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Contextual Therapy

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Arielle Tieger

on 25 February 2013

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Transcript of Contextual Therapy

Facts -Genes
-Physical health
-History
-Events of life cycle


When thinking of transgenerational therapy, why do you think getting the facts as the first dimension is important? Contextual Therapy's 4 Dimensions Ivan Boszormenyi-Nagy

The pioneer of Contextual Therapy -Psychiatrist who emigrated from Hungary, 1948
-Founded EPPI in Philadelphia, 1957
-After failed attempts at finding biochemical clues to explain etiology of schizophrenia, he and colleagues began to focus on behavioral and psychological aspects, which led to TRANSGENERATIONAL issues in families.
-Contextual therapy ideas grew over 30 years, influenced by Fairburn's (1952) object relations theory and existential philosophy, and Sullivan's (1953) interpersonal psychiatry


Goldenberg, H. and Goldenberg I. Individual Psychology External environments ---> internalized thoughts and how we develop traits-->personality Systemic Interactions -Communication patterns, based on general systems theory and cybernetics.
-The pattern that we see can help us to define the system in terms structure, power, and belief systems.
-This dimension offers great opportunities for intervention. Relational Ethics This dimension is the one that sets Contextual Therapy apart from other theories.

-Give and take.
-People must assume responsibility for actions.
-Relational trustworthiness.
-Balance of fairness.
**All passed from one generation to the next and serve as the key to understanding individual and family functioning.** By: Arielle Tieger Contextual Therapy 1. Facts
2. Individual Psychology
3. Systemic Interactions
4. Relational Interactions "Because the contextual family therapy approach is integrative, the foundation is built on the idea that relationships are based on and influenced by four dimensions of reality" (Hargrave, 7). "The first dimension is essentially about the facts of life and the relationship that are true but difficult to change" (Hargrave, 7) "..relates to how the individual took the information given in the external environment and in relationships and then internalized this into cognitive information concerning beliefs, emotions, feelings, violations, motivations and memories" (Hargrave, 7). "..deals with the communication patterns in our relationships" (Hargrave,9). "..deals with the balance of what people give in relationships as opposed to what they merit or are entitled to get from others" (Hargrave, 10). Balance Justice Trustworthiness When we compare what we are entitled to and what we give in relationships. Justice in relationships, requires we give our interactions to the other person and we are entitled to get the same back. give-and-take Most important resource of contextual therapy! Destructive Cycles Destructive Entitlement Lack of trust Revolving Slate This can happen many ways, including not receiving what is entitled to you in a relationship, in other words, having an imbalanced relationship. We see these destructive actions happen when an individual is looking for compensation from an unjust/unfair relationship. This is where we see the transfer of destructive entitlement to create new victims in the next generations. Forgiveness Salvage Restoration Insight Understanding Opportunity for Compensation Overt Forgiving Therapy Techniques Multidirected Partiality "..the psychotherapist is aware and accountable to all people in the relationships who may be potentially affected by interventions" (Hargrave, 100). -Empathy
-Crediting
-Acknowledgment of Efforts
-Accountability love and trust reestablished References Boszormenyi-Nagy, I., Grunebaum,J. & Ulrich, D. (1991). Contextual Therapy. Handbook of family therapy, Vol II. (pp. 200-237) A. Gurman and D. Kniskern (Eds.) New York: Brunder/Mazel, Inc.

Hargrave, T. D., & Pfitzer, F. (2003). The new contextual therapy: Guiding the power of give and take. New York: Brunner-Routledge.

Goldenberg, H. & Goldenberg I. (2013). Family therapy: An overview. (8th edition). Belmont, CA: Brooks/Cole.

Rambo, A., West, C., Schooley, A., & Boyd. T. V. (Eds) (2013). Family therapy review: Contrasting contemporary models. New York, NY: Routlege.
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