Rolland J S
Fam Process. 1987 Jun;26(2):203-21. doi: 10.1111/j.1545-5300.1987.00203.x.
This article provides a conceptual framework for thinking about the system created at the interface of chronic illness with the family life cycle. First, a psychosocial typology and time phases of illness schema is described as a necessary, preliminary step to create a common language that bridges the worlds of illness, individual, and family development. This schema organizes similarities and differences between diseases in a manner useful to psychosocial-developmental rather than biomedical inquiry. Then, drawing on several major life-cycle theories in the literature, key concepts (periods of transition, life-structure building and maintaining, centripetality, and centrifugality) are used in a complementary fashion to link these three lines of development. Equipped with these psychosocial languages, consideration is given to transgenerational aspects of illness, loss, and crisis, and the interwoven threads of illness, family, and individual development. Clinical vignettes are provided to highlight this conceptual framework.
本文提供了一个概念框架，用于思考在慢性病与家庭生命周期的交叉点所形成的系统。首先，描述了疾病模式的心理社会类型学和时间阶段，这是创建一种能跨越疾病、个体和家庭发展领域的通用语言的必要初步步骤。这种模式以一种对心理社会发展而非生物医学探究有用的方式，梳理了疾病之间的异同。然后，借鉴文献中的几种主要生命周期理论，关键概念（过渡时期、生活结构的构建与维持、向心性和离心性）以互补的方式被用于连接这三条发展脉络。有了这些心理社会语言，便可以考虑疾病、丧失和危机的跨代方面，以及疾病、家庭和个体发展的交织线索。文中提供了临床案例来突出这一概念框架。
