Chronic Pain and Family: A Clinical Perspective by Ranjan Roy

By Ranjan Roy

Chronic discomfort impacts each part of a patient’s existence, and nowhere is that this extra glaring than within the advanced enviornment of kin lifestyles. power ache and kin: a scientific viewpoint examines usual relations matters linked to lengthy disorder, delivering life like how one can process them in therapy.

Informed via present perform and his personal event, famous author/clinician Ranjan Roy brings clean insights to universal soreness eventualities and healing impasses, and offers a framework for assessing marital and kinfolk relationships whilst continual ache is a defining issue. Clinicians gets not just a clearer figuring out of delicate matters, but additionally powerful recommendations for enticing consumers with no turning them off.

Coverage includes:

- Meanings of ache in relationships

- "Who Does What?": exploring adjustments in relatives roles

- Resistance to remedy: why it happens and the way to paintings via it

- healthiness matters and different burdens on good spouses and children

- Sexuality, family abuse, and different "silent" issues

- Case examples demonstrating remedy step by step with quite a number and families

For therapists and social employees who take care of this becoming inhabitants of sufferers, continual discomfort and kin: A scientific viewpoint stands at a special intersection of pain/disability and kin assets. Roy’s acceptance of the family’s altering demographics with his synthesis of scientific wisdom make the ebook appropriate for graduate-level classes as well.

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Extra resources for Chronic Pain and Family: A Clinical Perspective

Sample text

This meant more responsibilities for Mrs. Christy. Second, the teenage son, at age 14, was still a child but was becoming increasingly autonomous. His gradual shift to more autonomy was seriously challenged and he became resentful. His anger was directed at his father, who was becoming more demanding of the boy. Third, the suddenness of Mrs. Christy’s deterioration was caused by an accident. Fourth, the problem of adaptation for the family to Mrs. Christy’s altered health status varied with the day-to-day variation in her functioning.

Elsewhere (Roy, 1990, 2001) I have argued that the common assumption that chronic pain families should aspire to resemble normal (normative) families is problematic. These families, by definition, cannot be “normal” by the very nature of their problems. As clinicians we often find ourselves confused at best by the research findings. We also know that successful adaptation to chronic pain by families tend to deviate in many ways from what may be construed as normal family functioning. I have shown, through a detailed case discussion (Roy, 1990), how a couple’s adaptation to the husband’s herpes zoster and other medical problems deviated to a significant level from effective family functioning as proposed by the McMaster Model of Family Functioning.

11. Caregiver demands Patient depression Caregiver physical health Loneliness Boredom Frustration Financial hardship Poor spousal communication Hopelessness Marital satisfaction Lack of social support Many of the studies cited above also report on the “buffering” or the protective factors that prevent caregivers from succumbing to health problems. The following factors have been reported: 1. 2. 3. 4. 5. 6. 7. Availability of social support Availability of community and institutional support A sense of control over an unpredictable chronic illness Finding positive meaning in caregiving Feelings of gratification Love for the patient and pride in the act of caregiving Spirituality The literature on the caregiving burden of Alzheimer’s disease is not dissimilar to the issues noted above except in one important respect, which is that the irrational and sometimes violent behavior of Alzheimer’s disease patients adds substantially to the burden on the caregivers.

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