Essay about Models of Family Therapy

The goal of Bowen’ theory is to review developmental patterns within the familial system and the stress centered around the anxiety caused by closeness or the lack thereof (Penny, 1999). Bowen’s theory works to facilitate a decline in stress and anxiety by enabling the clients with education as to how the emotional system works and focusing on how to modify self perceptional behaviors instead of working to change others within the system (Penny, 1999).

Family is something that plays a tremendous role in our life. Even though the structure of families has changed over the years, it is important to acknowledge that there many families out there whether they are traditional families, nuclear family, stepfamilies or others which tend to have different types of problems in their families. Therefore, many families attempt to go to family therapy in order for them to obtain help in solving the different types of issues they might have at home. As stated in the book Family Therapy by Michael P. Nichols (2013), “The power of family therapy derives from bringing parents and children together to transform their interaction… What keeps people stuck in their inability to see their own participation in the problems that plague them. With eyes fixed firmly on what recalcitrant others are doing, it’s hard for most people to see the patterns that bind them together. The family therapist’s job is to give them a wake-up call” (2013).

Nuclear family emotional system is a concept describing four primary relationship patterns of emotional functioning, which are matrimonial conflict, dysfunction in a spouse, impairment in children, and emotional detachment (Haefner, 2014). Family reactions to such are imitations of previous generations, as well as predictors of how future generations will react. The family projective process is when children inherit the strengths and weaknesses of their parents, such as emotional issues (Haefner, 2014). Multigenerational transmission is the progression of family ideals and traditions to multiple generations, which are either supportive or detrimental (Haefner, 2014).

In the focus of assessment, both the Bowen and the Structural model suggest an essential concentration on evaluation. Then again, both models are somewhat dissimilar in the assessment and assessment methodologies. The Bowen model and the Structural model suggest they both regard the family structural unit as a point in theory and generational processes. However, both theoretical concepts search for patterns differently. For example, the Bowenian counseling approach explores the intricate patterns and interactions of intergenerational behaviors amongst the family (Bowen Center for the Study of Family, 2018). However, the Structural family model examines patterns in consideration of such indicators versus the patterns of those that are generational. Interestingly, counselors use a directive approach with their clients as well as having established a familial therapeutic alliance as well as with the family expansion (Karam et al., 2015). The Bowenian therapy differs in counseling in that those members of the family unit resolve unfinished business, and the Structural counselor focuses on restructuring.

Structural family therapy is a model of treatment based on systems theory that was developed by Salvador Minuchin. Structural family therapy features emphasis is mostly on structural change as the main goal of therapy; it pays close attention to the individual but also acknowledges the importance of family in the healing process of the individual.

Similar to Bowen theory is Minuchin’s Structural Family Therapy where family is viewed as being a part of a larger system bigger than its self and within the family system are smaller subsystems that constitute the family as a whole. According to Vetere, (2001) a goal “of this therapy is to alter the organisational patterns, particularly where the modes of communication are thought to be unhelpful and where behaviours are considered to be abusive and neglectful or to have the potential to be so” (p. 134). The above two theories mesh well with the relational beings that we are. “The Lord God said, “It is not good for the man to be alone” (Genesis 2:18, New American Standard Bible) and from that utterance subsequently family was born.

11. Karpman’s Triangle is a way to best understand the roles available in unhealthy relationships.

Prior to establishing his theory post-World War II, Bowen studied the origins of schizophrenia and postulated that transgenerational maternal enmeshment was its cause. Bowen’s thoughts on this were similar to those on individuation. Though he believed psychoanalysis was too individualized for family therapy, the psychoanalytic notion that one’s interactions are driven by unconscious motivation was the theory’s germ of inspiration. Goldenberg & Goldenberg (2012) write that the most essential piece Bowen’s family systems theory is that the individual needs to resolve anxiety arising from their family of origin to find a sense of individuality. This concept is traceable to Bowen’s psychoanalytic roots as a psychiatrist.

If anxiety levels rise in these problems, psychiatric, medical, or social dysfunction may develop (Kerr, 2000). In impairment of one or more children problems, according to Kerr (2000), the spouses focus their anxieties on one or more of their children and the children focus their anxiety on them which can ultimately impair school performance, social relationships, and even health (Kerr, 2000). In emotional distance problems, according to Kerr (2000), people distances themselves from others to reduce the intensity of the relationship, but risk isolation from each other. The fourth concept of this theory is the family projection process. This concept describes the primary way parents transmit their emotional problems to a child (Kerr, 2000). This process can impair the functioning of one or more children and can increase their clinical symptoms. Some problems that children inherit from their parents include the need for attention and approval; difficulty dealing with expectations; the tendency to blame oneself or others; feeling responsible for the happiness of others or that others are responsible for one’s own happiness; and acting impulsively to relieve the anxiety of the moment rather than tolerating anxiety and acting thoughtfully (Kerr, 2000). Parents have different roles in this process: mothers are the primary caretakers and experience more emotional involvement with one or

Bowen family systems theory is based on the view that the family is an emotional unit. The theory uses systems thinking to describe the interactions and relationships within the family. Given families are deeply

Rabstejnek (2010) explains that differentiation and its antithesis fusion are Bowen’s terms to describe the extent to which people are able to separate their emotional and intellectual spheres. Highly fused people function automatically and respond emotionally to the life situations. Highly differentiated people on the other hand are people who have an autonomous intellectual system that can keep control over their emotional system (Nichols & Schwartz, 2004. p.123).

It is the degree of fusion and differentiation. Persons with low differentiation are less flexible and more emotionally dependent on others.

The history of family therapy began around 1960, when Gregory Bateson coined the term, “system thinking.” This type of therapy was a daring departure, both technically and philosophically, from traditional and individual treatment during the 1960s. Gregory Bateson was inspired. He felt that the unit known, as “the family” needed to be celebrated and that is exactly what he did” (Family Therapy, 2010, Para 1) Along with Gregory Bateson, are a list of several others who contributed to the evolution of Marriage and family counseling. This list includes the founder of social work, Mary Richmond, Mr. W. James, who researched the organic expression of social systems intervention and Mr. J. Dewey. Each of these

Systemic therapy was based on Minuchin’s Structural Therapy model (1968) followed by Bateson's cybernetic model (1972) The first order cybernetic model considerd that problems within a family system should be focused on by strategically solving problems, meeting family goals and help change a person's dysfunctional behaviour. D Shazer (1985). These concepts in Systemic therapy were known as the major paradigms and were taught by therapists such as Minuchin in Milan until the information-processing systems were introduced. They were characterized by the therapist's observation of the system from the external social world. Minuchin S & Fisherman,HC (1981)

Triangles are the basic units of systems. They balance between closeness and distance. The third person or party brings unity and creates continuity in warring situation. The triangle brings stressed person into a manageable level of operation. This involves true listening and gives a true advice for a better solution. In it virtually all relationships are shadowed by third parties. For example when a couple have an argument, afterwards, one of the partners may call their friend to talk about the fight. The third person helps them reduce their anxiety and take action, or calm their strong emotions and reflect, and make decision.