Bowen Intergenerational Family Therapy Conceptualization

Bowen Intergenerational Family Therapy Conceptualization

Bowen Intergenerational Family Therapy Conceptualization

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For use with individual, couple, or family clients

Date:       Clinician:       Client/Case #:      

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:      

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:      

Name:      

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.:      

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:      

|_| Triangles within current partnership: Describe:      

|_| Triangles with family of origin: Describe:     

|_| Other triangles:      

|_| Emotional cut-offs in extended family: Describe all:     

Describe sibling position patterns that seem to be relevant for the family, current, and earlier generations:      

Describe multigenerational transmission of functioning, attending to acculturation issues, residual effects of trauma and loss, significant legacies, use of alcohol and drugs etc.:      

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:      .

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: