154276
Bowenian
Assessment and
Treatment
- Bowen found when individuals
were helped to differentiate, all
types of relationships improved
- Primary goal of treatment: Differentiation of self
for individual family members
- Primary goal of treatment: Differentiation of self
for individual family members
- treatment model reflects psychoanalytic roots
- focused on individual
- considers family of origin
- area concern is the family unit
- this model does not require all
members of the family to be present
- But it does require family members gain
an understanding of how entire system
operates across multiple generations
- But it does require family members gain
an understanding of how entire system
operates across multiple generations
- Bowen taught clients about the
functions of triangles, and he coached
them to be able to extricate themselves
from existing triangles and avoid being
pulled into new ones
- making one change in one part of the
triangulated relationship created
reactions in other parts of the triangle
- making one change in one part of the
triangulated relationship created
reactions in other parts of the triangle
- Differentiation of Self Scale
- scale from 0, or no self, to
100 (highest level)
- scale from 0, or no self, to
100 (highest level)
- Genogram (Family Diagram)
- organizes
information; indicate
conflict and
emotional issues
- elucidate multigenerational family
processes and track changes in
triangles over course of treatment
- Watchel (1982) highlights uses
- Assumed that what
people reveal varies
depending on
circumstance
- Projective Hypothesis
- Projective Hypothesis
- can also focus the family
on the total picture
- Assumed that what
people reveal varies
depending on
circumstance
- organizes
information; indicate
conflict and
emotional issues
- Emotional Cut-Off
- includes geographical
move, results in
minimizing contact
among family members
- More likely to be replicated
in nuclear family
- Role of therapist important
- Must be sufficiently differentiated
from his/her own family so
reactivity minimized
- Triangulates him/herself between a dyad
- decrease level of emotional reactivity
- asks process questions
- asks process questions
- Family members sent back
home to gather additional
information about family history
- then establish person to person
relationships with each member
- then establish person to person
relationships with each member
- Must be sufficiently differentiated
from his/her own family so
reactivity minimized
- includes geographical
move, results in
minimizing contact
among family members
- Person to Person Relationships
- characterize differentiated relationships
- characterize differentiated relationships
- Coaching
- teaches clients about family
process and coaches them
in their efforts to change
- teaches clients about family
process and coaches them
in their efforts to change
- I Position
- coaching family members to make
statements that reflect their own thoughts
and feelings, instead of blaming others
- coaching family members to make
statements that reflect their own thoughts
and feelings, instead of blaming others
- Therapist's stance and tasks
- 1. Controls the emotional tone in session
- 2. Maintains a de-triangled stance with the couple
- 3. Estabilishes a
differentiated I position
with them, opening the
way for them to take I
positions with each other
- 4. Teaches them how emotional
systems operate and initiates the
work of differentiation from their
respective families of origin
- 4. Teaches them how emotional
systems operate and initiates the
work of differentiation from their
respective families of origin
- 3. Estabilishes a
differentiated I position
with them, opening the
way for them to take I
positions with each other
- 2. Maintains a de-triangled stance with the couple
- 1. Controls the emotional tone in session
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