Module 5 Module 5

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Male D- DanielM- Marcus

Female F- FitzN- Natalie

Depression T- Teresa E- Ethan

Hypertension P- Peter

K-Kennedy C- Carol

B-Beth L- Lesley


Lesley,the writer, is a thirty-five-year-old graduate student with nomedical complications. She was treated for depression at the age ofseventeen when her childhood pet, a dog named Charlie, passed on.Lesley is the firstborn among four children. The second born, Marcus,is a twenty-nine-year-old accountant and had a diagnosis andtreatment of hypertension two months ago. The third child, Tracy istwenty-four years old she is an architect and has no medicalcomplications. The last born, Ethan is twenty-one years olduniversity student he has no history of hospitalization or chronicillnesses. The parents’ Daniel and Carol are both alive. Daniel isa fifty-nine-year-old civil engineer and a hypertensive. Carol on theother side is a fifty-seven-year-old elementary school teacher withno history of chronic illnesses.

Lesleyhas one maternal uncle, Peter, who is a fifty-nine-year-old lawyerand not married. The paternal grandparents, Kennedy and Beth are bothalive and live with a maid who takes care of them. Kennedy is aneighty-seven-year-old hypertensive while Beth is eighty years oldwith no history of chronic illnesses. The maternal grandparents, Fitzand Teresa are alive and moved in with Peter so that he can watchover them. Fitz is eighty-three years old, uses a walking stick andhas no history of clinical complications. Teresa on the other side isseventy-nine years old and received treatment for depression at theage of twenty-two after her parents and two siblings died in a planecrash.

Theparents are quite supportive in whatever the children do even thoughthey still encourage them to be responsible for their own actions.The mom is a bit stricter than the dad and at times, they find ithard to approach her. The father on the other side is quite easy tothe children. In terms of a differential of self, the children alwayslearned how to set goals and accomplish them through their parents.As a result, each has taken courses in lives that were of their ownchoice and are independent (Edwards 2011). The family is close andthe children tend to confide in each other whenever there is an issuebefore discussing it with their parents. Therefore, there is a strongemotional support within the family (Jones-Smith 2014). Thefirst-born has always had the responsibility to set out a goodexample to the rest of her siblings. In regards to sibling position,the first child has the greatest role in not only being a goodexample but also looking out for the others. The paternalgrandparents are very close with their grandchildren and rarely offerany criticisms. However, there seems to be some sort of strainedrelationship with the father whenever the two cannot agree onsomething. The maternal grandparents on the other side are supportivebut at the same time strict when it comes to taking responsibilityfor one’s actions.

Lookingat the genogram, it is clear that there is a pattern of difficulty indealing with loss as evident by depression that Beth and Lesley haveexperienced. The parents have also taken some characters from thekind of parenting they encountered as it reflects on how they handletheir children. In terms of evolution, the family is becoming abigger unit to offer a wider ground for emotional support among themembers. The main strength of the family lies in their closerelationship that ensures they can be available for each other.However, the tendency of the paternal grandparents to show thegrandchildren so much affection without criticizing their mistakescould hinder proper development of independence and social relations(Cappuzzi &amp Stauffer 2015).

Thetechnique of setting and respecting boundaries could be useful to thefamily. There are different kinds of boundaries such as hierarchicaland personal. Setting hierarchical boundaries is essential to ensurerespect for authority. For instance, Daniel should ensure that he isnot too lenient with his children so that they respect him as afather. Interpersonal boundaries, on the other hand, are essential indeveloping independence and getting privacy. The children and theirpaternal grandparents should have some limits so that they learn howto be self-reliant and take responsibility for their own actions. Considering the fact that the paternal grandparents never criticizethe grandchildren when wrong, they could easily defy authority andrun to the grandparents for protection (Nicholas 2014).

Therefore,based on the genogram and the discussion, there is clear evidence ofrepetitive patterns in the family. The family unit is also evolvinginto a bigger support system for all the members. Bowenian conceptssuch as differentiation self, triangle, and sibling positions areclearly applicable in understanding the family. The primary strengthof the family is their close relationship while the disadvantage isthat too much affection from the paternal grandparents withoutimparting responsibility may hinder proper independence and propersocial relations. There is the need for the father to createhierarchical boundaries so that the children can respect him whilethe grandparents and the grandchildren should have some interpersonalboundaries to allow build independence.


Capuzzi,D., &amp Stauffer, M. (2015). Foundationsof Couples, Marriage, and Family Counseling (1sted.). New York, NY: John Wiley &amp Sons.

Edwards,J. T. (2013). Workingwith families(1st ed.). Hoboken, N. J: John Wiley &amp Sons.

Jones-Smith,E. (2014). Theoriesof Counseling and Psychotherapy: An integrative approach(1st ed.). Thousand Oaks: SAGE Publications.

Nicholas,M. P. (2014). Theessentials of family therapy.