Smith and Hamon, chapter 5, discussed Family Systems Theory (FST), which I found to be not only insightful, but also beneficial to me as I assess my patients and their families, but also as I reflect upon my own family. FST addresses eight assumptions which I found to be engaging and shine light on how families function and how we as APNs might begin to look at the family dynamic in order to better assist these families cope with the stressors of life while at the same time address their family needs in a productive and meaningful way. The following are the eight assumptions of the FST, 3 of which I will briefly discuss for the purpose of this forum discussion: (a) “the whole is greater than the sum of the parts,” (b) “the locus of pathology …show more content…
“The whole is greater than the sum of the parts” is just that; we cannot fully understand our patients just by looking at them as individuals without taking into consideration their family or the environment they come from. I particularly enjoyed the analogy of a cake that Smith and Hamon (2012) used to explain this concept. Similarly, we can not blame one individual person in the family for all the dysfunction that seem to affect the family but rather that particular individual is a “symptom of the dysfunction” as seen in the second …show more content…
is not accepted in another place; and (f) “human behavior can be comprehended on a least two levels: individual and population.”- we can look at the individuals adaptation to a certain environment as well as looking at the group of people and their ability to survive under certain circumstances such as limited resources. I find these two theories to be complementary to each
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 systems theory is useful when working with families who are impacted by an ASD diagnosis. The family systems theory focuses on the shift of an individual perspective to a family systems perspective. Family is the most important support system for a child. Family is looked at as a unit, therefore by using the family systems theory the professionals are able to identify the family’s influences on the individual. The family system impacts a child’s development as family members affect the thoughts, feelings, and behaviors of one another (Paylo, 2011).
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
Reconstruction and change are essential for the family system to facilitate the homeostatic process, as explained by the fourth principle of the theory (Minuchin, 1985). It includes family questioning current methods, evaluating and developing potential arrangements. While earlier principles analyse the wholeness of the family system, the fifth principle explains that families can be examined in various segments such as the parent-children subsystem, sibling subsystem and spousal subsystem (Minuchin, 1985). Within the family, relationships between members are formed, and the interactions between each subsystem are regulated by unspoken rules and arrangements, and this is the final principle of family systems theory (Minuchin, 1985). Each subsystem operates independently, and it may encounter changes in the relationship due to various determinants.
From a Christian world view perspective integrating the pragmatic approach of CBT with the relational methodology prevalent in family systems theories just seems like a sound idea. Christians express that mankind is created in the image of God and exhibit the relational quality found in Him. Therefore, combining the two modalities would benefit clients in that change is sought with CBT from an “outside-in” orientation and with family systems from the “inside-out”. CBT is based on the dynamic formulation of patients’ problems and an individual conceptualization of each patient in cognitive terms (Beck, 2011). However, changing only one part (i.e., the individual) of the whole (i.e., the family unit) may be difficult at best or impossible at worst if the presenting problem is not conceptualized to include how familial relationships, patterns, communication, and behaviors affect both inter- and intrapersonal skill deficits.
In this view, the healthcare provider may include the family in terms of socioeconomic and functional support, but really focus on the patient as an individual (p.36-37, 2003). Family as Sum of its Members sees each member of the family in the foreground and care is provided to all family members. (p.37, 2003). Family Subsystem looks at the significant relationships in the family; parent-child, marital interactions, caregiving issues, bonding-attachment concerns (p.37, 2003), where Family as Client looks further into family’s internal dynamics, relationships, structure and functions and its relationship with the outer environment (p.37, 2003).
Comparing Bowen’s family systems theory and Minuchin’s structural family theory we will outline several fundamental categories for analysis with Goldenberg & Goldenberg (2012) as our guide. We also contrast the history and theoretical orientation of both men to garner a deeper understanding of their theories. Finally we will consider integrating elements of both theories and how this makes us more effective practitioners.
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
The family structure is made up of individuals living together in intimate groups with the purpose of caring and supporting each other. Rules and boundaries, spoken and unspoken, are developed by the family members. Family rules and boundaries change and shift over time in order to evolve and grow as a family unit. Some changes are subtle, but some events force major change within the family system. This paper applies the concepts of systems theory to the family system in the movie Sweet Home Alabama. Reese Witherspoon (Melanie Smooter) and Josh Lucas (Jake Perry) star in this heart-warming film telling a story of a young woman who flees from Alabama to reinvent herself in New York City as a high fashion designer. She leaves behind
The case study of Ana will be analyzed using the Bowen Family Systems Theory Approach. Bowen Family Systems Theory is a theory of human behavior that views the family as an emotional unit and uses systems thinking to describe the complex interactions in the unit (Kerr, 2000). This paper will discuss the concepts of the theory that is appropriate for this case study; the reason this theory was chosen over the other ones; counseling goals and intervention strategies in accomplishing those goals; and designation of
Dr. Murray Bowen, a psychiatrist, offered us the family systems theory. This theory views the family as an emotional unit, further providing a thinking systems approach to describe the complex interactions in the unit. Bowen offered, “A change in one person’s functioning is predictably followed by a reciprocal change in the functioning of others” (Kerr, 2000). If one person within the family unit is having a difficult time, it effects everyone within the family unit. An example of this would be a father who is the primary breadwinner for his family suddenly loosing his job. Prior
After a thorough review of the textbook and the course material, the specific family system approach that I choose to explore is the Bowenian Approach for this literature review. This specific family system approach is also known as the Bowen Family System Theory as well (D.V. Papero, 2006). The Bowen Family System Theory was established by Murray Bowen, a theorist and psychiatrist who specialized in treating children who were deranged and had schizophrenia (Rockwell, 2010). In the 1950s, Bowen wanted to explore a new venture so he decided that he wanted all of the family members of each child to be involved in an therapeutic process at the same time (Rockwell, 2010).
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.
Murray Bowen's family system theory was one of the first comprehensive theories of family system functioning. It was developed in 1974 and it believed the family can be defined as a set of interacting individuals who are related by blood, marriage, cohabitation, or adoption and who interdependently perform relevant functions through roles. Relevant functions of the family include values and practices placed on health system theory is used to explain patterns of living among the individuals who make up the family systems (Edelmen, 2006).
While it is important to assess what exactly is going wrong in a family system, it is equally important to assess what is going right. One very positive aspect of this family system is that there is a strong bond between stepfather Sam and stepson Brandon. This is important especially considering that Brandon's biological father is not in the picture due to drugs and alcoholism issues, which are the primary reasons for the divorce. Maggie is currently having problems with Brandon (hostility, arguing) and she and Sam are also having problems, which seem due to the fact that Maggie would like more children and Sam does not think it is a good idea at the present time.