JASC OCBC CAREGIVER CONFERENCE

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Challenges in Family Decision Making & Communication Keiro Caregiver Conference Orange County Buddhist Church May 21, 2011 Frances Chikahisa, MSW, LCSW Chicago, IL

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Contemporary Issues Team B PSY/480 Clinical Psychology Title Page 1 Contemporary Issues in Clinical Psychology Changes in Family Structure Divorce Remarriage: step-parent, step-children and step-sibling(s) Death: parent or sibling Birth: new baby or grandchild Cultural Diversity Discrimination Oppression Stereotyping When someone seeks out a psychologist for assistance in overcoming issues related to a change in their familial structure or because of racial or ethnic discrimination, the psychologist should be experienced in the particular challenges this patient is facing. Clinical psychology has had to develop new ways to treat these patients as previous strategies were not as beneficial as they could be. Clinical psychologists also needed to evolve as psychology did so that they have the knowledge and experience to assist patients in these particular situations. 2 Changes to Family Structure Separation Divorce As time continues to go on, the American family is not what is once was. Over the last 50 years there has been a dramatic rise in divorce; the highest it has ever been in the U.S. Divorce affects all types of marriages, whether it a heterosexual couples, blended couples, and even homosexual couples. “This marks a shift away from the ideal of the companion marriage popularized in the early 1920’s to self-aspiration, enhanced freedom, and egalitarian relationships” (Castelloe, 2011). Since the 1960’s the rate of divorce and separation has risen because of the fact that “society has become more inclusive and women more financially independent, resulting in increased tension in marriages between individualization and what psychoanalyst Erik Erickson described as “generativity,” a concern for the welfare of others” (Castelloe, 2011). 3 Population Most Affected Not one race, ethnicity, culture. High Conflict Financially Unstable Children of Divorce Divorce is not exactly privy to one specific culture or ethnicity; many people of all races become separated or divorced. Since 1970, the rate of divorce, at 72%, has declined to 59% (Friedman, n.d.). Jeffrey Drew conducted a study in 2009 on couples who argued about finances. He concluded that couples who argued about finances more than once a week were more than 30% likely to get divorced than couples who argue about it only a few times a month. “According to Drew, couples who disagree about money less than once per month run a 30-40% increase in the risk of divorce” (Divorce Source, 1996). The rate of divorce ultimately increases as the arguments become more often, several times a week, daily; the risk increases 125% to 160% (Divorce Source, 1996). It is believed that children who come from a separated family or divorced family are going to be two times more likely to get divorced than a child whose parents remained together (Castelloe, 2011). 4 Family Structure changes and its effect on Psychology Children Men Women Psychology is greatly effected by chang.

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