Clinical Applications of Bowen Family Systems Theory

by Titelman; Peter

• ISBN13: 9780789004680
• ISBN10: 0789004682
• Format: Hardcover
• Copyright: 1998-10-28
• Publisher: Routledge

Summary

One look inside Clinical Applications of Bowen Family Systems Theory, and you'll see that your most current clinical dilemmas are not as difficult to solve as you think. You'll find plenty of information to assist you in treating a vast audience of populations--the elderly, college students, troubled couples, remarried families, and children with severe medical problems. You'll also find that you're able to apply the Bowen systems theory to nearly every clinical situation--emotional dysfunction in children, alcoholism, incest, divorce, depression, phobias, and obsessive-compulsive disorders. Clinical Applications of Bowen Family Systems Theory is an ideal companion for family therapists, clinical psychologists, clinical social workers, psychiatrists, psychiatric nurses, and counselors. You'll find your working comprehension of Murray Bowen's work will grow, and you'll become more adept at applying what you read in real-life clinical situations, especially in these related areas: family systems assessment based on the Bowen Theory marital fusion and differentiation bridging emotional cut-off from a former spouse dealing with a child-focused divorce case studies of alcoholism and family systems Clinical Applications of Bowen Family Systems Theory is the first book to collect, illustrate, and walk you through a full application of this highly effective treatment method in any number of clinical settings. Both beginning and experienced therapists will find interesting reading in the history of the theory, and the result will be interested clients who begin to create functional, thriving personal histories for themselves.

Table of Contents

About the Editor	xiii	(2)
Contributors	xv	(2)
Foreword	xvii	(4)
Michael E. Kerr
Acknowledgments	xxi
Introduction	1	(6)
Peter Titelman
PART I: BOWEN FAMILY SYSTEMS THEORY, ASSESSMENT, AND THERAPY	7	(112)
Chapter 1. Overview of the Bowan Theoretical-Therapeutic System	7	(44)
Peter Titeman
Introduction	7	(1)
The Relationship Between Theory and Therapy	7	(2)
Historical Development of Bowen Theory and Its Relation to Bowen Family system Therapy	9	(5)
Differentiation of Self	14	(16)
Bowen's Perspective on the Therapeutic Relationship	30	(3)
The Role of the Therapist or Coach	33	(3)
Functions of the Therapist or Coach	36	(12)
Summary	48	(3)
Chapter 2. Family Systems Assessment Based on Bowen Theory	51	(18)
Peter Titelman
Introduciton	51	(1)
The Multigenerational Family Emotional System	51	(2)
Gathering a Multigenerational Family History	53	(2)
Components in Bowen Family Systems Assessment	55	(7)
Specific Factors to Look for ion bowen Family Systems Assessment	62	(1)
Implications of Bowen Family Systems Assessment for Planning and Implementing Family System Therapy	63	(1)
Summary	64	(2)
Appendix: A Key for the Family Diagram Symbols	66	(3)
Chapter 3. Bowen Theory As a Basis for Therapy	69	(50)
Patricia Hanes Meyer
Introduction	69	(6)
The Four Phases of Therapy	75	(12)
Solid Personal Change in Contrast to Behavioral Shifts	87	(5)
Techniques and Changing Self	92	(10)
Application of Theory	102	(11)
The Process of Change in the Bowen Theoretical System	113	(3)
Summary	116	(3)
PART II: CLINICAL APPLICATIONS	119	(296)
Chapter 4. Marital Fusion and Differentiation	119	(28)
Phil Klever
Theory	119	(2)
Bowen Theory and Factors Influencing Martial Functioning	121	(4)
Therapy	125	(1)
Defining the Emotional Process in the Marriage	125	(6)
Defining the Interlocking Triangles	131	(3)
Defining How Anxiety and Stress Influence the Emotional Process in the Marriage and the Interlocking Triangles	134	(1)
Differentiating a Self in the Marriage and the Extended Family	134	(2)
The Clinician-Client Relationship	136	(1)
Case Example: The Garcias--Distance, Conflict, and Triangulation	138	(6)
Conclusion	144	(3)
Chapter 5. Emotional Dysfunction in Children	147	(18)
James C. Maloni
Introduction	147	(2)
The M. Family	149	(4)
The Z. Family	153	(3)
The J. Family	156	(1)
The O. Family	157	(4)
Projection of Emotional Process	161	(3)
Intervention Issues	164	(1)
Chapter 6. Treatment of a Family Whose Child Has a Serious Medical Problem	165	(22)
Sydney K. Reed
Introduction	165	(1)
The Clinical Case	165	(10)
Work With Self: Thinking About Theory and Working Toward More Mature functioning	175	(4)
Adaptation and Survival in Families	179	(6)
Conclusion	185	(2)
Chapter 7. Treating College Students from a Bowen Family Systems Theory Perspective	187	(18)
Brian J. Kelly
Introduction	187	(5)
Case Study 1	192	(3)
Case Study 2	195	(2)
Case Study 3	197	(3)
Case Study 4	200	(2)
Conclusion	202	(3)
Chapter 8. The Use of Bowen Theory in Clinical Practice with the Elderly	205	(22)
James B. Smith
Bowen Theory	206	(8)
Clinical Practice with the Eldelry	214	(1)
Clinical Case Study	215	(4)
The Clinical Process	219	(5)
Summary	224	(3)
Chapter 9. Family Systems Treatment of Depression	227	(22)
Bennett I. Tittler
Family Systems Theory and Depression	228	(16)
Family Systems Therapy When the Symptoms Reside in One Family Member	244	(2)
Summary	246	(3)
Chapter 10. Tracking the Emotional Process: Applying Bowen Theory with Phobias and an Obsessive Compulsive Disorder	249	(14)
Donald J. Shoulberg
Introduction	249	(1)
Principles Guiding the Process of Family Therapy	249	(8)
Family Therapy: Spring 1985 Until July 1988	257	(4)
Five Years After Ending Family Therapy: July 1988 to October 1993	261	(2)
Chapter 11. Family Systems with Alcoholism: A Case Study	263	(36)
Anne S. Mcknight
Introduction	263	(4)
The Balance of the Drives for Individuality and Togetherness	267	(10)
Multigenerational Process and the Transmission of Patterns in the Relationship System	277	(7)
Alochol and Drugs: Regulators of Emotional Distance and Closeness	284	(5)
Family Systems Theory As a Context for Change	289	(10)
Chapter 12. Incest: A Family Systems Perspective	299	(28)
Peter Titelman
The Current Social and Political Focus on Sexual Abuse	299	(1)
Incest and Bowen Family Systems Theory	300	(1)
Anthropology and Incest	301	(2)
Sociobiology and Incest	303	(3)
The Clinical-Research Perspective: Multiple Family Member Access and Family Systems Neutrality	306	(1)
Case Study 1: Multigenerational Pattern of Incest--Access Through a Child	307	(6)
Case Study 2: Emotional Cutoff and Incest--Access	313	(12)
Conclusion	325	(2)
Chapter 13. Child-Focused Divorce	327	(28)
Edward W. Beal
Introduction	327	(1)
Divorcing Society	328	(4)
Nuclear Family Emotional System and the Divorce Process	332	(1)
Evaluation and Therapy in Mildly Child-Focused Families	333	(2)
Case Study 1	335	(2)
Case Study 2	337	(3)
Case Study 3	340	(3)
Evaluation: Severely Child-Focused Families	343	(2)
Case Study 4	345	(4)
Adult Children of Child-Focused Families	349	(1)
Case Study 5	349	(3)
Summary	352	(3)
Chapter 14. Treating a Remarried Family System	355	(26)
Katharine Gratwick Baker
Demography of th Remarried Family	356	(13)
Course of Treatment	369	(10)
Summary	379	(2)
Chapter 15. Bridging Emotional Cutoff from a Former Spouse	381	(34)
Stephanie J. Ferrera
Therapist's Report	382	(18)
Client's Report	400	(6)
Conclusion	406	(9)
Index	415