Chapter 14 Family Crises Chapter Outline Coping with Crises Death in the Family Accidents, Injuries, and Catastrophic Illness Family Violence Poverty and Unemployment The Military Family in Time of War Drug and Alcohol Abuse What is a crisis? A crisis is any event that upsets the smooth functioning of a person’s life. Review: 8 Characteristics of Strong Families 1. 2. 3. 4. Commitment Appreciation Good communication skills Desire to spend time together Review: 8 Characteristics of Strong Families 5. 6. 7. 8. Strong value system Ability to deal with crises and stress in a positive manner Resilience Self-efficacy Coping with Crisis Depending on a family’s viewpoint and resources, many different kinds of events are apt to become crises. Crisis-provoking events are called stressor events. Types of Stressor Events • • Internal - Events that arise from someone inside the family, such as alcoholism, suicide, or running for election. External - Events that arise outside the family, such as earthquakes, terrorism, the inflation rate, or cultural attitudes toward women and minorities. Types of Stressor Events • • Normative - Events that are expected over the family life cycle, such as birth, launching a young adult, marriage, aging, or death. Nonnormative - Events that are unexpected, such as winning a lottery, getting a divorce, dying young or war. Types of Stressor Events • • Ambiguous - The facts are so unclear that you’re not even sure that the crisis is happening to you and your family. Nonambiguous - Clear facts are available about the event: what is happening, when, how long, and to whom. Types of Stressor Events • • Volitional - Events that are wanted and sought out, such as a freely chosen job change, a college entrance, or a wanted pregnancy. Nonvolitional - Events that just happen, such as being laid off or the sudden loss of someone loved. Types of Stressor Events • • Chronic - A situation that has long duration, such as diabetes, chemical addiction, or racial discrimination. Cumulative - Events that pile up, one right after the other, so there is no resolution before the next one occurs. Types of Stressor Events Acute - An event that lasts a short time but is severe, such as breaking a limb, losing a job, or flunking a test. Isolated - An event that occurs alone, at least with no other events apparent at that time. It can be pinpointed easily. Stress Leads to Success? • • Research has found that moderate stress, especially during childhood, may be related to later achievement. In a study of 400 famous individuals from the twentieth century, it was found that 3/4 were troubled as children and that 1/4 faced physical disability or difficulty. Responses to Stress 1. 2. 3. General-adaptation Syndrome: Alarm Resistance Recovery or exhaustion Alarm Reaction • • • Physical and psychological changes are experienced. These changes are controlled by the sympathetic or parasympathetic nervous systems. These two systems usually operate in opposition to each other; that is, if one system activates a response, the other counteracts the response. Resistance • During this stage, various physical responses appear to return to normal, because the body has built up resistance to the stress. Exhaustion or Recovery During this stage, exhaustion occurs if the original symptoms return. The person often becomes physically ill. On the other hand, if the stress has been reduced to a tolerable level, the symptoms do not come back and recovery ensues. Autonomic Nervous System Physical Signs of Stress • Pounding of the heart; rapid heart rate • Rapid, shallow breathing • Dryness of the throat and mouth • Raised body temperature • Decreased sexual appetite or activity • Feelings of weakness, light-headedness, dizziness, or faintness Psychological Signs of Stress • Irritability, tension, or depression • Impulsive behavior and emotional instability • Lowered self-esteem; thoughts related to failure • Excessive worry; insecurity; concern about other people’s opinions; self-deprecation • Reduced ability to communicate with others Steps in Crises Management 1. 2. 3. 4. Describe the event in realistic terms and determine whether it is a crisis for you, your family, or your friend. Examine your emotions and reactions to the crisis situation. Seek support and help from friends and family. Consider all possibilities and take decisive action to resolve the crisis. Therapy • • • • Therapy is a broad term used to describe actions taken to cure or solve any problem. Taking an aspirin is therapy for a headache. Counseling from a hospice after the death of a loved one is therapy. Many groups and organizations help individuals cope with crises in their lives. Defending Against Harmful Stress • • Coping devices are ways of handling or dealing with stress, frustration, pain, fear, anxiety, and any other problems arising from stressful situations. Anxiety is a generalized fear, without a specific object or source. Progressive Relaxation 1. 2. 3. 4. 5. Assume a comfortable position, in a quiet environment and with eyes closed. Breathe deeply. Relax each muscle in the body, starting with the feet and working up to the neck and face. Maintain a quiet attitude, let thoughts come and go, allow relaxation to proceed at its own pace. Remain relaxed for 15 to 20 minutes. Defense Mechanisms • Defense mechanisms are the methods an individual uses to deny, excuse, change, or disguise behaviors that cause stress or anxiety. • They are unconscious, unlike the coping strategies. Positive Uses of Defense Mechanisms 1. 2. Defense mechanisms can give time to adjust to a problem that might at first be overwhelming. Defense mechanisms may lead to experimentation with new roles. Commonly Used Defense Mechanisms 1. 2. 3. Repression is an unconscious blocking of whatever is causing stress and frustration. Displacement is a straightforward substitution of a less-threatening behavior for another. Rationalization involves finding an excuse for a behavior that is causing trouble. Commonly Used Defense Mechanisms 4. 5. 6. Projection is a defense mechanism whereby one’s own characteristics or impulses are imposed upon others. Sublimation involves converting a socially unacceptable impulse into a socially acceptable activity. Compensation allows a person to make up for a shortcoming in one area by becoming successful in another area. Scapegoating • • Projection is the major psychological mechanism used in scapegoating, whereby a person or group is blamed for the mistakes or crimes of another. Scapegoating may also be evident when a person or group is blamed for some misfortune that is due to another cause. Ambiguous Loss Two kinds: 1. In the first, people are physically absent but psychologically present, because it is unclear whether they are dead or alive. • Missing soldiers and kidnapped persons illustrate this type of loss. 2. The second type is when a person is physically present but psychologically absent, such as people with Alzheimer’s disease, addictions or who are in a coma. Death Rate for Homicide (rate/100,000 pop) 1980 2002 All males 16.6 9.0 All females 4.4 2.8 White male 10.4 5.2 White female 3.2 2.1 Black male 69.4 35.4 Black female 13.2 7.1 Death Rate for Homicide (rate/100,000 pop) 1980 2002 Hispanic male 27.4 (1990) 11.8 Hispanic female 4.3 (1990) 2.8 Asian male 9.1 4.3 Asian female 3.1 1.7 American Indian male 23.3 10.7 American Indian female 4.6 3.0 Death Rate for Suicide (rate/100,000 pop) 1980 2002 All males 19.9 17.7 All females 5.7 4.0 White male 20.9 19.1 White female 6.1 4.3 Black male 11.4 10.0 Black female 2.4 1.8 Death Rate for Suicide (rate/100,000 pop) 1980 2002 Hispanic male 23.5 (1990) 20.2 Hispanic female 2.3 (1990) 1.7 Asian male 10.7 8.6 Asian female 5.5 2.8 American Indian male 19.3 16.0 American Indian female 4.7 3.8 Common Questions About Suicide 1. 2. 3. 4. Why do young people want to die? If suicidal persons want to live, then why would they try to kill themselves? If a person’s mind is set on suicide, can anyone or anything change it? Is it hard to face life after attempting suicide? Common Questions About Suicide 5. 6. 7. Do people who talk about killing themselves just want attention? Is it best to just ignore their threats? Are people who try to kill themselves emotionally ill? What causes people to attempt suicide? Common Questions About Suicide 8. 9. 10. 11. How can you tell if someone is about to commit suicide? What can you do to help if you suspect an oncoming suicide attempt? What if you fail to prevent a suicide? What if you sometimes feel like ending your own life? Death Rates for Firearm-Related Injuries (rate/100,000 pop) All persons All males All females 1980 14.8 25.9 4.7 2002 10.4 18.1 2.8 White male 22.1 15.9 White female Black male Black female 4.2 60.1 8.7 2.7 34.2 3.9 Death Rates for Firearm-Related Injuries (rate/100,000 pop) 1980 2002 Hispanic male 27.6 (1990) 13.6 Hispanic female 3.3 (1990) 1.8 American Indian male 24.0 13.1 American Indian female 5.8 2.9 Reactions to Death 1. Denial and isolation 2. Anger 3. Bargaining 4. Depression 5. Acceptance Family Violence • • • • • Violence between Partners Child Abuse Sibling Abuse Peer Abuse Parental Abuse by Children Elements of Child Abuse 1. 2. 3. 4. The parent must be a person to whom physical punishment is acceptable. The abusive parent often has unrealistic expectations for the child. The parent perceives the child to be difficult and trying. There is usually a crisis of some kind. Factors Associated with Family Violence 1. 2. 3. 4. The cycle of violence Socioeconomic status Stress Social isolation Factors Associated with Family Violence 5. Traditional male-role orientation 6. Low self-esteem, understanding, patience, and tolerance 7. Alcohol and drug use Americans in Poverty Percent All People and Family Members below 100% of Poverty, 2002 All People People in Families All races 12.5% 10.8% White 10.5 8.7 Black 24.4 23.1 Hispanic 22.5 21.5 Asian 11.8 9.8 Poverty Rates by Education and Race, 2000 Percent Child Poverty Rates Race Metropolitan Rural All Children 16% 19% Black 32 42 Hispanic 19 24 Asian 14 14 American Indian 27 36 The Working Poor • Working poor: Employed people who live below the poverty threshold Various Family Relationships in the Military Advantages of Military Life • • • • The entire military acts as a surrogate family. The goals of the military are similar, thus contributing to a high degree of camaraderie. Housing or an allowance is provided, which helps the families when moving from place to place. New assignments bring new friends and support from service families at the new posting. Disadvantages of Military Life Frequent moves and loss of friends. Parental absences with deployment. Pressure to adjust and fit into the group. Lack of control over one’s future. Disadvantages of Military Life Housing, although often provided, looks like everyone else’s and close living makes privacy difficult. Parenting difficulties when a parent is deployed. Stress for the trailing party. Drug Abuse Drug abuse is the persistent and excessive use of any drug that results in psychological or physical dependence, or that the society labels as dangerous or illegal. Drug Abuse Defining the term drug is difficult. One definition of a drug is any substance taken for medical purposes or for pleasure that affects bodily functions. Continuum of Drug Action Well-known Personalities Who Had Drug-Related Deaths Rob Pilatus Chris Farley Michael Hutchence Sid Vicious Kurt Cobain Brian Jones River Phoenix John Belushi Jim Morrison Brian Epstein Marilyn Monroe Janis Joplin Judy Garland Elvis Presley Jimi Hendrix Len Bias Quick Quiz 1. When a person or group is blamed for the mistakes or crimes of another it is called a) b) c) d) projection displacement scapegoating repression Answer: c • Scapegoating is when a person or group is blamed for the mistakes or crimes of another. 2. Repression, projection and displacement are all a) b) c) d) Coping methods Defense Mechanisms Relaxation Techniques Stressor Events Answer: b • Repression, projection and displacement are common defense mechanisms. 3. Crisis provoking events are called a) b) c) d) Stressor events Family events Crisis Management Therapy Answer: a • Crisis provoking events are also called stressor events.