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Well-Being, Health, and Human Embodiment: The Familial Lifeworld

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The Vulnerability of the Human World

Part of the book series: Philosophy and Medicine ((PHME,volume 148))

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Abstract

This chapter explores the experiential reality of the family and its role in securing human well-being. I argue that the family is an epistemic category as well as an ontological category: it reveals the being of the phenomenological life-world in ways that are necessary for adequately appreciating the embodiment of human health and well-being. Without the family, there are significant areas of human flourishing about which one can neither know nor experience. The family uncovers categories of moral duties and virtues central to the creation and maintenance of core areas of human well-being. Familial interactions, for example, routinely demonstrate significant forms of altruistic behavior and other-directed personal costs at levels that are atypical of nonfamilial relationships. Moreover, significant cross-cultural sociobiological data support the conclusion that family life provides social, emotional, adaptive, and financial advantages, as well as the development of affective autonomy, increased longevity, improved physical and psychological health. Conversely, traumatic changes to family life, such as the death of a spouse, are well-documented as negatively impacting personal stability, life-expectancy, and overall well-being. In short, to focus unduly on the individual in isolation from the family is to diminish this rich and significant category of human good and well-being.

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Notes

  1. 1.

    Note, the human experience being explored is that of typical mature adults, rather than infants. As Schutz and Luckmann note: “We have occupied ourselves up until now with the life-world of everyday life, which we define as that reality the wide-awake normal person finds given straightforwardly in the natural attitude” (Schutz & Luckmann, 1973, p. 16).

  2. 2.

    “The life-world is thus a reality which we modify through our acts and which, on the other hand, modifies our actions” (Schutz & Luckmann, 1973, p. 6).

  3. 3.

    The account of the family, which I defend, shares similarities with the categorial analysis of social and political life that G.W.F. Hegel explores in his Elements of the Philosophy of Right (§§158–180). Hegel recognizes that when man and woman join as husband and wife to live together and have children, they create a family. They cease to be isolated individuals and became members of a family. Relationships and interactions shift into the intimate familial relationships and personal associations of family members. Hegel recognizes both that the family forms a social unity as well as that it embodies a particular moral content. “The family, as the immediate substantiality of spirit, has as its determination the spirit’s feeling [Empfindung] of its own unity, which is love. Thus, the disposition [appropriate to the family] is to have self-consciousness of one’s individuality within this unity as essentially which has being in and for itself, so that one is present in it not as an independent person [eine Person für sich] but as a member (Hegel, 1991, §158, p. 199). Hegel recognizes the family as a natural fact of the matter that embodies a substantial ethical end. “Marriage, as the immediate ethical relationship, contains first the moment of natural vitality; and since it is a substantial relationship, this involves life in its totality, namely as the actuality of the species [Gattung] and its process” (§161, p. 200). “The ethical aspect of marriage consists in the consciousness of this union as a substantial end, and hence in love, trust, and the sharing of the whole of individual existence [Existenz]” (§163, p. 202).

  4. 4.

    “Men who have marital partners also live longer than men without spouses; men who marry after age 25 get more protection than those who tie the knot at a younger age, and the longer a man stays married, the greater his survival advantage over his unmarried peers. But is marriage itself responsible for better health and longer life?

    Although it’s hard to be sure, marriage seems to deserve at least part of the credit. Some have argued that self-selection would skew the results if healthy men are more likely to marry than men with health problems. But research shows the reverse is true: unhealthy men actually marry earlier, are less likely to divorce, and are more likely to remarry following divorce or bereavement than healthy men.

    Another potential factor is loneliness; is the institution of marriage linked to better health, or is it simply a question of living with another person? Although studies vary, the answer seems to be a little of both. People living with unmarried partners tend to fare better than those living alone, but men living with their wives have the best health of all” (Harvard: Men’s Health, 2019: https://www.health.harvard.edu/mens-health/marriage-and-mens-health).

  5. 5.

    “Prostate cancer is a particular concern for men. To find out how marriage affects survival, scientists from the University of Miami investigated 143,063 men with the disease. Over a 17-year period, married men survived far longer (median 69 months) than separated and widowed patients (38 months); men who had never married had an intermediate survival rate (49 months)” (Harvard: Men’s Health, 2019: https://www.health.harvard.edu/mens-health/marriage-and-mens-health).

  6. 6.

    The adolescent years can be precarious. “1) This developmental period is characterized by higher rates of experimentation and novelty seeking. 2) Addictive disorders in adults generally have onset in adolescence and early adulthood. 3) Early onset of substance use predicts greater severity and morbidity of substance use disorders. Of particular note is that in alcoholics, 80% of the cases began before the age of 30 and over 40% reported alcohol related problems between the ages of 15 and 19. Our observations at the cellular level are consistent with the idea that alcohol and other drugs of abuse engage glutamatergic-based learning processes that are particularly active during neurodevelopment that characterizes the adolescent brain” (Carpenter-Hyland & Chandler, 2007, p. 206).

  7. 7.

    As Charles Murray summarizes: “No matter what the outcome being examined—the quality of the mother-infant relationship, externalizing behavior in childhood (aggression, delinquency, and hyperactivity), delinquency in adolescence, criminality as adults, illness and injury in childhood, early mortality, sexual decision making in adolescence, school problems and dropping out, emotional health, or any other measure of how well or poorly children do in life—the family structure that produces the best outcomes for children, on average, are two biological parents who remain married” (2012, p. 158).

References

  • ___. (2019, June 5). Harvard: Men’s Health: Marriage and men’s health. https://www.health.harvard.edu/mens-health/marriage-and-mens-health

  • Alexandre, G. C., Nadanovsky, P., Moraes, C. L., & Reichenheim, M. (2010). The presence of a stepfather and child physical abuse, as reported by a sample of Brazilian mothers in Rio de Janeiro. Child Abuse & Neglect, 34, 959–966.

    Article  Google Scholar 

  • Anderson, K. G., Kaplan, H., Lam, D., & Lancaster, J. B. (1999). Paternal care by genetic fathers and stepfather II: Reports by Xhosa high school students. Evolution and Human Behavior, 20(6), 433–451.

    Article  Google Scholar 

  • Bennet, K. M., Smith, P. T., & Hughes, G. M. (2005). Coping, depressive feelings and gender differences in late life widowhood. Aging and Mental Health, 9(4), 348–353.

    Article  Google Scholar 

  • Berger, L. M., Carlson, M. J., Bzostek, S. H., & Osborne, C. (2008). Parenting practices of resident fathers: The role of marital and biological ties. Journal of Marriage and the Family, 70, 625–639.

    Article  Google Scholar 

  • Carpenter-Hyland, E. P., & Chandler, L. J. (2007). Adaptive plasticity of NMDA receptors and dendritic spines: Implications for enhanced vulnerability of the adolescent brain to alcohol addiction. Pharmacology, Biochemistry and Behavior, 86(2), 200–208.

    Article  Google Scholar 

  • Cavanagh, K., Emerson Dobash, R., & Dohash, R. P. (2007). The murder of children by fathers in the context of child abuse. Child Abuse & Neglect, 31(7), 731–746.

    Article  Google Scholar 

  • Cherry, M. J. (2005/2015). Kidney for sale by owner: Human organs, transplantation, and the market. Georgetown University Press.

    Google Scholar 

  • Cherry, M. J. (2010). Parental authority and pediatric decision making. Journal of Medicine and Philosophy, 35(5), 553–572.

    Article  Google Scholar 

  • Daly, M., & Wilson, M. (1999). The truth about Cinderella: A Darwinian view of parental love. Yale University Press.

    Google Scholar 

  • Daly, M., & Wilson, M. (2008). Is the “Cinderella effect” controversial? A case study of evolution-minded research and critiques thereof. In C. Crawford & D. Krebs (Eds.), Foundations of evolutionary psychology (pp. 383–400). Psychology Press.

    Google Scholar 

  • De Melo-Martin, I. (2014). The ethics of anonymous gamete donation: Is there a right to know one’s genetic origins. Hastings Center Report, 44(2), 28–35.

    Article  Google Scholar 

  • Defoe, B. (2003). Why there are no good men left. Broadway Books.

    Google Scholar 

  • Eaker, E. D., Sullivan, L. M., Kelly-Hayes, M., D’Agostino, R. B., Sr., & Benjamin, E. J. (2007). Marital status, marital strain, and risk of coronary heart disease or total mortality: The Framingham Offspring Study. Psychosomatic Medicine, 69, 509–513.

    Article  Google Scholar 

  • Elwert, F., & Christakis, N. A. (2008). The effect of widowhood on mortality by the causes of death of both spouses. American Journal of Public Health, 98(11), 2092–2098.

    Article  Google Scholar 

  • Engelhardt, H. T., Jr. (1973). Mind-body: A categorial relation. Martinus Nijhoff.

    Book  Google Scholar 

  • Engelhardt, H. T., Jr. (2010). Beyond the best interests of children: Four views of the family and of foundational disagreements regarding pediatric decision-making. Journal of Medicine and Philosophy, 35(5), 499–517.

    Article  Google Scholar 

  • Fry, R., Passell, J. S., & Cohn, D. (2020). A majority of young adults in the U.S. live with their parents for the first time since the Great Depression. Pew Research Center, September 4, 2020. https://www.pewresearch.org/fact-tank/2020/09/04/a-majority-of-young-adults-in-the-u-s-live-with-their-parents-for-the-first-time-since-the-great-depression/

  • Gallagher, M., & Waite, L. (2000). The case for marriage. Random House.

    Google Scholar 

  • Groll, D. (2021). Well-being, gamete donation, and genetic knowledge: The significant interest view. Journal of Medicine and Philosophy, 46(6), 758–781.

    Article  Google Scholar 

  • Hammen, C. (2005). Stress and depression. Annual Review of Clinical Psychology, 1, 293–319.

    Article  Google Scholar 

  • Hammen, C. (2015). Stress sensitivity in psychopathology: Mechanisms and consequences. Journal of Abnormal Psychology, 124(1), 152–154.

    Article  Google Scholar 

  • Harper, C. C., & McLanahan, S. S. (2004). Father absence and youth incarceration. Journal of Research on Adolescence, 14(3), 369–397.

    Article  Google Scholar 

  • Hegel, G. W. F. (1991). Elements of the philosophy of right (A. Wood, Ed., H. B. Nisbet, Trans.). Cambridge University Press.

    Google Scholar 

  • Holt-Lunstad, J., Smith, T. B., & Layton, J. B. (2010). Social relationships and mortality risk: A meta-analytic review. PLoS Medicine, 7(7), 1–20.

    Article  Google Scholar 

  • Jia, H., & Lubetkin, E. (2020). Life expectancy and active life expectancy by marital status among older U.S. adults: Results from the U.S. Medicare Health Outcome Survey (HOS). SSM Population Health, 12, 100642. https://doi.org/10.1016/j.ssmph.2020.100642. eCollection 2020 Dec.

    Article  Google Scholar 

  • Kaplan, H. S. (1994). Evolutionary and wealth flows theories of fertility: Empirical tests and new models. Population and Development Review, 20(4), 753–791.

    Article  Google Scholar 

  • Kaylen, M., & Pridemore, W. (2011). A reassessment of the association between social disorganization and youth violence in rural areas. Social Science Quarterly, 92(4), 978–1001.

    Google Scholar 

  • Kim, K., & Ko, B. (1990). An incidence survey of battered children in two elementary schools of Seoul. Child Abuse & Neglect, 14(2), 273–276.

    Article  Google Scholar 

  • Kposowa, A. (2009). Psychiatrist availability, social disintegration, and suicide deaths in U.S. counties, 1990–1995. Journal of Community Psychology, 37(1), 73–87.

    Article  Google Scholar 

  • Leighton, K. (2014). The right to know genetic origins: A harmful value. Hastings Center Report, 44(4), 5–6.

    Article  Google Scholar 

  • MacDonald, W. L., & Demaris, A. (1996). Parenting stepchildren and biological children: The effects of stepparent’s gender and new biological children. Journal of Family Issues, 17(1), 5–25.

    Article  Google Scholar 

  • Madu, S. N., & Peltzer, K. (2000). Risk factors and child sexual abuse among secondary school students in the Northern Province (South Africa). Child Abuse & Neglect, 24(2), 259–268.

    Article  Google Scholar 

  • Margolin, L. (1992). Child abuse by mothers’ boyfriends: Why the overrepresentation? Child Abuse & Neglect, 16(4), 541–551.

    Article  Google Scholar 

  • McRee, N. (2008). Child abuse in blended households: Reports from runaway and homeless youth. Child Abuse & Neglect, 32(4), 449–453.

    Article  Google Scholar 

  • Mengtong, C., & Ling, C. K. (2016). Parental absence, child victimization, and psychological well-being in rural China. Child Abuse & Neglect, 59, 45–54.

    Article  Google Scholar 

  • Murray, C. (2012). Coming apart: The state of white America. Crown Forum.

    Google Scholar 

  • Norval, G., Nock, S., & Waite, L. J. (2002). Why marriage matters: Twenty-one conclusions from the social sciences. American Experiment Quarterly, 5(1), 34–44.

    Google Scholar 

  • Osgood, D. W., Foster, E. M., & Courtney, M. E. (2010). Vulnerable populations and the transition to adulthood. The Future of Children, 20(1), 209–229.

    Article  Google Scholar 

  • Palusci, V. J., & Covington, T. M. (2014). Child maltreatment deaths in the U.S. National Child Death Review Case Reporting System. Child Abuse & Neglect, 38, 25–36.

    Article  Google Scholar 

  • Paterson, R. (2010). Old and alone: Bereavement and the older person. British Journal of Community Nursing, 15(1), 44–45.

    Article  Google Scholar 

  • Ravitsky, V. (2014). Autonomous choice and the right to know one’s genetic origins. Hastings Center Report, 44(2), 36–37.

    Article  Google Scholar 

  • Schnitzer, P. G., & Ewigman, B. G. (2005). Child deaths resulting from inflicted injuries: Household risk factors and perpetrator characteristics. Pediatrics, 116, e687–e693.

    Article  Google Scholar 

  • Schutz, A. (1962). Collected papers, Vol. I, The problem of social reality (M. Natanson, Ed.). Martinus Nijhoff.

    Google Scholar 

  • Schutz, A. (1966). Some structures of the life-world. In Collected papers, vol. III: Studies in phenomenological philosophy (A. Gurwitsch, Trans.). Martinus Nijhoff.

    Google Scholar 

  • Schutz, A., & Luckmann, T. (1973). The structures of the life-world (R. Zaner & H. T. Engelhardt, Jr., Trans.). Northwestern University Press.

    Google Scholar 

  • Settersten, R. A., Jr., & Ray, B. (2010). What’s going on with young people today? The long and twisting path to adulthood. The Future of Children, 20(1), 19–41.

    Article  Google Scholar 

  • Starling, S. P., Holden, J. R., & Jenny, C. (1995). Abusive head trauma: The relationship of perpetrators to their victims. Pediatrics, 95(2), 259–262.

    Article  Google Scholar 

  • Stiffman, M. N., Schnitzer, P. G., Adam, P., Kruse, R. L., & Ewigman, B. G. (2002). Household composition and risk of fatal child maltreatment. Pediatrics, 109, 615–621.

    Article  Google Scholar 

  • Tsai, A. C., Lucas, M., Sania, A., Kim, D., & Kawachi, I. (2014). Social integration and suicide mortality among men: 24-Year cohort study of U.S. health professionals. Annals of Internal Medicine, 161(2), 85–95.

    Article  Google Scholar 

  • Van Ijzendoorn, M., Euser, E. M., Prinzie, P., Juffer, F., & Bakermans-Kranenburg, M. J. (2009). Elevated risk of child maltreatment in families with stepparents but not with adoptive parents. Child Maltreatment, 14(4), 369–375.

    Article  Google Scholar 

  • Weitoft, G. R., Hjern, A., Haglund, B., & Rosén, M. (2003). Mortality, severe mortality, and injury in children living with single parents in Sweden: Population based study. Lancet, 361(9354), 289–295.

    Article  Google Scholar 

  • Wilcox, W. B., et al. (2011). Why marriage matters: Thirty conclusions from the social sciences. Institute for American Values.

    Google Scholar 

  • Yip, P. S., Yousuf, S., Hon Chan, C., Yung, T., & Wu, K. (2015). The roles of culture and gender in the relationship between divorce and suicide risk: A meta-analysis. Social Science & Medicine, 128, 87–94.

    Article  Google Scholar 

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Cherry, M.J. (2023). Well-Being, Health, and Human Embodiment: The Familial Lifeworld. In: Boublil, E., Ferrarello, S. (eds) The Vulnerability of the Human World. Philosophy and Medicine, vol 148. Springer, Cham. https://doi.org/10.1007/978-3-031-41824-2_6

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