
Personal growth and learning Fathers (Wiens & Daniluk, 2009) Feelings
Powerless, voiceless, anxious, frustrated, isolated, tired, desperate, trapped, guilty, worried, scared, sad, grief, confused
Sense of safety
Perception of care ability
Contingencies and consequences
Maternal love and obligations Mothers (Copeland & Heileman, 2011) law, mental health practitioners, and often the ill person reject their right to do so.” Disenfranchisement
“When parents try to assume responsibility for an ill adult-child with schizophrenia, the Overall (Milliken & Northcott, 2003) Acknowledge; connect; engage
Offer coping mechanisms
Comprehensive involvement at discharge
Instill hope Providers: How to help?
(Clarke & Windsor, 2010) Ways of Coping Meaning
Balance Needs (Power & Dell Orto, 2004) Denial
Acceptance Effects: 8 “themes” (Power & Dell Orto, 2004) Threat
Disequilibrium Characteristics of those in crisis The Family Crisis Moment Needed… Information!
Education programs Wanted from professionals…
Understanding of family impacts
Inclusion in treatment planning
Understanding of family time devoted
Understanding of family frustration Effects of the Lived Experience Components of Wellness Modalities Family education (FE)
Family psychoeducation (FPE)
Family consultation (FC)
Family self-care Disability Philosophy Traditional view: Tragedy
Families at fault
Modern view: Opportunity
Determine lifestyle So… Disability: whose definition?
Adapt & Assist Critical Issues Marital matters
Diminishing social support
Changed lifestyle prospects
LT endurance FPE: A Behavior Management Model
Coping techniques training Pyramid of Family Care
(Mottaghipour & Bickerton, 2005) Family Psychoeducation SAMHSA'S 8 Dimensions of Wellness Modalities to Wellness So, in conclusion... www.psychodyssey.net General systems theory (Boulding, 1956) Psychodynamic
Group of interlocking individual psychodynamics at different stages
Independently operating units from which individual pyschodynamics
A system with things similar to all other systems, within hierarchies, e.g. civilizations societies individuals psyches, etc.
System of circular information flow and regulatory mechanisms
“Co-evolutionary ecosystem in an evolutionary timespace” Family systems: 5 paradigms (Auerswald, 1987) Reduce anxiety by…
Understanding how family systems work
Fusion and Differentiation
Nuclear Family Emotional System
Family Projection Process
Societal Evolution Bowen Family Theory (Brown, 1999) When the illness comes... 2013 Walk: May 18