This assignment uses the case study set out in Appendix A as its foundation. The case study presents a 38 year-old man, Robert, who was diagnosed with schizophrenia at age 22. Robert and his parents are participating in a family therapy session.
The essay explores the challenges and opportunities Robert faces in the context of the family, from a general systems theory (GST) perspective. The scope of this assignment gives room to focus on a limited number of GST concepts. It focuses on Von Bertalanffy’s concepts of the active system, boundaries and differentiation. Each of the concepts is explored in terms of the challenges and opportunities that they bring to the patient and to the family system.
2. THEORETICAL BACKGROUND
The multidisciplinary theory of general systems was developed by biologist Von Bertalanffy in a response to his frustration with the conventional thinking of the time, namely that growth and
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The system is composed of a core triad (Robert, his mother and his father), and a related system (the brother and his family). It involves the relationship between Robert and each of his parents individually, as well as Robert and the mother-father subsystem. Because Robert’s brother does not live nearby, his family operates as a separate, yet connected, system which only infrequently interacts with the core triad. This infrequent contact disrupts the equilibrium that has been established within the core triad. This increases levels of tension within the system.
The family therapist’s goal is to increase the functionality of the dysfunctional family system. Simply put, the desired outcome is for a more functional family system by reducing the systems tension. The family therapy approach therefore aims to change the patterns of behaviour fostered by the family that have repeatedly negative outcomes. This represents the challenge as well as the opportunity faced not only by the therapist, but also by Robert and his
The family system is founded on the notions that for change to occur in the life of an individual, the therapist must understand and work with the family as a whole. In working with the family, the therapist can understand how the individual in counseling functions within his family system and how the client’s behaviors connect to other people in the family. This theory also holds the perception that symptoms are a set of family habits and patterns passed down by generation and not a result of a psychological problem or an inability to change (Corey, 2017). Furthermore, the family system theory holds the idea that when a change occurs everyone in the unit is affected by the change.
Family is something that plays a tremendous role in our life. Even though the structure of families has changed over the years, it is important to acknowledge that there many families out there whether they are traditional families, nuclear family, stepfamilies or others which tend to have different types of problems in their families. Therefore, many families attempt to go to family therapy in order for them to obtain help in solving the different types of issues they might have at home. As stated in the book Family Therapy by Michael P. Nichols (2013), “The power of family therapy derives from bringing parents and children together to transform their interaction… What keeps people stuck in their inability to see their own participation in the problems that plague them. With eyes fixed firmly on what recalcitrant others are doing, it’s hard for most people to see the patterns that bind them together. The family therapist’s job is to give them a wake-up call” (2013).
In The Family Crucible, Augustus Napier and Carl Whitaker’s form of therapy was strongly influenced by family systems theory, a burgeoning theory of the time. General systems theory examines relationships between elements that constitute a whole (Andreae, 2011, p. 243). When applied to families, this theory views the family as an emotional unit and uses systems thinking to describe the complex interactions in the unit (The
Marriage and Family Therapists (MFT) in training are tasked with helping a family work through conflict and arrive and more intimate and interdependent relationships, which can seem daunting or maybe even terrifying. However, the interaction patterns that show up in families can find some context and clarity for a therapist who knows systems theory. Systems theory suggests that individuals cannot be understood in isolation from their family context because families create relational processes and generate a “sequence of interactions” and behaviors in order to maintain dynamic stability of the self-regulating family system (Nichols, 2013, pp. 58-59). How does this general systems theory help an MFT guide a family in therapy? In this paper I will take three systems theory principles and apply them to a movie in order to demonstrate how it provides a language and context for MFTs, thus making it an essential tool in family therapy.
Social systems are persons or groups of people interacting and mutually influencing each other’s behavior. According to systems theory, the client would be considered as the focal system (e.g., the primary system of interest) or the holon (e.g., the social entity; simultaneously apart of the whole). The client’s family members would be considered as the subsystems (e.g., composite parts) and their community would comprise the suprasystem (e.g., larger systems), in which they are a part of. A father giving his son advice about life is an example of a subsystem interaction. These types of healthy interactions condition the child to believe that the parent is the driving force within their life, which influences the child as they
The systems Perspective sees human behavior as the outcome of interactions within and among systems with interrelated and interdependent parts; as defined by its boundaries. Changing one part of the system affects other parts and the whole system, with predictable patterns of behavior (Hutchinson, 2015). The family system has been a widely used theory of family interventions and assessment. The family systems theory is focused on the family dynamic, involving structures, roles, communication patterns, boundaries, and power relation (Rothbaum, 2004). Many theorist such as Bowen, developed the systems theory that focuses on how a
My first assumption of family therapy was to involve the parents and the individual that had the problem. This book explored further what it
Family therapy is a technique that has many alternative approaches to every aspect of treatment which Nichols (2014), states may present a challenge when describing a basic technique. The two models of family therapy in which I feel that I would be most effective and comfortable with would be, experiential family therapy and solution-focused brief therapy. I feel most comfortable with these models because, I adapt to the role of the therapist of both therapies naturally. According to Nichols (2014), when families seek therapy they are stuck in a life-cycle transition, sometimes they are obvious and sometimes they are not obvious. I’ve found that during the first session an excellent question is to ask the client why now so that they can
In the Structural Family Therapy model, therapy is not focused solely on the individual, but upon the person within the family system (Colapinto, 1982; Minuchin, 1974). The major idea behind viewing the family in this way is that “an individual’s symptoms are best understood when examined in the context of the family interactional patterns,” (Gladding, 1998, p. 210). In SFT, there are two basic assumptions: 1) families possess the skills to solve their own problems; and 2) family members usually are acting with good intentions, and as such, no
therapy aims to improve family relations, and the family is encouraged to become a type of
When I consider family systems, I am reminded of a metaphor I heard while in undergraduate school about a mobile. A mobile is used to soothe an infant, normally placed above a crib or basinet. Each of its parts are in balance, when working correctly, however if one section becomes off balance the objects become out of sync. This is true with families. If each member of the family unit is doing their part, there is complete balance or homeostasis (Henson). This balance is viewed as a healthy family system. However, if one part of the unit becomes off balance, it disrupts the whole unit causing an unhealthy response with possible long term consequences. As families grow, each member plays an equally important role in the family unit. Children learn quickly the importance of relationships and adapt quickly to their environment. No one can deny the family unit is the most complex system in existence.
Becvar, D. & Becvar R. (2009). Family therapy: a systemic integration. (7th ed.). Boston, MA: Pearson Education.
The Bowen family systems theory can utilize to understand the Gillison’s family dynamics. According to the Bowen Center for the Study of the Family (2016) the Bowen family system theory views family as an emotional unit that utilizes systems thinking to comprehend the complexity of the interactions within the unit. The theory describes families as having a major influence on their member’s thoughts, feelings and actions, which leads them to feel as if they are composed of the same “emotional skin”. The members of families, according to this theory, are driven by each other’s attention, approval, and support. The members therefore, react to each other’s expectations and wants and needs. The family is therefore interdependent. One change in one member’s function leads to a change in the functioning of the others. This is evidence in the case of the Gillison family.
Approaches to Family Therapy: Minuchin, Haley, Bowen, & Whitaker Treating families in therapy can be a complex undertaking for a therapist, as they are dealing not only with a group of individuals but also with an overall system. Throughout history several key theorists have attempted to demystify the challenges families face and construct approaches to treatment. However, there have been key similarities and differences among the theoretical orientations along the way. While some have simply broadened or expanded from existing theories, others have stood in stark
One theory, the Family Systems Theory was proposed by Karl Ludwig von Bertalalanffy, an Austrian Biologist. This theory is an interdisciplinary practice that describes systems that have numerous spokes, or interacting components. The origins of the theory came from Bertalanffy's view that the basic laws of thermodynamics (i.e. temperature, energy and entropy) work better for closed systems. Open systems, like living things, show different patterns and tendencies. FST tells us to think in a whole system fashion. Thus, for the healthcare profession, FST takes a more holistic approach to healing and the body than looking at individual organs, disease, or symptoms. The family is interdependent and structured and a holistic unit (Weckowicz, 2000).