0:00:00.845,0:00:02.035 Oh No! 0:00:02.035,0:00:03.585 I have an exam coming up. 0:00:03.585,0:00:06.585 What is trans generational systems theory? 0:00:09.585,0:00:11.971 Woah there! 0:00:11.971,0:00:14.521 You sound a little nervous. 0:00:14.521,0:00:15.385 Don't worry, 0:00:15.385,0:00:17.585 I am here to help. 0:00:17.585,0:00:21.675 First! All trans generational theorist share the belief that 0:00:21.675,0:00:26.069 present day problems are related to issues in a persons family of origin 0:00:26.069,0:00:28.889 and all though their theories and practices may differ. 0:00:28.889,0:00:31.450 They all agree that the way to problem resolution involves 0:00:31.450,0:00:36.060 working with more than on generation in therapy. 0:00:36.060,0:00:40.779 Trans generational approaches to family therapy grow out of the work of 0:00:40.779,0:00:43.600 such pioneers as Ivan Boszormenyi-Nagy 0:00:43.600,0:00:45.280 James Framo, 0:00:45.280,0:00:46.239 Norman Paul, 0:00:46.239,0:00:47.081 and Murray Bowen. 0:00:47.081,0:00:49.460 Although their theories and practice my differ, 0:00:49.460,0:00:53.359 all of them agree that the royal road to problem resolution 0:00:53.359,0:00:56.670 involves working with more than one generation in therapy. 0:00:58.820,0:01:03.768 Specifically, it is the unresolved conflicts, beliefs and roles in a individual 0:01:03.768,0:01:07.524 that are thought to be transmitted across generations. 0:01:07.524,0:01:11.207 And I know you want to know about all the theories, 0:01:11.207,0:01:15.271 but how about we just stick to one today. 0:01:15.271,0:01:18.795 Today lets talk about Bowen's Model of family therapy. 0:01:19.355,0:01:21.834 And to help me 0:01:21.834,0:01:23.334 I brought along Murray Bowen. 0:01:23.971,0:01:24.958 Hi class! 0:01:24.958,0:01:26.498 I am Murray Bowen. 0:01:27.269,0:01:31.320 Bowen conducted clinical studies at the National Institute of Mental Health 0:01:31.320,0:01:35.649 in which entire families lived on a psychiatric ward with their family members. 0:01:35.649,0:01:38.839 He noticed the patients and their parents 0:01:38.839,0:01:41.969 acted in predictable inter-actional patterns. 0:01:41.969,0:01:47.601 He found that anxiety was often transmitted from 0:01:47.601,0:01:49.670 one family member to another 0:01:49.670,0:01:52.959 and even to other staff members working on the unit. 0:01:52.959,0:01:55.960 In fact, he found that a families anxiety often subsided 0:01:55.960,0:01:58.730 as various members of the unit staff 0:01:58.730,0:02:03.390 began to take on the anxiety for them. 0:02:03.390,0:02:07.689 These observations lead Bowen to develop a system concept for 0:02:07.689,0:02:13.270 Schizophrenia and other disorders. 0:02:13.270,0:02:16.540 A core assumption of Bowen system theory 0:02:16.540,0:02:19.010 is that families and other natural systems 0:02:19.010,0:02:21.949 response in organized pattern behaviors. 0:02:21.949,0:02:25.741 This instinctual organizing into repetitive patterns 0:02:25.741,0:02:28.789 is called the emotional system. 0:02:29.789,0:02:33.860 Although there is a lot of information in my theory 0:02:33.860,0:02:36.227 I really want to talk about the six major concepts. 0:02:37.227,0:02:40.603 Good idea, Murray! 0:02:40.603,0:02:42.773 There are Differentiation of Self, 0:02:43.300,0:02:44.599 Triangles, 0:02:44.599,0:02:46.819 Nuclear Family Emotional Process, 0:02:46.819,0:02:48.331 Family Projection Process, 0:02:48.331,0:02:52.368 and Multi Generational Transmission Process. 0:02:52.368,0:02:54.549 I think that's it, right? 0:02:58.379,0:03:00.079 You forgot Sibling Position. 0:03:00.079,0:03:03.111 And then there is my other ideas: 0:03:03.111,0:03:07.579 Genograms, Coaching, Eye Position, Person to Person Relationship, 0:03:07.579,0:03:14.270 Process Questions, Emotional Reactivity, Emotional Cutoff, Projective Hypothesis. 0:03:14.270,0:03:15.927 I could go on and on. 0:03:19.659,0:03:23.049 Yes Murray! But we don't have time to talk about all of that. 0:03:23.049,0:03:26.191 So how about we pick a few and talk about them individually. 0:03:26.191,0:03:27.191 How's that? 0:03:28.570,0:03:30.819 Yeah! Let's do it! 0:03:31.819,0:03:35.920 Bowen theorized that families are living organisms 0:03:35.920,0:03:39.319 with identifiable patterns of behavior. 0:03:39.319,0:03:42.999 In the family organism patterns of dysfunctional behavior 0:03:42.999,0:03:46.620 tend to be repeated and become stabilized over time 0:03:46.620,0:03:50.121 and can under mind family relationships. 0:03:54.181,0:03:57.711 Individuals within the family system are pulled between 0:03:57.711,0:04:00.870 belonging to the group and being separate. 0:04:00.870,0:04:02.370 Ideally there should be balance. 0:04:03.370,0:04:06.590 Can you talk more about that? 0:04:06.590,0:04:09.038 Isn't it your idea of differentiation? 0:04:10.720,0:04:13.489 Yes! My idea of Differentiation of Self 0:04:13.489,0:04:17.900 explains the degree of closeness and distance individuals are in their family. 0:04:19.238,0:04:23.630 Bowen coined the term differentiation to address the life long process individuals 0:04:23.630,0:04:28.749 go through to define the self within the family emotional system. 0:04:28.749,0:04:32.980 Differentiation of Self is demonstrated by the degree to which a person can 0:04:32.980,0:04:38.319 think, plan, and follow his or own values or convictions separate from 0:04:38.319,0:04:39.629 their families emotional system. 0:04:42.169,0:04:46.150 Highly differentiated individuals are able to react to the world 0:04:46.150,0:04:50.968 rationally and enter into relationships while balancing competing needs 0:04:50.968,0:04:53.420 for belonging and being an individual. 0:04:54.420,0:04:59.300 Would you say differentiation is the corner stone of your model? 0:05:00.198,0:05:04.399 Yes! And the goal of therapy is to help one or more family members to a 0:05:04.399,0:05:07.030 higher level of differentiation 0:05:07.030,0:05:11.110 so that they can form open and honest relationships with others. 0:05:11.871,0:05:14.639 Those persons with low levels of differentiation 0:05:14.639,0:05:22.548 cannot think clearly for themselves and tend to be emotionally reactive. 0:05:22.548,0:05:26.591 Without their own identity these persons mimic views they have heard 0:05:26.591,0:05:31.071 rather than developing ideas of their own. 0:05:31.071,0:05:34.840 In order to classify all levels of human functioning, 0:05:34.840,0:05:39.379 Bowen developed the differentiation of self scale. 0:05:39.379,0:05:44.291 The scale quantifies from zero to hundred the basic level of self in a person. 0:05:44.291,0:05:48.229 People at the higher end of the scale or said to have a solid self. 0:05:48.229,0:05:52.479 A person with a solid self is more differentiated and is able to function 0:05:52.479,0:05:58.760 based upon a personal defined set of values, beliefs and life principles. 0:05:58.760,0:06:02.420 Those at the lower end of the scale have a pseudo self 0:06:02.420,0:06:04.139 that is negotiable in relationships 0:06:04.139,0:06:08.000 and are easily influenced according to others emotions. 0:06:08.000,0:06:10.798 The pseudo self is composed of beliefs and ideas 0:06:10.798,0:06:13.205 that are essentialy borrowed. 0:06:13.205,0:06:19.150 Those with a pseudo self live according to feelings not facts. 0:06:19.150,0:06:23.440 Bowen developed this scale from zero or no self 0:06:23.440,0:06:26.320 to one hundred, the highest level of differentiation 0:06:26.320,0:06:30.040 as a way to evaluate the degree of emotional fusion one has 0:06:30.040,0:06:36.480 with others and their families of origin. 0:06:36.480,0:06:41.009 Bowen believes that people chose mates with levels of differentiation 0:06:41.009,0:06:42.840 similar to their own. 0:06:42.840,0:06:44.959 His concept of Nuclear Family Emotional System 0:06:44.959,0:06:49.049 describes three possible patterns in a nuclear family 0:06:49.049,0:06:52.430 when patterns are intensely fused. 0:06:52.430,0:06:54.630 They are 0:06:54.630,0:06:55.679 Martial Conflict, 0:06:55.679,0:06:58.921 Impairment In One of More of the Children, 0:06:58.921,0:07:01.029 and Dysfunction In The Spouse. 0:07:02.688,0:07:05.510 Let's meet the Smith Family, who will show us examples. 0:07:06.709,0:07:08.069 My mom's coming over for dinner. 0:07:08.069,0:07:09.069 Can you get rid of that hat? 0:07:09.069,0:07:11.349 You know how much she hates it. 0:07:12.590,0:07:13.891 No way! 0:07:13.891,0:07:15.311 I don't care what she thinks. 0:07:15.311,0:07:15.811 I love this hat. 0:07:17.121,0:07:18.760 You never do what I ask you to do. 0:07:18.760,0:07:19.725 I ask you to mow the lawn, 0:07:19.725,0:07:20.691 you don't mow the lawn. 0:07:20.691,0:07:22.091 I ask you to clean the dishes, 0:07:22.091,0:07:23.091 you don't clean the dishes. 0:07:23.091,0:07:24.239 I ask you to take your hat off, 0:07:24.239,0:07:25.239 you don't even take your hat off. 0:07:26.600,0:07:31.210 Blah, blah, blah, that's all I ever hear is blah, blah, blah. 0:07:31.210,0:07:31.945 You don't do this, 0:07:31.945,0:07:32.681 you don't do that. 0:07:32.681,0:07:34.610 I can't take it anymore. 0:07:36.389,0:07:40.409 The Family Projection Process described the primary way 0:07:40.409,0:07:44.228 parents transmit their emotional problems to a child. 0:07:44.228,0:07:47.509 Children can inherit problems as well as strengths 0:07:47.509,0:07:50.090 through the relationship with their parents. 0:07:50.090,0:07:53.499 Undifferentiated parents can transmit their immaturity 0:07:53.499,0:07:59.530 or lack of differentiation to their children through the Family Projection Process. 0:07:59.530,0:08:03.730 Let's see how one child was affected. 0:08:05.041,0:08:07.080 Mom can I please have candy? 0:08:07.080,0:08:10.640 Please, please, please, please, so much please. 0:08:10.640,0:08:12.711 I will give you a dollar. 0:08:12.711,0:08:14.071 Please? 0:08:14.071,0:08:14.571 Can I please have candy? 0:08:14.571,0:08:16.190 Can I please have candy? 0:08:16.190,0:08:19.110 Can I please, please, please have candy? 0:08:20.201,0:08:23.460 According to Bowen, the position the child has within the family 0:08:23.460,0:08:26.060 impacts their development and behavior. 0:08:26.060,0:08:29.880 This child is the youngest and has turned out to be quite demanding. 0:08:30.705,0:08:33.111 Dad give me candy, but you don't. 0:08:33.111,0:08:35.411 Please just give me some candy. 0:08:36.660,0:08:39.031 Wow! This family could use some help. 0:08:39.031,0:08:40.031 How bout Murray? 0:08:41.069,0:08:45.432 But wait! Now is a good time to talk about triangles. 0:08:46.331,0:08:49.214 I know what a triangle is. 0:08:49.214,0:08:51.274 It's? 0:08:51.274,0:08:58.539 It has one face and three corners. 0:08:58.539,0:09:00.920 CORNERS!! 0:09:02.049,0:09:06.069 Yes! In my model a triangle is the smallest unit in a family system. 0:09:06.069,0:09:08.599 When anxiety forms between two people 0:09:08.599,0:09:11.740 drawing in a third person helps stabilize the system. 0:09:12.351,0:09:15.920 And let's bring in the mother in law to show us an example. 0:09:18.739,0:09:19.860 Hey honey! 0:09:19.860,0:09:23.590 I bought you some groceries seeing we all know your wife hates to cook 0:09:23.590,0:09:25.068 and doesn't know how to food shop. 0:09:27.859,0:09:29.468 Thanks mom! 0:09:29.468,0:09:30.468 You're the best. 0:09:31.880,0:09:35.540 Triangles are the basic build blocks of an emotional system 0:09:35.540,0:09:38.460 and serves to connect individuals to each other 0:09:38.460,0:09:41.560 as anxiety builds between two members of a family. 0:09:41.560,0:09:45.349 A third individuals involved to stabilize the relationship 0:09:45.349,0:09:47.600 or bind the anxiety. 0:09:49.899,0:09:51.035 Bye guys. 0:09:51.035,0:09:51.645 Love you. 0:09:51.645,0:09:54.055 Glad I could help. 0:09:55.188,0:10:00.540 According to Bowen; roles, patterns, emotional reactivity and family structure 0:10:00.540,0:10:06.070 is passed from one generation to another. 0:10:06.070,0:10:10.278 In each generation, the child that is most fused with the family 0:10:10.278,0:10:13.487 is the less differentiated. 0:10:13.487,0:10:16.360 Conversely, the one that is less anxiously involved 0:10:16.710,0:10:19.241 becomes the most differentiated. 0:10:22.291,0:10:24.028 Mr. Murray are you almost done? 0:10:24.028,0:10:26.760 I really want to talk about treatment. 0:10:27.648,0:10:32.129 Yes! But first let me tell the class a little about some of my treatment ideas. 0:10:32.129,0:10:36.448 First, my model doesn't required all members of the family to be present. 0:10:36.448,0:10:40.891 But it does require an understanding of how they family system operates 0:10:40.891,0:10:44.089 across multiple generations. 0:10:44.089,0:10:48.419 Second, I will do a family Gemogram and collect important information including 0:10:48.419,0:10:53.809 ages, marriages, divorces, births, deaths and the quality of relationships. 0:10:53.809,0:10:57.989 It will indicate any loyalties, conflicts and cutoffs. 0:10:58.879,0:11:01.569 In Bowen's model, the therapists role 0:11:01.569,0:11:04.318 is one of helping the client start a life long process 0:11:04.318,0:11:07.259 of self discovery and differentiation. 0:11:07.259,0:11:10.450 The therapists encourages family members to take 0:11:10.450,0:11:14.528 increasing responsibility for their roles in creating and maintaining problems 0:11:14.528,0:11:18.679 by coaching them to make statements to reflect their own thoughts and feelings 0:11:18.679,0:11:20.859 instead of blaming others. 0:11:20.859,0:11:25.519 And of course without getting triangulated into the system themselves. 0:11:26.879,0:11:28.019 Simply put, 0:11:28.019,0:11:31.189 the therapist teaches them how emotional systems operate. 0:11:31.189,0:11:39.690 and initiate the work of differentiation from the respective families of origin. 0:11:39.690,0:11:41.810 Well! I've got to get back to class. 0:11:41.810,0:11:43.577 But thanks for your help Murray. 0:11:43.577,0:11:45.967 And to everyone else good luck on your exam. 0:11:49.897,0:11:52.760 Now we can relax. 0:11:52.760,0:12:15.989 [upbeat music]