Flashcards in Chapt 3- Transgenerational models Deck (57)
How long does treatment typically last in a transgenerational model?
approx 2 years
How does a transgenerational model differ from psychoanalytic model?
1. do not subscribe to a linear model of causality
2. problems are viewed as being maintained in ongoing patterns that span generations
3.view individuals across generations, rather than an individual
Who were the practitioners of transgenerational models of family therapy?
Bowen, Philip Guerin, Betty Carter, McGoldrick, Nagy, James Framo, Scharff & Scharff, Dicks, Fairbairn
Bowen studied relationships between who and who?
schizophrenic patients and their mothers
What did Bowen conclude when observing non-symptomatic families and families diagnosed with schizophrenia?
concluded that functional and dysfunctional families fall along a continuum from emotional fusion to differentiation, rather than forming discrete categories
What do high levels of differentiation people have?
able to react to the world rationally and enter into relationships while balancing competing needs for belonging and individuality
What do low levels of differentiation look like?
people who are ruled by their emotions- lives center around acceptance and being loved
What does a solid self look like?
more differentiated an dis able to function based upon a personally defined set of values, beliefs, convictions, and life principles
What does pseudo self mean?
not differentiated, may be fused with another person; does not reason with his/her own internal values, but instead borrows the values of the person with; makes commonly emotional reactive choices
What is a triangle, as Bowen would describe it?
is the smallest stable unit in a family system
-form out of the anxiety within the family -of the 2 person system- one way to stabalize is to bring in a 3rd party
-the person who experiences the most anxiety, will bring in a third party/stabalizing the relationship
When individuals are undifferientiated they also tend to cut themselves off emotionally, or even geographically from their families of origin- what term is this as Bowen would describe?
undifferentiated ego mass
Groups of people who have interdependent emotional bonds behave in much the same way as biological systems- what term?
When undifferentiated parents transmit their immaturity, or lack of differentiation to the children is what type of process by Bowen?
Family projection process
Bowen's notion that all generations are part of a continuous natural process with each generation pressing up against the next. "past on from generation to generation"
multigenerational transmission process
What happens within multigenerational transmission process -what is the notion?
That each subsequent generation tends to move towards a lower level of differentiation if unresolved emotional attachments and fusion are present.
What were the 6 interrelated concepts of Bowen's theory of differentiation ?
Differentiation of self, triangles, nuclear family emotional process, family projection process, multigenerational transmission process, and sibling position
Does Bowen's model require the whole family to be present in treatment? What does it require?
NO; that the entire family gain an understanding of how the entire system operates across multiple generations
-"understanding not action is the vehicle of cure.."
What were Bowen's treatment/ assessments ?
Genogram, differentiation of self assessment, emotional cut-off assessment, person to person relationships, coaching, "I position"
What does it mean if someone had an emotional cut off in their genogram?
could suggest an undifferentiated, fused self.
What tool did Bowen use to help decrease the level of emotional reactivity and anxiety in the sessions and increase understanding?
What do person to person interactions indicate?
How does a therapist coach to help a client form a better differentiation of self?
doesn't use solution focused or resolutions; therapist DOES teaches about family process and coaches them in their efforts to change
What does an "I position" do?
creates responsibility of the family members roles, helps them make statements about their own thoughts and feelings, instead of blaming others.
What is the goal of treatment for Bowen theory?
to help one or more family members towards a higher level of differentiation
How does Bowen help a couple?
helps clients de-triangulate themselves from family relationships by forming a new triangle with the two primary members (the couple); also, lowers the reactivity between the couple and works toward differentiation of each partner from his/her own family of origin.
How does Bowen help a family?
the therapist and family members examine the patterns in the family history; teaches family about systems and helps them understand their roles in the family process;; helps observe the patterns and emotional reactiions in their families; coaches to frequently visit family or contact- observe, postulate, report back, modify their behavior, and observe some more.
How does Bowen help an individual?
-helps the client understand his/her part
What is the role of the therapist for Bowen therapy?
-controls the emotional tone in the session
-directs the flow of information toward him/her preventing reactive exchanges between the couple
-maintains a de-triangulated stance with the couple
-establishes a differentiated I position
-teaches them how emotional systems operate
-initiates the work of differentiation from their respective families of origin
type of therapy that uses psychoanalytic principles and post-freudian object relations theories to work with families
-use listening, responding to unconscious material, interpreting, and working with transference and countertransference material
Object relations/psychoanalytic family therapy