Esta obra representa la elaboracin terica de una labor clnica de dos dcadas en el tratamiento co teraputico de parejas y familias. El mtodo empleado es extensin y punto de confluencia de la psicologa dinmica, la fenomenologa existencial y la teora de los sistemas aplicada a la comprensin de las relaciones humanas. Un importante aspecto de la tcnica aqu presentada es la identificacin de los conflictos de lealtades no admitidos o inconscientes, en los que el aparente "traidor" es a la postre destruido o castigado por sus intentos de autonoma. Otro interesante aporte resulta del concepto de "justicia" en el marco familiar.
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Contextual therapy[ edit ] Boszormenyi-Nagy is best known for developing the Contextual approach to family therapy and individual psychotherapy. It is a comprehensive model which integrates individual psychological, interpersonal, existential , systemic , and intergenerational dimensions of individual and family life and development.
The contextual model, in its most well-known formulation, proposes four dimensions of relational reality, both as a guide for conducting therapy and for conceptualizing relational reality in general: 1 Facts e.
These dimensions are taken to be inter-linked, but not equatable or reducible to one another. Relational ethics focuses in particular on the nature and roles of connectedness, caring, reciprocity , loyalty , legacy, guilt , fairness, accountability , and trustworthiness - within and between generations. It is taken to represent not just a set of prescriptive norms , nor simply psychological phenomena, perspectives , or constructions.
Rather, relational ethics is seen as 1 having some objective ontological and experiential basis by virtue of being derived from basic needs and from real relationships that have concrete consequences i. The construct validity and significance of relational ethics in clinical and educational contexts have been supported by a number of studies. In a later formulation of the contextual model, Boszormenyi-Nagy proposed a fifth dimension - the ontic dimension - which was implicit in the earlier formulations, but which considers more explicitly the nature of the interconnection between people that allows an individual to exist decisively as a person, and not just a self.
Methodology[ edit ] Multidirected partiality is the main methodological principle of contextual therapy. Its aim is to evoke a dialogue of responsible mutual position-taking among family members. It consists of a sequential, empathic turning towards member after member even absent members , in which both acknowledgement and expectation are directed at them. The therapist and possibly a co-therapist where appropriate would first seek basic information including any relevant clinical or medical information , construct a genogram if possible, and have each family member explain their side of the story either conjointly or in individual sessions as appropriate , in order to begin to understand the problem in terms of background facts, the relational context i.
Having gained this preliminary understanding of the situation, the therapist would firstly address any issues requiring urgent attention e. The approach would be adapted - although the basic principles would remain the same - according to the particular case; for example: adults having problems with their siblings or elderly parents; couples issues ; conflicts associated with blended families , adoption , fostering , gamete donation and surrogacy ; migration and cross-cultural issues; different mental disorders ; addiction and substance abuse ; criminal behavior , domestic violence , and so on.
The contextual approach allows for the inclusion of many significant aspects of other approaches to psychotherapy and family therapy, provided that they are consistent with the overarching contextual principle of multilateral therapeutic ethical concern and accountability. Intensive family therapy: Theoretical and practical aspects. Invisible loyalties: Reciprocity in intergenerational family therapy.
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