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Table 1 Family Dynamics Interacting with Pain and Functioning

From: Psychosocial perspectives in the treatment of pediatric chronic pain

Family Dynamic Description
Overprotection Belief that restricting patient from activity is needed for improvement in symptoms.
Misguided support Parental behaviors that either lower expectations or apply excessive pressure for rapid change and improvement in function.
Dysfunctional Communication Patterns Poor conflict resolution, difficulty communicating affect and avoidance of discussing emotionally charged issues.
Externalized Attributions Patient and family attribute both illness and recovery solely to factors outside themselves and often beyond their control.
Dependence Loss of self-confidence due to family members increasingly taking over patient responsibilities and providing assistance that may not necessarily be needed.
Social Isolation and Avoidance Patient becomes anxious and avoidant of normal peer situations.