Saturday, January 18, 2014

family kaunseling





Introduction
Murray Bowen (1913- 1990) was the first and only psychiatrist to describe a theory explaining human behavior. He trained at Menninger and in 1954, Bowen became the first director of the Family Division at the National Institute of Mental Health (NIMH). His research record and theory are well known.
Below you will find  a one brief one page summary of his theory and then a longer description that runs 6 pages.  Following this is  a short description of Dr. Bowen’s career along with his CV.
One Page Overview of Bowen Theory
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. Bowen saw how the emotional systems which govern human relationships had evolved over millions of years. He postulated that differentiation (level of emotional maturity) among family members produced variation, as individuals became more of less mature from one generation to the next. In cases where multi-generational transmission, differentiation among family members becomes progressively lower, this can also generate clinical symptoms.  The goal of “Extended Family Systems Therapy” is to increase individual family members level of differentiation by the motivation of those who are capable of being in better emotional contact with those in the nuclear and extended family. This effort  requires knowledge of the emotional system and how to manage and define self in relationships.  Emotional, biological and environmental influences are considered as the individual adapts within the family unit over the generations.
The 8 basic concepts of Bowen’s family systems theory
1.      Levels of differentiation of self Families and social groups affect how people think, feel, and act, but individuals vary in their susceptibility to “group think”. Also, groups vary in the amount of pressure they exert for conformity. The less developed a person’s “self,” the more impact others have on his functioning and the more he tries to control the functioning of others. Bowen developed a scale to measure differentiation of self.
2.      The nuclear family This concept describes 4 relationship patterns that manage anxiety, marital conflict, dysfunction in one spouse, impairment of one or more children, emotional distance) that govern where problems develop in a family. 
3.      Family projection process This concept describes the way parents transmit their emotional problems to a child. Some parents have great trouble separating from the child. They imagine how the child is, rather than having a realistic appraisal of the child.  Relationship problems that most negatively affect a child’s life are a heightened need for attention and approval, difficulty dealing with expectations, the tendency to blame oneself or others, feeling responsible for other’s happiness, and acting impulsively to relieve the anxiety of the moment, rather than tolerating anxiety and acting thoughtfully.
4.      Multigenerational transmission process This concept describes how small differences in the levels of differentiation between parents and their offspring lead over many generations to marked differences in differentiation among the members of a multigenerational family. The way people relate to one another creates differences, which are transmitted across generations. People are sensitive and react to the absence or presence of relationships, to information about this moment, the future and or the past, and this, along with our basic genetic inheritance, interacts to shape an individual’s “self.”
5.      Sibling position Bowen theory incorporates psychologist Walter Toman’s work relating to sibling position. People who grow up in the same sibling position have important common characteristics. For example, oldest children tend to gravitate to leadership positions and youngest children often prefer to be followers, unless the parents disappointed them.  Toman’s research showed that spouses’ sibling positions when mismatched often affect the chance of divorcing.
6.      Triangles A triangle is a three-person relationship system. It is considered the triangle as the “molecule” of larger emotional systems, as it is the smallest stable relationship system. A triangle can manage more tension than a 2-person relationship as tension shifts among the three. Triangles can exert social control by putting one on the outside or bring in an outsider when tension escalates between two. Increasing the number of triangles can also stabilize spreading tension. Marital therapy uses the triangle to provide a neutral third party capable of relating well to both sides of a conflict.
 7.      Emotional cut off People sometimes manage their unresolved emotional issues with parents, siblings, and other family members by reducing or totally cutting off emotional contact with them. This resolves nothing and risks making new relationships too important.
8.      Societal emotional process This concept describes how the emotional system governs behavior on a societal level, similar to that within a family, which promotes both progressive and regressive periods in a society. 
More on these concepts:  
Bowen Family Systems Theory                                      
Bowen theory describes the family emotional process over generations, and the way it influences how individuals can function as part of the family unit.  Some individuals are freer of the sensitivity to others and are freer to go in his or her own self determined direction. Others do not fit well with the needs and expectation of the family and may then be focused ion in a negative or an unrealistic positive way and thereby absorb more anxiety than is their fair share. Families are not perfect, they are organized to produce diversity in functioning to adapt to various circumstances. If all people were the same there would not be the variation in the ability to adapt to changing circumstances.  Any motivated family member can alter the family emotional process if they are willing to work on self and relate well to others, without asking them to change.  The ability to see how emotional systems are organized, in a neutral way, gives individuals more freedom by being less sensitive and less reactive towards those who may be caught in the automatic and reactive dance of life.
The Eight Basic Concepts: 1) Levels of differentiation of self  “The level of differentiation is the degree to which one self fuses or merges into another self in a close emotional relationship. The scale has noting to do with emotional illness or psychotherapy. There are low-scale people who mange to keep their lives in emotional equilibrium without developing emotional illness, and there are higher scale people who can develop symptoms under great stress. ” [1]Murray Bowen, MD.
Families and social groups affect how people think, feel and act, but individuals vary in their susceptibility to “group think.” Also, groups vary in the amount of pressure they exert for conformity. The less developed a person’s “self,” the more impact others have on his or her functioning and the more he or she tries to control the functioning of others.  Bowen developed a scale to measure differentiation of self. The scale has been seen as promising a way to measure functioning.  No concrete scale to measure levels of differentiation of self has yet appeared. Bowen wrote it as a way to see the enormous variety in functioning.  A system view considers the variation in functioning rather than focusing on diagnosing people. 
The scale goes from100-0, spanning four quadrants:  
0-25 The lowest amount of emotional maturity is a result of many generations of family process in which some unfairly absorb the anxiety of the group.  There is very little to no ability to stand up for self as a reflection of anxiety in the group. Many decision are made reactively to follow along or oppose others. Feeling “comfortable” dictates the life course. 
25-50 One can know the difference between facts and feelings, but intense and reactive feeling states, plus the levels of anxiety can degrade people’s functioning, highlight the decision to do things in order to feel better. People can lose sight of important principles to guide decisions.  When times are calm people can use principles and think carefully about relationships and decisions.  Principles can enable people to withstand the pressure to give in to relationships demands. Most people function in this area.
50-60 This is the area where people know the difference between feelings and thinking and are clear about the principles that they have defined as important. Decisions are more thoughtful and relationships are calmer, even in times of turmoil. If people develop symptom they recover well and are not caught in negative feeling cycles. People operate on principled and can be more open with others.  When opposed they do not get highly emotional. They consider the long-term implications of decisions. They can speak about difficult subjects thoughtfully and do not defending self against the attacks of others. 
60 -75 People are freer of the controlling emotional system and do not control others. . There is more freedom to be self and to let others be.  Decisions are clarified and connected basic principles. They can express beliefs without reactivity to upsets in others. They find satisfaction in both emotional closes and in goal directed activity.  They are more realistic about the way life is than those in the lower quadrants of the scale. 
75- 100 -This is an area that humans may evolve towards. 100 would be a perfect individual in emotional, cellular and physiological functioning.  “It has not yet been possible to check the scale on extremely high level people, but my impression is that 75 is a very high-level person and that those above 60 constitute a small percentage of society.”    (Murray Bowen, M.D., FTiCP , page 474)
There are ways to raise one’s level of basic maturity but it takes sustained effort to decrease the relationship sensitivity and the way people are confused in relationships and are “fused” with one another.   It is easy to say and hard to do to increase the ability to be more aware of principles and to separate Self from others while being aware of the deep connection with others. Separating one’s Self from the entanglements with others is the main discipline that one enters into as one begins to define who Self is, and what one will and will not do in relation to important others. In addition, our functioning is both inhibited and enhanced by many genetic-like psychological and physiological factors.
The scale uses numbers to indicate the variation and the general markers for emotional maturity as to how people are able to handle anxiety and be more mature and principle-based individuals.  We can be aware that we are living in the middle of an emotionally primed, interactive relationship system. We can do better by knowing that our functioning is influenced by the surrounding social system.  Especially during troubled times it is crucial to increase our level of emotional maturity or differentiation, and to become better defined individuals, able to separate out from the pressure in the surrounding emotional systems.  As this happens one by one, gradually the system as a whole becomes more mature.
2) The nuclear family This concept describes four relationship patterns to manage anxiety: 1) marital conflict, 2) dysfunction in one spouse, 3) impairment of one or more children, and 4) emotional distance. These mechanisms are automatically activated as anxiety and stress increase. As anxiety is absorbed, the history of sensitivity in relationships plays itself out and governs where problems are likely to develop in a family. Families tend to function at higher levels if they use many mechanisms and not just one.  It is possible for people to become aware of the automatic nature of how we relate to one another and to then alter our behavior in them.
3. Family projection process. This concept describes the way parents transmit their emotional problems to a child. Some parents have great trouble separating from the child. They imagine how the child is.  They do not have a realistic appraisal of the child.  An extreme example would be that a child is born blind and the parents treat the child as though she or he can see. Parents unknowingly project the anxiety about self or their marriage onto the child by “worrying” about the child.  Children often accept the projection of the anxiety and act out the projection so the parents appear normal. The child is the symptom carrier for the parental anxiety. What an observer would see in a family, that uses this mechanism to manage anxiety, are the following behaviors: an intense focus on the child, very little focus on self, a need for attention and approval, confusion when it comes to realistic expectations for the child, and often for the adults, increasing blame on self or others, pervasive feeling of responsibility for others’ happiness, and acting impulsively to relieve the anxiety of the moment. The bottom line: many of these kinds of feelings and verbal messages are about one person putting a “demand” on others to be more for them, and less in favor of the other’s ability to be more defined and a less automatic Self. Here is where the mechanisms of fusion and confusion come to be played out. As it becomes challenging to know: “Where do I begin and end and where do you begin and end.” People can make assumptions about others, based on projection, partially as this is how the brain works.
4) Multigenerational transmission process. This concept describes how small differences in the levels of differentiation between parents and their offspring may lead over many generations to marked differences in functioning among the members of a multigenerational family. The way people relate to one another in one generation may create intense sensitivities, which are transmitted across generations. Some may drink in one generation and not in another, but the anxiety about drinking in one generation may manifest in another generation around drug use or other behaviors, for example eating disorders. People with more anxiety and less maturity can pressure others to make up for what has happened in the past and in doing so make people more vulnerable and even symptomatic. For example family stories tell us what people in the past have reacted to.  When the next generation arrives a habit or a talent can remind parents of people they knew or have heard about in other generations.  The association of one person with a memory of another person can conspire to decrease the ability of a child to develop a real identity in the family.  “You must be a great chess player like your great grandfather was.”  This kind of projection can put a “demand” on the child to be what the other needs him to be. Love with such a demand can confuse children. Does the child want to be great, or have ability for greatness? The potential of the child and the way family members relate to the child, along with his or her basic genetic inheritance, interact to shape the individual’s level of maturity or “self.”
5.  Sibling position: Bowen theory incorporates psychologist Walter Toman’s work on sibling position.  There are common characteristics of each sibling position. For example, oldest children tend to gravitate to leadership positions and youngest children often prefer to be followers, unless their parents disappointed them. Toman’s research showed that spouses’ sibling positions, when mismatched, often increase the chance of divorce.There is a great deal to be learned about the influence over the generations when for example parents can not understand a child as they are youngest and he or she is an oldest. A child’s sibling position can be different from the child’s functional position in one generation and that can have an impact on the next generation.   For example, an oldest sibling is often in the functional position of being responsible for other siblings, but if that oldest falls ill, the functional position will shift to the next most able child. If the oldest is ill and cannot function well then the family may worry about the functioning of the oldest child in the next generation. Sibling position gives us clues as to what the average demands are on the various positions
6. Triangles: A triangle is a three-person relationship system. It is considered the “molecule” of larger emotional systems because it is the smallest stable relationship system. A triangle can manage more tension than a two-person relationship as tension shifts among the three people in the triangle. Triangles can exert social control by the threat to put one person on the outside of a two-some or of a group.  De-triangling occurs when strategically someone comes into a polarized situation and makes an effort to not take sides, and to relate well to each person.  In mediation we often see efforts to bring in an outsider when tension escalates between two individuals. Sometimes the mediator can relate to each side without taking sides, and in this case the tension will resolve.  Increasing the number of triangles by forming useful alliances (which do not polarize or blame people) can also stabilize spreading tension. Marital therapy uses the triangle to provide a neutral third party capable of relating well to both sides of a conflict.
7. Emotional cut off: At times people manage their unresolved emotional issues with parents, and other family members by reducing or totally cutting off emotional contact. This can be a geographical or an emotional cut off.   Cut off makes people feel better in the short term but the cut off decreases relationships flexibility. It is often an outgrowth of intense blame and the inability to see ones part in a problem.  No resolves takes place, Anger is frozen in time, increasing relationships sensitivity, which reduces the ability to be emotionally flexible and puts intense demands of other relationships to be “perfect.”  Cut off carries forward unresolved emotional issues in one’s family of origin into future nuclear families and sensitize any new relationships these individuals create. 
8. Societal emotional process. This concept describes how the emotional system governs behavior on a societal level.  The emotional system in society can promote progressive or regressive periods just as it does in a family. [2]  The simplest description is that under stress the family members can be too nice or too mean. Parents that are too nice begin to give in to demands for short-term solutions to chronic problems.  Just as in a family, leaders in society have a hard time identifying the nature of problems and a regression begins by giving in or trying to solve big problems with little answers.  Mechanisms offer us ready solutions to increasing anxiety: conflict, distance, reciprocal functioning and illness can absorb the increasing anxiety but only postpone solving the problems.  People react to disharmony and demand more short-term solutions in order to be comfortable now. A regression is a return to an earlier period in development where there is less principle-driven behavior, some degree of giving in and seeking comfort, and perhaps overall less ability to recognize and respect individuals and to be able to cooperate.  Since the arrow of time is always moving forward, new problems often demand new ways to adapt, forcing us into the discomfort zone

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PEDOMAN

20 PERKARA JANGAN
Sesungguhnya dalam hidup kita dikelilingi olehperkara-perkara yang menyeronokkan. Tetapiitulah sesungguhnya yang mendatangkankeburukan kepada kita. Dibawah ini terdapat 20perkara JANGAN yang seharusnya kita ambil ikhtibar. Tidak dapat dinafikan ada terdapatperkara-perkara yang terkena batang hidung sayasendiri. Tetapi sebagai umat ISLAM, kita harussaling ingat memperingati diantara satu sama lain.Semoga kita umat Islam akan terus mengungguli dunia InsyaALLAH.
1. Jangan sengaja lewatkan solat. Perbuatan iniAllah tidak suka. Kalau tertidur lain cerita..
2. Jangan masuk ke bilik air tanpa memakai alaskaki (selipar). Takut kalau terbawa keluar najis, mengotori seluruh rumah kita.
3. Jangan makan dan minum dalam bekas yangpecah atau sumbing. Makruh kerana iamembahayakan.
4. Jangan biarkan pinggan mangkuk yang telah digunakan tidak berbasuh. Makruh dan mewarisi kepapan .
5. Jangan tidur selepas solat Subuh, nanti rezeki terhalang(kerana berpagi; itu membuka pintu berkat)
6. Jangan makan tanpa membaca BISMILLAH dan doa makan. Nanti rezeki kita di kongsi syaitan.
7. Jangan keluar rumah tanpa niat untuk membuatkebaikan. Takut; kita mati dalam perjalanan.
8. Jangan pakai kasut atau selipar yang berlainanpasangan. Makruh dan mewarisi kepapaan.
9. Jangan biarkan mata liar di perjalanan. Nanti hati kita gelap diselaputi dosa.
10. Jangan bergaul bebas ditempat kerja. Banyak buruk dari baiknya.
11. Jangan menangguh taubat bila berbuat dosa kerana mati boleh datang bila; masa.
12. Jangan ego untuk meminta maaf pada ibu bapa dan sesama manusia kalau memang kitabersalah.
13. Jangan mengumpat sesama rakan taulan.Nanti rosak persahabatan kita. Hilang bahagia.
14. Jangan lupa bergantung kepada ALLAH dalamsetiap kerja kita. Nanti kita sombong apabila berjaya. Kalau gagal kecewa pula.
15. Jangan bakhil untuk bersedekah. Sedekah itu memanjangkan umur dan memurahkan rezeki kita
16. Jangan banyak ketawa. Nanti mati jiwa.
17. Jangan biasakan berbohong, kerana ia adalah ciri; munafik dan menghilangkan kasih orang kepada kita.
18. Jangan suka menganiaya manusia atau haiwan. Doa makhluk yang teraniaya cepat dimakbulkan ALLAH.
19. Jangan terlalu susah hati dengan urusan dunia. Akhirat itu lebih utama dan hidup di sana lebihlama dan kekal selamanya.
20. Jangan mempertikaikan kenapa ISLAM itu berkata JANGAN. Sebab semuanya untuk keselamatan kita. ALLAH lebih tahu apa yang terbaik untuk hamba ciptaannya. Sabda Rasulullah SAW, " Sampaikanlah dariku walaupun satu ayat"