The Family Therapy of Psychosis: A Reconfirmation Process
Psychotic disorders are the greatest challenge in mental healthcare while, at the same time, they are the emblematic entity of family therapy, its source for inspiration and, historically, its main battle horse.
The relational bases of psychotic disorders are dominated by disconfirmation, a highly destructive phenomenon which, by denying acknowledgement of a person, questions his or her psychological existence and, therefore, attacks their identity. Triangulation is the privileged vehicle of disconfirmation.
The psychotherapeutic approach to psychosis will systematically promote acknowledgement through a reconfirmation process, which will be complemented by different detriangulation measures. Since biological factors must be taken into account and given, in any case, the undeniable medicalization of psychosis, it is important that pharmacological management and the psychiatric dimension be integrated into the psychotherapeutic process.
KeywordsIdentity Acknowledgement Triangulation Disconfirmation
- Bowen, M. (1960). A family concept of schizophrenia. In D. D. Jackson (Ed.), The etiology of schizophrenia. New York: Basic Books.Google Scholar
- Freud, S. (1915–17). Vorlesungen zur Einführung in die Psychoanalyse. Leipzig, Heller. (The standard edition of the complete psychological works. London. The Hogarth Press and the Institute of Psycho analisis. 1953–74).Google Scholar
- Goldbeter, E. (2003). Le deuil impossible. Familles et tiers pessants. Bruxelles: De Boeck.Google Scholar
- Guerin, P. J. (Ed.). (1976). Family therapy: Theory and practice. Gardner Press: New York.Google Scholar
- Guerin, P. J., Fogarty, T., Fay, L. F., & Kautto, J. G. (2010). Working with relational triangles: The one-two-three of psychotherapy. New York: Guilford Press.Google Scholar
- Haley, J. (1967). Towards a theory of pathological systems. In J. H. Zuk & I. Boszormenyi-Nagy (Eds.), Family therapy and disturbed families. Palo Alto: Science and Behavior Books.Google Scholar
- Linares, J. L. (2012). Terapia familiar ultramoderna. La Inteligencia Terapéutica. Barcelona: Herder.Google Scholar
- Watzlawick, P., Bavelas, J. B., & Jackson, D. D. (1967). Pragmatics of human communication. New York: Norton.Google Scholar