In this study, we examined the effects of interpersonal exchange of instrumental and emotional functions upon satisfaction with the relationships with their parents.

　One hundred and forty-five female college students completed questionnaires regarding the relationships with their father and with their mother.

　The main results were as follows.

　1. More frequent exchanges of interpersonal functions were occurred in the relationship with their mother than in the relationship with their father. And the subjects had more satisfying relationships with their mother than with their father.

　2. Partial correlational analysis showed there was significant positive correlation between satisfaction and exchanged emotional interpersonal functions. And there was also significant positive correlation between the presumed satisfaction of the parents and exchanged emotional interpesonal functions.

　The results are interpreted in terms of the dyadic relationships within the family system.

　For the adolescents, to overcome crisis and achieve ego identity is same as to become independent from their family. The purposes of this study were (1) to find method to measure family functioning, and (2) to investigate the relation between family functioning and ego identity status.

　Self-report Measures of Family functioning (SMFF) and Extended version of Objective Measure of Ego Identity Status (E-EIS) were administered to 151 male and 156 female university students.

　The major findings were as follows; (1) SMFF which has 15 subscales was factor-analyzed, and three factors; cohesion, social activity and binding were found. (2) There was significant relation between family functioning and ego identity status (Achievement, Moratorium, Foreclosure, Diffusion). Achievement and Foreclosure which show one’s commitment to the external world are correlated positive family functioning, however, Foreclosure group looks at their family more ideally than Achievement group. Moratorium and Diffusion which show low commitment to the external world are correlated with negative family functioning, and there was significant relation between Moratorium and authoritarian family style, and Diffusion and laissez-faire family style.

　The role of community health nurse is a support for health problems of people in the community. We think that community health nurse students must understand not only physical symptom and disease of individual but also family structure and function as a total life unit.

　This paper is an attempt to grasp the way of education for the understanding of family as a total life unit for community health nurse students.

　We, therefore, introduced the "Up and Down’s Figure" of health state and feeling for education of community health nurse students.

　After discussing its educational effectiveness, we grasped that it was a very important tool for the understanding of family as a total life unit. We also grasped that it did not suggest the way of support or counselling for family as a total life unit.

　The author recently had an opportunity for performing family therapy for a patient of alcohol dependence who had experienced 5-time-hospitalization. The patient was a 45-year-old male public official under suspension from his duty. The family comprised of IP (the patient) and his parents. In 1986, he divorced his wife and their children were decided to be looked after by the latter. Our department was requested to perform psychotherapy for the patient while he was an in-patient of alcohol dependence and hepatocirrhosis in the department of internal medicine of a hospital. In hospital, he did not drink a drop of spirits as en exemplary patient, but upon leaving the hospital, he began to drink from that evening and uttered wild words and used violence to his parents. He was made to enter the hospital at that limit of the tension of his parents. This vicious circle of behavioral sequence was repeated 5 times.

　The therapeutic plan of our department for this patient was as follows. Antidepressants for his observed depression and weekly conjoint family therapy. First, complications between the patient and his parents were promoted so that he can speak out soberly the context of his opposable arguements to his parents which he could have done only by drinking. He often fell into silence when found himself in a situation disadvantageous to him while talking with his parents, so that the therapist urged him to assume a glass of water as alcoholic drink, facillitating his open arguments. Consequently, he becames gradually opposable without using a glass of water.

　He left the hospital after 6 months hospitlization, but 3 days after he drank again and used violence to his parents. Then, the therapist visited his own house: he became gentle in the presence of any other persons but for his family members. The therapist intervened in his selection of whether he enters a department of psychiatry in a Tokyo hospital through the therapist’s introduction or return to work. As a result, he preferred the latter and went to work for 2 months and a half from a hotel, separately from his parents. On Oct. 21 he drank at his own house and used violence to his parents as usual, returning to the previous drinking condition. His parents becames sleepless because of his violence and hoped his hospitalization. For fear of his repeating vicious circle, the author make him enter a special hospital for alcohol dependence in Tokyo through the author's referral late in November.

　After all, the treatment was a failure for this case. The therapist, who could not help the patient to establish autonomy from his parents, seems to have been involved in a vortex of familial troubles. The author reports the present case, together with some additional reflections as the therapist.