The Influence of Family Relationships on Social and Psychological Functioning: A Follow-Up Study

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This study sought to add to the existing knowledge of the influence of family relationships on social and psychological adjustment. A longitudinal analysis of individuals who had undergone treatment for alcoholism showed that the quality of family relationships significantly influenced improvement in two important areas of psychological and behavioral functioning. The relevance of the findings for family theory as well as the place of family relationships in more general sociological analysis are discussed.

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... Good family and social relationship are essential for the growth of human being. Ward (1981) observed the effect of the family relationship on the social relationship of a person thereafter Todd (2001) observed that members had no involvement in community affairs. Kabeer (2005) explained social relations as multi-strand and she also found an association between social relations and financial services. ...
The psychological well-being of end stage renal disease (ESRD) patients and spouses was investigated from a dyadic perspective. The responses of patients and spouses from five groups of couples--illustrating different points in the progression and treatment of ESRD--were compared both across ESRD groups and between patients and spouses. Despite the fact that the ESRD groups reflected differences in illness/treatment intrusiveness, no significant differences were found between the ESRD groups, or between patients and spouses, in either marital relations or psychological well-being. However, while for all the participants marital role strain was a significant predictor of psychological well-being, the two dialysis groups evidenced significantly greater correlations between marital role strain and psychological distress than the nondialysis groups. These findings are interpreted as being consistent with a general systems theory approach to the conceptualization and treatment of chronic illness.
Evaluation researchers have been broadening the traditional client input--"black box" treatment--client outcome paradigm that has guided many evaluations of mental health, substance abuse treatment, and other intervention programs. The points of expansion are in the areas of treatment implementation and treatment processes, as well as "extratreatment" influences on treatment selection, duration, and, especially, outcome. This review illustrates the application of environmental assessment procedures--particularly social climate measures--in four aspects of evaluation research suggested by the more comprehensive model: (a) evaluating treatment implementation; (b) exploring treatment processes; (c) identifying extratreatment influences on client posttreatment functioning; and (d) operationalizing outcome variables. Conceptual and methodological issues raised by these applications are discussed, and the benefits to be derived from an expanded model of evaluation research--especially the greater potential for program improvement--are considered.
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