What does it mean to be ‘present and accounted for’ when a family member is facing chronic illness or death? How does one define a self in relation to the ill or dying member and the family? Rooted in Murray Bowen’s family systems theory, this edited volume provides conceptual ideas and applications useful to clinicians who work with families facing chronic illness or the death of a member. The text is divided into four parts: Part I provides a detailed overview of Bowen’s theory perspectives on chronic illness and death and includes Murray Bowen’s seminal essay "Family Reaction to Death." In Parts II and III, chapter authors draw upon Bowen theory to intimately explore their families' reactions to and experiences with death and chronic illness. The final part uses case studies from contributors’ clinical practices to aid therapists in using Bowen systems perspectives in their work with clients. The chapters in this volume provide a rich and broad range of clinical application and personal experience by professionals who have substantial knowledge of and training in Bowen theory. Death and Chronic Illness in the Family is an essential resource for those interested in understanding the impact of death and loss in their professional work and in their personal lives.

Move through emotional triangles toward a natural systems view of the individual in the context of the family and society Triangles: Bowen Family Systems Theory Perspectives presents clear applications of Murray Bowen’s concept of the emotional triangle in the family, the organization, and society. This comprehensive book discusses in detail the theory, the theory’s application to the therapist’s own family, clinical applications, organizational applications, and societal applications. This unique resource examines the value of the triangle concept for understanding the emotional process of the family, the organization, and society. Triangles: Bowen Family Systems Theory Perspectives provides a theoretical context for understanding the triangle concept and its application, then progresses to exploring and applying the concept of the triangle and interlocking triangles to self, family, and other contexts. This book is devoted to explicating Bowen’s seminal concept of the triangle, and providing a clear description of the process of detriangling in clinical practice. The text includes several case studies and vignettes to illustrate concepts. Topics in Triangles: Bowen Family Systems Theory Perspectives include: a historical and conceptual overview the triangle’s function in the effort to increase differentiation of self the presence of triangles in non-human primates Bowen’s differentiation of self effort in his own family and business the functioning of triangles at the time of chronic illness and death emotional triangles involving pets and humans the application of the concept of triangles and interlocking triangles to clinical issues in marriage the presence of triangles in the child-focused family triangles in stepfamilies the triangle’s presence and function in families with substance abusing teens triangles involving extramarital relationships triangles in organizations and businesses the triangle’s function in the context in societal emotional process and much more! Triangles: Bowen Family Systems Theory Perspectives is a stimulating, enlightening resource for family therapists, social workers, psychologists, pastoral counselors, and counselors.

Couples and families face daunting challenges as they cope with serious illness and disability. This book gives clinicians a roadmap for helping affected individuals and their loved ones live well with a wide range of child, adult, and later-life conditions. John S. Rolland describes ways to intervene with emerging challenges over the course of long-term or life-threatening disorders. Using vivid case examples, he illustrates how clinicians can help families harness their strengths for positive adaptation and relational growth. Rolland's integrated systemic approach is useful for preventive screening, consultations, brief counseling, more intensive therapy, and multifamily groups, across health care settings and disciplines. This book significantly advances the clinical utility of Rolland?s earlier landmark volume, Families, Illness, and Disability.

Self-care deficits and a slowly dwindling course to death, which usually results from frailty or dementia. Effective and reliable care for persons coming to the end of life will require changes in the organization and financing of care to match these trajectories, as well as compassionate and skillful clinicians. (Available from the publisher or libraries holding the journal.).

Challenging assumptions about caregiving for those dying of chronic illness. What is it like to live with—and love—someone whose death, while delayed, is nevertheless foretold? In Living in Death’s Shadow, Emily K. Abel, an expert on the history of death and dying, examines memoirs written between 1965 and 2014 by family members of people who died from chronic disease. In earlier eras, death generally occurred quickly from acute illnesses, but as chronic disease became the major cause of mortality, many people continued to live with terminal diagnoses for months and even years. Illuminating the excruciatingly painful experience of coping with a family member’s extended fatal illness, Abel analyzes the political, personal, cultural, and medical dimensions of these struggles. The book focuses on three significant developments that transformed the experiences of those dying and their intimates: the passage of Medicare and Medicaid, the growing use of high-tech treatments at the end of life, and the rise of a movement to humanize the care of dying people. It questions the exalted value placed on acceptance of mortality as well as the notion that it is always better to die at home than in an institution. Ultimately, Living in Death’s Shadow emphasizes the need to shift attention from the drama of death to the entire course of a serious chronic disease. The chapters follow a common narrative of life-threatening disease: learning the diagnosis; deciding whether to enroll in a clinical trial; acknowledging or struggling against the limits of medicine; receiving care at home and in a hospital or nursing home; and obtaining palliative and hospice care. Living in Death’s Shadow is essential reading for everyone seeking to understand what it means to live with someone suffering from a chronic, fatal condition, including cancer, AIDS, Alzheimer’s, and heart disease.

Treatment for the chronically ill has traditionally focused on physical factors and symptoms, despite the fact that chronic illness also affects life in an emotional and spiritual way. The approach toward treatment described in this volume addresses all aspects of a patient's life, including their interpersonal experiences and relationships, presenting family therapists and family physicians as part of the same treatment team. This volume thus provides a foundation for understanding the role illness plays in family systems. The meaning an individual gives to an illness is profoundly influenced by and influences that person's social world. In turn, social culture and social networks both shape and are shaped by the individual's experiences. Exploring how the meaning of chronic illness is defined tells us much about the individual's interpersonal relations and the resultant meaning given to the person's illness. As a consequence, family therapy must be an integral part of the treatment plan for chronically ill patients . Family Therapy and Chronic Illness approaches chronic illness from a leading-edge perspective. This approach enables therapists to listen attentively to complicated narratives. Because these stories, feelings, and emotions are difficult to describe, the clients have demanding "telling" tasks while therapists have demanding "listening" tasks. This book sends an important message not just about the chronically ill, but also about their families, therapists, and doctors, and how they can work together to develop the best treatment plan possible.

A revealing account of how families adapt to living with a chronically ill child What is it like to live with a child who has a chronic, life-threatening disease? What impact does the illness have on well siblings in the family? Myra Bluebond-Langner suggests that understanding the impact of the illness lies not in identifying deficiencies in the lives of those affected, but in appreciating how family members carry on with their lives in the face of the disease's intrusion. The Private Worlds of Dying Children, Bluebond-Langner's previous book, now considered a classic in the field, explored the world of terminally ill children. In her new book, she turns her attention to the lives of those who live in the shadow of chronic illness: the parents and well siblings of children who have cystic fibrosis. Through a series of narrative portraits, she draws us into the daily lives of nine families of children at different points in the natural history of the illness—from diagnosis through the terminal phase. In these portraits, as family members talk about their experiences in their own words, we see how parents, well siblings, and the ill children themselves struggle, in different ways, to contain the intrusion of the disease into their lives. Bluebond-Langner looks at how parents adjust their priorities and their idea of what constitutes a normal life, how they try to balance the needs of other family members while caring for the ill child, and how they see the future. This context helps us understand how well siblings view the illness and how they relate to their ill sibling and parents. Since the issues raised are not unique to cystic fibrosis but are common to other chronic and life-threatening illnesses, this book will be of interest to all who study, care for, or live with the seriously ill.