From Gestalt Therapy to Family Systems: How Theoretical Frameworks Inform Clinical Applications

Abstract

Working with a client, the author transitioned from a Gestalt psychotherapy framework informed by attachment theory and developmental theories to Bowen family systems theory. Using a Gestalt framework, the development of self was seen as embedded at times in the interconnectedness of all things and at times in the mother/child dyad with the clinical priority working within the therapeutic relationship. From a Bowen family systems theory framework, the author viewed self as an evolutionary biological process that developed through the family system and worked outside the therapeutic relationship. Working within the therapeutic relationship, there was evidence of a decrease in anxiety, an increase in self‐regulation and a more positive self‐perception. Working outside the therapeutic relationship, the client demonstrated an increased ability to self‐soothe in the midst of challenging interactions with significant others and less dependence on the therapist for self‐regulation. Whilst the therapeutic relationship was effective in achieving self‐regulation in non‐challenging relationships, working outside the therapeutic relationship was effective in achieving self‐regulation within challenging relationships.