Tag Archives: Ronald B Cohen

Nuclear Family Emotional Process, Projection Process and Multigenerational Transmission Process

This week’s blog is a guest post by Ronald B Cohen, MD, a Psychiatrist and Marriage and Family Therapist from Great Neck, NY.

“The problem a patient or couple or family walks in with is less important than the relationship obstacles that keep them from working to resolve it”. — Guerin & Fogarty

What is it about family gatherings, holidays and life cycle celebrations that often bring out the worst in their participants? Where do the unspoken rules of family togetherness behavior that we reflexively adhere to, or reactively reject without due consideration of what conscious responses would be in our own best interest, come from? How do they thwart “growing in the ability to be fully responsible for my own life while being committed to growing closer to those I love”?

To begin to answer these questions, we turn to three more of Murray Bowen’s eight interlocking concepts, Nuclear Family Emotional Process, Family Projection Process and Multigenerational Transmission Process. The former addresses systemic patterns of response to marital “we-ness,” while the latter traces this process vertically through the generations. Family Projection Process connects the two as it is the only one of the four nuclear family patterns that crosses generational boundaries, and is the foundation upon which the Multigenerational Transmission Process develops historically from generation to generation.

Nuclear Family Emotional Process develops family distress in one or more of the following four patterns:

    1. Emotional Distance
    2. Marital Conflict
    3. Problems in a partner’s functioning
    4. Transmission of the problem to a child

Family Projection Process describes the mechanism whereby parental anxiety is transmitted to children. Initially children are passive recipients. As they grow older, they quickly become participants.

The Multigenerational Transmission Process describes how the Family Projection Process operates from generation to generation. “Any set of parents, however, is merely the current embodiment of forces or processes that have been active for many generations before them” (Papero 1990). Over time and through multiple generations, small differences may progress to significant divergence in functioning and solid self amongst descendent lines.

Awareness of these natural processes helps calm anxiety and improve self-focus which in turn leads to decreased emotional reactivity and more productive decision making, thereby increasing the probability of higher social, emotional and physical functioning.

Attention to one’s own level of self-differentiation helps us modify and change our behavior at times of family life cycle transitions and unexpected crises. The task is about resolution of unique one-to-one relationships with each and every family member. This in turn leads to larger system-wide changes in family functioning.

Maintaining both autonomy and emotional connectivity is the both/and (Yin/Yang) goal. Whether you are fused and enmeshed, or conflicted, distant, cut-off and non-communicative, you remained undifferentiated and out of control. If your behavior is reactive, whether positively or negatively, you are not self-directed.

When seemingly inescapably caught in reciprocal family processes remember, “What you resist, persists.”

Rather recognition, acceptance and attention to improving functional levels are life sustaining and enhancing.

When all else fails, consultation with a well-trained Bowen Family Systems Theory coach or therapist can help keep the process moving forward in a positive direction.

Best of luck on your unfolding journey of a lifetime.

 

This post was written by Ronald B Cohen, MD, a Psychiatrist and Marriage and Family Therapist from Great Neck, NY. Dr. Cohen is a Fellow of the American Psychiatric Association and an Affiliate Member of the American Academy of Marital and Family Therapy. As a consultant specialist, Dr. Cohen provides clinical supervision, and confers with individual therapists and other health care professionals and organizations to help them consider how adding family therapy sessions to the treatment program is both restorative and proactive as improvement is long lasting.

Dr. Ronald B. Cohen graduated summa cum laude, from Brandeis University and The Albert Einstein College of Medicine. In addition to his psychiatric residency training, Dr. Cohen was educated at the Psychiatric Epidemiology Program of the Columbia University Joseph L. Mailman School of Public Health. Subsequently Dr. Cohen completed the four-year core postgraduate training program in Family Systems Theory and Therapy at The Family Institute of Westchester

Please feel free to comment, request more information and/or schedule an initial consultation contact Dr Cohen at: http://www.familyfocusedsolutions.com/contact/

Or email him at:

RBCohenMD@FamilyFocusedSolutions.com

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The Relational Trauma of Affairs

A Guest blog written by Ronald B. Cohen, MD, Bowen Family Systems Coach in Great Neck, New York. Dr Cohen is a Systemic Family Therapist sharing his views on how people with chemical dependence, and their families, can benefit from Systemic Family Therapy. For the complete article by Ronald B. Cohen follow the link below, http://www.familyfocusedsolutions.com/the-critical-role-of-family-therapy-in-the-treatment-of-chemical-dependence-a-systemic-approach/.

Every End is a New Beginning
Do affairs destroy marriages or do troubled marriages lead to affairs? Does an affair create an insurmountable problem or can a marriage be saved after an affair? When thinking systemically, the answer is almost always yes, not either/or but both/and, which leads to a qualified no on the insurmountable question.

Affairs are a symptom but a symptom of what? There is no single “affair story”. Intimacy avoidance, conflict avoidance, sexual addiction, and exit affairs each reflect a different message about what is wrong in the marriage. There are also any numbers of reasons external to the marriage as to why one or both partners may engage in an affair. These include family of origin issues, gender beliefs and stereotypes, forms of entitlement such as male privilege, vulnerability at times of particular life cycle transitions, and the “cluster stress combinations of all of the above. There are also multicultural considerations, as the meaning of an affair is very different in many Asian, European and South American countries.

The painful relational trauma of an affair necessitates a systemic resilience-based approach to healing. The “unfaithful partner” has to take one hundred percent responsibility for going outside the marriage in an ill-advised attempt to resolve relationship issues. The “unfaithful partner” needs to be truly remorseful and offer a full apology of (1) “I’m sorry”, (2) “I’ll never do it again” and (3) “How can I make it up to you” including any and all “high-cost behaviors” that may be asked for by the “hurt” partner.

Subsequently it behooves each partner to take responsibility for their contribution to the couple distress, generating a better understanding for both partners of their interconnected, but also separate, dilemmas. One thing we can’t say is where the self-reinforcing cycle of negative interactions began or who threw the first punch. As each partner is a player in the drama, there are no saints or sinners, no victims or villains. Either everyone wins or everyone loses. Relationships are not a zero sum game.

The relational approach provides a framework for the couple to recover from the affair and reinvest in their relationship. Each partner is one hundred percent responsible for his/her 50 percent of any relationship as well as his/her own emotional wellbeing. Janis Abrams Spring describes the traumatic effects and symptoms that typically result from disclosure of an affair. She gives an empathic account of both the physiological, psychological, spiritual, and relational changes that occur in the “hurt partner” as well as the grief, guilt, paralysis, and difficult choices of the unfaithful partner. ‘‘Not everyone who has discovered marital unfaithfulness is equally wounded, nor is every person whose infidelity is discovered equally affected.’’

The loss of trust and severe attachment injury of an affair forever changes the relationship. As with all major traumas one does not “get over it”. Life is always different in the aftermath. Forgiveness includes being kind and empathic with one’s self. Intimacy, connection and vulnerability are inseparable in adult love relationships.

An affair need not be the end. It can be a new beginning filled with mutual understanding, compassion, forgiveness and restored trust. Learning constructive communication techniques and being willing to use them is a risk well worth taking.

If you are struggling with an affair or its aftermath, please share your thoughts and experiences in the “Leave a Reply” box below. If you found this post useful, don’t keep it a secret. You are encouraged to click on the social media buttons to share this article with your own networks. Looking forward to continuing the conversation.

Ronald B. Cohen, MD
Bowen Family Systems Coach
1 Barstow Road, Suite P-10
Great Neck, NY 11021
(516) 466-7530
RBCohenMD@FamilyFocusedSolutions.com

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