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IntroductionIntroduction toto FamilyFamily CounselingCounseling HowHow dodo youyou definedefine
IntroductionIntroduction toto FamilyFamily
CounselingCounseling
HowHow dodo youyou definedefine “family”?“family”?
WhatWhat constitutesconstitutes aa family?family?
WhatWhat areare thethe characteristicscharacteristics ofof aa “healthy”“healthy” family?family?
WhatWhat areare somesome strategiesstrategies thatthat youyou havehave seenseen
familiesfamilies useuse toto improveimprove relationships?relationships?
WhyWhy dodo familiesfamilies sometimessometimes resistresist takingtaking obviousobvious
stepssteps towardtoward improvement?improvement?
GeneralGeneral ConceptsConcepts SystemsSystems TheoryTheory FunctionalismFunctionalism MoreMore thanthan thethe
GeneralGeneral ConceptsConcepts
SystemsSystems TheoryTheory
FunctionalismFunctionalism
MoreMore thanthan thethe sumsum ofof
itsits partsparts
HowHow isis symptomsymptom
maintained?maintained?
FeedbackFeedback LoopsLoops
StructuralismStructuralism
NegativeNegative && PositivePositive
BoundariesBoundaries
CircularCircular CausalityCausality
FamilyFamily LifeLife CycleCycle BeginningBeginning AdolescentAdolescent Differentiating from family of origin
FamilyFamily LifeLife CycleCycle
BeginningBeginning
AdolescentAdolescent
Differentiating from family of
origin
Negotiating rules
Separation & indvidualization
Rules change
Marital relationship changes
Infant/Infant/ PreschoolPreschool
LaunchingLaunching
Transition to 3
Reorganizing rules
Autonomy/ Attachment
Responsive vs. Reactive
Reexamination of career/ marriage
SchoolSchool--ageage
PostparentalPostparental
Communication patterns established
Reorganizing
Career changes
Retirement
Death of spouse
Grandparenthood
BowenBowen FamilyFamily SystemsSystems DifferentiationDifferentiation ofof selfself EmotionalEmotional cutoffcutoff
BowenBowen FamilyFamily SystemsSystems
DifferentiationDifferentiation ofof selfself
EmotionalEmotional cutoffcutoff
FusionFusion
TrianglesTriangles
FamilyFamily ProjectionProjection ProcessProcess
MultigenerationalMultigenerational TransmissionTransmission ProcessProcess
BowenBowen cont’dcont’d TheThe problemsproblems ofof thethe pastpast areare visitedvisited inin thethe futurefuture
BowenBowen cont’dcont’d
TheThe problemsproblems ofof thethe pastpast areare visitedvisited inin thethe
futurefuture
GoalsGoals ofof therapy:therapy:
IncreaseIncrease differentiationdifferentiation ofof selfself
DeDe--triangulationtriangulation
StructuralStructural FamilyFamily TherapyTherapy FamilyFamily StructureStructure HierarchicalHierarchical
StructuralStructural FamilyFamily TherapyTherapy
FamilyFamily StructureStructure
HierarchicalHierarchical
Reciprocal/Reciprocal/ ComplementaryComplementary
SubsystemsSubsystems
BoundariesBoundaries
ManageManage proximityproximity && hierarchyhierarchy
StructuralStructural FamilyFamily TherapyTherapy BoundariesBoundaries RigidRigid PermitPermit littlelittle
StructuralStructural FamilyFamily TherapyTherapy
BoundariesBoundaries
RigidRigid
PermitPermit littlelittle contactcontact outsideoutside
systemsystem
Benefits:Benefits:
DiffuseDiffuse
FewFew boundariesboundaries withinwithin
systemsystem
Benefits:Benefits:
IndependenceIndependence
MasteryMastery
MutualMutual supportsupport
WarmthWarmth
Limitations:Limitations:
Limitations:Limitations:
LittleLittle warmth,warmth, nurturenurture
DisengagementDisengagement
DependenceDependence
TroubleTrouble relatingrelating toto
othersothers
StructuralStructural FamilyFamily TherapyTherapy FamilyFamily StructureStructure Rigid Boundary Clear Boundary Diffuse
StructuralStructural FamilyFamily TherapyTherapy
FamilyFamily StructureStructure
Rigid Boundary
Clear Boundary
Diffuse Boundary
Coalition
Conflict
Detouring
Involvement
Overinvolvement
StructuralStructural FamilyFamily TherapyTherapy GoalsGoals ChangeChange structurestructure ofof familyfamily
StructuralStructural FamilyFamily TherapyTherapy
GoalsGoals
ChangeChange structurestructure ofof familyfamily
AlteringAltering boundariesboundaries
RealigningRealigning subsystemssubsystems
StructuralStructural FamilyFamily TherapyTherapy TechniquesTechniques JoiningJoining WorkingWorking w/w/
StructuralStructural FamilyFamily TherapyTherapy
TechniquesTechniques
JoiningJoining
WorkingWorking w/w/ interactioninteraction
ModifyModify interactionsinteractions
IntensityIntensity
ShapingShaping competencecompetence
WhoWho talkstalks toto whom?whom?
When?When? InIn whatwhat way?way?
EnactmentsEnactments
SpontaneousSpontaneous BxBx SeqSeq
BoundaryBoundary makingmaking
B/wB/w subsystemssubsystems
UnbalancingUnbalancing
FocusFocus onon subsystemsubsystem
DiagnosingDiagnosing
ChallengingChallenging assumptionsassumptions
(e.g.,(e.g., interpretation)interpretation)
ExperientialExperiential FamilyFamily TherapyTherapy OverviewOverview HumanisticHumanistic &&
ExperientialExperiential FamilyFamily TherapyTherapy
OverviewOverview
HumanisticHumanistic && ExistentialExistential
SelfSelf--awarenessawareness
SelfSelf--expressionexpression
SelfSelf--actualizationactualization
DevelopmentDevelopment ofof ProblemsProblems
ResultResult ofof suppressionsuppression ofof feelingsfeelings
LackLack flexibilityflexibility
ExperientialExperiential FamilyFamily TherapyTherapy GoalsGoals GrowthGrowth BalanceBalance
ExperientialExperiential FamilyFamily TherapyTherapy
GoalsGoals
GrowthGrowth
BalanceBalance belongingnessbelongingness && individuationindividuation
EmotionalEmotional experiencingexperiencing
SymptomSymptom reliefrelief
ThroughThrough selfself--awarenessawareness && actualizationactualization
ExperientialExperiential FamilyFamily TherapyTherapy TechniquesTechniques There are no techniques, only people
ExperientialExperiential FamilyFamily TherapyTherapy
TechniquesTechniques
There are no techniques, only people
FamilyFamily SculptureSculpture
FamilyFamily ArtArt TherapyTherapy
CurrentCurrent
IdentifiedIdentified patientpatient
EachEach membermember
JointJoint familyfamily scribblescribble
FamilyFamily drawingdrawing
KineticKinetic FamilyFamily DrawingDrawing
FutureFuture
RoleRole PlayPlay
FamilyFamily puppetpuppet
interviewsinterviews
EmotionEmotion FocusedFocused CouplesCouples TherapyTherapy JohnsonJohnson && GreenbergGreenberg BasedBased
EmotionEmotion FocusedFocused CouplesCouples TherapyTherapy
JohnsonJohnson && GreenbergGreenberg
BasedBased onon attachmentattachment theorytheory
WeakWeak attachmentattachment concealconceal emotionsemotions useuse
withdrawal,withdrawal, coerciveness,coerciveness, blamingblaming negativenegative
interactioninteraction patternspatterns
GoalsGoals ofof therapy:therapy:
ReprocessReprocess negativenegative emotionalemotional sequencessequences
NarrativeNarrative TherapyTherapy StoriesStories don’tdon’t mirrormirror life…life… theythey shapeshape it.it.
NarrativeNarrative TherapyTherapy
StoriesStories don’tdon’t mirrormirror life…life…
theythey shapeshape it.it.
NarrativeNarrative Therapy:Therapy: BasicBasic AssumptionsAssumptions AllAll knowledgeknowledge isis
NarrativeNarrative Therapy:Therapy:
BasicBasic AssumptionsAssumptions
AllAll knowledgeknowledge isis constructedconstructed
“Stories”“Stories” shapeshape howhow wewe interpretinterpret eventsevents
PeoplePeople havehave goodgood intentionsintentions && wantwant toto changechange
PeoplePeople areare NOTNOT theirtheir problemsproblems
PeoplePeople areare effectedeffected byby culturalcultural discoursesdiscourses
NarrativeNarrative Therapy:Therapy: GoalsGoals ofof TherapyTherapy ExternalizationExternalization SeparateSeparate
NarrativeNarrative Therapy:Therapy:
GoalsGoals ofof TherapyTherapy
ExternalizationExternalization
SeparateSeparate thethe personperson fromfrom thethe problemproblem
DeconstructingDeconstructing problemproblem--saturatedsaturated storiesstories
FindFind exceptionsexceptions
CoCo--authoringauthoring newnew storiesstories
NarrativeNarrative Therapy:Therapy: TechniquesTechniques ClientsClients telltell problemproblem--saturatedsaturated
NarrativeNarrative Therapy:Therapy:
TechniquesTechniques
ClientsClients telltell problemproblem--saturatedsaturated storystory
ExternalizingExternalizing languagelanguage
MappingMapping thethe influenceinfluence
RelativeRelative influenceinfluence questionsquestions
ReauthoringReauthoring thethe wholewhole storystory
ReinforcingReinforcing thethe newnew storystory
NarrativeNarrative Therapy:Therapy: ExamplesExamples ““DepressionDepression mademade youryour daughterdaughter
NarrativeNarrative Therapy:Therapy:
ExamplesExamples
““DepressionDepression mademade youryour daughterdaughter actact
thisthis way…”way…”
“How“How doesdoes GUILTGUILT effecteffect you?”you?”
“What“What doesdoes itit saysay aboutabout youyou thatthat youyou
werewere ableable toto battlebattle ANGERANGER thisthis way?”way?”
“How“How muchmuch hashas thethe problemproblem controlledcontrolled
youyou thisthis pastpast weekweek && howhow muchmuch havehave
youyou controlledcontrolled thethe problem?”problem?”
InterviewingInterviewing aa ProblemProblem Example:Example: WhatWhat areasareas ofof Johnny’sJohnny’s lifelife
InterviewingInterviewing aa ProblemProblem
Example:Example:
WhatWhat areasareas ofof Johnny’sJohnny’s lifelife areare youyou causingcausing troubletrouble with?with?
Work?Work? Friends?Friends?
DoDo youyou interfereinterfere withwith hishis judgment?judgment? OpinionOpinion ofof himself?himself?
InIn whichwhich areasareas dodo youyou thinkthink youyou havehave thethe upperupper hand?hand?
WhatWhat peoplepeople inin hishis leftleft havehave kekeptpt freefree fromfrom youryour influence?influence?
HowHow havehave theythey managedmanaged that?that?
WhatWhat aboutabout JohnnyJohnny isis makingmaking aa bitbit ofof troubletrouble forfor you?you?
DoesDoes anythinganything aboutabout JohnnyJohnny andand hishis familyfamily makemake youyou
nervous?nervous?