Towards a systemic-dialogical model of therapy

Abstract

Bakhtin-inspired ideas that led to the emergence of dialogic therapies are usually considered as incompatible with other, more traditional models. This article presents a possible integration of dialogical ideas, with their acceptance of uncertainty and disorder, within a systemic understanding, where the emergence of systemic patterns is recognised. Through a comparison with the open dialogue approach, the article aims at clarifying the difference between a pure dialogical and a systemic-dialogical perspective, that is seen as more fitting with the contextual complexity of the world of today. The model of practice is illustrated by a case supervision example.

Desde el pluralismo integrativo hacia un modelo enactivo en psiquiatría

“…Así, se genera también un comportamiento que tiende a reforzar las alteraciones relacionales en la disrupción de la generación Algunas de estas ideas podrían ser encontradas de cierta manera en otros modelos en salud mental y filosofía. Por ejemplo, en el psicoanálisis relacional (Stolorow et al, 1994), la terapia de la forma (Koehler, 1992), la psicopatología fenomenológica (Fulford et al, 2013;Stanghellini et al, 2019), el pragmatismo (Dewey, 1991;James, 2017), la terapia sistémica-cibernética (Bateson, 1972;Bertrando y Lini, 2021) y la psiquiatría cultural y social (Kirmayer y Young, 1999;Morgan y Bhugra, 2010). Esto es concordante con las diversas inspiraciones del enfoque enactivo en su génesis.…”

Some Ontological and Epistemological Consequences of the Development of Online Family Therapy and What This Could Mean for Practice

“…We are not aware of Seikkula discussing or providing any examples of using triadic questioning within his clinical work. In contrast, whilst Bertrando's relationship to circular questioning has become increasingly irreverent (Bertrando, 2007), he remains more closely aligned to the original Milan team's practice (Bertrando & Lini, 2021).…”