Families and Health

  • Macaron A. Baird
  • William D. Grant


Family medicine has long held as fundamental components of its specialty the importance of both understanding family dynamics as well as treating patients in the context of their families.1 Family medicine endeavors to implement a bio-psychosocial model as it continues to confront educational and practice dilemmas in pursuit of knowledge of how families influence health and illness and how members of the health care team can work constructively with families to maximize the health of both individuals and families. As medical treatment increasingly moves out of the hospital and into ambulatory and home settings, it becomes even more important to understand the family’s role in health and health care. This chapter reviews: (a) principles of health-related family dynamics, (b) the family life cycle, (c) the family’s influence on health-related behavior, (d) studies on the family and health, (e) the changing nature of American families, and (f) implications for the future of family medicine.


Anorexia Nervosa Family System Family Life Cycle Couple Bond Family Ritual 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Geyman JP. The family as the object of care in family practice. J FamPrac 1977; 5:571–7.Google Scholar
  2. 2.
    Doherty W, Baird M. Family therapy and family medicine: toward the primary care of families. New York: Guilford Press, 1983.Google Scholar
  3. 3.
    Steinglass P, Bennett LA, Wolin S J, Reiss D. The alcoholic family. New York: Basic Books, 1987.Google Scholar
  4. 4.
    Beavers WR. Healthy, mid-range, and severely dysfunctional families. In: Walsh F, editor, Normal family processes. New York: Guilford Press, 1982.Google Scholar
  5. 5.
    Doherty WJ. Private lives, public values: The new pluralism—a report from the heartland. Psychology Today 1992;8:32–7.Google Scholar
  6. 6.
    Rolland J. Family systems and chronic illness. A typological model. Family Proc 1987;26:203–21.CrossRefGoogle Scholar
  7. 7.
    Healthy People: The Surgeon General’s report of health promotion and disease prevention. U.S. Department of Health, Education, and Welfare and Public Health Service. 1979 Report No. DHEW-PHS-79–55071.Google Scholar
  8. 8.
    Campbell T. Family’s Impact on Health: A Critical Review and annotated bibliography. Washington (DC): National Institute of Mental Health Series; 1986. Series DN No.:DHHS-86–1461-6. Also: Family Systems Medicine. 1986;4:135–328.Google Scholar
  9. 9.
    Minuchin S, Rosman B, Baker L. Psychosomatic families: anorexia nervosa in context. Cambridge, MA: Harvard University Press, 1978.Google Scholar
  10. 10.
    Medalie JH, Goldbourt U. Angina pectoris among 10,000 men: Psychosocial and other risk factors as evidenced by a multivariate analysis of a five year incidence study. Am J Med 1976;60: 910–21.PubMedCrossRefGoogle Scholar
  11. 11.
    Olsen D, Sprenkle D, Russell C. Circumplex model of marital and family systems: I. Cohesion and adaptability dimensions, family types, and clinical applications. Family Proc 1979;18:3–28.CrossRefGoogle Scholar
  12. 12.
    Patterson JM, McCubbin HI. Chronic illness: family stress and coping. In: Figley CR, McCubbin HI, editors. Stress and the family: coping with catastrophe. New York: Brunner/Mazel, 1983;2.Google Scholar
  13. 13.
    Ross CE, Mirowsky J, Goldsteen K. The impact of the family on health: The decade in review. J Marriage Fam 1990;52:1059–78.CrossRefGoogle Scholar
  14. 14.
    Doherty WJ, Campbell T. Families and Health. Newbury Park, CA: Sage, 1988.Google Scholar
  15. 15.
    Patterson JM. A Family Stress Model: The Family Adjustment and Adaptation Response. In: Ramsey C, editor. Family Systems in Health. New York: Guilford Press, 1989.Google Scholar
  16. 16.
    Pearlin LI. The sociological study of stress. J Health Soc Behav 1989;30:241–6.PubMedCrossRefGoogle Scholar
  17. 17.
    Holmes TH, Rahe RH. The social readjustment scale. J Psychosom Res 1967;39:413–31.Google Scholar
  18. 18.
    Helzing KJ, Szklo M. Mortality after bereavement. Am J Epidemiol 1981;114:41–52.Google Scholar
  19. 19.
    Schleifer SJ, Keller SE, Stein M. Bereavement and immune function. In: Ramsey C, editor. Family Systems in Health. New York: Guilford Press, 1989.Google Scholar
  20. 20.
    Weiner H. Perturbing the organism: The biology of stressful experience. Chicago: University of Chicago Press, 1992.Google Scholar
  21. 21.
    Locke A, Ader R, Besedovsky H, Hall N, Soloman G, Strom T. Foundations of psychoneuroimmunology. New York: Aldine Publishing, 1985.Google Scholar
  22. 22.
    Ramsey C, editor. The science of family medicine. In: Family systems in medicine. New York: Guilford Press, 1989.Google Scholar
  23. 23.
    Household and Family Characteristics: March 1990 and 1989. Washington, (DC). US Bureau of the Census, Current Publication Reports; 1990, Series P-20–447.Google Scholar
  24. 24.
    McDaniel SH, Hepworth J, Doherty WJ. Medical family therapy. New York: Basic Books, 1992.Google Scholar

Copyright information

© Springer Science+Business Media New York 1994

Authors and Affiliations

  • Macaron A. Baird
  • William D. Grant

There are no affiliations available

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