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The primary focus of behavior and cognitive behavioral family therapy is on observable behaviors and the modification of those behaviors to improve functioning and resolve issues within the family dynamics.

Behavioral symptom alleviation aims to reduce specific problematic behaviors that individuals within the family are exhibiting, helping to create a healthier interaction pattern. Defining clear behavior patterns allows both the therapist and the family members to identify and understand the behaviors that contribute to issues in the family system. Modifying specific behavior is central to the therapeutic process, as it looks to implement strategies that change maladaptive behaviors to more adaptive ones.

In contrast, character insight—while potentially beneficial—does not lie at the heart of behavior and cognitive behavioral therapies. This approach does not typically focus on understanding the underlying psychological or emotional factors driving behaviors; instead, it prioritizes direct actions and the consequences of those actions. Therefore, character insight is not a primary focus within the realm of behavior and cognitive behavioral family therapy.