The normal family is the hand grenade compared to the nuclear bomb of the dysfunctional family
When both are faced with a filial crisis of aging parents being dependent and the adult child needs to take over they cower or explode.
How Do You Know a Dysfunctional Family
1. They lack the ability to resolve conflicts 
They have frequent psycho-social blockages that prevent the family from growing emotionally. They fail miserably at moving through all family stages and orchestrating family rituals.
2. They Cannot make Life transitions
Most life transitions in the family, like birth, adolescence, and marriage have been very difficult to make, marked by a lack of support from the parents. Every holiday might be drunkenly be ruined. The parental figures are usually not in charge, nurturing, or able to establish establishes clear rules. They have never created an excel spreadsheet on tasks to do to orchestrate a holiday. Like a disease spreading down generations, they never knew how happily celebrate anything together, as their parents wrecked ritual occasions as well.
3. There are murky roles in the family 
The chief role of the parent characterized by a lack of leadership of the family and the ability to nurture the children. Mom rarely became the high priestess on Hanukkah or Christmas or any family ritual gathering, the family members generally do not believe the parent is there for them and can be depended upon. The dysfunctional family is colored by bloody strained relationships and unresolved conflicts and ruined ritual memories.
4. They inspire great literature
The family is the inspiration for great literature. O’Neil’s wrenching plays A Long Day’s Journey into Night” portrays the most miserable of dysfunctional families. Alcohol, drugs, and secrets that have been kept by all for generations splatter the pages of this great play mirroring all the ruined holidays’ children of dysfunctional families recall with horror. Prince of Tides a tale of a southern dysfunctional family gives us a timelier glimpse of a family whose center can never hold together and whose blood oozes all over everyone from one generation to the next. Award-winning plays and films, like Tracey Letts August in Osage County about a ruined ritual funeral from hell when Julia Roberts tries to beat up drug-addled, drunk presiding mother Meryl Streep.
Rituals Bring Out the Worst in this family
When an aging Mom does not make the very small things she was able to pull off like the Latkes or the Christmas cookies she always made every Hanukkah and Christmas, or cannot pull off big things like the daughter’s wedding someone has got to be the cook and family organizer, and resentments skyrocket – tempers flare – and the torch just might never get passed.
The family is again thrown into crisis. That means someone in the tribe has to take over -yet the dysfunctional family has no model or spreadsheet for any transition in power. They cannot pull off any ritual celebrations or even family Taco Tuesdays. Most critically when the rudderless head of the family needs care, these adult children cannot care for a parent who did not care for them.
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- Get care for aging family members when the dysfunctional family members resist
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Learn more about how to work with the dysfunctional family in Handbook of Geriatric Care Management 4th edition