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Full Chapter Handbook of Bowen Family Systems Theory and Research Methods A Systems Model For Family Research 1St Edition Mignonette N Keller PDF
Full Chapter Handbook of Bowen Family Systems Theory and Research Methods A Systems Model For Family Research 1St Edition Mignonette N Keller PDF
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“One of the important contributions of Keller and Noone’s volume of collected studies from the
perspective of Bowen Theory is its focus on concepts in family systems theory and related con-
structs in the wider multidisciplinary research literature. The authors of these studies are deeply
conversant with Bowen theory and its potential as an integrative theory to guide research and
practice. This is a project that aims to carry forth Bowen’s most ambitious goal for his family
systems theory, that of moving towards a science of human behavior.”
Laura Havstad, Ph.D., director, Programs in Bowen Theory, Northern California.
“Diverse perspectives of empirical research are necessary to address the complexities of research
in family systems. Reciprocal influences of individuals and families, families and communities,
and communities and culture require a consistent theoretical grounding for approaching mean-
ingful questions. Launched from Bowen family systems theory, Keller and Noone have assembled
a knowledgeable group of scholars and practitioners to address important concerns of family
research for an invaluable resource for family systems researchers. It is an important text for those
seeking to design and interpret systems research.”
David S. Hargrove, Ph.D., is professor emeritus at the University of Mississippi,
Oxford, MS, where he served as chairperson of the Department of Psychology,
interim chair of the Department of Modern Languages and interim chair of the
Department of Exercise Science.
“The Bowen family systems theory field will advance as a natural science when the ideas are
applied and systematically researched by many professionals in varying fields of study. This book
has collected the research and explorations of seasoned experts in our field, investigating ways of
advancing the theory and its applications. The effort to research families as an emotional system
is daunting and complex. This collection of works documents how many authors and researchers
have undertaken the challenge. It will be a valued resource in my library.”
Walter Howard Smith, Jr., Ph.D., is a trustee of the Casey Family Programs Foundation
based in Seattle, WA. He is the retired Deputy Director and Clinical Director at the
Allegheny County Department of Human Services in Pittsburgh, PA, where he
served as Deputy Director of the Office of Children, Youth, and Family Services.
He is a licensed psychologist in private practice.
Handbook of Bowen Family Systems
Theory and Research Methods
The Handbook of Bowen Family Systems Theory and Research Methods presents innovative approaches
on a range of issues inherent in family research and discusses the links between theory, data
collection, and data analysis based on Bowen family systems theory.
This multi-authored volume discusses core issues within family systems theory, including anx-
iety, stress, emotional cutoff, differentiation of self, multigenerational transmission process, and
nuclear family emotional process. Chapters also examine related constructs in the research litera-
ture such as adaptation, resilience, social support, social networks, and intergenerational family
relations. Readers will be able to view theoretical and methodological issues from the perspective
of Bowen theory and develop a clearer knowledge of ways to navigate the challenges faced when
studying individual, familial, and societal problems.
An essential resource for clinicians and researchers in the social and natural sciences, the Hand-
book of Bowen Family Systems Theory and Research Methods provides a comprehensive framework
for understanding the application of Bowen theory to family practice and family research.
Mignonette N. Keller, Ph.D., is faculty at the Bowen Center for the Study of the Family in
Washington, D.C., and former assistant professor in the School of Social Work at Howard
University, Washington, D.C. She received her doctorate from Howard University, Washington,
D.C., master’s from the University of Chicago, Chicago, IL, and postgraduate training at
Georgetown University School of Medicine, Washington, D.C.
Robert J. Noone, Ph.D., is faculty at the Center for Family Consultation, Evanston, IL, and
the Bowen Center for the Study of the Family in Washington, D.C. He is the editor of the
journal Family Systems and co-editor of The Family Emotional System (2015). He received his
doctorate from the University of Illinois at Chicago and postgraduate training at Georgetown
University Medical Center in Washington, D.C.
Handbook of Bowen
Family Systems Theory
and Research Methods
A Systems Model for Family Research
Typeset in Bembo
by Swales & Willis, Exeter, Devon, UK
Contents
Notes on Editors x
Notes on Contributors xi
Foreword xiv
Preface xxi
Acknowledgments xxviii
Introduction 1
Mignonette N. Keller and Robert J. Noone
PART I
Foundations of Family Research Introduction 13
PART II
Bowen Theory: A Systems Model for Family Research 47
vii
Contents
PART III
Mechanisms Influencing Family Functioning: Stress/Anxiety,
Differentiation of Self and Emotional Cutoff Stress/Anxiety 91
9 Human Stress Genomics and Bowen Theory: Potential for Future Research 120
Laurie Lassiter
PART IV
Mechanisms Influencing Multigenerational Family Functioning 201
viii
Contents
PART V
Interdisciplinary Use of Bowen Family Systems Theory 299
PART VI
Implications for Future Directions in Family Research 363
Index 427
ix
Editors
Mignonette N. Keller, Ph.D., is faculty at the Bowen Center for the Study of the Family in
Washington, D.C., and a former assistant professor in the School of Social Work at Howard
University, Washington, D.C. Her writing and research interests include theoretical and meth-
odological issues in family research related to factors influencing family functioning; a systems
model for family research; and the family diagram as a reliable assessment instrument for empirical
research. She received funding from the Center of Research on Minority Health at the National
Institutes of Health for her study of alcohol dependence and the family based in the Howard
University Alcohol Research Center. The Howard University Faculty Research Award Programs
provided funding for her multigenerational study of factors influencing family functioning.
Dr. Keller holds a doctorate in sociology from Howard University, Washington, D.C., a master’s
degree in social service administration from the University of Chicago, Chicago, IL, and she
completed postgraduate training at the Georgetown University School of Medicine, Washington,
D.C., in family theory, family psychotherapy, and family research.
Robert J. Noone, Ph.D., is co-founder and faculty at the Center for Family Consultation in
Evanston, IL, where he maintains a practice in psychotherapy. He is the editor of the journal
Family Systems and a faculty member at the Bowen Center for the Study of the Family in Wash-
ington, D.C. Along with Dr. Daniel V. Papero, Dr. Noone is editor and contributor to the
recently published book The Family Emotional System: An Integrative Concept for Theory, Science,
and Practice (2015) and author of published articles and book chapters on Bowen family systems
theory and psychotherapy. A practicing family therapist for more than 40 years, he received his
doctorate from the University of Illinois at Chicago and his postgraduate training in family sys-
tems therapy at Georgetown University School of Medicine in Washington, D.C.
x
Contributors
Paul Archibald, Ph.D., is an assistant professor in the Department of Social Work at the College
of Staten Island, City University of New York Staten Island, New York, and a former assistant
professor in the School of Social Work at Morgan State University. His research interests include
violence, trauma, depression, and substance abuse. He has several publications in professional
journals related to substance abuse, depression, and black males.
Joanne Bowen, Ph.D., is a research professor in the Department of Anthropology at the College
of William and Mary in Williamsburg, VA. She is also the Executive Director of the Murray
Bowen Archives Project in the History of Medicine Division of the National Library of Medi-
cine, a nonprofit organization dedicated to the preservation and dissemination of the Murray
Bowen Archives. Dr. Bowen is the author of numerous scientific publications in professional
journals and book chapters.
Yvonne Bronner, Sc.D., R.D., is a professor in the Department of Public Health in the School of
Community Health and Policy at Morgan State University in Baltimore, MD. She has conducted
research on breast feeding, obesity, and healthy lifestyles and served as the principal investigator
of the Nutritional Assessment of the Maryland School Child Study. Dr. Bronner is the author of
numerous publications in professional journals and book chapters.
Laura R. Brooks, M.A., is a faculty member at the Bowen Center for the Study of the Family in
Washington, D.C. She coordinates the Internship Program and Research Committee and serves
on the editorial board of the Family Systems Journal. She has a family therapy practice in Ellicott
City, MD. Her research interests include adoptive families, family projection process, within
family variability, emotional cutoff, and research from a systems perspective.
John F. Butler, Ph.D., is in private practice at Rose Street Mental Health Care in Wichita Falls,
TX. He is editor of the Origins of Family Psychotherapy: The National Institute Mental Health Family
Studies Project and the author of several professional articles on family theory and psychotherapy.
Carrie E. Collier, Ph.D., is a faculty member at the Bowen Center for the Study of the Family in
Washington, D.C. She is the Director of the online program for studies in Bowen family systems
theory at the Bowen Center. She is also an adjunct faculty member in the Department of Coun-
seling and Human Development at George Washington University, Washington, D.C. Her
research interests include research methodology that captures family systems variables and devising
and testing a family unit functioning scale to be used in clinical and research studies. She main-
tains a clinical practice in Washington, D.C., at the Bowen Family Center.
xi
Contributors
Patricia A. Comella, J.D., is a faculty member at the Bowen Center for the Study of the Family
in Washington, D.C. She is currently a self-employed, independent consultant. Prior to her
retirement, she was employed as a Senior Foreign Affair Officer, Office of Nuclear Energy
Affairs, at the U.S. Department of State in Washington, D.C. She has published numerous art-
icles related to Bowen theory.
Randall T. Frost, M.Div., is Director of Training and Research at Living Systems in Vancouver,
B.C., a pastoral counseling center that uses Bowen theory as its primary approach to counseling,
training, education, and research. He is a member of the faculty of the Bowen Center for the
Study of the Family in Washington, D.C., and author of professional articles and book chapters
on family theory and psychotherapy.
Victoria Harrison, M.A., is Founding Director of the Center for the Study of Natural Systems
and the Family in Houston, TX. She is also senior faculty at the Bowen Center for the Study of
the Family in Washington, D.C. She is in private practice based in Bowen theory and uses bio-
feedback and neurofeedback for the study of reactivity. She conducts research on physiological
reactivity in the family and its impact on health and reproduction. She is the author of several
journal articles and book chapters.
Michael Kerr, M.D., is the Director of the Bowen Academy in Islesboro, ME. He succeeded
Murray Bowen as Director of the Georgetown Family Center in 1990. He is the founding editor
of Family Systems: A Journal of Natural Systems Thinking in Psychiatry and the Sciences and served as
editor from 1994 to 2014. He is the co-author with Murray Bowen of Family Evaluation: An
Approach Based on Bowen Theory. He recently published Bowen Theory’s Secrets: Revealing the
Hidden Life of Families (2019). Dr. Kerr has written numerous journal articles and book chapters
related to Bowen theory.
Phillip Klever, M.S.W., has had a private practice in Kansas City, MO, since 1979. He has been
conducting a longitudinal, multigenerational family research study that began in 1994. This study
has explored how the following variables influence variation in nuclear family functioning: viable
emotional contact versus cutoff with the multigenerational family, stress in the multigenerational
family, symptomology in the multigenerational family, reactivity in the primary triangle, family
projection, and goal direction of the husband and wife. He has also examined nuclear family
emotional processes being passed on to the next generation. He has published numerous articles
in scientific journals and book chapters regarding his findings related to various aspects of Bowen
theory.
Laurie Lassiter, Ph.D., M.S.W., has a private practice in Leverett, MA. She presents at confer-
ences and webcasts on Bowen theory regularly. Her past mentors are Murray Bowen and the
xii
Contributors
evolutionary biologist Lynn Margulis, with whom she associated until the latter’s death in 2011.
She has written several articles and book chapters on Bowen theory, with particular interest in
the relationship of the triangle to differentiation of self. She applied Bowen theory to social
organisms representing early life and she has emphasized the evolutionary heritage of Homo sapi-
ens. Her current interest is in the research potential of discoveries in the social regulation of gen-
etic expression as it relates to Bowen theory.
Barbara Laymon, Ph.D., is a faculty member at the Bowen Center for the Study of the Family in
Washington, D.C. She is also the Lead Analyst for the National Association of County and City
Health Officials, the nonprofit representing local health departments across America. Her research
background includes an interest in long-term care policy, maternal and child health, managed care
organization, population health and epidemiology, community health assessment, and social deter-
minants of health. Dr. Laymon is interested in the ninth concept in Bowen theory, the supernatural
phenomenon, and plans to conduct research on systems thinking in religion and spirituality.
Ian Lindong, M.D., Ph.D., is an assistant professor in the School of Community Health and
Policy at Morgan State University in Baltimore, MD. He concurrently serves co-director and co-
investigator roles in federally sponsored programs in the university. His research interest include
technology in health care services delivery and program effectiveness evaluation. He has taught
biomedical courses in pathophysiology in the Nursing program, in addition to Epidemiology and
Biological Basis of Public Health in the Public Health graduate program.
Anne S. McKnight, Ed.D., is the Director of the Bowen Center for the Study of the Family in
Washington, D.C. She has been the Director since 2011 and served on the faculty since 1992.
Her clinical and research interests include death in the family, addiction, epigenetics, and ethics.
Dr. McKnight has numerous publications in professional journals and book chapters related to
Bowen theory. She maintains a clinical practice in Washington, D.C., and Arlington, VA.
Daniel V. Papero, Ph.D., is a senior faculty member at the Bowen Center for the Study of the
Family in Washington, D.C. He is the author of Bowen Family Systems Theory and the co-editor
of The Family Emotional System with Dr. Robert Noone, in addition to having written journal
articles and book chapters. He lectures both nationally and internationally on the Bowen theory
and maintains a clinical practice in Washington, D.C.
Phyllis W. Sharps, Ph.D., is a professor in the School of Nursing at Johns Hopkins University,
Baltimore, MD., where she also serves as the Associate Dean of Community and Global Pro-
grams and holds the Elsie M. Lawler Chair. As Associate Dean for community programs and
initiatives, she directs three health and wellness centers operated by the Johns Hopkins School of
Nursing. Her scholarly expertise and interests include perinatal health, domestic violence, parent-
ing, women’s health, domestic violence, and infant mortality. Dr. Sharps has numerous scientific
publications in professional journals and has written book chapters.
Clancie Mavello Wilson, Ph.D., is the Director of the Joseph and Lauretta Freeman Foundation,
a nonprofit organization committed to addressing the needs of youth and families. Her research
interests include identifying more effective ways to educate and aggressively involve parents in
the process; better understanding of cultural differences and how these differences impact learn-
ing; as well as research to bridge the gap between home and school. Dr. Wilson is the author of
several articles in professional journals and book chapters.
xiii
Foreword
This is a book about Bowen theory and research, so I will frame current research on Bowen theory
in the context of Murray Bowen’s key discoveries. Most readers are likely aware that Bowen is the
originator of Bowen family systems theory. He and his collaborators developed the theory based on
observational research in many settings over several decades. Early in Bowen’s research in the second
half of the 1940s at the Menninger Clinic, he concluded that Freud’s psychoanalytic theory was
plagued with enough subjectivity that it would never be accepted by the sciences. This realization
motivated Bowen to read extensively in the sciences and other disciplines to determine what would
be necessary to develop a theory of human behavior that would meet the criteria of the accepted
sciences. The background research convinced Bowen that such a theory could be developed.
Bowen’s observational research settings prior to the first publication of the new theory in 1966
included eight years at Menninger’s, five years at the National Institute of Mental Health
(NIMH), and five years at the Georgetown University School of Medicine’s Department of
Psychiatry. The theory that emerged from that research was an emphatic departure from psycho-
analytic theory. Its two most innovative aspects were applying systems thinking to describe
human behavior and grounding the theory in Homo sapiens being a product of evolution. Not
surprisingly, the major obstacle to applying systems thinking is cause-and-effect thinking. Cause-
and-effect thinking in the form of psychopathology existing within the patient causing neurotic
and psychotic disorders was at the core of Freudian theory.
Bowen was a maverick from the time he arrived in the fall of 1959 in the Georgetown Department
of Psychiatry, a psychoanalytically oriented program. Like other departments around the country, it
was easier for them to accept family therapy than it was to accept a family theory that was out of step
with psychoanalytic theory. Despite being out of step with other members of the department, Bowen
was able to establish family programs at Georgetown for the psychiatric residents and mental health
professionals in the community. The new method of therapy spawned by the new theory was built
around the process of differentiation of self. This concept both explained variation in human emo-
tional functioning and provided a blueprint for raising one’s level of differentiation.
A key piece of research at Menninger’s was facilitated by Bowen breaking from standard psy-
chiatric practice and meeting with members of his inpatients’ families. In doing so, he observed
how powerfully affected emotionally the patients were by their families, especially their mothers,
and vice versa. The traditional practice of insulating the doctor–patient transference relationship
from contamination by interaction with the family had allowed the intensity of family–patient
interactions to fly under the radar. This family–patient emotional intensity was evident no matter
what the patient’s diagnosis.
One particular study that Bowen conducted with a schizophrenic patient at Menninger’s
allowed an actively psychotic patient to regress. The key was allowing the patient to get worse
without nervously intervening. As expected, as the patient regressed, and his symptoms worsened,
xiv
Foreword
but, after a period of time, his psychotic symptoms unexpectedly disappeared. The patient related
to the research staff much like a normal child.
This observation challenged a psychoanalytic theory contention that schizophrenic people had never
formed an attachment to their mothers during early development. However, Bowen and his team saw
that they were indeed capable of forming an attachment, but that ability had been buried under the
psychosis. This conclusion fit with the intense reactivity Bowen was observing between adult patients
and their family members at Menninger’s. I interpret these observations to indicate a high level of anx-
iety that schizophrenic patients experience in their social interactions, especially with family. This can
trigger a powerful impulse to withdraw, both behaviorally and into psychotic thinking.
The term symbiosis was in the psychiatric literature at that point in the early 1950s. Bowen
adopted the term to describe what he was observing between the inpatients and their family
members. It appeared that the normal early symbiotic mother–child attachment had never
resolved. He decided to study mother–adult offspring symbiosis and chose to conduct the study
with mothers and their adult schizophrenic offspring, but he could have studied symbiosis with
any severe dysfunction. He departed Menninger’s for the NIMH to set up the symbiosis study
on an inpatient research ward in 1954.
The study began with three mothers and their young adult schizophrenic offspring. One
mother–daughter pair agreed to live on the ward full-time; the other two pairs spent most of
their waking hours there. The research ward was located in the National Institutes of Health
Clinical Center. Despite his early observations at Menninger’s, Bowen was still using psychoana-
lytic thinking when the study began. This was reflected in his conceptualizing the unresolved
symbiosis as being the result of “interlocking psychopathologies.” As part of the study, he pro-
vided individual psychotherapy for the mother and the schizophrenic offspring. The purpose was
to define the specific psychopathologies of both people with the expectation that this therapeutic
process might enable them to separate into two people.
Two very important research observations had occurred by the end of the first year of the
study. The first was that the unresolved symbiosis was more intense than had been recognized at
Menninger’s, and neither mother nor offspring was motivated to change it. Bowen interpreted
the obstacle to change as “loss of each other equals death.” He described it as a fusion of feeling
states between the two people. The second observation was equally if not more important:
fathers were part of the problem. Fathers visited the research ward frequently enough for research
observations to be made about them, too.
Observing fathers led to the conceptualization that the mother–adult offspring symbiosis was
a fragment of the larger family group. Families function as emotional units. Family members are
linked by a powerful emotional interdependence that is associated with exceptionally high
reactivity to each other. Other family pioneers also conceptualized the family as an “organism,”
but Bowen was the only one to anchor the emotional process in a human emotional system that
had been shaped by billions of years of evolution.
At this juncture, the study morphed from a study of symbiosis to a study of the family. Family
groups that included a father, a mother, schizophrenic offspring, and “normal” sibling were now
admitted to the project. The patient’s symptoms were viewed as part of a dynamic process
involving the entire family.
What made the Family Study Project unique was that Bowen and the research team were
observing family interactions directly. Learning what was unfolding in the families was not
dependent on just listening to the subjective reports of family members. All of the staff made
careful notes of their observations. Despite being housed on a research ward, it was a reasonably
naturalistic setting in that the staff worked not to intrude into family tensions and conflicts. This
was not an easy task because family members often tried to get staff members involved. A study
of seven outpatient families paralleled Bowen’s research ward studies.
xv
Foreword
Bowen characterized the perspective the research team gained from the Family Study Project
as equivalent to moving from watching a football game from the vantage point of the sideline to
the very top row of the stadium. This allowed previously unobserved broad patterns of move-
ment of the players on the field to come into view. As Bowen and his team observed families
over a long period, he decided that the term “function” was preferable to “role” or even person-
ality trait. Function is a more flexible term in that it can accommodate family members’ function-
ing in a variety of ways that result from the nature of their reciprocal functioning with others.
For example, a schizophrenic patient may severely under-function when interacting with his
over-functioning parents, but under-function less when relating to a sibling or someone outside
the family. Marked contrasts in functioning were frequently observed in how family members
functioned in a work setting versus in the family setting. For example, a father might function
with more sureness and decisiveness in his work setting than in the family setting. A common
family pattern was a passive father, a more active mother, and helpless and immature schizo-
phrenic offspring. These patterns were not fixed in stone but could vary with changing
circumstances.
An extremely important observation concerned the “normal” siblings of the schizophrenic
patient. Bowen would later refer to this as varying levels of “differentiation of self” in the sib-
lings. The child with the most intense attachment to mother since early in life, and extending
into adult life as an unresolved symbiosis, inherits more of the parents’ immaturities or weak-
nesses than their strengths. The less involved sibling, growing up in a different and less anxious
“parental triangle,” inherits more of the parents’ maturities or strengths.
The association Bowen made with degree of unresolved attachment to family, such as the vari-
ation between siblings and overall life functioning, challenges the still commonly held view that
various types of abuse, physical and emotional neglect, having a mentally ill or substance-abusing
parent, parental separation and divorce, and domestic violence place children at risk for later life
problems such as heart disease, strokes, diabetes, cancer, emphysema, and Alzheimer’s. Such
occurrences correlate with later life problems, but Bowen’s theory describes a “hidden” layer of
family system forces and patterns operating underneath abuse, trauma, and neglect that are more
influential on a child’s outcome. This underneath layer, which reflects a low level of family func-
tioning (undifferentiation), affects how much “self” a child develops. It can explain why two sib-
lings exposed to the same trauma and deprivation can turn out very differently. Trauma, abuse,
and neglect are not good things to happen to a child, but they are symptomatic of a more insidi-
ous process.
It was common in the family movement to refer to the identified patient, the most dysfunc-
tional of a sibling group, as a “scapegoat.” This term risks conveying that the child is a victim.
The child is not a victim if you apply systems thinking to recognize that the mother–child rela-
tionship is a reciprocal interaction. For example, a child acting like a baby can calm the mother’s
anxiety. The child does it automatically because he or she is rewarded with a calmer mother.
The mother is calmed by viewing the source of her anxiety as outside herself, in the child, and
ministering to the needy child also helps her feel competent. The focus of both parents on the
child’s functional helplessness can distract the parents from potential tensions between themselves
and thus stabilize their relationship. Bowen and the research team assessed the parents’ maturity
levels to be just a little higher than those in the child. Their problems are typically hidden by
their over-functioning, making them appear more mature than they really are.
This non-victim perspective on a child does not relieve parents of their responsibility in family
therapy to take the lead in changing family process. The child is an equal participant in the
family process but is in too dependent of a position to take responsibility for leading change in
the family. Parents benefit greatly from a therapist who can discern that whatever negative
xvi
Foreword
experiences are playing out in the family, they do not result from a lack of love or involvement
but from too much anxiety-driven involvement.
Bowen viewed the family with a psychotic member as functionally helpless, an anxious organ-
ism, without a leader. Interestingly, he did not think the family members were truly helpless, but
functionally helpless in relationship to each other. A pervasive passivity exists in poorly differenti-
ated families, although it may be punctuated with overly controlling and aggressive behaviors.
The helplessness is also accentuated by years of seeking answers outside themselves and by the
mental health professionals consulted taking responsibility for diagnosing and fixing the patient.
A brief description of change in one family at NIMH will highlight the processes just
described. Bowen developed his first method of family therapy at the NIMH, a method he
referred to as family group therapy. All family members were present for the sessions. In this case
example, the mother and adult schizophrenic daughter’s relationship was often tense and conflict-
ual. The mother over-functioned, and the daughter under-functioned, in the reciprocity. The
father, highly reactive to his wife’s anxiety, tended to support her view that the basic problem
was in the daughter. With the help of therapy, the father began to see how anxious he was
about his wife’s anxiety and how it clouded his thinking about how things were playing out in
the family. As a result of his developing a little more objective view of the family dynamics, he
changed by no longer going along with his wife’s pleadings to support her anxiety-driven focus
on the child. In response, the wife had an emotional meltdown of her own, pleading desperately
with the husband to support her with the daughter. The mother was feeling angry, abandoned,
and especially helpless. The husband held his ground in face of her pressure. He was not angry at
his wife, just calmer and a little surer of himself. To his amazement, his stance eventually had
a calming effect on his wife, which then helped her resist her daughter’s anxious pleadings that
the mother do what was typical for her when the daughter was feeling helpless and distressed.
The mother would take over and fix the problem. Of course, this accomplished only a short-
term solution. Now, with the mother not doing her usual thing, the daughter put stronger pres-
sure on her mother to solve her problem by acting more psychotic. The mother held the line,
and the daughter picked up her functioning. What I have just described is one of the many ver-
sions of “family emotional process” that Bowen and the research team were observing. The pro-
cess flows through a family in predictable ways, with often-predictable results.
When the Family Study Project ended in 1959, Bowen moved to Georgetown University
School of Medicine, Department of Psychiatry. The inpatient studies were over, but his theoret-
ical thinking and numerous innovations of the therapy flourished there. An important observation
from outpatient studies at Georgetown was confirmation that the same patterns in families with
schizophrenia occurred in better differentiated or more maturely functioning families, but with
less intensity. Work at Georgetown also fleshed out an idea that began at NIMH. The idea was
that the high degree of intensity of unresolved emotional attachment between a mother and adult
dysfunctional child reflected the outcome of gradually increasing degrees of unresolved emotional
attachment over many generations. The idea eventually became a concept in Bowen theory: the
multigenerational transmission process.
Bowen considered another development at Georgetown one of the most important: differenti-
ation of self in one’s own family. As an alternative to lying on a couch for many years, with some
“coaching help,” people could apply Bowen theory to the real world of their own families to work
on whatever degrees of unresolved attachment they had with them. Bowen suggested that, for
family therapists to be effective in their work, they had a particular responsibility to do this.
Besides continuing developments in theory and therapy, family programs Bowen developed at
Georgetown enabled interested psychiatric residents and other mental health professionals in the
community to learn about Bowen theory and therapy. An annual symposium on family began in
1965, a postgraduate training program began in 1969, and the Georgetown University Family
xvii
Foreword
Center opened its doors in 1975. All those activities continue to this day. Bowen’s book of col-
lected papers was published in 1978.
In the late 1980s, a new psychiatry department chair was especially unaccepting of Bowen’s
ideas being so out of step with the still psychoanalytic base of the department. The chair’s atti-
tude, along with Bowen’s health having been in decline for several years, led to Georgetown
University severing ties with the Center in the summer of 1990. It could be that the department
thought the Family Center would fall apart without Bowen because it assumed the Center was
Bowen based, not theory based. Bowen was a strong leader, but the theory had been transmitted
successfully to many others who would continue to develop it. Bowen died in October 1990,
but the family faculty that been assembled over many decades continued the Center’s programs
as a not-for-profit, 501(c)(3) organization in an off-campus location near the one it had occupied
for many years.
Bowen’s principal guidance in reference to the future of Bowen theory and its many applica-
tions (to non-family as well as family systems) for those that would follow him, both at the
Family Center, Inc. (a.k.a. Bowen Center for the Study of the Family as of the mid-1990s) and
at the myriad Bowen theory-oriented sites that had sprung up around the country and overseas,
was to keep Bowen theory an open system by maintaining viable contact with the sciences and
other relevant disciplines. The theory needed to be continuously exposed to new facts emerging
from other disciplines that would either support or contradict it. Failure to do so would render
the theory vulnerable to becoming a closed system, a dogma. A mantra of the Bowen network is
that theory can be changed by facts alone, not by personal opinion. Through the efforts of many
people in many places, the viable contact continues.
I have provided this background on the history of the development of Bowen theory to
emphasize the theory’s unique position in intellectual history. Using systems thinking to combine
facts about human behavior from many disciplines, especially family research, with facts about
human beings as a product of evolution is a genuinely new idea. The theory is not well estab-
lished in the public consciousness at present, but I believe history will treat it kindly. This book
is about research that attempts to support and extend this idea, but an obstacle exists to accept-
ance of the theory.
The recently emerging field of systems medicine highlights some of the obstacles Bowen
theory researchers face. Systems medicine is an interdisciplinary field that looks at the systems of
the body as an integrated whole. Like a family system, the components of a body system interact
to create something that could not be predicted by just studying its individual components.
In systems medicine, the research effort is to elucidate the pathways in a network that regulate
the components of that network, and how networks interact with other networks in the body as
a whole. The ultimate goal is a better understanding of states of wellness and disease. An import-
ant component of the work in systems biology and systems medicine is computational biology or
mathematical modeling.
In a family system, it is difficult to quantify the communication signals that regulate the func-
tioning of family members. When the Georgetown University Family Center was just getting
underway, Bowen invited the research chair of the medical school to a meeting that included
Bowen and his faculty. Prior to the meeting, the chair had been provided with two collections
of papers that had been presented at conferences related to Bowen theory. The first thing the
research chair said was, “I read these papers, but there are no numbers here. Where are the num-
bers?” This comment made quite an impression on me, and I think it highlights obstacles that
Bowen theory researchers face. A mathematical model is not reality; it is an attempt to match
natural phenomena with equations that can then be used to make predictions about natural phe-
nomena. Mathematical models can be honed to fit reality. If a mathematical structure is a good
model of whatever reality is being addressed, it lends a certain credibility to the research. No one
xviii
Foreword
has yet developed mathematical modeling for a family relationship system, but that does not
mean it cannot be done.
An absence of mathematical models is not a reason for family researchers to get defensive.
A useful perspective on this issue has been provided by a young systems biologist, James Valcourt.
He compares the current state of systems medicine to the state of knowledge at the time
Johannes Kepler defined the laws of planetary motion. Kepler described what was happening,
even developing mathematical formulas about the phenomenon, but he could not account for it
being the way it is. Valcourt suggests it is necessary for systems medicine to get to the time of
Newton. Newton conceptualized gravitational forces that could predict everything Kepler
described. I interpret Valcourt’s point to be that systems medicine would benefit greatly from
a theory developed from all the factual information it is collecting. A theory would enhance
future research.
Bowen described myriad functional facts of family interactions gleaned from extensive observa-
tional research. Within a relatively short period of time he was able to construct a theory from
those facts. He did this without any numbers. I suggest that Bowen was like a Kepler-Newton.
This does not mean that computational biology does not have a place in Bowen theory research,
but the existence of family theory places Bowen theory research in a unique place that is different
from where systems medicine is today.
Observational research depends on overcoming what Bowen termed “observational blindness”
or what others refer to as “inattentional blindness.” Both phrases describe a psychological process
that results in an individual failing to perceive an unexpected stimulus that is in plain sight. It
took the application of systems thinking to get beyond the observational blindness generated by
individual psychopathological thinking and to see how patterns of interaction revealed by systems
thinking regulated the functioning and behaviors of individual family members.
Bowen made a quantum leap. Dysfunction in one family member is a symptom of
a disturbance in the family relationship system. The equivalent for systems medicine, if I am
interpreting the current state of that field correctly, would be shifting from the view that
a disease causes a disturbance in an organism’s homeostasis to the view that dysfunction in an
organ or tissue is symptomatic of a disturbance in the organism homeostasis. It would be
a quantum leap for systems medicine to view disease in this way.
All of us who became serious students of Bowen theory had to prove the theory to our-
selves. Bowen got us interested in the ideas, but everyone has his or her own research to do.
No mathematical formulas exist about families to provide credibility. Proving the theory to
oneself is part of the process of differentiation of self. It involves becoming acquainted with
systems thinking and having the motivation (and courage) to apply it in one’s own family. It
is observational research on one’s personal life, recognizing previously unseen patterns, then
taking actions based on this new way of seeing what is unfolding. The actions are aimed at
changing self, not others.
Next comes the problem of assessing any progress that has been made. How to assess, let alone
quantify, progress in oneself and progress in a complex family system is difficult at present.
People fall back on self-observation and observations of the relationship system. Both assessments
are vulnerable to contamination by subjectivity. It is easy to fool oneself into thinking one has
made more progress than one has actually made. The research systems biologists and systems
medicine people are using will likely be of help to Bowen theory researchers over time. For
example, systems biology may be able to quantify levels of chronic anxiety in individuals and
family units to a degree that is not currently possible. To do this, systems biology would have to
include the impact of stress on the networks being studied.
The authors of the chapters in this book are serious students of Bowen theory. Each comes up
with his or her own creative way of approaching research, either to document the accuracy of
xix
Foreword
Bowen theory’s predictions and/or to extend the theoretical concepts. I hope the background
I have described conveys something about the challenges they face in studying a complex system
such as the human family. I commend and admire their efforts. I suspect I will end my career by
saying what Bowen often said, “I know within me that the theory is accurate.” This, of course,
proves nothing.
Michael E. Kerr, MD
July 2019
Islesboro, Maine
xx
Preface
This multi-authored volume provides a framework for examining principles of the research pro-
cess through the lens of Bowen family systems theory. This publication discusses the links
between theory, data collection, and data analysis from a systems perspective. The authors of the
chapters discuss the core concepts within family systems theory, developed from the study of
the human family, with emphasis on strategies for addressing theoretical and methodological
issues inherent in family research.
This book also provides a framework for acquiring new knowledge and expanding the under-
standing of both theory and research methods in family research. This is accomplished through
an in-depth discussion of recurring theoretical and methodological issues encountered in family
research. In addition, examples are provided that illustrate the application of Bowen family sys-
tems theory in empirical family studies.
The seminal work by Dr. Murray Bowen, Family Therapy in Clinical Practice, published in
1978, provides an in-depth discussion of family systems theory and its early development.
Many have written notable publications based on Bowen family systems theory, which tend
to have a clinical focus. They significantly expanded the theoretical knowledge and an under-
standing of issues related to the clinical application of Bowen theory. However, a greater
focus on the expansion of family research to ensure its viability and contribution to future
generations of clinicians and researchers in the social and natural sciences involved in family
research is needed.
The purpose of each chapter is outlined below.
xxi
Preface
on the research methodologies of the project, which have not been discussed consistently as much as
have other aspects of the project. This chapter also reviews some seminal results of the project.
xxii
Preface
collected by quantitative and qualitative research methods that allow researchers to operation-
alize Bowen theory’s concepts.
xxiii
Preface
xxiv
Preface
xxv
Preface
xxvi
Preface
xxvii
Acknowledgments
Many individuals have made significant contributions that have enabled us to complete this research
handbook. However, foremost recognition is due to our families. Mignonette Keller wishes to acknow-
ledge the members of her nuclear and extended family system, including her husband, Royce, son,
Joseph, and extended family for a legacy of leadership, achievement, and courage. Robert Noone
would like to acknowledge the previous generations for all they have contributed to his life.
We are deeply indebted to the authors from the network of Bowen theory scholars and the
academicians in the social and natural sciences who graciously consented to lend their expertise
to writing chapters for the original research handbook based on Bowen family systems theory
and research methods. The cadre of scholars included in this publication will be among the
researchers providing leadership in the quest for a science of human behavior.
Expressions of deep gratitude are extended to Dr. Murray Bowen for his foresight in providing the
foundation and direction for future generations of family researchers. Through his groundbreaking
research, a new formal theory was developed based on the human family, with a goal of moving
toward a science of human behavior. The assumptions, theoretical principles, and constructs within
Bowen theory provide the framework for advancing the knowledge of human behavior through
empirical research. Research and the ongoing development of the theory will determine the viability
of Bowen family systems theory as an approach for the study of the family and human behavior.
Without a doubt, Bowen’s revolutionary vision of developing a science of human behavior will
influence the direction of family research for decades. The future of family research now depends on
serious students of Bowen theory to continue the course that he initiated through the conceptualiza-
tion of a science of human behavior using family systems theory as the springboard.
xxviii
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Ei luullut Pietari pitkää aikaa nukkuneensa, kun jo vielä aivan
pimeällä ahnaan isännän ääni kuului komentavan vieraitaan riihelle
ja Jeesus siihen vastaavan, että kyllä tullaan. Mutta kun ei Jeesus
kuitenkaan tuntunut nousevan, ei Pietarikaan pitänyt kiirettä, vaan
antoi väsymykselle vallan ja nukahti. Kotvan kuluttua saapui isäntä
vihastuneena komentamaan heitä uudelleen, ja nähtyään heidän
nukkuvan rauhallisesti tarttui keppiin ja suomi sillä hyväisesti laidalla
nukkuvaa Pietaria. Tämä hyppäsi säikähtyneenä ylös ja Jeesuskin
heräsi vakuutellen, että kyllä tullaan, kyllä, aivan heti. Mutta kun
isäntä taas meni pois, jäämättä heitä odottamaan, painautui Jeesus
sijalleen ruveten muka uudelleen nukkumaan. Pietari kuitenkin
hätäili, että nyt on mentävä, sillä muuten voi käydä huonosti.
III
IV
V
Kuului reen jalasten kitinää ja pajan eteen ajoi huonolla ja väsyneellä
hevosella kaksi vanhaa miestä, joista toinen istui ajopenkillä.
Hevonen liukasteli kaljamalla ja miehet nousivat reestä. Seppä ei
ymmärtänyt, miksi tämä oli hänestä niin erikoisen mielenkiintoista,
sillä olihan satoja, tuhansiakin hevosia hänen pajansa eteen
pysähtynyt, upeita, maan valioitakin, ja hän oli tuskin silmiänsä
alasimesta nostanut. Mutta nyt täytyi uteliaana katsoa, ja
suuttuneena siitä seppä päätti kohdella ynseästi noita äijä-pahoja.
Äijät tulivat vihdoin epäröiden sisään, katsottuaan hetkisen, mitä
pajan oven päälle oli kirjoitettu. He vilkaisivat toisiinsa ja hymähtivät,
jonka jälkeen ajopenkillä istunut pyysi nöyrästi, että seppä kengittäisi
heidän hevosensa. Oli yksi kenkä aivan irti pääsemässä ja toisista
olivat hokat niin pahoin kuluneet, että hepo pakkasi kierällä pahasti
liukastelemaan. Mutta seppä ei vastannut mitään, eipä enää heihin
katsonutkaan, vaan rupesi tuikean näköisenä takomaan, niin että
säkenet sinkoilivat. Silloin sanoi toinen äijä, se, joka oli herrana
istunut:
— Mutta sallinet toki sen itsemme tehdä? jatkoi nyt kysyjä. Emme
muuta kuin hiukan työkalujasi lainaisimme.
VI
Jeesus ja Pietari ajaa nytkyttelivät hiljalleen pitkin aavaa suon selkää
ja kinailivat keskenään, kuten heidän tapansa oli. Pietarihan se
taaskin oli väittelyn aloittanut, sanoen:
— Kuuletko mitään?
— Kuuntele vielä!
Pietari kuunteli tarkkaan. Kaukaa edestäpäin kantautui hänen
korviinsa outo humina, kuin olisi tyynessä, tähtikirkkaassa talviyössä
kuoleman tuulenpuuska yksinään vyörynyt eteenpäin pitkin kylmää,
rannatonta, surullista suon selkää. Hän katsoi sinne ja näki pian,
kuinka sieltä hiihti mustilla suksillaan nopeasti ja viivasuorasti heitä
kohti Surma, tuo kolkko vanhus, jonka silmäkuopat olivat tyhjät ja
jonka parrassa jäähelmiä helisi. Hän vilkaisi Jeesukseen, mutta
tämän katse oli vaipunut tutkimattomaksi. Hän sanoi vain:
*****