{"id":117865,"date":"2018-03-11T10:47:33","date_gmt":"2018-03-11T10:47:33","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/salud-y-funcionalidad-de-las-familias-reconstituidas-en-proceso-de-terapia-familiar\/"},"modified":"2018-03-11T10:47:33","modified_gmt":"2018-03-11T10:47:33","slug":"salud-y-funcionalidad-de-las-familias-reconstituidas-en-proceso-de-terapia-familiar","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/familia-y-parentesco\/salud-y-funcionalidad-de-las-familias-reconstituidas-en-proceso-de-terapia-familiar\/","title":{"rendered":"Salud y funcionalidad de las familias reconstituidas en proceso de terapia familiar."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Eleni Galatsopoulou <\/strong><\/h2>\n<p>Objetivos \tnos hemos propuesto identificar aspectos funcionales y estructurales de las familias reconstituidas en tratamiento, as\u00ed como el estado de salud relacionado con la calidad de vida de sus miembros. Marcamos como objetivos espec\u00edficos: identificar estos aspectos funcionales y estructurales particulares de las familias reconstituidas en los diferentes subsistemas; medir la calidad de vida relacionada con la salud de los menores; analizar la salud general de los adultos y la tensi\u00f3n de rol de los padrastros y las madrastras; analizar el impacto de variables cl\u00ednicas y sociodemogr\u00e1ficas en la calidad de vida de sus miembros; evaluar si existe una relaci\u00f3n entre la tensi\u00f3n de rol y la calidad de vida de los adultos; y hacer propuestas de mejora en la asistencia terap\u00e9utica de estos pacientes.  metodolog\u00eda \tse trata de un estudio descriptivo transversal realizado durante los a\u00f1os 2010-2013 y llevado a cabo en dos per\u00edodos en un contexto cl\u00ednico, el instituto alicantino de la familia. La primera parte ha consistido en un an\u00e1lisis documental retrospectivo de historias cl\u00ednicas de familias reconstituidas en tratamiento, complementado por m\u00e9todos cualitativos. La segunda parte ha consistido en un estudio prospectivo observacional con instrumentos estandarizados (kidscreen, general health questionnaire e \u00edndice de tensi\u00f3n de rol) para la evaluaci\u00f3n de las variables calidad de vida relacionada con la salud de los menores, salud general de los adultos y tensi\u00f3n de rol de los padrastros y las madrastras.  conclusiones 1.\tEn la intervenci\u00f3n con las familias reconstituidas hemos de centrarnos en cinco focos de exploraci\u00f3n: la nueva pareja, la organizaci\u00f3n de la  parentalidad, las relaciones en la fratr\u00eda, la etapa de su ciclo vital familiar y la identidad familiar.   2.\tEl duelo es un tema subyacente que afecta el funcionamiento de la familia reconstituida, por lo que es necesario que gane mayor protagonismo en la intervenci\u00f3n.  3.\tLos elementos que inciden en la fragilidad de la nueva pareja son el duelo no resuelto por el subsistema conyugal anterior, la ausencia de espacio de intimidad, el contrato de pareja confuso y la intromisi\u00f3n de la familia extensa.  4.\tEn las familias reconstituidas existen dos jerarqu\u00edas simult\u00e1neas: la biol\u00f3gica y la de convivencia. En las familias reconstituidas en tratamiento es frecuente la confusi\u00f3n de roles y funciones entre ambas jerarqu\u00edas. 5.\tLas disfunciones m\u00e1s frecuentes en el subsistema parental son la co-parentalidad biol\u00f3gica conflictiva, los tri\u00e1ngulos, la fusi\u00f3n parento-filial y la rivalidad entre padrastro\/madrastra e hijastros. 6.\tLa fratr\u00eda mixta de la familia reconstituida est\u00e1 escasamente explorada en la terapia, siendo las relaciones de uni\u00f3n y protecci\u00f3n m\u00e1s frecuentes entre hermanos y medio- hermanos, y de distancia entre hermanastros. 7.\tEn las familias reconstituidas en tratamiento hay una ausencia de identidad propia diferenciada, siendo \u00e9sta contaminada por estereotipos de la familia nuclear tradicional, atribuciones tradicionales de g\u00e9nero y el mito de la sangre. Los profesionales tambi\u00e9n est\u00e1n influenciados por estos mitos y estereotipos, por lo que es necesario que \u00e9stos reciban formaci\u00f3n espec\u00edfica sobre las familias reconstituidas. 8.\tEl plan de intervenci\u00f3n con las familias reconstituidas ha de contar con distintas convocatorias, trasmitiendo de este modo un mensaje estructural a la familia.  9.\tLa edad y el g\u00e9nero modulan significativamente la calidad de vida de los menores de familias reconstituidas, siendo los varones y los m\u00e1s j\u00f3venes quienes presentan mejor calidad de vida. La separaci\u00f3n de la pareja reconstituida y una disfunci\u00f3n en la relaci\u00f3n parento-filial impactan negativamente en la calidad de vida de los menores, por lo que es necesario evaluarla desde el principio e incluirla en los objetivos de la intervenci\u00f3n.  10.\tSer mujer, convivir en el hogar reconstituido y la antig\u00ed\u00bcedad de la reconstituci\u00f3n son factores negativos para la salud de los adultos de familias reconstituidas en terapia familiar, por lo que es fundamental incluir dentro de la intervenci\u00f3n familiar la atenci\u00f3n de los problemas de salud y\/o de malestar de sus miembros.  11.\tLa asunci\u00f3n del doble rol, la antig\u00ed\u00bcedad en la convivencia, la heterosexualidad de la pareja y tener un hijo en com\u00fan implican una mayor tensi\u00f3n de rol de los padrastros y las madrastras, lo que supone un factor de riesgo negativo para su salud, por lo que es necesario evaluarla desde el principio de nuestra intervenci\u00f3n.    summary  objectives \twe pretend to identify functional and structural aspects of stepfamilies in therapy, as well as the health-related quality of life of its members. We indicate as specific objectives: identify these particular functional and structural aspects of stepfamilies in the different subsystems; evaluate the health-related quality of life of minors; analyze the general health of adults and the stepparent role strain; analyze the impact of clinical and socio-demographic variables in the quality of life of its members; evaluate whether there is a relation between role strain and quality of life; and make improvement proposals in the therapeutic assistance of these patients.    methodology it is about a descriptive transverse study carried out during the years 2010-2013 and performed in two periods in a clinical context, the family institute of alicante. The first part has consisted in a retrospective documental analysis of clinical histories of stepfamilies in therapy, complemented by qualitative methods. The second part has consisted in a prospective observational study with standardized instruments (kidscreen, general health questionnaire, stepparent role strain index) in order to evaluate the variables of health-related quality of life of minors, general state of health of adults and stepparent role strain.   conclusions 1.\tIn the intervention with stepfamilies we should focus on five areas of exploration: the new couple, the organization of parenting, the sibling relationships, the stage of its family life cycle and the family identity. 2.\tThe grief is an underlying subject that affects the functioning of stepfamily. Therefore it is necessary that grief gains special prominence in the intervention.  3.\tThe elements that influence in the fragility of the new couple are the grief for the former couple, the absence of intimate space, the confusing contract of the couple and the interference of the family of origin.    4.\tThere are two orders of hierarchy in stepfamilies: the biological and the cohabitation one. The confusion of roles and functions between both hierarchies  are common in stepfamilies in therapy.   5.\tThe most frequent dysfunctions in the parenting subsystem are the conflicted coparental relationship, the triangles, the parent-child fusion and the rivalry between stepparent and stepchild. 6.\tThe blended siblings of stepfamilies are rarely evaluated in therapy. The union and protection are the most common kind of relationships between siblings and half-siblings, and the distance is the most common one between step-siblings.   7.\tThere is an absence of a particular and unique identity in stepfamilies in therapy. Their identity is contaminated by stereotypes, traditional gender statements and the blood myth. Professionals are also influenced by these myths and stereotypes. Therefore it is necessary they get qualified through special training about stepfamilies.  8.\tThe plan of intervention with stepfamilies should count with different kind of summons, translating this way a structural message to the family. 9.\tThe age and gender modulate significantly the health-related quality of life of minors in stepfamilies. Boys and younger ones present better quality of life. The separation of the remarried couple and a dysfunction in the parent-child relationship affect negatively the quality of life of minors. Therefore it is important to evaluate it right from the beginning and include it in our intervention goals.     10.\tBeing a woman, living in a stephouse and the long lasting cohabitation are negative factors for the health of the adults in stepfamilies in therapy. Therefore the treatment of health problems and\/or distress of stepfamily members should be included in family intervention.   11.\tAssuming a double role, a long lasting cohabitation, the heterosexuality of the couple and having a child together involve greater stepparent role strain, which is a negative factor for the health. Therefore it should be evaluated right from the beginning of our intervention.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Salud y funcionalidad de las familias reconstituidas en proceso de terapia familiar.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Salud y funcionalidad de las familias reconstituidas en proceso de terapia familiar. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Eleni Galatsopoulou <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 13\/07\/2015<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Mar\u00eda  Dolores Perez Carceles<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: aurelio Luna maldonado <\/li>\n<li>roger Soto calpe (vocal)<\/li>\n<li>Francisco Ortega bevia (vocal)<\/li>\n<li>Jos\u00e9 ignacio Del pino montesinos (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Eleni Galatsopoulou Objetivos nos hemos propuesto identificar aspectos funcionales y estructurales de las familias reconstituidas en tratamiento, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[290,8235,9116,36711],"tags":[3274,232023,232024,232025,42642,175555],"class_list":["post-117865","post","type-post","status-publish","format-standard","hentry","category-familia-y-parentesco","category-murcia","category-psicoterapia","category-servicios-sanitarios","tag-aurelio-luna-maldonado","tag-eleni-galatsopoulou","tag-francisco-ortega-bevia","tag-jose-ignacio-del-pino-montesinos","tag-maria-dolores-perez-carceles","tag-roger-soto-calpe"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/117865","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=117865"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/117865\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=117865"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=117865"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=117865"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}