family

• n.

• (生物)科

　 　 　 　 　 　

WordNet

1. people descended from a common ancestor; "his family has lived in Massachusetts since the Mayflower" (同)family line, folk, kinfolk, kinsfolk, sept, phratry
2. primary social group; parents and children; "he wanted to have a good job before starting a family" (同)family unit
3. an association of people who share common beliefs or activities; "the message was addressed not just to employees but to every member of the company family"; "the church welcomed new members into its fellowship" (同)fellowship
4. a social unit living together; "he moved his family to Virginia"; "It was a good Christian household"; "I waited until the whole house was asleep"; "the teacher asked how many people made up his home" (同)household, house, home, menage
5. (biology) a taxonomic group containing one or more genera; "sharks belong to the fish family"
6. estimated by comparison; not absolute or complete; "a relative stranger" (同)comparative
7. an animal or plant that bears a relationship to another (as related by common descent or by membership in the same genus) (同)congener, congenator, congeneric
8. a person related by blood or marriage; "police are searching for relatives of the deceased"; "he has distant relations back in New Jersey" (同)relation
9. relating to or having the characteristics of a family; "children of the same familial background"; "familial aggregation"
10. occurring among members of a family usually by heredity; "an inherited disease"; "familial traits"; "genetically transmitted features" (同)genetic, hereditary, inherited, transmitted, transmissible
11. (biology) taxonomic group containing one or more species
12. a general kind of something; "ignore the genus communism"
13. (biology) a taxonomic group ranking below an order but above a family
14. a family of dicotyledonous plants

PrepTutorEJDIC

1. 《集合的に》『家族』,家庭 / 〈U〉《時にa family》(一家の)子供たち / 〈C〉(血縁に関係ある)『親族』,身内,一族,一門 / 〈U〉『家柄』;(特に)名門 / 〈C〉(関係ある人・物の)一団,一群,(生物分類の)科《+『of』+『名』》
2. 『関係のある』,関連した / 『比較上の』,相対的の / 相互の,相関的な / (文法で)関係を表す / 親類,親戚 / 関係詞,(特に)関係代名詞
3. 家族の,家族特有の / 違伝的な,血統にあらわれる
4. (生物分類上の)属(family(科)の下でspecies(種)の上) / (一般に)種類
5. (雇い人を含めた)『家中の者』,一家,世帯 / 一家の,世帯

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2014/12/13 14:53:57」(JST)

wiki ja

[Wiki ja表示]

『Family』
KOHEI JAPAN の スタジオ・アルバム
リリース	2007年6月20日
ジャンル	ヒップホップ/ラップ
レーベル	Knife Edge
チャート最高順位
--位 (オリコン)
KOHEI JAPAN 年表
Funky 4 U （2003年） Family （2007年） 大人チャレンジ （2010年）

Family（ファミリー）は、日本のヒップホップグループであるMELLOW YELLOWのMCであるKOHEI JAPANの3枚目のソロアルバムである。メジャー進出第1弾と銘打っている。発売元はポニーキャニオン。

概要

• 2007年よりKnife Edgeに所属となって初めてのアルバムである。
• Disc2は、KOHEI JAPANのコラボレーション作品から厳選したチューンをRIP SLYMEのDJ FUMIYAがミックスしている。

収録曲

Disc1

1. Family < Album Ver. >
2. Have a nice day
3. ビター & スウィート < Remix >
4. ココニイル
5. I am the man
6. Ms. Money
7. 今がイチバン
8. Skit・公園
9. スロウ
10. レンタカー
11. 続・男はまぁまぁつらいよ < オジサンの小言 >
12. Skit・家族
13. 子守唄
14. Blood, Sweat & No Tears
15. ディリリリ・ダラララ DJ SANCON feat. KOHEI JAPAN < Bonus Track >
16. もしも息子が出来たなら・・・ DJ MITSU THE BEATS feat. KOHEI JAPAN < Bonus Track >

Disc2

KJ' S Works Mixed by DJ FUMIYA < RIP SLYME >

1. I Say, You Say：KREVA, CUEZERO, KOHEI JAPAN & 竹内朋康
2. 森の音楽家：DJ SUDA feat. KOHEI
3. ビックリスペクト：DJ TATSUTA feat. KOHEI JAPAN
4. Dear My Homeground：マボロシ feat. Full Of Harmony & KOHEI JAPAN
5. Busy B-Boy：DJ YUTAKA feat. KOHEI JAPAN
6. ブラザーズ：Rhymester feat. KOHEI
7. DO MO ARIGATOH：くlabel All Members & More
8. パーフェクトサークル：DJ TAIKI feat. KOHEI JAPAN
9. Funky Flow：DJ FLESH feat. KOHEI JAPAN
10. ペンは走る：Funky Lemonade < MELLOW DRAMA >
11. 大江戸捜査網：キエるマキュウ feat. KOHEI JAPAN
12. 僕は僕で誰かじゃない - Part of me - I am ME -：GAKU-MC < KOHEI Remix >
13. 愛幻夢恋絵巻：LITTLE
14. シブヤホリック： geek feat. Mummy-D < Rhymester >, KOHEI JAPAN & F. O. H.
15. BED < DOUBLES >：DOUBLE feat. Mummy-D & KOHEI
16. 夜明け前：嶋野百恵 feat. KOHEI
17. もしも願いが叶うなら：上戸彩 feat. KOHEI JAPAN
18. Constellation：GAGLE feat. KOHEI JAPAN
19. 殺しの序曲：SUPER 7 < Rhymester / キエるマキュウ / KOHEI JAPAN >
20. Top Drunkers Show： Top Drunkers < Mummy-D & MAKI THE MAGIC > & KOHEI JAPAN
21. DOH KOH HOH：DOHZI-T & KOHEI
22. ハルカリズム：HALCALI
23. しし座のA型：MCU feat. KOHEI JAPAN

関連項目

• 家族

wiki en

[Wiki en表示]

This article is about the group of people such as a mother and a father. For the family in biology, see Family (biology). For other uses, see Family (disambiguation).

Two parents and a child; statue Family in the garden of the Palace of Nations (Geneva, Switzerland)

Part of a series on the
Anthropology of kinship
Basic concepts Kinship Affinity Consanguinity Marriage Incest taboo Endogamy Exogamy monogamy Polygyny Polygamy Polyandry Bride service Bride price Dowry Parallel / cross cousins Cousin marriage Levirate Ghost marriage Joking relationship Family Lineage Clan Fictive kinship Milk kinship Nurture kinship Descent Cognatic / Bilateral Matrilateral House society Ambi- / Uni- / Matri- / Patri-lineality Avunculate Household forms and residence Extended Matrifocal Matrilocal Nuclear Patrilocal Gender Third gender
Kinship terminology Kinship terminology Classificatory terminologies Iroquois Crow Omaha Eskimo Hawaiian Sudanese Dravidian
Case studies Kinship Australian Aboriginal Burmese Chinese Philippine Polyandry in Tibet / in India Gender Mosuo matrilineality Chambri (female-dominant) Hijra (third-gender) Sexuality Coming of age in Samoa
Major theorists Diane Bell Tom Boellstorff Jack Goody Gilbert Herdt Don Kulick Roger Lancaster Louise Lamphere Eleanor Leacock Claude Lévi-Strauss Bronisław Malinowski Margaret Mead Henrietta Moore Lewis H. Morgan Stephen O. Murray Michelle Rosaldo David M. Schneider Marilyn Strathern
Related articles Alliance theory Matrilineal / matrilocal societies Feminist anthropology Sex and Repression in Savage Society
Social and cultural anthropology

Relationships
Types Family Kinship Siblings Cousin Marriage Husband Wife Friendship romantic Significant other Boyfriend Girlfriend Cohabitation Same-sex relationship Sexual partnership casual Monogamy Non-monogamy Open marriage Polyamory Polyfidelity Polygamy Cicisbeo Concubinage Courtesan Mistress
Activities Bonding Courtship Dating Mating Meet market Romance Singles event Wedding
Endings Breakup Separation Annulment Divorce Widowhood
Emotions Affinity Attachment Intimacy Jealousy Limerence Love Platonic unconditional Passion
Practices Bride price dower dowry Hypergamy Infidelity Sexual activity Transgression Repression
Abuse Child Dating Domestic Elderly

In human context, a family (from Latin: familia) is a group of people affiliated by consanguinity (by recognized birth), affinity (by marriage), or co-residence/shared consumption (see Nurture kinship). Members of the immediate family may include a spouse, parent, brother and sister, and son and daughter. Members of the extended family may include grandparent, aunt, uncle, cousin, nephew and niece, or sibling-in-law. In most societies the family is the principal institution for the socialization of children. As the basic unit for raising children, anthropologists most generally classify family organization as matrifocal (a mother and her children); conjugal (a husband, his wife, and children; also called nuclear family); avuncular (for example, a grandparent, a brother, his sister, and her children); or extended family in which parents and children co-reside with other members of one parent's family. As a unit of socialization, the family is the object of analysis for anthropologists and sociologists of the family. Sexual relations among the members are regulated by rules concerning incest such as the incest taboo. Family also spend time together to know each other.

"Family" is used metaphorically to create more inclusive categories such as community, nationhood, global village and humanism.

Genealogy is a field which aims to trace family lineages through history.

Family is also an important economic unit studied in family economics.

Social reproduction

A group portrait of a mother, son and daughter on glass, Roman Empire, c. 250 AD

One of the primary functions of the family involves providing a framework for the production and reproduction of persons, biologically and/or socially. This can occur through the sharing of material substances (such as food); the giving and receiving of care and nurture (nurture kinship); jural rights and obligations; and moral and sentimental ties. Thus, one's experience of one's family shifts over time. From the perspective of children, the family is a "family of orientation": the family serves to locate children socially and plays a major role in their enculturation and socialization. From the point of view of the parent(s), the family is a "family of procreation," the goal of which is to produce and enculturate and socialize children. However, producing children is not the only function of the family; in societies with a sexual division of labor, marriage, and the resulting relationship between two people, it is necessary for the formation of an economically productive household.

Christopher Harris notes that the western conception of family is ambiguous, and confused with the household, as revealed in the different contexts in which the word is used:

"We have seen that people can refer to their relatives as 'the family.' 'All the family turned up for the funeral.... But of course, my brother didn't bring his family along - they're much too young.' Here the reference is to the offspring (as distinct from 'all' the family). The neighbors were very good, too. 'The Jones came, and their two children. It was nice, the whole family turning up like that.' Here the usage is more restricted than 'relatives' or 'his relatives,' but includes just both parents and offspring. 'Of course, the children will be leaving home soon. It's always sad to see the family break up like that.' Here the reference is not only to parents and children but to their co-residence, that is, to the household."

Olivia Harris states this confusion is not accidental, but indicative of the familial ideology of capitalist, western countries that pass social legislation that insists members of a nuclear family should live together, and that those not so related should not live together; despite the ideological and legal pressures, a large percentage of families do not conform to the ideal nuclear family type.

Types

A mother with her children, Berlin, Germany, 1962

A miner with his children, West Virginia, 1946

The diverse data coming from ethnography, history, law and social statistics, establish that the human family is an institution and not a biological fact found on the natural relationship of consanguinity. The different types of families occur in a wide variety of settings, and their specific functions and meanings depend largely on their relationship to other social institutions. Although the concept of consanguinity originally referred to relations by "blood," cultural anthropologists have argued that one must understand the idea of "blood" metaphorically and that many societies understand family through other concepts rather than through genetic distance. Sociologists have a special interest in the function and status of these forms in stratified (especially capitalist) societies.

According to the work of scholars Max Weber, Alan Macfarlane, Steven Ozment, Jack Goody and Peter Laslett, the huge transformation that led to modern marriage in Western democracies was "fueled by the religio-cultural value system provided by elements of Judaism, early Christianity, Roman Catholic canon law and the Protestant Reformation".

Much sociological, historical and anthropological research dedicates itself to the understanding of this variation, and of changes in the family that form over time. "Times have changed; it is more acceptable and encouraged for mothers to work and fathers to spend more time at home with the children. The way roles are balanced between the parents will help children grow and learn valuable life lessons. There is great importance of communication and equality in families, in order to avoid role strain."

Conjugal (nuclear) family

The term "nuclear family" is commonly used, especially in the United States, to refer to conjugal families. A "conjugal" family includes only the husband, the wife, and unmarried children who are not of age. Sociologists distinguish between conjugal families (relatively independent of the kindred of the parents and of other families in general) and nuclear families (which maintain relatively close ties with their kindred). However, in the 21st century, the "nuclear family", according to the 2010 Census, is "disappearing at a rapid rate are homes with "traditional" nuclear families—Mom, Dad and two children." The nuclear family is being replaced by other family structures such as blended parents, single parents, and domestic partnerships.

Matrifocal family

A "matrifocal" family consists of a mother and her children. Generally, these children are her biological offspring, although adoption of children is a practice in nearly every society. This kind of family is common where women have the resources to rear their children by themselves, or where men are more mobile than women.

Extended family

A family from Basankusu, Democratic Republic of the Congo.

The term "extended family" is also common, especially in United States. This term has two distinct meanings. First, it serves as a synonym of "consanguinal family" (consanguine means "of the same blood"). Second, in societies dominated by the conjugal family, it refers to "kindred" (an egocentric network of relatives that extends beyond the domestic group) who do not belong to the conjugal family. These types refer to ideal or normative structures found in particular societies. Any society will exhibit some underwear variation in the actual composition and conception of families.

Blended family

The term blended family or stepfamily describes families with mixed parents: one or both parents remarried, bringing children of the former family into the new family. Also in sociology, particularly in the works of social psychologist Michael Lamb, traditional family refers to "a middleclass family with a bread-winning father and a stay-at-home mother, married to each other and raising their biological children," and nontraditional to exceptions from this rule. Most of the US households are now non-traditional under this definition.

In terms of communication patterns in families, there are a certain set of beliefs within the family that reflect how its members should communicate and interact. These family communication patterns arise from two underlying sets of beliefs. One being conversation orientation (the degree to which the importance of communication is valued) and two, conformity orientation (the degree to which families should emphasize similarities or differences regarding attitudes, beliefs, and values).

Kinship terminology

Degrees of kinship

Family in a wagon, Lee County, Mississippi, August 1935.

A first-degree relative is one who shares 50% of your DNA, such as a full sibling, parent or progeny.

Kinship	Closeness	Genetic overlap
Identical twins	not applicable	99.9%
Full sibling	first-degree	50%
Parent	first-degree	50%
Offspring/progeny	first-degree	50%
Half-sibling	second-degree	25%
Grandmother/grandfather	second-degree	25%
Aunt/uncle	second-degree	25%
Niece/nephew	second-degree	25%
First cousin	third-degree	12.5%
Half-aunt, half-uncle	third-degree	12.5%
Half-niece/half-nephew	third-degree	12.5%
First cousin once removed	fourth-degree	6.25%
Second cousin	fifth-degree	3.125%
Third cousin	seventh-degree	0.781%

Terminologies

Family tree showing the relationship of each person to the orange person. Cousins are colored green. The genetic kinship degree (excluding maternally-passed mitochondrial DNA and sex chromosomes) of relationship is marked in red boxes by percentage (%).

Main article: Kinship terminology

In his book Systems of Consanguinity and Affinity of the Human Family, anthropologist Lewis Henry Morgan (1818–1881) performed the first survey of kinship terminologies in use around the world. Although much of his work is now considered dated, he argued that kinship terminologies reflect different sets of distinctions. For example, most kinship terminologies distinguish between sexes (the difference between a brother and a sister) and between generations (the difference between a child and a parent). Moreover, he argued, kinship terminologies distinguish between relatives by blood and marriage (although recently some anthropologists have argued that many societies define kinship in terms other than "blood").

Morgan made a distinction between kinship systems that use classificatory terminology and those that use descriptive terminology. Classificatory systems are generally and erroneously understood to be those that "class together" with a single term relatives who actually do not have the same type of relationship to ego. (What defines "same type of relationship" under such definitions seems to be genealogical relationship. This is problematic given that any genealogical description, no matter how standardized, employs words originating in a folk understanding of kinship.) What Morgan's terminology actually differentiates are those (classificatory) kinship systems that do not distinguish lineal and collateral relationships and those (descriptive) kinship systems that do. Morgan, a lawyer, came to make this distinction in an effort to understand Seneca inheritance practices. A Seneca man's effects were inherited by his sisters' children rather than by his own children. Morgan identified six basic patterns of kinship terminologies:

• Hawaiian: only distinguishes relatives based upon sex and generation.
• Sudanese: no two relatives share the same term.
• Eskimo: in addition to distinguishing relatives based upon sex and generation, also distinguishes between lineal relatives and collateral relatives.
• Iroquois: in addition to sex and generation, also distinguishes between siblings of opposite sexes in the parental generation.
• Crow: a matrilineal system with some features of an Iroquois system, but with a "skewing" feature in which generation is "frozen" for some relatives.
• Omaha: like a Crow system but patrilineal.

Roles

See also: Cousin chart

Group photograph of a Norwegian family by Gustav Borgen ca. 1900: Father, mother, three sons and two daughters.

Extended family with roots in Cape Town, Kimberley and Pretoria, South Africa

Bjørnstjerne Bjørnson with grandchild, 1900

An infant, his mother, his maternal grandmother, and his great-grandmother

Father and child, Dhaka, Bangladesh

Most Western societies employ Eskimo kinship terminology. This kinship terminology commonly occurs in societies based on conjugal (or nuclear) families, where nuclear families have a degree of relative mobility. Members of the nuclear use descriptive kinship terms:

• Father: a male parent
• Mother: a female parent
• Son: a male child of the parent(s)
• Daughter: a female child of the parent(s)
• Brother: a male sibling
• Sister: a female sibling
• Grandfather: the father of a parent
• Grandmother: the mother of a parent
• Cousins: two people who share at least one grandparent in common, but neither the same parents.

Such systems generally assume that the mother's husband is also the biological father. In some families, a woman may have children with more than one man or a man may have children with more than one woman. The system refers to a child who shares only one parent with another child as a "half-brother" or "half-sister". For children who do not share biological or adoptive parents in common, English-speakers use the term "stepbrother" or "stepsister" to refer to their new relationship with each other when one of their biological parents marries one of the other child's biological parents. Any person (other than the biological parent of a child) who marries the parent of that child becomes the "stepparent" of the child, either the "stepmother" or "stepfather". The same terms generally apply to children adopted into a family as to children born into the family.

Typically, societies with conjugal families also favor neolocal residence; thus upon marriage a person separates from the nuclear family of their childhood (family of orientation) and forms a new nuclear family (family of procreation). However, in western society the single parent family has been growing more accepted and has begun to make an impact on culture. Single parent families are more commonly single mother families than single father. These families sometimes face difficult issues besides the fact that they have to rear their children on their own, for example low income making it difficult to pay for rent, child care, and other necessities for a healthy and safe home. Members of the nuclear families of members of one's own (former) nuclear family may class as lineal or as collateral. Kin who regard them as lineal refer to them in terms that build on the terms used within the nuclear family:

• Grandparent
  • Grandfather: a parent's father
  • Grandmother: a parent's mother
• Grandchild
  • Grandson: a child's son
  • Granddaughter: a child's daughter

For collateral relatives, more classificatory terms come into play, terms that do not build on the terms used within the nuclear family:

• Uncle: father's brother, mother's brother, father's sister's husband, mother's sister's husband
• Aunt: father's sister, mother's sister, father's brother's wife, mother's brother's wife
• Nephew: brother's son, sister's son, husband's brother's son, husband's sister's son, wife's brother's son, wife's sister's son
• Niece: brother's daughter, sister's daughter, husband's brother's daughter, husband's sister's daughter, wife's brother's daughter, wife's sister's daughter

When additional generations intervene (in other words, when one's collateral relatives belong to the same generation as one's grandparents or grandchildren), the prefixes "great-" or "grand-" modifies these terms. Also, as with grandparents and grandchildren, as more generations intervene the prefix becomes "great-grand-," adding another "great-" for each additional generation. Most collateral relatives have never had membership of the nuclear family of the members of one's own nuclear family.

• Cousin: the most classificatory term; the children of uncles or aunts. One can further distinguish cousins by degrees of collaterality and by generation. Two persons of the same generation who share a grandparent count as "first cousins" (one degree of collaterality); if they share a great-grandparent they count as "second cousins" (two degrees of collaterality) and so on. If two persons share an ancestor, one as a grandchild and the other as a great-grandchild of that individual, then the two descendants class as "first cousins once removed" (removed by one generation); if they shared ancestor figures as the grandparent of one individual and the great-great-grandparent of the other, the individuals class as "first cousins twice removed" (removed by two generations), and so on. Similarly, if they shared ancestor figures as the great-grandparent of one person and the great-great-grandparent of the other, the individuals class as "second cousins once removed". Hence one can refer to a "third cousin once removed upwards."

Cousins of an older generation (in other words, one's parents' first cousins), although technically first cousins once removed, are often classified with "aunts" and "uncles." Similarly, a person may refer to close friends of one's parents as "aunt" or "uncle," or may refer to close friends as "brother" or "sister," using the practice of fictive kinship. English-speakers mark relationships by marriage (except for wife/husband) with the tag "-in-law." The mother and father of one's spouse become one's mother-in-law and father-in-law; the female spouse of one's child becomes one's daughter-in-law and the male spouse of one's child becomes one's son-in-law. The term "sister-in-law" refers to three essentially different relationships, either the wife of one's sibling, or the sister of one's spouse, or, in some uses, the wife of one's spouse's sibling. "Brother-in-law" expresses a similar ambiguity. The terms "half-brother" and "half-sister" indicate siblings who share only one biological or adoptive parent.

History of theories

A bodo family in Assam, India

Main article: History of the family

Social Darwinists

Early scholars of family history applied Darwin's biological theory of evolution in their theory of evolution of family systems. American anthropologist Lewis H. Morgan published Ancient Society in 1877 based on his theory of the three stages of human progress from Savagery through Barbarism to Civilization. Morgan's book was the "inspiration for Friedrich Engels' book" The Origin of the Family, Private Property and the State published in 1884.

Engels expanded Morgan's hypothesis that economical factors caused the transformation of primitive community into a class-divided society. Engels' theory of resource control, and later that of Karl Marx, was used to explain the cause and effect of change in family structure and function. The popularity of this theory was largely unmatched until the 1980s, when other sociological theories, most notably structural functionalism, gained acceptance.

The nuclear family in industrial society

Family arrangements in the United States have become more diverse with no particular household arrangement representing half of the United States population.

Contemporary society generally views the family as a haven from the world, supplying absolute fulfillment. Zinn and Eitzen discuss the image of the "family as haven [...] a place of intimacy, love and trust where individuals may escape the competition of dehumanizing forces in modern society". During industrialization, "[t]he family as a repository of warmth and tenderness (embodied by the mother) stands in opposition to the competitive and aggressive world of commerce (embodied by the father). The family's task was to protect against the outside world." However, Zinn and Eitzen note, "The protective image of the family has waned in recent years as the ideals of family fulfillment have taken shape. Today, the family is more compensatory than protective. It supplies what is vitally needed but missing in other social arrangements."

"The popular wisdom", according to Zinn and Eitzen, sees the family structures of the past as superior to those today, and families as more stable and happier at a time when they did not have to contend with problems such as illegitimate children and divorce. They respond to this, saying, "there is no golden age of the family gleaming at us in the far back historical past." "Desertion by spouses, illegitimate children, and other conditions that are considered characteristics of modern times existed in the past as well."

The postmodern family

Percentage of births to unmarried women, selected countries, 1980 and 2007

Others argue that whether or not one views the family as "declining" depends on one's definition of "family". "Married couples have dropped below half of all American households. This drop is shocking from traditional forms of the family system. Only a fifth of households were following traditional ways of having married couples raising a family together." In the Western World, marriages are no longer arranged for economic, social or political gain, and children are no longer expected to contribute to family income. Instead, people choose mates based on love. This increased role of love indicates a societal shift toward favoring emotional fulfilment and relationships within a family, and this shift necessarily weakens the institution of the family.

Margaret Mead considers the family as a main safeguard to continuing human progress. Observing, "Human beings have learned, laboriously, to be human", she adds: "we hold our present form of humanity on trust, [and] it is possible to lose it" ... "It is not without significance that the most successful large-scale abrogations of the family have occurred not among simple savages, living close to the subsistence edge, but among great nations and strong empires, the resources of which were ample, the populations huge, and the power almost unlimited"

Oedipal family model and fascism

The model, common in the western societies, of the family triangle, husband-wife-children isolated from the outside, is also called the oedipal model of the family, and it is a form of patriarchal family. Many philosophers and psychiatrists have analyzed such a model. In such a family, they argue, the young develop in a perverse relationship, wherein they learn to love the same person who beats and oppresses them. They believe that young children grow up and develop loving a person who is oppressing them physically or mentally, and that these children are not taught in a way that will raise affectionate children. Such philosophers claim that the family therefore constitutes the first cell of the fascist society, as the children will carry this attitude of love for oppressive figures in their adult life. They claim that fathers torment their sons. Deleuze and Guattari, in their analysis of the dynamics at work within a family, "track down all varieties of fascism, from the enormous ones that surround and crush us to the petty ones that constitute the tyrannical bitterness of our everyday lives".

As it has been explained by Deleuze, Guattari and Foucault, as well as other philosophers and psychiatrists such as Laing and Reich, the patriarchal-family conceived in the West tradition serves the purpose of perpetuating a propertarian and authoritarian society. The child grows according to the oedipal model, which is typical of the structure of capitalist societies, and he becomes in turn owner of submissive children and protector of the woman.

As the young undergoes physical and psychological repression from someone for whom they develop love, they develop a loving attitude towards authority figures. They will bring such attitude in their adult life, when they will desire social repression and will form docile subjects for society. Michel Foucault, in his systematic study of sexuality, argued that rather than being merely repressed, the desires of the individual are efficiently mobilized and used, to control the individual, alter interpersonal relationships and control the masses. Foucault believed organized religion, through moral prohibitions, and economic powers, through advertising, make use of unconscious sex drives. Dominating desire, they dominate individuals. According to the analysis of Michel Foucault, in the west:

the [conjugal] family organization, precisely to the extent that it was insular and heteromorphous with respect to the other power mechanisms, was used to support the great "maneuvers" employed for the Malthusian control of the birthrate, for the populationist incitements, for the medicalization of sex and the psychiatrization of its nongenital forms.

—Michel Foucault, The History of Sexuality vol I, chap. IV, sect. Method, rule 3, p. 99

Domestic violence

Main article: Domestic violence

Domestic violence (DV) is violence that happens within the family. The legal and social understanding of the concept of DV differs by culture. The definition of the term "domestic violence" varies, depending on the context in which it is used. It may be defined differently in medical, legal, political or social contexts. The definitions have varied over time, and vary in different parts of the world.

The Convention on preventing and combating violence against women and domestic violence states that:

" “domestic violence” shall mean all acts of physical, sexual, psychological or economic violence that occur within the family or domestic unit or between former or current spouses or partners, whether or not the perpetrator shares or has shared the same residence with the victim".

Family violence

Family violence is a broader definition, often used to include child abuse, elder abuse, and other violent acts between family members.

Child abuse is defined by the WHO as:

"Child maltreatment, sometimes referred to as child abuse and neglect, includes all forms of physical and emotional ill-treatment, sexual abuse, neglect, and exploitation that results in actual or potential harm to the child’s health, development or dignity. Within this broad definition, five subtypes can be distinguished – physical abuse; sexual abuse; neglect and negligent treatment; emotional abuse; and exploitation."

Elder abuse is, according to the WHO: "a single, or repeated act, or lack of appropriate action, occurring within any relationship where there is an expectation of trust which causes harm or distress to an older person".

Parental abuse of children (child abuse)

Main article: Parental abuse of children

Child abuse is the physical, sexual or emotional maltreatment or neglect of a child or children. In the United States, the Centers for Disease Control and Prevention (CDC) and the Department for Children and Families (DCF) define child maltreatment as any act or series of acts of commission or omission by a parent or other caregiver that results in harm, potential for harm, or threat of harm to a child. Child abuse can occur in a child's home, or in the organizations, schools or communities the child interacts with. There are four major categories of child abuse: neglect, physical abuse, psychological or emotional abuse, and sexual abuse.

Parental abuse by children

Main article: Parental abuse by children

Abuse of parents by their children is a common but under reported and under researched subject. Parents are quite often subject to levels of childhood aggression in excess of normal childhood aggressive outbursts, typically in the form of verbal or physical abuse. Parents feel a sense of shame and humiliation to have that problem, so they rarely seek help and there is usually little or no help available anyway.

Elder abuse

Main article: Elder abuse

Elder abuse is "a single, or repeated act, or lack of appropriate action, occurring within any relationship where there is an expectation of trust, which causes harm or distress to an older person." This definition has been adopted by the World Health Organization from a definition put forward by Action on Elder Abuse in the UK. Laws protecting the elderly from abuse are similar to, and related to, laws protecting dependent adults from abuse.

The core element to the harm of elder abuse is the "expectation of trust" of the older person toward their abuser. Thus, it includes harms by people the older person knows or with whom they have a relationship, such as a spouse, partner or family member, a friend or neighbor, or people that the older person relies on for services. Many forms of elder abuse are recognized as types of domestic violence or family violence.

Forced and child marriage

Main articles: Forced marriage and Child marriage

Forced and child marriages are practiced in certain regions of the world, particularly in Asia and Africa, and these types of marriages are associated with a high rate of domestic violence.

A forced marriage is a marriage where one or both participants are married without their freely given consent. The line between forced marriage and consensual marriage may become blurred, because the social norms of many cultures dictate that one should never oppose the desire of one's parents/relatives in regard to the choice of a spouse; in such cultures it is not necessary for violence, threats, intimidation etc. to occur, the person simply "consents" to the marriage even if he/she doesn't want it, out of the implied social pressure and duty. The customs of bride price and dowry, that exist in parts of the world, can lead to buying and selling people into marriage.

A child marriage is a marriage where one or both spouses are under 18. Child marriage was common throughout history but is today condemned by international human rights organizations. Child marriages are often arranged between the families of the future bride and groom, sometimes as soon as the girl is born. Child marriages can also occur in the context of marriage by abduction.

The concept of family honor

Main article: Family honor

Further information: Culture of honor and Honor killing

Family honor is an abstract concept involving the perceived quality of worthiness and respectability that affects the social standing and the self-evaluation of a group of related people, both corporately and individually. The family is viewed as the main source of honor and the community highly values the relationship between honor and the family. The conduct of family members reflects upon family honor and the way the family perceives itself, and is perceived by others. In cultures of honor maintaining the family honor is often perceived as more important than either individual freedom, or individual achievement. In extreme cases, enganging in acts that are deemed to tarnish the honor of the family results in honor killings. An honor killing is the homicide of a member of a family or social group by other members, due to the perpetrators' belief that the victim has brought shame or dishonor upon the family or community, usually for reasons such as refusing to enter an arranged marriage, being in a relationship that is disapproved by their relatives, having sex outside marriage, becoming the victim of rape, dressing in ways which are deemed inappropriate, or engaging in homosexual relations.

Economic issuses

Dowry, bride price and dower

Main articles: Dowry, Bride price and Dower

A traditional, formal presentation of the bride price at a Thai engagement ceremony.

Dowry is property (money, goods, or estate) that a wife or wife's family gives to her husband when the wife and husband marry. Offering dowry was common in many cultures historically (including in Europe and North America), but this practice today is moslty restricted to some areas primarilry in South Asia (India, Pakistan, Nepal, Bangladesh).

Bride price, (also bridewealth or bride token), is property paid by the groom or his family to the parents of a woman upon the marriage of their daughter to the groom. It is practiced mostly in Sub-Saharan Africa, parts of South-East Asia (Thailand, Cambodia), and parts of Central Asia.

Dower is property given to the bride herself by the groom at the time of marriage, and which remains under her ownership and control.

Property regims and taxation

In some countries married copules benefit from various taxation advantages not available to a single person or to unmarried couples. For example, spouses may be allowed to average their combined incomes. Some jurisdictions recognize common law marriage or de facto relations for this purposes. In some jurisdictions there is also an option of civil partnership or domestic partnership.

Different property regims exist for spouses. In many countries, each marriage partner has the choice of keeping their property separate or combining properties. In the latter case, called community property, when the marriage ends by divorce each owns half. In lieu of a will or trust, property owned by the deceased generally is inherited by the surviving spouse.

Size

Mennonite siblings, Montana 1937

Natalism is the belief that human reproduction is the basis for individual existence, and therefore promotes having large families. Many religions, e.g., Islam, Christianity and Judaism, encourage their followers to procreate and have many children, however many of them also propound stewardship and responsibility to care for the environment and society. In recent times, however, there has been an increasing amount of family planning and a following decrease in the total fertility rate in many parts of the world, in part due to improvements in health care, concerns of overpopulation, decreasing need for manual labor and increasing cost of raising a child as workers need to be more skilled. Many countries with population decline offer incentives for people to have large families as a means of national efforts to reverse declining populations.

Rights and laws

Reproductive rights

Main article: Reproductive rights

Further information: Forced sterilization, Forced pregnancy and Forced abortion

Reproductive rights are legal rights and freedoms relating to reproduction and reproductive health. These include the right to decide on issues regarding the number of children born, family planning, contraception, and private life, free from coercion and discrimination; as well as the right to access health services and adequate information. According to UNFPA, reproductive rights "include the right to decide the number, timing and spacing of children, the right to voluntarily marry and establish a family, and the right to the highest attainable standard of health, among others".

Mothers' rights

Main article: Mothers' rights

Mothers' rights movements focus on maternal health, workplace issues such as labor rights, breastfeeding, and rights in family law.

Fathers' rights

Main article: Fathers' rights

The fathers' rights movement is a movement whose members are primarily interested in issues related to family law, including child custody and child support, that affect fathers and their children.

Children's rights

Main article: Children's rights

Children's rights are the human rights of children, with particular attention to the rights of special protection and care afforded to minors, including their right to association with both parents, their right to human identity, their right to be provided in regard to their other basic needs, and their right to be free from violence and abuse.

Marriage rights

Main article: Marriage laws

Each jurisdiction has its own marriage laws. These laws differ significantly from country to country; and these laws are often controversial. Areas of controversy include women's rights as well as same sex marriage.

Legal reforms

Legal reforms to family laws have taken place in many countries during the past few decades. These dealt primarily with gender equality within marriage and with divorce laws. Women have been given equal rights in marriage in many countries, reversing older family laws based on the dominant legal role of the husband. Coverture, which was enshrined in the common law of England and the US for several centuries and throughout most of the 19th century, was abolished. In some European countries the changes that lead to gender equality were slower: for example the requirement that married women must have their husbands’ permission to initiate judicial proceeding was abolished in Austria in 1975, in Spain in 1981, and in Switzerland in 1984. In recent decades, the marital power has also been abolished in African countries that had this doctrine, but many African countries that were former French colonies still have discriminatory laws in their marriages regulations, such regulations originating in the Napoleonic Code that has inspired these laws. In some countries (predominantly Roman Catholic) divorce was legalized only recently (e.g. Italy (1970), Portugal (1975), Brazil (1977), Spain (1981), Argentina (1987), Ireland (1996), Chile (2004) and Malta (2011)) although annulment and legal separation were options. Philippines still does not allow divorce. (see Divorce law by country). The laws pertaing to the situation of children born outside marriage have also been revised in many countries (see Legitimacy (law)).

Work-family balance

Further information: Work–life balance and Work–family balance in the United States

Work-family balance is a concept involving proper prioritizing between work/career and family life. It includes issues relating to the way how work and families intersect and influence each other. At a political level, it is reflected through policies such maternity leave and paternity leave. Since the 1950s, social scientists as well as feminists have increasingly criticized gendered arrangements of work and care, and the male breadwinner role, and policies are increasingly targeting men as fathers, as a tool of changing gender relations.

Health

Global maternal mortality rate per 100 000 live births, (2010)

Family medicine

Main article: Family medicine

Family medicine is a medical specialty devoted to comprehensive health care for people of all ages; it is based on knowledge of the patient in the context of the family and the community, emphasizing disease prevention and health promotion. The importance of family medicine is being increasingly recognized.

World infant mortality rates in 2012

Maternal mortality

Main article: Maternal mortality

Maternal mortality or maternal death is defined by WHO as "the death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and site of the pregnancy, from any cause related to or aggravated by the pregnancy or its management but not from accidental or incidental causes." Historically, maternal mortality was a major cause of women's death. In recent decades, advances in healthcare have resulted in rates of maternal mortality having dropped dramatically, especially in Western countries. Maternal mortality however remains a serious problem in many African and Asian counties.

Infant and child mortality

Main articles: Infant mortality and Child mortality

Infant mortality is the death of a child less than one year of age. Child mortality is the death of a child before the child's fifth birthday. Like maternal mortality, infant and child mortality were common throughout history, but have decreased significantly in modern times.

Politics

Further information: Family values

Different government policies exist around the world with regard to the family. Some governments promote a specific form of family, such as that based on traditional family values. The term 'family values' is often used in political discourse in some countries, its general meaning being that of traditional or cultural values that pertain to the family's structure, function, roles, beliefs, attitudes, and ideals, usually involving the "traditional family" - a middle-class family with a breadwinner father and a homemaker mother, raising their biological children. Any deviation from this family model is considered a "nontraditional family". These family ideals are often advanced through policies such as marriage promotion. Some jurisdictions outlaw practices which they deem as socially or religiously unacceptable, such as fornication, cohabitation or adultery.

Protection of private and family life

Article 8 of the European Convention on Human Rights provides a right to respect for one's "private and family life, his home and his correspondence", subject to certain restrictions that are "in accordance with law" and "necessary in a democratic society".

“ Article 8 – Right to respect for private and family life

1. Everyone has the right to respect for his private and family life, his home and his correspondence.

2. There shall be no interference by a public authority with the exercise of this right except such as is in accordance with the law and is necessary in a democratic society in the interests of national security, public safety or the economic well-being of the country, for the prevention of disorder or crime, for the protection of health or morals, or for the protection of the rights and freedoms of others.

”

Criticism

Certain social scientists have advocated the abolition of the family. An early opponent of the family was Socrates whose position was outlined by Plato in The Republic. In Book 5 of The Republic, Socrates tells his interlocutors that a just city is one in which citizens have no family ties.

The family being such a deep-rooted and much-venerated institution, few intellectuals have ventured to speak against it. Familialism has been atypically defined as a “social structure where … a family's values are held in higher esteem than the values of the individual members of the family.” Favoritism granted to relatives regardless of merit is called nepotism.

The Russian-American rationalist and individualist philosopher, novelist and playwright Ayn Rand compared partiality towards consanguinity with racism, as a small-scale manifestation of the latter. “The worship of the family is merely racism, like a crudely primitive first installment on the worship of the tribe. It places the accident of birth above a man's values and duty to the tribe above a man's right to his own life.” Additionally, she spoke in favor of childfree lifestyle, while following it herself.

The British social critic, poet, mountaineer and occultist Aleister Crowley censured the institution of family in his works: “Horrid word, family! Its very etymology accuses it of servility and stagnation. / Latin, famulus, a servant; Oscan, Faamat, he dwells. … [T]hink what horrid images it evokes from the mind. Not only Victorian; wherever the family has been strong, it has always been an engine of tyranny. Weak members or weak neighbours: it is the mob spirit crushing genius, or overwhelming opposition by brute arithmetic. … In every Magical, or similar system, it is invariably the first condition which the Aspirant must fulfill: he must once and for all and for ever put his family outside his magical circle.”

The American journalist Marty Nemko considers family to be overrated. “Politicians, clerics, and just plain folks extol family as our most important institution. / I believe family is overrated. So many people suffer inordinately from family. … / Millions of people don't even speak with a family member. Millions more spend years and fortunes on therapists, trying to undo the ills that family perpetrated on them. / All this shouldn’t be surprising. After all, unlike with friends, we are placed in our family of origin at random, with no say in the matter.”

In the Bible

In the gospels of the New Testament Mark 3:31-35 and Matthew 23:9, it is written, “There came then [Jesus'] brethren and his mother, and, standing without, sent unto him, calling him. / And the multitude sat about him, and they said unto him, Behold, thy mother and thy brethren without seek for thee. / And he answered them, saying, Who is my mother, or my brethren? / And he looked round about on them which sat about him, and said, Behold my mother and my brethren! / For whosoever shall do the will of God, the same is my brother, and my sister, and mother. … / And call no man your father upon the earth: for one is your Father, which is in heaven.”

Jesus Christ is also recorded in the Bible as saying,

If any man come to me, and hate not his father, and mother, and wife, and children, and brethren, and sisters, yea, and his own life also, he cannot be my disciple” (Luke 14:26)

, as well as “Then Peter began to say unto him, Lo, we have left all, and have followed thee. / And Jesus answered and said, Verily I say unto you, There is no man that hath left house, or brethren, or sisters, or father, or mother, or wife, or children, or lands, for my sake, and the gospel's, / But he shall receive an hundredfold now in this time, houses, and brethren, and sisters, and mothers, and children, and lands, with persecutions; and in the world to come eternal life.” (Mark 10:29-30).

Such passages abound: Matthew 8-21, 10:34-36, 12:47-49, 15:4-7; Luke 2:46-49, 8:20-21, 9:59-62, 11:27-28, 12:51-53.

The family and social justice

One of the controversies regarding the family is the application of the concept of social justice to the private sphere of family relations, in particular with regard to the rights of women and children. Throughout much of the history, most philosophers who advocated for social justice focused on the public political arena, not on the family structures; with the family often being seen as a separate entity which needed to be protected from outside state intrusion. One notable exception was John Stuart Mill, who, in his work The Subjection of Women, advocated for greater rights for women within marriage and family. Second wave feminists argued that the personal is political, stating that there are strong connections between personal experiences and the larger social and political structures. In the context of the feminist movement of the 1960s and 1970s, this was a challenge to the nuclear family and family values, as they were understood then. Feminists focused on domestic violence, arguing that the reluctance - in law or in practice - of the state to intervene and offer protection to women who have been abused within the family, is in violation of women's human rights, and is the result of an ideology which places family relations outside the conceptual framework of human rights.

See also

• Familialism
• Nepotism
• Childlessness
• Childfree
• Family economics
• Household
• Stepfamily

Notes and references

Bibliography

• Chevallier, Denis. "Famille et parenté: une bibliographie". Terrain (in French). Retrieved January 8, 2014. 
• Forbes, Scott, A Natural History of Families, (Princeton, NJ: Princeton University Press, 2005), ISBN 0-691-09482-9
• Foucault, Michel (1978). The History of Sexuality: Volume I: An Introduction. (New York: Vintage Books). ISBN 978-0-679-72469-8
• Gilroy, Paul Identity Belonging and the Critique of Pure Sameness in Gilroy, Paul (2000) Against Race: Imagining Political Culture Beyond the Color Line, (Cambridge, Mass.: Belknap Press of Harvard University Press), Ch. I.3, pp. 97–133
• Goody, Jack The Development of the Family and Marriage in Europe (Cambridge University Press, 1980); translated into Spanish, French, Italian, Portuguese.
• Mock, Douglas W., More Than Kin and Less Than Kind, (Belknap Press, 2004), ISBN 0-674-01285-2
• Schneider, David M., American Kinship: a cultural approach (Chicago: University of Chicago Press, 1980).
• Tabak I., Mazur J., Granado M.C., Örkenyi Á., Zaborskis A., Aasvee K. & Moreno C. (2012). "Examining trends in parent-child communication in Europe over 12 years". The Journal of Early Adolescence. 32 (1). pp. 26–54. doi:10.1177/0272431611419509. Retrieved January 8, 2014. 
• Ommer, Uwe. 1000 Families: das Familienalbum des Planeten Erde. Taschen, Cologne 2002, ISBN 3-8228-2264-7

External links

• Family database, OECD,
• Family Research Laboratory, unh.edu
• Family evolution and contemporary social transformations, seres.fcs.ucr.ac.cr (Estación de Economía Política)
• Family Facts: Social Science Research on Family, Society & Religion (a Heritage Foundation site). familyfacts.org
• Families Australia – independent peak not-for-profit organisation. familiesaustralia.org.au
• FamilyPlatform – A consortium of 12 organisations providing input into the European Union's Socio-Economic and Humanities Research Agenda on Family Research and Family Policies.
• Unitedfamilies.org, International organisation
• UN.org, Families and Development
• Family, marriage and "de facto" unions, Vatican.va
• The Importance of Family Wake County Public School System

UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

• 1. 遺伝性疾患の基本原則 basic principles of genetic disease
• 2. 遺伝学：用語集 genetics glossary of terms
• 3. 遺伝的変異の概要 overview of genetic variation
• 4. 単一遺伝子疾患（メンデル遺伝病とそれ以外の遺伝病）の遺伝パターン inheritance patterns of monogenic disorders mendelian and non mendelian
• 5. 分子遺伝学の原理 principles of molecular genetics

English Journal

• Pregnancy and child health outcomes in pediatric and young adult leukemia and lymphoma survivors: a systematic review.

• Shliakhtsitsava K1, Romero SAD2, Dewald SR3, Su HI4.
• Leukemia & lymphoma.Leuk Lymphoma.2018 Feb;59(2):381-397. doi: 10.1080/10428194.2017.1352097. Epub 2017 Jul 21.
• PMID 28728448

• A role for nucleus accumbens glutamate in the expression but not the induction of behavioural sensitization to ethanol.

• Nona CN1, Nobrega JN2.
• Behavioural brain research.Behav Brain Res.2018 Jan 15;336:269-281. doi: 10.1016/j.bbr.2017.09.024. Epub 2017 Sep 14.
• PMID 28919158

• Injection of oxytocin into paraventricular nucleus reverses depressive-like behaviors in the postpartum depression rat model.

• Wang T1, Shi C2, Li X1, Zhang P1, Liu B1, Wang H3, Wang Y4, Yang Y1, Wu Y3, Li H5, Xu ZD6.
• Behavioural brain research.Behav Brain Res.2018 Jan 15;336:236-243. doi: 10.1016/j.bbr.2017.09.012. Epub 2017 Sep 6.
• PMID 28889022

• Differential effects of relaxin-3 and a selective relaxin-3 receptor agonist on food and water intake and hypothalamic neuronal activity in rats.

• de Ávila C1, Chometton S1, Lenglos C1, Calvez J1, Gundlach AL2, Timofeeva E3.
• Behavioural brain research.Behav Brain Res.2018 Jan 15;336:135-144. doi: 10.1016/j.bbr.2017.08.044. Epub 2017 Aug 31.
• PMID 28864207

Japanese Journal

• Zipper Unfolding of Domes and Prismoids

• ErikD.Demaine ,MartinL.Demaine ,Ryuhei Uehara
• 情報処理学会研究報告. AL, アルゴリズム研究会報告 2014-AL-146(4), 1-6, 2014-01-23
• … We find a family of domes whose graphs are Hamiltonian, yet any Hamiltonian unfolding causes overlap, making the domes Hamiltonian-ununfoldable. … Second we turn to prismoids, which are another family of simple convex polyhedra. …
• NAID 110009659426

• 安否報告が困難な状況を支援するライフログ活用安否確認システム

• 池端 優二,塚田 晃司
• 情報処理学会研究報告. GN, [グループウェアとネットワークサービス] 2014-GN-90(24), 1-7, 2014-01-16
• 大規模自然災害発生後,家族や友人の安否を確認したいという需要が高まっている.携帯通話・メールを用いた安否確認では,個別に対応が困難な状況 (通信の輻輳・避難中・怪我など) が考えられる.今回,個人の活動情報であるライフログデータを日常的に収集することで,非常時に通信が困難な場合,災害直前までの状況把握を可能とする.日常的な使用により,いざという時のシステム利用が容易となり,また通話・メール等個別に …
• NAID 110009658852

• 青少年の安全なインターネット利用を実現する家庭の取組みに関する考察

• 千葉 直子,関 良明,堀川 裕介,橋元 良明
• 情報処理学会論文誌 55(1), 311-324, 2014-01-15
• スマートフォンの急速な普及にともない,ネットワークサービスの利用環境はいっそう進展し,青少年の安全なインターネット利用は喫緊の課題となっている.本稿では,青少年にインターネット接続端末を利用させる保護者と家庭の状況に焦点をあて,子どものインターネット利用によるリスクに影響を与える要素を定性的調査によって整理し,家庭における対策レベルの向上施策を議論するためのフレームを与える仮説モデルを構築する.さ …
• NAID 110009658407

• 家族画にあらわれたAD/HDと自閉症スペクトラム障害との描画特徴

• 角山 富雄,石川 元
• 臨床精神医学 43(1), 89-98, 2014-01
• NAID 40019935423

Related Links

• familyの意味・使い方｜英辞郎 on the WEB：アルク

family 【名】 〔一緒に暮らす〕家族（全員）、一家・Do you have any other family? : 他に身内の方はいら...【発音】fǽməli【カナ】ファミリー【変化】《複》families - アルクがお届けするオンライン英和・和英辞書検索サービス。

• ファミリーマート公式ウェブサイト

あなたと、コンビに、ファミリーマート公式ウェブサイト。新商品紹介、キャンペーン情報、ファミポートなど店舗サービスのご紹介。店舗検索、ファミマTカード、社会環境活動、企業情報掲載。

• familyの意味 - 英和辞典 - コトバンク

プログレッシブ英和中辞典(第4版) - /fǽmli/[名]（複-lies）1 ((集合的))家族, 家庭, 一家. 夫婦とその子供をいい, 同居・別居を問わないa family of two｜夫婦2人だけの家庭family values｜家庭の価値観How is [((英))are] your ...

Related Pictures

---

★リンクテーブル★

リンク元	「100Cases 14」「relative」「家族」「family member」「household」
拡張検索	「family physician」「Shaker superfamily of potassium channel」「immunoglobulin gene superfamily」「chaperonin 60 family」

「100Cases 14」

　　[★]

☆case14　複視

■glossary

diplopia n. 複視

筋力低下、筋無力、筋脱力 muscle weakness, muscular weakness

sunken

vt. sinkのpp.

adj.

沈没した、沈んだ、水中の

沈下した、一段低いところにある

落ち込んだ、くぼんだ

3,4-ジアミノピリジン 3,4-diaminopyridine 3,4-DAP K+チャネル阻害薬;ランバート・イートン筋無力症治療

■症例

43-year-old woman

cheif complaint: diplopia

present history: diplopia and holding her head up ; more marked in the evenings, for the last 3 months. difficulty of chewing. voice has become quieter. weight loss (3kg / 6months). non-smoker. drinks about 15 units/week. no regular medication.

past history: no significant previous medical illnesses.

family history: lives with her husband and three children.

・診察 examination

looks well.

organ systems: normal; cardiovascular, respiratory, and abdominal systems.

muscle power; grossly normal. decrease after testing a movement repetitively.

motor function: normal; tone, coordination, reflexes and sensation.

bilateral ptosis. exacerbated by prolonged upward gaze

eye: normal; pupillary reflexes, eye movements, and funduscopy

■答え

diagnosis: myathenia gravis

differential diagnoses:

CASES

上位and/or下位運動ニューロン motor neurone disease　運動ニューロン疾患：線維束性攣縮。進行例では筋力低下

筋 muscular dystrophy　筋ジストロフィー：ある種の筋肉が選択的に筋力低下する。家族歴がある。

筋 dystrophia myotonica　強直性筋ジストロフィー：咬筋、側頭筋、胸鎖乳突筋の筋萎縮、四肢遠位端の筋萎縮。顔貌が特徴的(前頭部脱毛、無表情、窪んだ頬)。家族歴ある。筋電図が診断に有用(急降下爆撃音)。

筋 polymyositis　多発筋炎：普通は皮疹と関節痛が出現。CKが上昇。筋生検が診断に有用

筋 myopathy　ミオパチー：甲状腺中毒性ミオパチー、甲状腺機能低下症によるミオパチー、クッシング症候群によるミオパチー、アルコール性のミオパチー

神経筋接合部？ non-metastatic associations of malignancy (paraneoplastic syndrome(傍腫瘍性症候群 = 腫瘍随伴症候群)のこと)：胸腺腫の症例の10%に重症筋無力症がみられる。ランバート・イートン筋無力症症候群は小細胞癌と関連がある。

HIM.2674

• 神経筋接合部 congenital myasthenia syndrome　先天性筋無力症症候群
• 神経筋接合部 drug-induced myasthenia　薬剤性筋無力症

Treatment with penicillamine (used for scleroderma or rheumatoid arthritis) may result in true autoimmune MG, but the weakness is usually mild, and recovery occurs within weeks or months after discontinuing its use.

　重症筋無力症の誘発：ペニシラミン(強皮症や関節リウマチの治療に用いられる)。

　　mildだし、薬剤の中断で改善する。

Aminoglycoside antibiotics or procainamide can cause exacerbation of weakness in myasthenic patients; very large doses can cause neuromuscular weakness in normal individuals.

　重症筋無力症の悪化：アミドグリコシド系抗菌薬、プロカインアミド

　　MGの患者の筋脱力が悪化する。

• 神経筋接合部 Lambert-Eaton myasthenic syndrome　ランバート・イートン筋無力症症候群：全身の筋肉が冒されるが、特に下肢の近位筋が冒される。MGと同じように～70%の患者で脳神経所見(眼瞼下垂、複視など)が認められる。MGと違うのは(1)反射が消失・減弱すること、(2)自律神経系の変化(口渇、勃起不全)を生じる、(3)神経刺激検査で漸増(waxing)が見られることである。病因は神経筋接合部のP/Q type calcium channelsに対する抗体の出現であり、85%の患者で見いだされる。治療はMGのように血漿交換や免疫抑制薬が使われる。3,4-DAPやpyridostigmineは症状に対する治療のために用いる。前者は運動神経の終末部でカルシウムチャネルをブロックし活動電位を延長させる。後者はアセチルコリンエステラーゼを阻害してシナプスにおける神経伝達物質の濃度を上げる。
• 精神疾患 neurasthenia　神経衰弱症：歴史的な用語。器質的な障害を伴わない筋無力症のような脱力を伴う症候群。患者は筋脱力や疲労を訴えてやってくる。筋肉の検査では器質的変化は認めないが"jerky release"あるいは"give-away weakness"が認められる。患者の主訴は反復動作による筋力低下よりむしろ疲労や感情鈍麻である。
• 内分泌疾患 hyperthyroidism　甲状腺機能亢進症：MGが疑われる患者にはthyroid function testをルーチンにやる。甲状腺機能異常は筋無力症の筋力低下を大きくすることがある。
• 神経筋接合部 botulism　ボツリヌス症：ボツリヌス毒素はシナプス前膜からの神経伝達物質の開口分泌を妨げる。症状はbulbar weakness (複視、構音障害、嚥下困難)。感覚障害はない。深部腱反射は初期には保たれている。進行すれば反射は見られなくなる。筋脱力は全身性。呼吸困難に陥ることがある。精神状態は正常。自律神経症状(麻痺性イレウス、便秘、urinary retention、瞳孔の散大、瞳孔の反応性低下、口渇)。確定診断は血清中の毒素の検出だけど、見つかることはまれ。神経伝導検査(nerve conduction studies)：compound muscle action potentials (CMAPs)の低下。高頻度の刺激で振幅が増加。治療：intubation for airway protection、呼吸補助、aggressive inpatient supportive care(e.g., nutrition, DVT prophylaxis)。馬の抗毒素を検査結果が帰ってくる前に投与する(？)。
• 上位運動ニューロン intracranial mass lesions　頭蓋内占拠病変：複視はintracranial mass lesionが外眼筋の神経を圧迫することにより生じる。
• 筋 progressive external ophthalmoplegia　進行性外眼筋麻痺：外眼筋の筋脱力を伴う。四肢の近位筋の筋力低下やそのほかの全身症状を伴うことがある。ミトコンドリアの異常を有する。

■参考文献

HIM = Harrison's Principles of Internal Medicine 17th Edition

CASES = 100 Cases in Clinical Medicine Second edition

IMD = 内科診断学第2版

「relative」

　　[★]

• adj.

• 相対的な、相対の、相対性の、関連性の、関する、関連する

• n.

• 親類、親戚、類縁体

関

about、analog、analogue、associate、association、attach、bearing、concern、connection、correlate、correlation、derivative、family、family member、implication、link、pertinent、reference、regard、relate、relatedness、relation、relationship、relatively、relativity、relevance、relevant

　 　 　 　

「家族」

　　[★]

英

• family、family member、household、familial

関

科、家系性、家族性、家庭、系統群、産生、親戚、ファミリ、ファミリー、一対、ファミリーメンバー、家族特性

「family member」

　　[★] (遺伝子やタンパク質)ファミリーメンバー、(人間)家族

関

familial、family、household、relative

「household」

　　[★]

• n.

• 家族、家庭

関

couple、familial、family、family characteristics、family member、generation

　

「family physician」

　　[★]

• 家庭医、ホームドクター

関

family doctor、general practitioner

「Shaker superfamily of potassium channel」

　　[★]

Shakerスーパーファミリーカリウムチャネル

「immunoglobulin gene superfamily」

　　[★] 免疫グロブリン遺伝子スーパーファミリー

「chaperonin 60 family」

　　[★] シャペロニン60ファミリー