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Neurocognitive Impairment: Addressing Couple and Family Challenges.

John S Rolland1

  • 1Department of Psychiatry and Behavioral Science, Northwestern University Feinberg School of Medicine, and Chicago Center for Family Health, Chicago, IL.

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Summary

Neurocognitive impairment profoundly impacts families, yet current approaches are too narrow. A family systems perspective is crucial for addressing challenges across the lifespan.

Keywords:
BiopsychosocialDementiaFamily CaregiversNeurocognitive Impairmentbiopsicosocialcuidadoresdemenciadeterioro neurocognitivofamilia失智家庭照料人生物心理社会神经认知损伤

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Area of Science:

  • Family Medicine
  • Psychology
  • Gerontology

Background:

  • Neurocognitive impairment presents significant challenges for couples and families.
  • Existing research and practice often overlook broader family dynamics, focusing narrowly on individual caregivers.
  • A comprehensive family systems approach is needed to address the complexities of these conditions over time.

Purpose of the Study:

  • To present Rolland's Family Systems Illness model as a framework for understanding neurocognitive conditions within the family context.
  • To explore the interaction between neurocognitive conditions and family life-course development.
  • To provide guidance for couples and families navigating challenges associated with cognitive impairment.

Main Methods:

  • Application of Rolland's Family Systems Illness model.
  • Discussion of psychosocial types of neurocognitive conditions and their evolution.
  • Analysis of key family and couple issues across the spectrum of cognitive impairment.

Main Results:

  • Identified key challenges including communication, ambiguous loss, and decisional capacity.
  • Highlighted issues for spousal and adult child caregivers.
  • Emphasized the transformation of intimate bonds within affected families.

Conclusions:

  • A family systems approach is essential for effective support and intervention.
  • Couples and families can develop strategies to manage challenges and strengthen bonds.
  • The model offers principles for fostering positive pathways for families facing neurocognitive impairment.