Ebook: Un método de intervención narrativo constructivista en clínica de alta complejidad

The methodology described below is organized around the “integration” concept, and for this purpose a method of understanding and intervention is proposed, that draws the specific way in which integration deficits occur for reasons of identity coherence.
It is a constructivist model of evaluation and intervention, where the therapist takes an active role in the instances of deconstruction and construction of perceptions. In a post - rationalist framework (Guidano, 1987, 1990, 1994; Arciero, 2006, 2008), this method of intervention is particularly designed to work with a highly complex clinic that considers topics such as psychotic experience, addictions, and suicidal behavior.
Our method proposed three ways to proceed: deconstruction, construction and reconstruction. In the Deconstruction instance, through a phenomenological attitude, the therapist explores the basic perceptions of the psychological problem, those perceptions challenging, exceptional or discrepant regarding the identity. Then the method invites the therapist to an analysis moment, that includes gnoseological criteria, or “construction dimensions” heuristics (Demarcation, Valence, Understanding and Control), its main reference formats (Corporeality, Self-image and
Alterity) and the integration sense or integration deficit that explaining the psychological problem.
Towards the end of Deconstruction, the therapist’s aim will be propose a selfknowledge strategy that considers this explanation, including the personal sense of integration and activities that tends to relieve suffering.