Contextual Family and Marital Therapy

  • David N. Ulrich


“Contextual therapy” is the name chosen by Ivan Boszormenyi-Nagy for the approach he and his associates have developed. The contextual approach to therapy may provide a model for general health care delivery as well as for family, marital, individual, or otherwise designated therapeutic frames. Such distinctions as marital or family therapy may seem as limited as the term identified patient, when the implications of a comprehensive approach are grasped. Potential for a comprehensive approach is provided by the basic premise of contextual therapy; that is, the extension of equal concern to all those who may be affected by treatment, taking into account their basic welfare interests as perceived by themselves and by others. This premise may be considered “ethical” in the sense of providing a basic commitment for the therapist and a direction for those engaged in therapy. This ethical orientation emerged on a step-by-step basis as parents, and then other family members, were brought into treatment along with hospitalized schizophrenics, and the experience thereby gained was extended to outpatient work.


Family Therapy Marital Conflict Contextual Family Contextual Approach Contextual Therapist 


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  1. Boszormenyi-Nagy, I. A theory of relationships: Experience and transaction. In I. Boszormenyi-Nagy & J. Framo (Eds.), Intensive family therapy: Theoretical and practical aspects. New York: Harper & Row, 1965.Google Scholar
  2. Boszormenyi-Nagy, I. From family therapy to a psychology of relationships; fictions of the individual and fictions of the family. Comprehensive Psychiatry, 1966, 7, 408–423.PubMedCrossRefGoogle Scholar
  3. Boszormenyi-Nagy, I., & Spark, G. Invisible loyalties: Reciprocity in intergenerational family therapy. New York: Harper & Row, 1973.Google Scholar
  4. Boszormenyi-Nagy, I., & Ulrich, D. Contextual family therapy. In A. Gurman & D. Kniskern (Eds.), Handbook of family therapy. New York: Brunner/Mazel, 1981.Google Scholar
  5. Erikson, E. Insight and responsibility. New York: Norton, 1964.Google Scholar
  6. Erikson, E. Identity, youth and crisis. New York: Norton, 1968.Google Scholar
  7. Fogarty, T. The therapy of hopelessness. The Family, 1979, 6, 57–62.Google Scholar
  8. Kohut, H. The restoration of the self. New York: International Universities Press, 1977.Google Scholar
  9. Mahler, M. The selected papers of Margaret S. Mahler (Vol. 2 ). New York: Jason Aronson, 1979.Google Scholar
  10. Wynne, L. Foreword. In A. Gurman & D. Kniskern (Eds.), Handbook of family therapy. New York: Brunner/Mazel, 1981.Google Scholar

Copyright information

© Plenum Press, New York 1983

Authors and Affiliations

  • David N. Ulrich
    • 1
  1. 1.StamfordUSA

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