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05 level alcoholic applicable 9 autonomy Beavers Card child circumplex model clinic cohesion and adaptability conflict CONSENT FORM correlation Date FAMILY diabetes double bind energized family Environment Scale FES Equifinality excellent health extent of incongruence Familv Process family climate family enviroment Family Environment Scale family functioning family health Family Incongruence Score family patterns family system pattern Fawcett future studies Health and Health Health Behavior Form healthy families identified impact Important Important incongruence of family individual family members Individual Perceptions interviewed investigated level of measurement marital and family measures of family Michigan Terminal System Moos & Billings negatively related Negentropy null hypothesis nursing Olson open system optimal families pair of family parent families patterns and individual perceived perceptions of family perceptions of health rated their families relationship between family relationship between incongruence single-parent social support Sprenkle standard deviation Standard score systems level systems perspective systems theory two-parent families