MFT Study

Review

Session • Mar 31, 2026, 2:00 PM

Score 8/1080%

Treatment Planning

Mark (44) and Susan (42) arrive with their 15-year-old son Jake, the identified patient with anger issues. In a structural assessment session, the therapist observes that Jake becomes agitated whenever his parents disagree about discipline. Jake's anger appears to escalate before his parents' arguments peak — as if he is absorbing the tension. Susan's body language reveals that she frequently yields to Mark's opinions to avoid escalation. Mark describes his own father as 'a strict man who didn't tolerate backtalk.' The therapist recognizes that Jake may be triangulated into the parental conflict. What is the MOST appropriate Bowen intervention?

Your answer: ACorrect: B

Rationale: Bowenian theory holds that the most powerful intervention is at the level of the multigenerational emotional process. Mark's unconscious repetition of his own father's authoritarian discipline style — combined with Susan's yielding to avoid conflict — creates a family system where Jake is triangulated as both the scapegoat and the emotional regulator. Using the genogram to help Mark see this pattern in himself — and to understand how his differentiation from his own father is incomplete — is the most systemic and enduring intervention.

Treatment Planning

Ahmed (52), an Egyptian immigrant, and his wife Fatima (48) arrive with their 24-year-old son Omar, who recently married an American woman named Sarah (25). Both parents are struggling with boundaries around Omar and Sarah's marriage. Ahmed says, 'In our culture, the family is everything. Sarah doesn't understand that.' Omar says, 'I'm American too, and I need my own life.' Fatima says she is 'caught in the middle' and is experiencing physical symptoms she attributes to stress. The therapist recognizes that Fatima may be triangulated between Ahmed and Omar. What is the MOST appropriate Bowen intervention?

Your answer: ACorrect: C

Rationale: Bowenian therapy for intergenerational in-law conflict requires mapping the multigenerational expectations around marriage, extended family involvement, and the role of the in-law across at least three generations. The therapist would explore Ahmed's own parents' relationship to their in-laws, Fatima's family-of-origin patterns, and how these are being transmitted to Omar and Sarah. This genogram work creates differentiation by making the multigenerational emotional process visible — helping each family member see what belongs to their family of origin versus what is their own.