NCE – Murray Bowen Family Systems Therapy

Developed by Dr. Murray Bowen, MBFST involves a systems perspective reflected in the other theories discussed thus far. According to MBFST, families have relationship systems in which individuals function interdependently. Consequently, underlying issues within families is a complex circular causality that diverges from the linear thinking standard in conventional therapy. MBFST describes three inter-relational family systems: (1) an emotional system, (2) an intellectual system, and (3) a feeling system. While the emotional system is an inter-relational byproduct of our primitive limbic brain, the intellectual system represents the efforts of our prefrontal cortex. Finally, the feeling system appears to be a Hegelian dialectical concept that combines insights of two previous systems.

Solution-Focused Family Therapy…

“Solution-Focused Brief Therapy (SFBT) is a future oriented, goal-directed approach to brief therapy that uses questions designed to identify exceptions (times when the problem does not occur or could occur less in the client’s life), solutions (a description of what life will be like when the problem is gone or resolved), and scales which are used to measure the client’s current level of progress toward a solution and reveal the behaviors needed to achieve or maintain future progress.” (Metcalf, 2011, p.) 287)

  1. Focused on the Present not the Past -
  2. Postmodern  & Social Constructionist 
  3. Pragmatic - Structure rigidly imposed
  4. Client is the expert...not pathological.   

NCE – What is Family Therapy?

As new beliefs, thoughts and interactions emerge from within an individual, a ripple effect can be seen throughout the family.  "family therapists...believe that the dominant forces in our lives are located externally in the family.  Therapy is based on this framework which is directed at changing the organization of the fmaily." (Metcalf, 2011, p. 4).  On the one hand, the therapist's therapeutic perspective can be seen to influence his approach.  On the other hand, there are a few commonalities in how they might conceptualize a case...

NCE – Essential Family Skills…


This assignment focuses on a fictional family, the Banyons. What follows is a consideration of information needed prior to the initial session. Issues involving seating arrangements, the initial greeting, and session goals are also discussed.

NCE – “Research & Program Evaluation”

Nerd Alert!!! This paper represents an attempt to make sense of the math portion of an upcoming NCE exam...

Dealing with Uncooperative clients…

The Final Creative Project….

It's [ALMOST] official 🙂 !!! On June 3rd, 2017 I finish my last class and my degree is officially conferred on the 30th.

Borderline Personality Disorder

Borderline Personality Disorder (BPD) is a “pervasive pattern of instability of interpersonal relationships, self-image, and affect [with] marked impulsivity” (American Psychiatric Association, 2013, p663). Over the years, I’ve noticed that RN’s at work frequently mention BPD as one of the most difficult diagnoses to and manage. What follows is an overview of (1) how a BPD might influence an individual’s parenting styles, and (2) how this affects their child’s development.   Insights from an article titled “Children and Mothers with Borderline Personality Disorder”, have been included (Stepp, et al, 2012)

An Overview of ADHD

Attention Deficit Hyperactivity Disorder (ADHD) is defined as a “persistent pattern of inattention and hyperactivity-impulsivity that interferes with functioning or development” (American Psychiatric Association, 2013, p59). Hyperactivity involves a persistently excessive level of motor activity that interferes with an child’s social and academic activities (American Psychiatric Association, 2013; Orvashel, et al, 2001). Impulsivity involves poorly thought out actions that reflect an attention toward immediate rewards that manifest as socially inappropriate (American Psychiatric Association, 2013; Orvashel, et al, 2001). Finally, inattentiveness produces an inability to maintain attention and difficulty sustaining focus on an activity (American Psychiatric Association, 2013; Orvashel, et al, 2001).

Hamilton Depression Rating Scale

Major Depressive Disorder involves a depressed mood, loss of pleasure, and changes in overall functioning (American Psychiatric Association, 2013).   Other symptoms associated with this diagnosis include weight loss, psychomotor changes, fatigue, feelings of worthlessness, and difficulty concentrating (American Psychiatric Association, 2013).   Hays, (2013), states that “the lifetime prevalence of major depressive disorder [is] estimated to be 17% in the general population” (p151).