MSc Counselling Psychology Andreas Damianou Case Study based on the Film ‘Lady Bird’ Andreas Damianou MSc Counselling Psychology PSYM 592: Theories of Couple and Family Counseling Dr Andreas Anastasiou 30/04/21 1 MSc Counselling Psychology Andreas Damianou Plot overview, Characters and Family Description The movie takes place in Sacramento, California 2002. Christine McPherson, the protagonist, is the daughter of Marion and Larry and the sister to her adopted, older brother Miguel. Christine, who has named herself Lady Bird, is in her final year of high school. Christine is determined to leave Sacramento and go to a prestigious University in the East Coast to study (a goal that she does manage to accomplish). Lady Bird's final year of school is characterised by exploration, new experiences and a journey of self-discovery. Lady-Bird exhibits a strongwilled, extroverted, opinionated, volatile and quick witted character, personality characteristics that she shares with her mother. Marion is a hard-working nurse who has taken the burden of financially supporting the whole family, often doing double shifts as a nurse, after her husband loses his job. She is determined to keep her daughter close to home, an option more financially feasible for the financially strained family, but also, a way to keep her daughter close to her. Larry is a mild mannered, introverted, empathic man. He has recently lost his job and even though we do not see enough to attest to it, it is insinuated that he is suffering from depression. He keeps his distance from the high intensity, conflictual moments that take place in the family environment. After the intensity has subsided, he intervenes to bring love and harmony between his daughter and wife. He is also supportive of all the family members with their individual endeavours. 2 MSc Counselling Psychology Andreas Damianou We do not know at what age Miguel was adopted, but his name, and looks, make reference to a Latino origin. Miguel has graduated from a prestigious University in the East Coast, moved back home, and works at a local Deli while applying for jobs in the tech industry. In a job interview he attends, Miguel comes across his dad and sister (who was accompanying her dad) in the lobby of the tech-company they both applied for. Miguel is successful at getting the job. Lady-Bird and Marion have a close and antagonistic relationship with their contact vacillating between warm, supportive, critical to cruel within a few breaths. We have less information about the rest of the relationships but from we see, Lady Bird has a secure relationship with her father and an emotionally distant relationship with her brother. Marion and Larry seem to have a secure relationship between them. There are signs of distance between father and son. It is unclear what kind of relationship Marion and Miguel have. 3 MSc Counselling Psychology Andreas Damianou Case Conceptualization In the parts that follow, I will be conceptualizing the McPherson family from 3 different orientations: Bowenian, Structural and Psychodynamic. The case conceptualizations are based upon assumptions and hypothesis constructed from information extracted from the film. These assumptions and hypotheses do not claim to capture the truth. Rather, they are working models that would be further investigated as part the therapeutic process. As more information is gathered as part of therapy so these hypotheses would be further refined, altered, confirmed or scraped all together. Elaborating further on techniques and theory regarding hypothesizing and case conceptualization falls outside the scope of this essay. Even though all 4 family members would ideally be attending family therapy, since we have limited information about Miguel and his relationship with the other family members, for the purposes of this assignment we will assume that Marion, Larry and Lady Bird will be attending therapy. Both the Conceptualization as well as the Intervention section that follow will not be including Miguel. Bowen Therapy As a teenager approaching the leaving-home stage of her life, Lady Bird is struggling to create space for herself so she can begin to separate from her family to become autonomous and create her own identity. By trying to control her, her mother, exasperates in her daughter a desperate need for separation expressing itself as an indiscriminate rejection of her life, her home town and her family all of which she clearly loves. In one of her acts of autonomy-affirming rebelliousness, Christine renames herself and insists to be called Ladybird. By giving herself her own name, Ladybird tries to take control of and create her own identity. Once she moves away from Sacramento and her family, and is able to relax into the space she has provided 4 MSc Counselling Psychology Andreas Damianou herself with, she reclaims her given name. While re-adopting her given name she also ‘pulls’ her family and her town back close to her. In having the space to ‘breathe her own air’ she is able to experience her love for all that she left behind. The relationship between mother and daughter, is characterised by a strong emotional fusion which makes both of them vulnerable (and reactive) to the emotionality of each-other. They show lack of differentiation: the ability to use their rational capacities to act wisely and flexibly, even under anxiety, ability which would enable them to not respond automatically to emotional pressures (Nichols and Davies 2017). They are also unable to be close to each other while maintaining their own individuality and not reacting defiantly towards each other. The second scene of the movie which takes place in the car is a characteristic depiction of emotional fusion and undifferentiation. After enjoying some lovely intimacy between them while listening to an audiobook, the two of them get into a fight. This is an emotionally reactive, antagonistic exchange whereby Lady-Bird passive-aggressively puts her life down, to which the mother is offended and reacts by insulting Lady-Bird: calling her ungrateful and selfish and putting-down her intelligence. The emotional reactivity escalates and the scene ends with LadyBird opening the door and jumping out of the moving car to the terror of her mum. Triangulation patterns arise in the family: Marion triangulates her daughter by complaining to her about the under-involvement of Larry. This might help her let steam off but it freezes the conflict that is present in her relationship with Larry in place. The daughter triangulates her dad by asking him to help her with her University application behind Marion’s back. The dad is triangulated in by agreeing to participate. 5 MSc Counselling Psychology Andreas Damianou Structural Family Therapy Marion has an enmeshed relationship with her daughter. Their relationship is characterised by diffuse boundaries: Marion is overly-involved into her daughter’s life. Both mother and daughter seem dissatisfied with the relationship. A sign of diffused boundaries is Marion entering her daughters’ room without knocking. There is also a scene where Marion and Larry are in the bathroom together so Marion might have a more general tendency towards diffuse boundaries. Larry is a supportive father, sympathetic to the struggles of his children and has a close bond with his daughter. Father and daughter seem to be maintaining healthy boundaries between them and at the same time enjoy a close relationship between them: They are present into each other’s lives and support one another. On the other hand, Larry does exhibit signs of disengagement from the system: he keeps himself out of the intense emotional interactions that takes place around him, especially in regards to the mother-daughter dynamic. He also appears to be disengaged from his role as a husband. Observation of the family dynamics point towards a triadic, complementary father/mother to daughter relationship. This dynamic is also insinuated by Marion who says that she has to take the role of the ‘bad parent’ because her husband is the ‘nice one’ and somebody needs to fillin the role. Marion is monitoring, dominant, critical in her relationship with Christine while dad gives space, is tolerant and compassionate. Besides the complementary dynamic that Marion and Larry exhibit in regards to their role as parents, a similar complementary dynamic is also present in their role as husband and wife. Larry remains passively at the background while Marion is over-involved and takes 6 MSc Counselling Psychology Andreas Damianou responsibility of all aspects of the running of the family: Does double shifts at work to cover the financial needs of the family while also fulfilling the role of the house keeper. Larry’s role is to be the peacekeeper/emotionally supportive person in the family. Psychodynamic Therapy Lady Bird is immersed in the separation-individuation process. As part of this process, a lot of frustration is experienced by Lady-Bird as she is desperately trying to define herself and claim her autonomy. A hypothesis that we can make is that part of this frustration stems, from a conflict that arises between her need to individuate and her loyalty to her family. We can further hypothesize that this conflict gives rise to a defence mechanism: disapproval towards her life, her family and her town. This defence mechanism protects lady bird from becoming aware that she actually loves her town and craves for attachment with her family in fear that she might be engulfed by them, loose herself in them and make it more complicated to chart her individuation path. Towards the end of the movie Christine seems to have enough psychic distance to claim her birth name, and to allow for her selfhood to express as her parents would express theirs, and would like her to express hers (she attends a local church), without having to be them or be defined them. We never get to meet the grandparents, but Marion does make a noteworthy reference to her own mother, reference that a psychodynamic therapist would certainly be interested in. Marion refers to her mother was an abusive alcoholic. Certainly this reference gives us very little to go by but certain hypothesis can be drawn. Firstly, a person who has themselves experienced bad parenting will, quite likely, repeat some of the same patterns since this is the parenting model she grew-up with at the absence of a model of appropriate parenting. Secondly, a person who has been denied a normal childhood, might resent (feel jealous) their own child for having a 7 MSc Counselling Psychology Andreas Damianou normal childhood. The mother could love her daughter and feel both happy to provide a good childhood for the child but at the same time resentful. Projective identification: Re-enactment of childhood: Marion has possibly been neglected and/or abused by her mother. This is experienced as a form of rejection. Through projective identification the mother re-enacts the relationship with her daughter: treats her in a way that would lead to her daughter rejecting her. Attachment style: A working model of the attachment styles of the McPherson family members would be useful information for the course of therapy. From the information that we have available, the most informed hypothesis that we can make is that Marion is insecurely attached: preoccupied or anxious (which also makes sense in terms of her reference to an abusive alcoholic mother). Marion is anxious about her relationship with her daughter and gets hurt very easily, primarily about things that ladybird does to individuate. When Ladybird goes to have thanksgiving dinner with her boyfriends’ family, Marion gets triggered. As a reaction she mistreats her daughter in a passive aggressive way. She has a similar reaction when she realizes that Ladybird is leaving to go to University. 8 MSc Counselling Psychology Andreas Damianou Therapeutic Interventions In this next part of the assignment, I will be looking into ways in which I would be intervening therapeutically in the treatment of the McPherson Family. This section will include interventions coming from 3 different orientations: Person-centred, Psychodynamic, Bowenian and Structural. Person-Centred and Psychodynamic The core conditions (congruence, empathy and UPR) of the person-centred approach will be laid-out as the foundation of the therapeutic work to take place with the McPherson family. Psychodynamic interventions will be integrated as part of this section. Congruence is the condition that the therapist applies himself in a genuine, integrated way in the relationship. (Rogers 1956). By applying himself congruently in his relationship with the McPherson family the therapist gives the message that being real and true to oneself is both permissible and desirable (Mearns and Thorne 2007). For Lady-bird and Marion whose own hurt feelings underlie a lot of their conflict, they could be encouraged to own and express their vulnerabilities and needs to each other and to Larry rather than being defensive, passiveaggressive and lashing out. Being true to themselves could lead Christine, Marion and Larry to what Rogers (1956) calls lower internal conflict and higher integration i.e. a decrease in the clash of conflicting internal tendencies towards acceptance and incorporation of all of them as part of oneself. Empathy is the condition that the counsellor experiences the client’s awareness of her own experience (Rogers 1956). That is a deep understanding of how it is like for the client to feel and think in the way she does and experience the world as it is for her (Mearns 9 MSc Counselling Psychology Andreas Damianou and Thorne 2007). An empathic counsellor becomes a true companion for each of the members of the McPherson family. This gives the clients a sense of self-worth and the boosted confidence to own and express their vulnerability to each other. Through the reflection of the thoughts and feelings that lie within them Marion, Larry and Ladybird can become more self-aware. Once the therapeutic relationship has matured, the person-centred as well as psychodynamic therapist would penetrate deeper into the emotional world of each of his clients. Using his empathy, he might say to Larry “Larry I am picking up a deep longing within you: The longing to see your daughter and wife happy and getting-along with each other. It seems to me that the intense emotional conflict between them is uncomfortable for you and makes you pull-back and close further into yourself. Does anything of what I am saying ring true to you?” Alternatively, to Christine he might say something like “Lady-bird, it seems to me that you have the need to receive from your mother an honest, heartfelt appreciation for who you are and specific acknowledgement for your qualities as a person. Am I getting you?” And to Marion he might say (perhaps not in one go): “Marion, you are working extremely hard to sustain your family, both at work and at home and you might be feeling underappreciated for all that you do? Moreover, you had a really tough upbringing which helps you appreciate the importance of a stable family environment and at the same time gives rise to hurt and bitterness for not being acknowledged for all that you have been able to provide your family with? Am I getting to some of your feelings there? Am I missing something?” This process is an invitation by the counsellor to his clients to reflect on their experiences, explore their self further and as a psychodynamic therapist might put it: own the disowned experiences and feelings that lie underneath. At the same time, this process invites each of the 10 MSc Counselling Psychology Andreas Damianou family members to allow themselves to own their feelings and express their vulnerabilities to each other, vulnerabilities which they (consciously or unconsciously) hide from each other in fear that they will be hurt. In this way, through the counsellors use of empathy, each of the family members may be able to better understand and accept themselves which at the same times produces change towards lower internal conflict and higher integration, both within themselves and within the family system. “Unconditional positive regard (UPR) is the opposite of taking an expert, distant, neutral, dispassionate stance.” (Hill 2007 p. 260-264). UPR is the condition the counsellor accepts his clients as they are (Rogers 1956). In this way, the counsellor cares for each person in the family as a separate individual and allows her to have her own feelings, thoughts and experiences. UPR can enable the differentiation/individuation process within the family: By allowing for each family member to have her own unique experience and create an environment where each of these unique experiences can be a part of the whole without compromising it, it allows each of them to allow themselves to have and communicate their own experiences without feeling compelled or guilty that they betray each other. At the same time, it would be important to allow for each of the family members who might feel threatened by each-others individuation to express these fears, fears that if not expressed, explored, soothed and worked-through both individually and through the support by the family, could convert themselves into tyrannical elements of overt or passive aggression and guilt tripping, tyrannical elements which Marion expresses towards her daughter. Bowenian Bowenians see their role as providing the family members with an opportunity to learn about themselves and their relationships so that they can tackle their own problems. Getting past 11 MSc Counselling Psychology Andreas Damianou blaming, helps each person understand the role they play in the family problems. Sessions are designed to minimize emotionality and foster self-reflection and nudge family members to adopt more responsibility which the therapist accomplishes by remaining himself detriangulated and asking questions, one family member at a time. From a Bowenian perspective we would be aiming to facilitate a move of each member of the family towards differentiation, low anxiety within the family context and establishing of good emotional contact with the rest of the family members (Nichols and Davis 2017). Differentiation: In bowenian terms this is a move towards becoming responsible for oneself. Even though individually focused, each family members’ differentiation contributes towards the transformation of the family. Being responsible for oneself means getting clear about what you think and feel and what you believe, speaking for yourself and maintaining your own values. You don’t take responsibility by changing others or wish that they are different. Accepting oneself and acknowledge the right of others to be different enables the person to come into contact with others without becoming unduly upset or emotionally reactive (Nichols and Davis 2017). Working with the McPherson family using the Bowenian methodology we would create a safe therapeutic space with low emotionality where the family members can elaborate on their own thoughts, feelings and beliefs without reacting to each other. By creating this kind of exploration in the presence of each other we are able to allow them to differentiate while being in contact. Through this exploration, in the presence of a therapist that regulates the conversation, Christine may be able to explore and speak her own truth, and without the constant emotional battle with her mum slowly come to a place where she feels safe to move closer to her actual experience rather than adopting reactive and defensive positions. For 12 MSc Counselling Psychology Andreas Damianou Marion, this conversation can enable her to begin to let go the need to control her daughter, understanding that she can have an emotionally close relationship with her while allowing her to become her own person. For Larry, having an intervention which lowers emotionality and allows for him to express himself would be a chance to give voice to who he is besides the person who tries to minimize conflict and support the two women in his life. Triangulation: Another bowenian intervention that we would utilize to work towards the therapeutic aims outlined in the first paragraph is helping family members avoiding triangulation, or detangle themselves out of established ones. For example, instead of Marion triangulating her daughter regarding her father not being involved enough as a parent, we would encourage her to speak directly to Larry and express her thoughts to him, using ‘I’ statements without accusing him. Also in terms of the triangle of Ladybird with her dad, even though it would still be useful to guide Christine to address the issue with her mum, we would primarily be addressing the matter with Larry since he is the adult and the husband. Being the adult, father and husband, it is Larry’s responsibility to inform the daughter that he would take the issue to his wife, speak to Marion about their daughter’s request and own his position that he wants to support his daughter. Structural Since the McPherson family is illustrating enmeshed boundaries, one thing we would want to be doing with them is strengthening boundaries. Family members are encouraged to talk for themselves, interruptions are blocked and dyads are enabled to finish conversations without intrusion. For example we might say: “Larry and Marion, talk this over, and everyone else will listen carefully.” 13 MSc Counselling Psychology Andreas Damianou Although we might have sessions with the whole family, we might also have sessions with subgroups: Christine and Marion and Larry and Marion, the first one to strengthen the boundary between them and the second to reinforce their channels of communication, encourage them to express what they need from each other and strengthen their relationship. For example, in relation to the issue with the University application: we would see the way the system functioned as a failure of the parental subgroup to function properly. Thus from a structural perspective we would be aiming to strengthen the parental subgroup so that Larry would take the matter and discuss it directly and openly with his spouse to figure-out a solution between them. Take turns using ‘I’ statements about how they are feeling: Creating a space where each of the family members feels safe to voice their feelings and needs. For example, rather than the anger and distain expressed by Marion she might come to express the hurt and longing for connection that she feels. Larry, who neither gets involved nor fights back might express feelings of being suffocated and doubts about his self-worth. Ladybird who keeps putting her life down might come to express that her self-worth and identity feel threatened and she could really use some acknowledgement from her mum. Change in the relational dynamics within the McPherson family would involve both parents become aware of the way they contribute to the problematic dynamic at play, taking responsibility for their own contribution and shifting their style accordingly. Perhaps what could help Marion let go of her impulse to control her daughter’s life, her marriage and the household is a husband who is more present in her life and the life of the house. On the other hand, what would give space to Larry to be more present and take more responsibility within the family is for Marion to back off and allow for that space. 14 MSc Counselling Psychology Andreas Damianou Conclusion This paper was a Case Study of the McPherson family as presented in the film Lady Bird. The family was conceptualized from 3 different orientations: Bowenian, Structural and Psychodynamic. Therapeutic interventions that could be applied for the treatment of the family were presented from 4 different perspectives: Person-centred, Psychodynamic, Bowenian and Structural. References: Greenberg, L., Elliot, R. & Lietaer, G. (1994). Research on experiential psychotherapies. In Bergin A. & Garfield S. (eds) Handbook of Psychotherapy and behaviour change. New York: Wiley. 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