Bowen Family Therapy Flashcards

1
Q

Bowen Family Therapy

Theory of Change

A

Change occurs by understanding multi-generational dynamics and differentiation.

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2
Q

Bowen Family Therapy

Therapist’s Role

A
  • Coach/educator
  • Supervisor
  • Investigator
  • Neutral
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3
Q

Bowen Family Therapy

Treatment Goals

A
  • Reduce anxiety and emotional turmoil in family system
  • Self-differentiation within the context of family
  • Decrease emotional fusion
  • Reduce emotional reactivity
  • Improve communication skills
  • Decrease recurrence of dysfunctional patterns
  • Facilitate detriangulation
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4
Q

Bowen Family Therapy - Key Concepts

Triangles

A

A triangle is a three-person relationship system. It is considered the building block or “molecule” of larger emotional systems because a triangle is the
smallest stable relationship system.

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5
Q

Bowen Family Therapy - Key Concepts

Differentiation of Self

A

Families and other social groups tremendously affect how people think, feel, and act, but individuals vary in their susceptibility to a “group think” and groups vary in the amount of pressure they exert for conformity. These differences between individuals and between groups reflect differences in people’s levels of differentiation of self.

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6
Q

Bowen Family Therapy - Key Concepts

Nuclear Family Emotional System

A

The concept of the nuclear family emotional
system describes four basic relationship patterns that govern where problems develop in a family. People’s attitudes and beliefs about relationships play a role in
the patterns, but the forces primarily driving them are part of the emotional system.

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7
Q

Bowen Family Therapy - Key Concepts

Family Projection Process

A

The family projection process describes the primary
way parents transmit their emotional problems to a child. The projection process can impair the functioning of one or more children and increase their vulnerability to clinical symptoms.

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8
Q

Bowen Family Therapy - Key Concepts

Multigenerational Transmission Process

A

The concept of the multigenerational transmission process describes how small differences in the levels of differentiation between parents and their offspring lead over many generations to marked
differences in differentiation among the members of a multigenerational family.

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9
Q

Bowen Family Therapy - Key Concepts

Emotional Cutoff

A

The concept of emotional cutoff describes people managing their unresolved emotional issues with parents, siblings, and other family members by
reducing or totally cutting off emotional contact with them.

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10
Q

Bowen Family Therapy - Key Concepts

Genogram

A

Extensive study of family’s history. Acts both as an assessment and treatment tool

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11
Q

Bowen Family Therapy - Interventions

A

• Reduce emotional reactivity by having family members talk to the therapist

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12
Q

Bowen Family Therapy - Interventions

Reframing

A

The presenting problem as a multigenerational problem that is caused by factors beyond the individual

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13
Q

Bowen Family Therapy - Interventions

Genogram

A

Create a multigenerational map of family emotional system

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14
Q

Bowen Family Therapy - Interventions

De-triangulation

A

Therapist becomes part of a “healthy triangle” where the therapist teaches the couple to manage their own anxiety, distance, and closeness in healthy ways

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15
Q

Bowen Family Therapy - Interventions

Increasing Differentiation

A

By forming supportive relationship with family members

to explore the origins and effects of their families beliefs and behaviors

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16
Q

Bowen Family Therapy - Interventions

Teaching “I” Statements

A

Increases differentiation

17
Q

Bowen Family Therapy - Interventions

Opening Cut-Off Relationships

A

Encouraging and supporting clients to reengage

with estranged family members

18
Q

Bowen Family Therapy - Interventions

Interacts with Family

A

Interrupts arguments –open conflict is prohibited as it raises anxiety

19
Q

Bowen Family Therapy - Interventions

Models

A

Demonstrates new ways to interact and communicate

20
Q

Bowen Family Therapy - Interventions

Bibliotherapy

A

Assigning reading material

21
Q

Bowen Family Therapy - Phases of Treatment

Beginning

A

Create a family diagram of multigenerational emotional connections; assess individuals’ levels of differentiation and triangulation; identify dysfunctional patterns that have been passed along through the generations

22
Q

Bowen Family Therapy

Middle

A

Teach and model differentiation through communication skill building; de-triangulation; encourage reunification from cutoff family member; teach the family how
to take responsibility for their feelings and thoughts

23
Q

Bowen Family Therapy

End

A

Review new skills and knowledge gained in therapy