Applying Imogene King's Theory of Goal Attainment and Systems Theory to Family Health

In society, there are groups that interact with each other. They may be families, churches, government agencies, or anything in between. Those groups can be defined as systems, and in the systems perspective that is what they are referred to (Hutchison, 2017). In the 1960s, Ludwig von Bertalanffy developed the general systems theory in relation to biology, but it was widely publicized and used for various subjects (Hutchison, 2017). Hutchison (2017) summarized Bertalanffy’s theory by saying, “any element is best understood by considering its interactions with its constituent parts as well as its interactions with larger systems of which it is a part.” (p.

To get a full understanding of family theory one must first have the understanding of what is theory. Theory is a systematic collection of concepts and relations. Family however can mean a broad range of things to a person. One person may consider family to be father, mother, sister and brother; however, to someone else family could be just one parent with one child; and to another it could their friends. Family systems theory however defines the family as a system. Family consist of interrelated parts, each impacting the other and adding to each other’s growth (or detriment) of the other. And because family is always changing, growing, self-organizing, and becoming accustomed to each other and the exterior environment (White & Klein, 2008). Now let’s take a look at the

A system is a set of interrelated parts. Systems theory assumes that a system must be understood as a whole, rather than in component parts. It is a way of looking at the world where all the objects are interrelated with one another. Many family systems are addressed in the movie Little Miss Sunshine.

In The Family Crucible, Augustus Napier and Carl Whitaker’s form of therapy was strongly influenced by family systems theory, a burgeoning theory of the time. General systems theory examines relationships between elements that constitute a whole (Andreae, 2011, p. 243). When applied to families, this theory views the family as an emotional unit and uses systems thinking to describe the complex interactions in the unit (The

A system is “A set of interrelated and interdependent parts arranged in a manner that produces a unified whole” (robbins 2006), and Systems theory is the

Social systems are persons or groups of people interacting and mutually influencing each other’s behavior. According to systems theory, the client would be considered as the focal system (e.g., the primary system of interest) or the holon (e.g., the social entity; simultaneously apart of the whole). The client’s family members would be considered as the subsystems (e.g., composite parts) and their community would comprise the suprasystem (e.g., larger systems), in which they are a part of. A father giving his son advice about life is an example of a subsystem interaction. These types of healthy interactions condition the child to believe that the parent is the driving force within their life, which influences the child as they

The systems Perspective sees human behavior as the outcome of interactions within and among systems with interrelated and interdependent parts; as defined by its boundaries. Changing one part of the system affects other parts and the whole system, with predictable patterns of behavior (Hutchinson, 2015). The family system has been a widely used theory of family interventions and assessment. The family systems theory is focused on the family dynamic, involving structures, roles, communication patterns, boundaries, and power relation (Rothbaum, 2004). Many theorist such as Bowen, developed the systems theory that focuses on how a

According to Minuchin (1985), six basic principles outline the Family Systems theory. Each principle describes the function in which a family and its subsystems operate and the inextricable relationships within the system. The first principle of Minuchin’s (1985) theory implies that each member develops and is enveloped within the family unit, while the second principle states that there is a continuous loop in which each member feeds the behaviours of another. Thirdly, family systems have homeostatic elements which restore the family back to its equilibrium when disarrayed (Minuchin, 1985).

King’s Theory of Goal Attainment was proposed in the 1960s and published in 1981. It was derived from her conceptual system which presented in 1968, and incorporates the concept of self, perception, growth, development, time, interaction, communication, role, and coping. The Theory of Goal Attainment is a practice methodology based on the nurse and patient setting goals together, and the nurse assisting the patient to meet these goals they set for their health (Caceres, 2015). These interactions between the nurse and patient are the process in which the professional relationship develops, mutual goals are set, and actions are planned to achieve these goals. It is an interaction-transaction process and is based on the nursing

The family system theory is a theory developed by Doctor Murray Bowen. It is a theory of human behavior that holds the view that a family is an emotional unit. The family system theory also uses system thinking to explain the complex interactions that exist in the family unit. According to Bowen, people have a tendency to feel disconnected from their families now and then. However, the feeling is just a feeling and not a fact. Bowne also acknowledges that family members have the potential to affect and influence each other to the extent that they appear to have the same emotional dispensation. Family members seek attention, approval, and support from each other thus the existence of a form of interdependence. Bowen, while developing the family system theory, looked at how families develop patterns so as to diffuse anxiety. According to Bowen, too much closeness or too much distance can trigger feelings of anxiety in the family (Titelman, 2014). External stressors and sensitivities can affect the family’s ability to think and respond to relationship dilemmas.

When I consider family systems, I am reminded of a metaphor I heard while in undergraduate school about a mobile. A mobile is used to soothe an infant, normally placed above a crib or basinet. Each of its parts are in balance, when working correctly, however if one section becomes off balance the objects become out of sync. This is true with families. If each member of the family unit is doing their part, there is complete balance or homeostasis (Henson). This balance is viewed as a healthy family system. However, if one part of the unit becomes off balance, it disrupts the whole unit causing an unhealthy response with possible long term consequences. As families grow, each member plays an equally important role in the family unit. Children learn quickly the importance of relationships and adapt quickly to their environment. No one can deny the family unit is the most complex system in existence.

The Bowen family systems theory can utilize to understand the Gillison’s family dynamics. According to the Bowen Center for the Study of the Family (2016) the Bowen family system theory views family as an emotional unit that utilizes systems thinking to comprehend the complexity of the interactions within the unit. The theory describes families as having a major influence on their member’s thoughts, feelings and actions, which leads them to feel as if they are composed of the same “emotional skin”. The members of families, according to this theory, are driven by each other’s attention, approval, and support. The members therefore, react to each other’s expectations and wants and needs. The family is therefore interdependent. One change in one member’s function leads to a change in the functioning of the others. This is evidence in the case of the Gillison family.

King’s large system includes personal, interpersonal, and social systems that overlap. She postulated that nurses interact with patients through the lens of how nurses see the situation, while the patients have their own perceptions. Together they must communicate, set goals, and find ways to reach those goals (Alligood, 2010).

In many ways family systems theory can be seen as a broad field where there many different implications that make up the system, it is a system. A system is a set of objects that are bound together by a relationship, which are based around the attributes of the objects as drawn upon by (Janet.BB, 1982). Family systems theory addresses the many different ideals and values that make up a typical family, these include the roles each member of the family, the power relations either from the male of the family or both parents of the family, the boundaries that are set within the family to ensure that the structure of the family is secure, in both individualistic and collectivist families this can be seen (Fred Rothbaum, 2002).

In system theory, behaviors and family members responses influence the family pattern and life. Meanings and values are vital components of the