The ability of family members to effectively express their emotions, thoughts, and ideas to each other reflects the quality of relationships among members and the functioning of the family as a whole. According to Kirst-Ashman and Hull (2012), assessing communication patterns within a family is crucial to the process of planned change that must occur in order to help families resolve their problems in the best possible way (p. 331). There are various facets of communication in addition to verbal and non-verbal communication. There are at least five different avenues of communication, called communicative pathways, which include: consonance, condemnation, submission, intellectualization, and indifference (p. 331-332). An assessment of the different facets of communication used by a family is helpful in indicating where change is occurring..