bp nr201 bowenian perception

Review Case Study on Midori. For this discussion, review the case study and consider Midori’s situation from a Bowenian perspective.

Midori is a 16-year-old girl referred to you by her school guidance counselor. Midori is described as a very bright girl who does well in school but who always has been worried about her looks. The guidance counselor made the referral because Midori’s teacher reported that Midori appears withdrawn and not herself lately. Midori weighs herself daily and records every shift in her weight. She also seems extremely conscious of the food she is eating. Regardless of how many of her family and friends tell her she looks great, Midori still believes that she needs to lose weight.

Midori’s mom Yvonne calls to make the appointment for therapy. Yvonne was very pleased about the referral to therapy because she has felt for some time that there have been problems building with Midori. Yvonne explains that she is very concerned about Midori. She describes Midori as having been very sweet and cooperative, but now she is extremely defiant at home. It is a struggle to get her to join the family for meals and to do any of her assigned chores. Yvonne also feels that Midori walks around with a bad attitude toward the family all the time. Midori used to be involved in playing team basketball but recently decided to quit the team.

You find out that Yvonne and her husband Kane both work full-time jobs that are stressful. Kane is an executive at a local advertising firm, and Yvonne works full time selling real estate. The family income has been greatly reduced recently due to the downturn in the real-estate market.

Kane thinks that Yvonne is overreacting and that Midori is a normal 16-year-old girl. He believes she is going through adolescence. He believes this is a difficult time for kids, and he thinks that Yvonne needs to accept that Midori is growing up. Midori has a younger brother, Daniel who is 14 years old and considered the clown of the family.

Midori at times is open to attending counseling and, at others wonders how it can be helpful. Scheduling the first appointment was challenging, mostly because Yvonne and Kane have very challenging work schedules. During a conference call with you regarding scheduling the first appointment, an argument broke out between Yvonne and Kane about how busy they both are and why the scheduling of the first appointment was so difficult. Kane appeared frustrated that they would now have the added stress of a weekly therapy appointment to fit into their lives. He wondered if he needed to attend the sessions. Yvonne complained about how they are living their lives, and Kane was frustrated that Yvonne was making a big deal out of things. They finally scheduled the appointment with you after 20 minutes on the telephone.

Then, respond to the following:

  • What is the role of the therapist from this perspective?
  • Who would the clinician want to attend in majority of the sessions from a Bowenian perspective? Why?
  • What would the assessment process look like from this perspective?
  • Is this a strength-based model or a deficit-based model of therapy? Explain.
  • What is the theory of change from this perspective?
  • Who or what would be the target of intervention, and what would be examples of specific interventions that would be used from this perspective?

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