The Therapeutic Process Of The Bowen's Transgenerational Model Is Governed By Two Main Goals

Cognitive behavioral therapy (CBT) is a form of psychotherapy. The effectiveness has been researched extensively over the years (Dobson, 2001). There are over three hundred published studies about the outcomes of cognitive behavioral therapy interventions. The main reason for this is that an ongoing adaptation of this form of psychotherapy makes it applicable to a vast amount of disorders and related problems (Rounsaville & Caroll, 2002). Despite the relatively great amount of studies on the effectiveness of cognitive behavioral therapy, questions still remain about the levels of effectiveness for different disorders, about the effects of

Cognitive-behavioural theory (CBT) is a kind of psychotherapeutic treatment that enables patients to comprehend the thoughts and feelings that control their behaviours.

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).

Bowenian family therapy views human beings not simply as individual parts that make up a collective whole, but as a collective whole made up of various parts. That is, human beings are relational from birth and belong to a family or some other type of collective system where the joys and problems they experience are done not in a vacuum, but are shared and passed along from generation to generation. “The main goal…is to reduce chronic anxiety by 1) facilitating awareness of how the emotional system functions; and 2) increasing levels of differentiation, [with] focus on making changes for the self rather than on trying to change others” (Brown, 1999, p. 95).

CBT is defined as a form of mental health based counseling, focusing on errors of cognition and perception. It usually involves a limited number of individual outpatient sessions (Park et al., 2013). This form of therapy, “helps you become aware of inaccurate or negative thinking, so you can view challenging situations more clearly and respond to them in a more effective way,” (“Cognitive behavioral therapy”, 2014, para. 1).

In it's simplest form, Cognitive Behavioral Therapy, (or CBT as it will be referred to from here on out), refers to the approach of changing dysfunctional behaviors and thoughts to realistic and healthy ones. CBT encompasses several types of therapy focusing on the impact of an individual's thinking as it relates to expressed behaviors. Such models include rational emotive therapy (RET), rational emotive behavioral therapy (REBT), behavior therapy (BT), Rational Behavior Therapy (RBT), Schema Focused Therapy, Cognitive therapy (CT). Most recently a few other variations have been linked to CBT such as acceptance and commitment therapy (ACT), dialectic behavioral therapy (DBT), and

The main goal of CBT is to help individuals and families cope with their problems by changing their maladaptive thinking and behavior patterns and improve their moods (Blackburn et al, 1981). Intervention is driven by working hypotheses (formulations) developed jointly by patient, his/her family and therapist from the assessment information. Change is brought about by a variety of possible interventions, including the practice of new behaviors, analysis of faulty thinking patterns, and learning more adaptive and rational self-talk skills. (Hawton, Salkovskis, Kirk, and Clark, 1989).

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.

Murray Bowen was born in 1913 in Tennessee and died in 1990. He was the oldest child in a large cohesive family. He trained as a psychiatrist and originally practiced within the psychoanalytic model. In his practice he involved mothers in the investigation of schizophrenic patients. He thought that the cause of schizophrenia begun in mother-child symbiosis which created an anxious and unhealthy attachment. His devotion to his own psychoanalytic training was set aside after his move to the National Institute of Mental Health (NIMH) in 1954 as he begun to shift from an individual focus to an appreciation of the dimensions of families as systems. He began to include more family members in his research and psychotherapy

CBT was first described by Professor Aaron Beck in the early 1950’s (Wilding & Milne, 2008). In contrast with many of the psychological therapy models of the time, CBT was based on the belief that maladaptive thoughts and behaviours arise not from what has happened in our lives, but from how we think about what has happened to us (Taylor, 2006; Newman, 2013). A variety of approaches are considered to fall within the domain of CBT – these include Rational Emotive Behaviour Therapy (Dryden, 2009), Beck’s CBT approach, and Meichenbaum’s Cognitive Behaviour Modification (Meichenbaum, 1977) These approaches share 3

CBT is an integrated approach using various combinations of cognitive and behavioral modification interventions and techniques (Myers, 2005). The aim is to change maladaptive patterns of thinking and behaving that impact clients in the present (Weiten et al., 2009). From a cognitive behavioral perspective Jane would be diagnosed as having faulty thinking and dysfunctional behavioral issues suffering from depression, and anxiety in the form of Agoraphobia (Weiten et al., 2009).

CBT with children emphasizes the effects of maladaptive or dysfunctional beliefs and attitudes on current behavior. A presumption is made that a child’s reaction to an event is influenced by the meanings he or she attaches to the event. That is to say, emotional and behavioral responses to events in a person’s day-to-day life are a function of how these events are perceived and recalled, the attributions that are made about the causes of the event, and the ways in which the events affect one’s self-perceptions and the pursuit of one’s goals. These cognitive processes are believed to be influenced, in turn, by underlying beliefs that individuals maintain about themselves, the world, and their futures. These core beliefs or schemas are actively

The client and I created a genogram for Doug and Amy to have a visual representation of how the dysfunction in their lives have filtered down and obstructed their current level of