Utilizing Bowen Family Systems Theory as a Medical Family Therapist to Promote Biopsychosocial-Spiritual Health Across Clinical Settings

Abstract

Integrated behavioral health care (IBHC) requires theoretical foundations that translate family systems thinking into day-to-day medical settings. Bowen family systems theory (BFST) provides such a foundation by adding a multigenerational roadmap for practice. This paper delineates how BFST can guide clinicians in IBHC to foster patient and family resilience while supporting interprofessional collaboration. We describe stage-based applications—joining and assessment, goal formulation, and intervention—using genograms, process questions, tracking and detriangulating triangles, and coaching of an “I-position.” These practices aim to increase differentiation of self, clarify role boundaries, and help patients and caregivers balance caregiving with autonomy across episodes of care.

Keywords

Medical family therapy family systems therapy integrated behavioral healthcare biopsychosocial-spiritual health

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