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The Forsman Family

NURS 480

Meet the Forsman’s Alyssa Phil Forsman, James Forsman, and Alyssa live in the suburbs in the United Kingdom. To the outside world they appear to have completely normal lives, however, the reality is quite the opposite. James lives alone with his father because his mother committed suicide in front of him when he was three years old, leaving James and his father both with extreme emotional issues. Alyssa on the other hand lives with a very large family composed of her mother, step father, and her twin infant half sisters. Her home life is very dysfunctional and she is unwanted there. Alyssa and James met at school and bonded over the fact that they both hate their homelife and decide to run away together and create their own family.

Phil Forsman Phil Forsman is the 45 year-old father of James. He works in contruction and is a kind hearted and supportive person. However he has been suffering from depression ever since his wife committed suicide 14 years ago. Phil is quite oblivious and is not a very strong paternal presence in his home, he allows James to walk all over him. This is more than likely due to a sense of guilt that Phil feels towards James in relation to the death of James mother. Phil knows that James is not a normal kid but he has no idea to what extent his son is struggling with mentally because he is such an absent father who turns a blind eye to anything that makes him uncomfortable.

Alyssa is a 17 year-old high school senior that likes to act out to get attention that she is lacking at home. Her biological father abandoned her and her mother when she was born and now she lives with her mom, her mom's perverted husband, and their newborn twins. Alyssa is a foul mouthed trouble maker that acts tough in order to hide the fact that she is extremely vulnerable. She yearns for love and has an extreme need to be wanted. That is the reason why she decided to latch onto James and convince him to run away with her. Any time she is feeling neglected or forgotten she does something reckless such as steal cars or rob convenience stores in order to get noticed again.

Psychopathy James Forsman

Psychopathy is a serious developmental disorder marked by pronounced emotional dysfunction and an increased risk for aggression.It is argued that the emotion dysfunction relates to three core functional impairments: in the association of stimuli with reinforcement, the representation of expected value information and in prediction error signaling. These impairments are thought to relate to dysfunction within the amygdala (Blair, 2013).

James forsman is a 17 year-old highschool senior. He believes that he is a psychopath due to the fact that he can not feel emotion. He has never been close to a single person in his life and when he was 7 years old he stuck his bare hand into a deep fryer in an attempt to feel something. James talks very minimally and has no friends. He demonstrates disturbed behavior such as killing small animals, and he fantasizes about murdering a person. His dad Phil tries to connect with James, however James is completely disconnected. That is until he meets Alyssa. James initially only pretends to like Alyssa in the hopes of getting her alone and making her his first Victim. However, through his time spent plotting on her and gaining her trust he actually develops feelings for her and falls in love.

Duvall According to Duvall’s eight stages of family development, the Forsman family is in the family with teenager stage. This is a stage where the child is becoming more independent and developing new interests. Duvall’s stages are based on the oldest child and in this case the oldest child is James Forsman, a 17 year-old high school senior (Kaakinen, Coehlo, Steele,Tabacco & Hanson, 2015).

Religion/ Tradition ● ● ●

The Forsman family is not associated with any specific religion. James and Phil Forsman eat dinner together every night. James and Phil spend holidays and birthdays together every year at their home. Phil Forsman tells James that he loves him everyday.

Strengths: ●

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James and Phil stick together despite family tragedy Phil is supportive and loving When james ran away Phil would stop at nothing to find him Alyssa is able to bring James out of his shell

Strengths and Weaknesses Weaknesses: ● ● ●

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James cannot express his emotions. James and Alyssa ran away. The Suicide of James's mother leaves Phil feeling guilty. James has emotional damage from witnessing his mother commit suicide. Alyssa is very insecure and vulnerable. Alyssa is manipulative and impulsive James is easily influenced

Family systems theory: Family systems theory is a theory that is based off of the idea that all parts of the system are interconnected, The whole family is greater than the sum of its parts ( the individuals), all systems (families) have boundaries between the system and the environment, and Systems can be further organized Into subsystems (Kaakinen, Coehlo, Steele,Tabacco & Hanson, 2015). This theory is perfect for the Forsman Family because this theory is focused on stability and the idea that if one part of the system changes then it affects the whole entire system. That is exactly what happened in this family. At one point in time they were a normal happy family, that is until the mother commited suicide and threw the entire family system out of whack. Not only was it a traumatic experience but it has permanently left a missing piece in their family mobile. When the mother killed herself it left james emotionally detached from the world therefore that shows how the family members are intercalated. James was not the only family member affected, but the father was as well, after his wife's death he became depressed, this event truly affected the entire family. In this family they have strict unspoken boundaries. James does not want to express hisself emotionally and the father does not pressure him to do so. Lastly, the subsystems of this family have slightly changed do to the death of the mother. Before her death there was mother to son, wife to husband , and father to son. Since the death there is only the father to son subsystem for the nurse to evaluate. Using this theory, nurses would determine how the suicide of James’s mother has affected the family as a whole. This is extremely vital because it helps the nurse get an idea of how to restore the stability of the family and optimize their overall functioning. The nurse will assess the family members and determine who is coping well and who is not (Kaakinen et al, 2015).

Family communication practices The interesting thing about this family is that they don’t communicate very often or very well at all. James is very disconnected from the world and speaks to his father minimally so their verbal communication is very limited. However, their non verbal communication is not much better. James expresses no emotion whatsoever. He has no facial expression and claims to feel numb. Phil tries to reach out to James often and have regular conversation or offers a friendly touch of the shoulder every now and then but never get anything in return. They both bottle up their emotions and thoughts.

Interventions Problem: The family is not coping appropriately with the death of their loved one, they are closing themselves off to the world and their emotions. Intervention: Encourage the family members to describe previous stressors and the coping mechanisms used. Outcome: The family will identify effective coping mechanisms, they will no long close themselves off emotionally. Rationale: When a coping mechanism has worked for and individual in the past it will typically work in various scenarios (Stevenson, 2016).

Problem: The family does not know how to properly communicate with each other about the death,James and Phil just avoid each other and the topic as a whole. Intervention: Encourage the family to talk to each other about the death. Outcome: The family members gain better communication skills and stop avoiding each other. Rationale: Talking about the loss is helpful because it allows for a means for maintaining a connection to the loved one that passed (Stevenson, 2016).

Problem:The family members blame themselves for the death of their loved one and are experiencing complicated grieving. Intervention: Educate the family members on the disease process of depression. Outcome:The family will no longer blame themselves for the death of their loved one. Rationale:Understanding the effects and pathophysiology of depression can alleviate some of the guilt that accompanies the death of the loved one (Stevenson, 2016).

References Blair, R. J. (2013, June). Retrieved March 09, 2018, from Kaakinen, J. R., Coehlo, D. P., Steele, R., & Robinson, M. (2015). Family health care nursing: theory, practice, and research. Philadelphia: F.A. Davis Company. Stevenson, M., Achille, M., Liben, S., Proulx, M., Humbert, N., Petti, A., . . . Cohen, S. R. (2016)0. Understanding How Bereaved Parents Cope With Their Grief to Inform the Services Provided to Them. Qualitative Health Research, 27(5), 649-664. doi:10.1177/1049732315622189

Image References: James Forsman [Online image]. (n.d). Retrieved from Phil Forsman [ Online image]. (n.d). Retrieved from Psychopathy Chart [Online Image]. (n.d). Retrieved from James and Alyssa [Online image]. (n.d). Retrieved fr From James and Alyssa [Online image]. (n.d). Retrieved from

James and Alyssa [Online image]. (n.d). Retrieved from Alyssa [Online image]. (n.d). Retrieved from Alyssa and James [Online image]. (n.d). Retrieved from James and Alyssa [Online image]. (n.d). Retrieved from James and Alyssa [Online image]. (n.d). Retrieved from James and Alyssa cover page [Online image]. (n.d). Retrieved from

Nurs 480 visual report  
Nurs 480 visual report