Master of Science Family and Systemic Psychotherapy
Term Paper
NEUTRALITY
(A historical review of a theoretical concept/idea in working with families and couples)
Submitted by:
Cheryl Lim
13 April 2007
Counselling and Care Centre, Singapore
The Institute of Family Therapy, London, UK
Validated by Middlesex University, London, UK As a learning therapist, I am often being reminded of the concept of neutrality when reviewing one’s relationship with the clients. This gives rise to my interest to review the development of neutrality in the field of family therapy, its relevance in clinical work, and its value and limitations. To trace the origins of the development of neutrality, one would have to begin with the Milan
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Like a neutral therapist, the Bowenian therapist supposedly remains sufficiently detached, thereby staying on top of the situation. In the strategic and structural family therapies, the therapist’s position was not extensively discussed. However, there has been an emphasis for the therapist to be respectful and empathic in session. For instance, a structural family therapist, in order to produce change, needs to first join with the family members. In joining, the therapist conveys acceptance and respect of family members and their ways of doing things. In this manner, the Milan group’s concept of neutrality is connected with the structural therapy’s concept of joining. The intent for both therapists is also to allow the family members to listen to each other’s stories. While in neutrality, it is a stance that is undertaken throughout the therapeutic process, the structural therapist may move into realigning the boundaries and restructuring the hierarchies in the family. To achieve that, the structural therapist may at times align with one family member. This is where neutrality ends for the structural therapist. Into the 1980s, the Milan team splits into two pairs where Cecchin and Boscolo continued to develop their systemic ideas in clinical work, the concept of neutrality also took a different form. Along with the movement into post-modernism,
Psychotherapy.net. (Producer). (2012). Bowenian family therapy [Motion picture]. [With Philip Guerin, MD]. United States: Psychotherapy.n
Strategic Therapy or Strategic Family Therapy is one of the oldest theories used in the practice of marriage and family therapy today. It was developed by Don Jackson and others affiliated to the Palo Alto group. Jay Haley and the Milan Group are also important practitioners of the model Strategic Therapy. This theory is portrayed as focused on altering family dynamics, eliminating problems and focusing on the presenting problems rather than the past, and often giving homework and behavioral tasks to clients. In this essay is a detailed description of the history of strategic therapy, beliefs, techniques and problems presented by this theory.
Structural family therapy is associated with the work of Salvador Minuchin and is an evidence based therapy influenced by brief strategic and eco-systemic structural family therapy (Gerhart, 2014). Structural family therapists are active in the counseling sessions and will want to have all of the members of the family participate in the counseling sessions. The therapist is then able to map family structures in order to resolve relation problems between family members. The therapist will then make assessments and set goals to restructure the family interactions while focusing on family strengths.
In conceptualising the development of the family system, Bowenian therapists are past-focused. They believe that emotional fusion that is passed down from one generation to the next is the cause of psychological problems (Nichols, 2010, pp 119-122). Normal family development according to Solution Focused therapist produces families with flexible structures, clear boundaries and well-organised hierarchies. This is quite similar to Bowenian’s concept of normal family development. Differentiated individuals after all need to have clear boundaries. Similarly, flexible structures and well-organised hierarchies do promote low anxiety and therefore generate positive emotional contact between family members. The difference is that instead of being past-focused, Solution Focused therapy assiduously avoids the past and focuses their clients as much as possible on the present and future. (Nichols, 2010, pp 321).
Structural Family Therapy (SFT) is an approach used in family therapy settings. In every family there are both strengths and weaknesses in how the family functions, this type of therapy focuses on the ability of families to move forward any dysfunctional issues they can encounter. In every family there has to be structure, a way of doing things, who is in charge and yet still be able to adapt to change when it is necessary or problems begin to occur, in order to repair and alter issues of dysfunction and reposition family boundaries, many therapists who use the structural family approach have the belief that the problems the family is experiencing “emerge in families when their boundaries (that define structures) are not clear and when
Structural family therapy focuses on encouraging proactive healthy change within the family, with an emphasis on structure, subsystems, and boundaries. Family Structure is invisible set of rules that organize the ways family members relate to each other. Structure resists change. The therapist will essentially be a change agent to facilitate this reorganization (Minuchin,
All done within a serene setting, that is designed to be free of distractions, and whereas the therapist I will inspire all members to participate in the therapy, using the systemic processes will help to facilitate this goal. Using the Strategic Family therapy, I will use the two maps of human behavior, which is used to guide me during the healing session. The first is PUSH is the ellipsis, which will authorize my point of view as the therapist (M.U.S.E, 2010). .
Family therapy is a form of psychotherapy employed to assist members of a family in improving communication systems, conflict resolution, and to help the family to deal with certain problems that manifest in the behavior of members. In most cases, deviance in a family member is an indication of underlying family dysfunctions. This paper looks the counselling procedure that can be applied to help the Kline family solve their problems. It answers certain questions including those of the expected challenges during therapy and ways of dealing with the challenges.
Haley and Madanes’ approach to strategic family therapy argues that change occurs through the process of the family carrying out assignments issued by the therapist. As described in Madanes’ Strategic Family Therapy (1981), “strategic therapists attempt to design a therapeutic strategy for each specific problem.” Therapists issue directives that are designed to shift the framework of the family to resolve the displaying problem. Treatment of these issues would include intense involvement, carefully planned interventions designed to reach clear goals, frequent use of therapist-generated directives or assignments, and paradoxical procedures.
In the Structural Family Therapy model, therapy is not focused solely on the individual, but upon the person within the family system (Colapinto, 1982; Minuchin, 1974). The major idea behind viewing the family in this way is that “an individual’s symptoms are best understood when examined in the context of the family interactional patterns,” (Gladding, 1998, p. 210). In SFT, there are two basic assumptions: 1) families possess the skills to solve their own problems; and 2) family members usually are acting with good intentions, and as such, no
therapy aims to improve family relations, and the family is encouraged to become a type of
Bohlinger (n.d.) states, “The Bowenian therapist would work to impart three important lessons to their clients: self-determination, self-advocacy, and re-engaging with the self in relationship” (Bohlinger, n.d.). The structural therapist is interested in boundaries between the client and the others around them, as oppose to the client’s intrinsic self. (Bohlinger, n.d.). Bowenian therapists work to help clients maintain and balance relationships, unlike the experimental therapist, who confronts the client on strengths and weaknesses, in hopes that they will accept both aspects of individuality (Bohlinger, n.d). Also, Bowenian therapy is interested in “historical” processes, instead of historical emotions and problems (Bohlinger, n.d.). An interesting aspect of Bowenian therapy is the lack of termination. Bowen believed differentiation is an ongoing process, unlike majority of family therapies (Walsh, Harrigan, 2003, p.
This paper will summarize the theory of family systems developed by Murray Bowen. It will describe the eight key components to Bowenian therapy and the techniques used during practice. Strengths and limitations will be exposed, followed by a summary of the importance of integration between psychology and family systems theory.
After a thorough review of the textbook and the course material, the specific family system approach that I choose to explore is the Bowenian Approach for this literature review. This specific family system approach is also known as the Bowen Family System Theory as well (D.V. Papero, 2006). The Bowen Family System Theory was established by Murray Bowen, a theorist and psychiatrist who specialized in treating children who were deranged and had schizophrenia (Rockwell, 2010). In the 1950s, Bowen wanted to explore a new venture so he decided that he wanted all of the family members of each child to be involved in an therapeutic process at the same time (Rockwell, 2010).
Approaches to Family Therapy: Minuchin, Haley, Bowen, & Whitaker Treating families in therapy can be a complex undertaking for a therapist, as they are dealing not only with a group of individuals but also with an overall system. Throughout history several key theorists have attempted to demystify the challenges families face and construct approaches to treatment. However, there have been key similarities and differences among the theoretical orientations along the way. While some have simply broadened or expanded from existing theories, others have stood in stark