THE ROLE OF THE FATHER IN FAMILIES WITH A SCHIZOPHRENIC PATIENT
MURRAY BOWEN M.D.,
ROBERT H. DYSINGER M.D., , and
BETTY BASAMANIA M.S.S.1
1 Family Study Section, Clinical Investigations, National Institute of Mental Health, National Institutes of Health, U. S. Public Health Service, Department of Health, Education and Welfare, Bethesda, Md.
A small number of fathers, mothers, and their schizophrenic children have been studied as a group and treated in family psychotherapy for periods up to 2
years. The view of the family as a single organism provides a broader, more distant perspective than is possible with close up views of individual family members. An effort is made to avoid the use of terms and descriptions that are associated with the more familiar individual perspective.
The father is described as he is seen to function in terms of the broader family perspective. Several prominent patterns have emerged when the family has been viewed from this position. The family members, particularly the father and mother, function in reciprocal relation to each other. They are separated from each other by an emotional barrier which, in some ways, has characteristics of an "emotional divorce." Either father or mother can have a close emotional relationship with the patient when the other parent permits. The patient's function is similar to that of an unsuccessful mediator of the emotional differences between the parents. The most frequent family pattern is an intense two-some between mother and patient which excludes the father and from which he permits himself to be excluded. The family pattern changes under varying individual and family circumstances in the course of daily living.
