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Doctor insights on: Sibling Rivalry In A Dysfunctional Family

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Dr. Alan Ali Dr. Ali
1 doctor agreed:
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What's the big psychological issue in sibling rivalry?

Dr. Alan Ali Dr. Ali
1 doctor agreed:
What's the big psychological issue in sibling rivalry?

Siblings: Some issues involve dominance, control, seeking attention from caretakers, or pursuit to excel. ...Read more

Dr. Stephen Scholand
28 doctors shared insights

Sibling Rivalry (Definition)

Sibling rivalry is a symptom in which a person does not help with, schemes against, argues with, or fights with one or more siblings to an unusual degree. Sibling rivalry is normal when it is present to a small degree, but is a problem if it is severe enough to prevent or ...Read more


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Psychological issue in sibling rivalry at 60?

Psychological issue in sibling rivalry at 60?

Sounds like: A very longstanding psychological issue. Why not make an appointment with a therapist to help you sort this out? ...Read more

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Should a spouse with Alzheimer's attend the funeral of spouse?

Should a spouse with Alzheimer's attend the funeral of spouse?

Thanks for asking!: A spouse with alzheimer's disease should be able to attend the funeral of his or her spouse, unless there is concern for the safety of the living spouse or others due to extremely agitated, combative behavior. Other relatives & loved ones can help the surviving spouse feel supported & comfortable w/ the surroundings. ...Read more

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Is a pastor available for family members of those in a critical care room?

Is a pastor available for family members of those in a critical care room?

Yes: Pastoral care is a part of the healthcare team in an ICU and should be available to you. ...Read more

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Dr. Alan Ali Dr. Ali
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Why do problems arise among family members who have always had sibling rivalry?

Dr. Alan Ali Dr. Ali
1 doctor agreed:
Why do problems arise among family members who have always had sibling rivalry?

Rivalry: Due to unresolved issues with boundaries, dominance, unrealistic expectations , limit setting & control. ...Read more

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Can grandparents carry a mutation to cause Asperger syndrome in grandchildren, skipping a generation?

Can grandparents carry a mutation to cause Asperger syndrome in grandchildren, skipping a generation?

Not that simple: For the most part what are inherited are genes coding for (snp)single nucleotide polymorphisims-different forms of enzymes that do not digest certain proteins. It is possible to be the contributor of (at most 1/4 total)genes that might contribute to certain symptom patterns. ...Read more

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Are family members usually able to tell when a member of their family has some sort of mental health problem?

Are family members usually able to tell when a member of their family has some sort of mental health problem?

Not always: Some families tolerate very unusual behavior, or are themselves quite ill and dysfunctional. For instance, families in which there is active alcohol and/or substance abuse often have unhealthy communication problems as well. On the other hand, healthy families usually do notice behavioral changes in each other, but may not be able to diagnose the problem and need a physician's help. ...Read more

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What hardships would a parent encounter when raising a child with neurofibromatosis?

What hardships would a parent encounter when raising a child with neurofibromatosis?

Unfortunately, many.: Neurofibromatosis (nf) is a progressive, lifelong condition that is associated with growths in the brain, spine, eye area, heart, skin, &/or bone, as well as lung & hearing problems. A child with nf requires regular follow up with a pediatrician and multiple subspecialists to address any complications from these growths. Medication and even surgery can be required, as can educational support. ...Read more

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Is there a standard set of genetics tests for a person who has 2-3 close family members with cancer?

Is there a standard set of genetics tests for a person who has 2-3 close family members with cancer?

Genetic counselling: You will need to have a genetic counselling. They will be able to tell you your risk for possible genetic abnormality/syndrome and what tests you would need to have. There is no a standard set of genetics tests -all will depend on your family history of cancer. ...Read more

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How does grief from a death in the family affect a child's social development?

How does grief from a death in the family affect a child's social development?

Lots of variables: Your excellent question is hard to answer, because it depends on who died, age of child, effect on rest of family, and many other variables. Research shows that children who lose their mother before age 11 are at increased risk of depression as adults, but there are many possible explanations. Broadly, helping children grieve in age-appropriate ways is best way to minimize lasting impairment. ...Read more

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Could the battle over who knows best about taking care of family occur in part, because of me, but also sisters pent up sibling rivalry and jealously?

Could the battle over who knows best about taking care of family occur in part, because of me, but also sisters pent up sibling rivalry and jealously?

Yes...: Families are so interesting ...And complex. Old wounds, perceived wounds, guilt, jealousy, etc can all affect such a situation. If you refer to aging parents then hopefully they handled a lot with medical power of attorney so there should not be a lot of fighting. Family meetings/counseling could help air things out and lead to healing. Everyone hopefully has the best interest of family at heart. ...Read more

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Is a person with family history or mental illness at higher risk of developing an addiction?

Is a person with family history or mental illness at higher risk of developing an addiction?

Depends on MI: Many mental illnesses tend to "run true, " so having a schizophrenic relative increases your risk for schizophrenia. However, a number of illness (e.g., depression, anxiety, conduct disorders, adhd) all may increase one's risk for substance abuse because of increased impulsivity and life dissatisfaction. Fh of alcoholism and/or substance abuse definitely increase one's risk. ...Read more

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How can family members or loved ones deal with a borderline personality disorder?

How can family members or loved ones deal with a borderline personality disorder?

Be there. Be real.: Try to be consistent. Be supportive and empathic, but also remind the other of the reality of the situation. ...Read more

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If there is an autistic child or sibling or other family member, is there reason for gene testing the family?

If there is an autistic child or sibling or other family member, is there reason for gene testing the family?

Possibly: If there is a known genetic abnormality in the person with autism, then family members of child-bearing age may benefit. Even if physical & neurological exam reveal no signs of a specific syndrome in a child with autism &/or intellectual disability, genetic microarray & dna probe for fragile x reveal an abnormality about 15% of the time. Evaluation by a geneticist is needed in those cases. ...Read more

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How do you deal with a family member who has a narcissistic personality disorder?

How do you deal with a family member who has a narcissistic personality disorder?

Very gently: People who truly have narcissistic personality disorder are exquisitely sensitive to criticism or perceived slights. These can result in verbal attack or sometimes a complete cutting off -- both painful for you. Depending on my relationship with this family member, i would tread carefully, protect my own boundaries, and do extreme self-care after being with them. Might even get help myself. ...Read more

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If a family member has ovarian cancer, can genetic screening determine if other family members will get the disease?

If a family member has ovarian cancer, can genetic screening determine if other family members will get the disease?

Yes: Ovarian cancer, especially pre-menopausal ovarian cancer is a rare disease and i recommend family members of such patients atleast have a genetics consultation to talk about testing. Brca-1 and brca-2 mutations put women at a much higher risk of developing ovarian, breast and endometrial cancers. More common in jewish women. Hnpcc (lynch syndrome) also increases the risks of female cancers. ...Read more

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Will it b right for a man to marry his father's sister's daughter if there are no close relative marriages in their parents generation.Genetic defect?

Will it b right for a man to marry his father's sister's daughter if there are no close relative marriages in their parents generation.Genetic defect?

Consanguinous marria: We discourage consanguinous marriages because sometimes there are genes that when they meet a second one to make a pair ( i mean on e from father and one from mom), the babies might show severe genetic diseases although there are also very healthy kids from consanguinous marriages. ...Read more

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Can you please describe emotional needs of families who have a familiy member who has dementia?

Can you please describe emotional needs of families who have a familiy member who has dementia?

Great question!: Caregiver stress/burnout; caregivers develop a love-hate(don't we all) relationship with the pt. The pt with dementia is usually happy but the family's not. Recommend going onto www.Alz.Org and look for local resources. Recommend the caregiver getting 1/2 or 1 day off per week to maintain sanity. Thanks! ...Read more

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Should a parent share their abusive past with their children to help explain his/her emotional problem?

Should a parent share their abusive past with their children to help explain his/her emotional problem?

Depends: This depends on several factors related to the current situation. The parent would need to examine his/her motives for sharing such information. The appropriateness of this would also be impacted by the age and/or maturity level of the children. I would suggest discussing the matter with a therapist before making a decision about this. Such a disclosure could be helpful, but there are risks. ...Read more

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What genetic diseases most commonly occur in a child born from incest (between sibs or between parent & child)?

What genetic diseases most commonly occur in a child born from incest (between sibs or between parent & child)?

Varies considerably: The issue is like playing russian roulette. All of us carry recessive genes in our dna that do not express disease because they are balanced by normal genes. Things like cystic fibrosis are carried by 1/20, sickle cell 1/12. All of us carry an estimated 4 defects. Parent child/sib-sib pairings all may have a normal outcome or a bad outcome for any pregnancy. ...Read more