Neurology Edited by Professor Emeritus Desire' Dubounet, IMUNE

ETIOLOGYSituational transition and/or crisesDevelopment transition and/or crisesDEFINING CHARACTERISTICSSubjective[Family expresses confusion about what to do and say they are having difficulty coping with situation]ObjectiveFamily system unable to meet physical/emotional/spiritual needs of its membersFamily unable to meet security needs of its membersFamily uninvolved in commu nity activitiesInability to accept or receive help appropriatelyFamily inability to adapt to change or to deal with traumatic experience constructivelyParents do not demonstrate respect for each other’s views on child-rearing practicesInability to express or accept wide range of feelings/feelings of membersInability of family members to relate to each other for mutual growth and maturationRigidity in function and rolesFamily does not demonstrate respect for individuality and autonomy of its membersFamily fails to accomplish current or past developmental taskIneffective family decision-making processFailure to send and receive clear messagesInappropriate level and direction of energyInappropriate boundary maintenanceInappropriate or poorly communicated family rules, rituals, symbolsUnexamined family myths________________________________________________________________________________________________FEAR_____________________________________________________________________ Diagnostic Division: Emotional ReactionsDefinition: Fear is a feeling of dread related to an identifiable source which the individual validates.SUPPORTING DATAETIOLOGYNatural or innate origins: sudden noise, loss of physical support, heights, painLearned response: conditioning, modeling from or identification with othersSeparation from support system in a potentially threatening situation (hospitalization, treatments, etc.)Knowledge deficit or unfamiliarityPhobic stimulus or phobiaLanguage barrier [/inability to communicate]Sensory impairmentEnvironmental stimuli[Threat of death, perceived or actual]DEFINING CHARACTERISTICSSubjectiveIncreased tensionImpulsiveness