University:
West Coast University
Course:
NURS 103 | Fundamentals of Nursing
Academic year:

2022
Views:

97

Pages:

2
Author:

Killian Mata

Bowen Family Therapy Leaders: Murray Bowen Concepts: Intimacy Autonomy Differentiation of Self Cutoff Triangulation Sibling Position Fusion (within individual and with relationships) Family projection process Nuclear family Emotional process Role of Therapist: Coach (objective) Educator Therapist is part of the system (non-anxious and differentiated) Expert—not a collaborator Assumptions: The past is currently influencing the present Change can happen – individuals can move along in the process of differentiation Differentiation: ability to maintain self in the face of high anxiety (remain autonomous in a highly emotional situation) o Change in experience of self in the family system o Change in relationship between thinking and emotional systems Differentiation is internal and relational – they are isomorphic and recursive Anxiety inhibits change and needs to be reduced to facilitate change High intimacy and high autonomy are ideal Emotions are a physiological process – feelings are the thoughts that name and mediate emotions, that give them meaning Symptoms are indicators of stress, anxiety, lower differentiation Anyone can become symptomatic with enough stress; more differentiated people will be able to withstand more stress and, when they do become symptomatic, recover more quickly Goals of Therapy: Ultimate – increase differentiation of self (thoughts/emotions; self/others) Intermediate – detriangulation, lowering anxiety to respond instead of react Decrease emotional reactivity – increase thoughtful responses Increased intimacy one-on-one with important others Assessment: Emotional reactivity Degree of differentiation of self Ways that people manage anxiety/ family themes Triangles Repeating intergenerational patterns Genogram (assessment tool) Interventions: Genogram (assessment and change tool) Plan for intense situations (when things get hot, what are we going to do –thinking; process questions) Process questions – thinking questions: “What do you think about this?” “How does that work?” Detriangulating one-on-one relationships, one person with the othr two in the triangle Educating clients about the concepts of the model Decrease emotional reactivity – increase thoughtful responses Therapist as a calm part of the triangle with clients Coaching for changing own patterns in family of origin Notes: Change: Reduced anxiety through separation of thoughts and emotion – cognitive Reduced anxiety leads to responsive thoughts and actions, changed affect, changed relationships When we think (respond), change occurs (planning thinking) – when you know how you would like to behave in a certain emotional situation, you plan it, it makes it easier to carry through with different consequences