Arbogast R C, Scratton J M, Krick J P
J Fam Pract. 1978 Dec;7(6):1151-7.
Although family medicine has become a well-established discipline, emphasis more often than not continues to be on the individual and not the family. It is the intent of this paper to expand the focus of physician concern beyond the presenting symptom and, indeed, beyond the individual patient, to include the concept of family as patient. The family is discussed as part of a complex interactional system of stress and support factors both from within the family itself and from the wider social system of which it forms a part. A three-dimensional model for the comprehensive psychosocial evaluation of family functioning in health and illness has been presented both diagrammatically and descriptively. Most importantly, a simple set of questions is provided as an instrument to assist the physician in the assessment of family functioning in health and illness.
尽管家庭医学已成为一门成熟的学科，但人们的关注点往往仍更多地放在个体而非家庭上。本文旨在将医生关注的焦点从当前症状进一步拓展，实际上是从个体患者拓展出去，将家庭视为患者的概念纳入其中。家庭被视作一个复杂的互动系统的一部分，这个系统包含来自家庭内部以及家庭所属更广泛社会系统的压力和支持因素。本文已以图表和文字描述的形式呈现了一个用于全面心理社会评估健康与疾病状态下家庭功能的三维模型。最重要的是，提供了一组简单的问题作为工具，以协助医生评估健康与疾病状态下的家庭功能。
