In addition to taking into account the family system as a unit, this approach to therapy also considers how generational, social, community, and cultural factors influence individuals and families.  This article discusses how family systems therapy works, what it can help with, and some of the key techniques that may be used. It also discusses the effectiveness of this type of therapy and things you should consider before trying family systems therapy.

Key Concepts in Family Systems Therapy

Family systems therapy is based on the work of Murray Bowen, a psychoanalyst who developed family systems theory. According to Bowen, family systems theory is rooted in eight interlocking concepts. These eight concepts are:

Techniques of Family Systems Therapy

Family system theory suggests that individuals are inextricably interconnected to their relationship networks. Bowen believed that understanding these networks and the patterns of communication and conflict that occur within them was essential in order to address individual problems.   Types of therapy utilizing this theory may employ a number of different techniques that are designed to help both individuals and the entire family unit. Some of the different types of techniques that may be used depending on the needs of the family include:

Couples therapy: When a couple is having issues, it can affect the entire family. Couples therapy may be used to help people in a relationship resolve conflict and improve communication. Intergenerational family therapy: This technique focuses on understanding how generational influences have affected both individual behavior and how the family unit functions. It helps families understand how patterns acquired from previous generations are affecting the family and learn new ways of interacting.  Narrative therapy: This is an approach in which people develop a story of their life that helps them better understand their experiences, behaviors, and roles.  Psychoeducation: This involves teaching members of the family about different aspects of mental health and treatment. This can be helpful when one family member is dealing with a mental health condition. By educating family members, the individual’s support system can respond more effectively and empathetically to their needs. Structural family therapy: SFT focuses on helping people identify and understand how the family is structured. The goal is to help people improve this organization as needed and learn how to communicate with one another more effectively. Strategic family therapy: This technique focuses on identifying interventions to address specific problems. Each problem requires a novel approach that is specifically designed to address the unique issue the family is facing. 

What Family Systems Therapy Can Help With

Therapy approaches that are focused on families can be helpful for a number of different issues that affect family members. Some conditions and problems that it may be used to treat include:

Addiction and substance abuse problems Anger management problems Anxiety Bipolar disorder Challenges caused by things such as divorce, job loss, or financial difficulties Depression Dysfunctional relationships Eating disorders Infidelity and divorce Parenting issues and conflicts Personality disorders Stress and trauma

It can also be helpful for addressing conflict within families, whether these center on problems in relationships between siblings or between parents and children. It can also be helpful for families dealing with life challenges or with chronic health conditions that may affect one or more family members. When it comes to treating individual mental health problems, family systems therapy often looks at how factors within the family may contribute to the onset or maintenance of such conditions. If one person has a substance use disorder, for example, this type of therapy would help members of the family understand how things like codependent relationships allow the addiction to continue.

Benefits of Family Systems Therapy

This type of therapy has been shown to be helpful for a diverse range of problems. By improving behavioral, emotional, and psychological functioning, family systems therapy can address a wide range of symptoms or difficulties that affect individuals and families. Some key benefits:

Better functioning families: One of the key benefits of family systems therapy is that it can improve how the family unit functions. It also benefits individual family members in a variety of ways. First, it can be helpful for treating different types of mental health issues. And by improving their family support system, this type of therapy ensures that family members also have the empathy and support they need going forward. Stronger connections: Another benefit of family systems therapy is that it promotes openness, empathy, and honesty in families. This can strengthen relationships and improve communication, which can address current problems and prevent future issues. More cohesiveness: Family systems therapy characterizes families as a team. During treatment, each person works individually and collaboratively to come up with solutions that will make the team stronger and healthier. Healthier communication: Family systems therapy can help identify communication problems, power imbalances, and dysfunctional patterns that affect the well-being of each family member as well as the functioning of the entire family unit. Cost-effective: Systematic family therapy can also be a cost-effective approach to treatment. A 2013 study comparing services provided by marriage and family therapists compared to individual therapy found that family therapy services were the least expensive option.

According to one report, family systems therapy helps prevent long-term problems by supporting families during challenges and changes. Other important benefits include strengthening relationships, improving communication patterns, increasing resilience, and encouraging supportive family networks.

Effectiveness

Research suggests that family systems therapy can be an effective treatment for a number of different conditions including substance use disorders, depression, child and adolescent behavior problems, and relationship issues. Family systems therapy can be effective on its own or when used as part of a multimodal treatment program for both children and adults. Some conditions it has been shown to benefit include attachment problems in children, eating disorders in adolescents, and relationship distress in adults. Research has also shown that this approach to therapy can also be useful for strengthening family support when individuals are facing serious health issues. Studies also suggest that family systems therapy can be helpful when used alongside other treatments for substance abuse in teens and adults.

Things to Consider

Because family systems therapy focuses on the relationships between family members, it is important for the entire family to work together during therapy. This can be challenging in situations where one or more family members are reluctant, ambivalent, or resistant to treatment. It is important to note that family systems therapists remain neutral throughout the treatment process. This can be challenging for family members who want the therapist to provide feedback or challenge problematic behavior. From the perspective of some family members, this neutrality can sometimes seem like an implied approval of certain behaviors.

How to Get Started

If you think family systems therapy might be helpful, start by looking for a licensed and experienced therapist with a background in this type of therapy. You might begin your search by looking at an online therapist directory or by asking your primary care physician for a referral. Online therapy may also be an option in some cases. Ask a potential therapist about their training and credentials. Also be sure to inquire about their specific experience working in the areas that you want to address, such as substance abuse or parent-child conflict.  During your first session, you can expect your therapist to gather information about your family, the problems you are facing, and your goals. The therapist may ask questions about your history, your relationships, how you communicate, and what you hope to achieve during therapy. While it may vary depending on your needs, family therapy is typically time-limited, lasting for an average of 12 sessions.