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Fam Process. 2021 Mar;60(1):64-83. doi: 10.1111/famp.12562. Epub 2020 Jun 30.

How is Systemic and Constructionist Therapy Change Process Narrated in Retrospective Accounts of Therapy? A Systematic Meta-synthesis Review.

Family process

Eleftheria Tseliou, Charlotte Burck, Liz Forbat, Tom Strong, Michelle O'Reilly

Affiliations

  1. Laboratory of Psychology, Department of Early Childhood Education, University of Thessaly, Volos, Greece.
  2. Family Therapy and Systemic Research Centre, Tavistock Clinic, London, UK.
  3. Faculty of Social Sciences, University of Stirling, Stirling, UK.
  4. Werklund School of Education, University of Calgary, Calgary, AB, Canada.
  5. The Greenwood Institute of Child Health, University of Leicester, Leicester, UK.

PMID: 32602564 DOI: 10.1111/famp.12562

Abstract

Despite the considerable potential of qualitative approaches for studying the systemic and constructionist therapy process due to shared theoretical and epistemological premises, to date there is lack of a comprehensive qualitative synthesis of how change process is experienced and conceptualized by clients and therapists. To address this evidence gap, we performed a systematic meta-synthesis review of 30 studies reporting clients' and therapists' retrospective narratives of change process across systemic and constructionist models and across a range of client configurations, including individuals, couples, families, and groups. The studies were identified following a systematic search in PsycINFO and MEDLINE resulting in 2,977 articles, which were screened against eligibility criteria. Thematic analysis led to the identification of four main themes: (1) navigating through differences, (2) toward nonpathologizing construction of problems, (3) navigating through power imbalances, and (4) toward new and trusting ways of relating. Findings illustrate the multifaceted aspects of systemic and constructionist change process, the importance for their reflexive appraisal, and the need for further research contributing to the understanding of the challenges inherent in the systemic and constructionist therapeutic context.

© 2020 Family Process Institute.

Keywords: Change process; Constructionist therapy; Psychotherapy process; Qualitative research; Systematic meta-synthesis review; Systemic therapy; investigación cualitativa; proceso de cambio; proceso de psicoterapia; revisión sistemática de la metasíntesis; terapia construccionista; terapia sistémica; 变化过程; 建构主义治疗; 心理治疗过程; 系统治疗; 系统综合性文献综述; 质的研究

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