In a period of crisis, such as that caused by the serious illness of a family member, the family structure is modified, the extent of modification depending on what degree the sick member is able to carry out his or her usual family roles and the centrality of the family roles or tasks that arc vacated. The roles taken on by the mother are, as discussed previously, a good example of the centrality of a member’s roles. When illness results in the vacancy of critical roles, the family often enters a state of disequilibrium in which role and power relationships are altered until new homeostasis is achieved (Fife, 1985; Hill, 1958).
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