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- Title
How is Systemic and Constructionist Therapy Change Process Narrated in Retrospective Accounts of Therapy? A Systematic Meta‐synthesis Review.
- Authors
Tseliou, Eleftheria; Burck, Charlotte; Forbat, Liz; Strong, Tom; O'Reilly, Michelle
- 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.
- Subjects
META-synthesis; PSYCHOLOGY information storage &; retrieval systems; ATTITUDE (Psychology); CHANGE; SYSTEMATIC reviews; PATIENTS' attitudes; PSYCHOTHERAPIST attitudes; MEDLINE; THEMATIC analysis; PATIENT-professional relations; PSYCHOTHERAPY
- Publication
Family Process, 2021, Vol 60, Issue 1, p64
- ISSN
0014-7370
- Publication type
Article
- DOI
10.1111/famp.12562