체계론적 상담: 가계도분석과 가족세우기를 중심으로
Systemic Therapy: Genographic Analysis and Family Constellations
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초록
체계론적 상담은 내담자의 문제와 함께 그의 가족체계 안에서 가족구성원 간 관계의 문제를 해결하는 치료접근법이다. 체계론적 상담은 우선적으로 체계를 구성하는 요소(내담자)의 행동을 그 요소의 고유 특성이 아니라 그 요소와 다른 요소들과의 관계, 그 요소와 체계 환경과의 관계로 설명하는 이른바 체계론적 사고(systemic thinking)를 전제로 한다. 본 논문에서는 체계론적 상담의 이론적 핵심 요소들을 간략히 개괄하고 체계론적 상담의 대표적인 개입기법인 가계도분석과 가족세우기를 소개한다. 이어서 우울증 여성을 대상으로 한 상담사례를 통해 이들 기법의 실제적 활용방법과 그 효과를 제시함으로써 국내 체계론적 상담 발전을 위한 계기로 삼고자 한다.
Abstract
Systemic therapy refers to a specialized branch of psychotherapy that considers interpersonal relationships and the systemic interrelationships within a social system in the diagnosis and the treatment of psychological problems and interpersonal conflicts. In this article we introduce basic elements of systemic therapy and describe the systemic therapy process of a depressive female patient with a special focus on multi-dimensional genographic analysis and family constellations, which make it possible to identify biographical patterns and behaviors and to change them if necessary. This case study also shows that it is necessary to overview of her family relationships and patterns and to consider the previously unrecognized systemic dynamic that spans multiple generations in the given family. Family constellations uncover the hidden dynamics of her family or relationship in an experiential way, so that existing energy can be observed and changed, and undue stress can be released or reduced in the system.
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