Bowen Intergenerational Family Therapy Conceptualization
Bowen Intergenerational Family Therapy Conceptualization
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Bowen Intergenerational Family Therapy Conceptualization |
For use with individual, couple, or family clients
Date:       Clinician:       Client/Case #:      
Introduction to Client & Significant Others |
Identify significant persons in client’s relational/family life who will be mentioned in case conceptualization:
Adults/Parents: Select identifier/abbreviation for use in rest of case conceptualization
: Age:       Occupation:       Other:      
: Age:       Occupation:       Other:      
Children/Adult Children: Select identifier/abbreviation for use in rest of case conceptualization
: Age:      Grade: Other:      
: Age:      Grade: Other:      
: Age:      Grade: Other:      
: Age:      Grade: Other:      
Others: Identify all:      
Presenting Concerns |
Describe each significant person’s description of the problem:
:      
:      
:      
:      
Additional:      
Broader System: Description of problem from extended family, referring party, school, legal system, etc.:
Extended Family:      
Name:      
Background Information |
Trauma/Abuse History (recent and past):      
Substance Use/Abuse (current and past; self, family of origin, significant others):      
Precipitating Events (recent life changes, first symptoms, stressors, etc.):      
Related Historical Background (earlier incidents, family history, related issues, prior treatment, etc.):      
Describe evidence of parental projection onto their child(ren), such as emotionally reactive behavior between family members; describe how it relates to symptoms, etc.:      
Patterns of Differentiation and Fusion |
Describe how the couple/family promotes togetherness and separateness; provide examples:      
Describe each person’s relative level of differentiation and ability to effectively manage conflict without reactivity; provide examples:      
Describe patterns of fusion, in current and past generations; provide examples:      
Emotional Triangles and Cutoff |
|_| Triangles within current partnership: Describe:      
|_| Triangles with family of origin: Describe:     
|_| Other triangles:      
|_| Emotional cut-offs in extended family: Describe all:     
Sibling Position |
Describe sibling position patterns that seem to be relevant for the family, current, and earlier generations:      
Multigenerational Transmission Process |
Describe multigenerational transmission of functioning, attending to acculturation issues, residual effects of trauma and loss, significant legacies, use of alcohol and drugs etc.:      
Multigenerational Patterns Informed by Diversity Factors |
Describe how multigenerational patterns are informed by relevant diversity factors, including those related to cultural, ethnicity, racial, immigration, acculturation, gender, religious, socio-economic, ability, and sex/gender identity:      .
Intergenerational Patterns from Genogram |
Construct a family genogram and include all relevant information including:
· Names, ages and birth/death dates
· Relational patterns
· Occupations
· Psychiatric disorders and alcohol/substance abuse
· Abuse history
· Personality adjectives
Genogram should be attached to report. Summarize key findings below:
Substance/Alcohol Abuse: |_| NA |_| History:      
Sexual/Physical/Emotional Abuse: |_| NA |_| History:      
Parent/Child Relations: |_| NA |_| History:      
Physical/Mental Disorders: |_| NA |_| History:      
History Related to Presenting Problem: |_| NA |_| History:      
Describe family strengths, such as the capacity to self-regulate and to effectively manage stress:      
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