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Anticipatory loss: a family systems developmental framework.

J S Rolland1

  • 1Department of Psychiatry, University of Chicago Pritzker School of Medicine, IL.

Family Process
|September 1, 1990
PubMed
Summary

This article introduces a family systems framework to understand anticipatory loss due to illness, disability, or psychiatric disorders. It offers a model for theory, clinical practice, and research on family responses to threatened loss.

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Area of Science:

  • Family Systems Theory
  • Developmental Psychology
  • Health Psychology

Background:

  • Anticipatory loss is a significant challenge for families facing chronic or severe health conditions.
  • Existing models often lack a comprehensive developmental and systemic perspective.

Observation:

  • Families experience threatened loss due to physical illness, disability, and long-term psychiatric disorders.
  • These experiences are influenced by psychosocial factors, illness phases, and family-specific variables.

Findings:

  • A family-systems developmental framework is proposed for understanding anticipatory loss.
  • This framework integrates psychosocial types, illness phases, family developmental patterns, and belief systems.

Implications:

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  • Provides a conceptual basis for theory building in family health.
  • Informs clinical practice and research on family adaptation to illness and loss.
  • Offers new approaches to addressing threatened loss within families.