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The familycomprises of Mom, Dad, child with disability, and a second child.Notably, the household has four members. There exists a hierarchybased on age and gender. In this regard, the family has one male andthree females, including the mother and two daughters.

Decision making

The Mom/wifemakes the decisions for the family.

Primary Caregiver

The primarycaregiver for the children is the Mom. Nevertheless, the role isshared after working hours when both parents are at home after work.


Indeed, thefamily members value independence. In fact, the parents have educatedtheir children on how to perform chores. The oldest child has alsolearned how to function independently by performing activities ofdaily living (Case-Smith, 2014). Furthermore, the parents areresponsible for their own chores.

Feeding Processes

The Mom feedsboth children. In particular, the oldest child is adept atself-feeding while the infant is bottle-fed. Cultural rules and normsrequire all members of the household sit at the dinner table duringmeals. Besides, family members are expected to maintain silence whilethe infant is bottle-fed (Howe &amp Wang, 2013). By the age of 2, itis expected that the children eat independently after parents set uptheir food.

Sleeping Patterns

The children donot sleep with parents. During the night, the Mom wakes up to feedthe infant whenever she cries. Appropriate responses to cryinginclude attending to the child for nurturing or other needs.


Disobedience inthe family is not tolerated. The rules governing behavior are quitestrict since no misbehaving or disobediences are overlooked. Althoughboth parents share in disciplining their children, Mom is stricterthan Dad. The parents discipline their children using time out.Moreover, the parents hold conversations with their children toeducate them on acceptable forms of conduct. Such discussions focuson explaining rights/wrongs or pros/cons of certain behavior.

Perception ofDisability

The parentsbelieve that the disability can improve. However, they do not feelresponsible for the disability. Family members feel that they canmake a difference in improving the disability. Notwithstanding,spiritual forms of healing are not valued.

Help Seeking

The family seekshelp from the Early Steps federal program. Rather than wait for help,the family actively seeks help from federal programs that the childwith disability qualifies and they also seek help from maternalgrandparents on an as-needed basis.

Communication andInteractions

The family uses adirect style of communication. Members of the household also sharetheir emotional feelings. Mom mostly uses direct communication whileDad uses indirect communication. Indeed, the family valuessocializing.


The family comprises of Mom, Dad, and their two children. The Mommakes the decisions for the family and acts as the primary caregiver.However, both parents share in disciplining their children. The olderdaughter is independent and performs activities of daily living.Hence, the firstborn engages in self-feeding while the infant isbottle-fed. Family members also try to improve the infant’sdisability. In this regard, the parents have taken advantage of theEarly Steps federal program to cater for the child’s needs. Thefamily members also socialize with other people and pursue bothdirect and indirect communication. Therefore, the infant can learn tocope with her disability and become adept as self-feeding.


Case-Smith, J. (2014). Foundational knowledge for occupationaltherapy for children. In Occupational therapy for children(pp. 1-21). St. Louis, Missouri: Elsevier Health Sciences.

Howe, T. H., &amp Wang, T. N. (2013). Systematic review ofinterventions used in or relevant to occupational therapy forchildren with feeding difficulties ages birth–5 years. AmericanJournal of Occupational Therapy, 67(4), 405-412.