Two Approaches to a Case
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Murray Bowen was one of the first researchers and therapists to view the family and its dysfunction as an entity. Prior to that time, psychological work was viewed mostly according to a medical model, perceiving the therapy as an individual effort. Various members of a family might seek analysis concurrently, but the family was not viewed as a whole organism. The purpose of this paper is to describe a case and present two views of possible intervention--traditional psychoanalysis and Bowen family therapy. A husband in his mid-50's had four years of fairly successful psychoanalysis for nearly immobilizing obsessions and phobias that periodically forced him to take time out from his work as a self-employed accountant. During his analysis, his wife, a successful real estate salesperson, also had a period of therapy. After his psychoanalysis, the husband was able to more consistently perform his work and felt that his sickness was under control. The husband is a recovering alcoholic, sober with the help of Alcoholics Anonymous for ten years. He is somewhat overweight, at times losing 25 or 30 pounds and gaining it back within a few months. The husband has difficulty managing money, and is at the present time deeply in debt, owing large credit card bills and back taxes to the IRS. Recently, much to his embarrassment, the government contacted his largest steady accounting clients and requested that they direct their payment for tax services to the IRS instead of to the
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hip with her mother and father and explore how it came to be that she is the only high achiever in the family. Neither of the parents has achieved well in the career area. She can look at similarities in personality between her mother and her husband. Jung describes marriage as a psychological relationship, and if much of what propels a person's behavior is hidden in the unconscious, patterns will repeat (Campbell, 1971, p. 163).
A traditional therapist would encourage the wife to examine her dreams and memories. What are the conflicts? How did she happen to marry a man who exhibits so much dependency? Group work, in addition to individual psychotherapy, would assist her understanding that the substance-free spouse may contribute considerably to the problems in an alcoholic marriage. The wife may wish to examine her own goals and pursuits to gain a greater sense of self aside from her husband's difficulties and needs. Did she actually intend to become a real estate salesperson for the love of the work, or was it financial necessity? As a youth, what were her dreams and life fantasies that she set aside for the responsibilities of caring for a husband and family?
Regardless of the view that people are driven to compens
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Approximate Word count = 2843
Approximate Pages = 11 (250 words per page)
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