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BOOK REVIEW
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CONSTRUCTIVIST PSYCHOTHERAPY: A NARRATIVE HERMENEUTIC APPROACH
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Gabriele Chiari, Maria Laura Nuzzo
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London, New York: Routledge, 2010, Paperback, 214 pages,
£ 20.99
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reviewed by Trevor Butt
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University
of Huddersfield, UK
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Kelly began The Psychology of Personal Constructs
with a chapter on his philosophical position. Volume 1 elaborates the theory
and Volume 2 its application in therapy. But he tells us in the preface that it
wasn’t written in this order. The theory arose from the clinical practice. In
the last decade or so, we have seen a proliferation of therapies loosely titled
constructivist. The problem with so many of these therapies seems to me to be
that they lack any firm theoretical grounding. Some are based almost entirely
in Kelly’s work while others rarely mention him. There is often a model of the
person as author or narrator, but then other narrative therapists don’t call
themselves constructivist and know nothing of von Glasersfeld, Maturana or Kelly. So a book like
this one that provides a sound theoretical grounding is surely long overdue.
This volume is the tenth in a Routledge series entitled Advancing Theory in Therapy, in
which authors are asked to outline practice, explaining how it fits into a
theoretical framework. And the book succeeds admirably. The first three
chapters deal with this theoretical framework and the last three with its
application to the therapy venture.
The book opens
with what I found to be an excellent outline of personal construct theory. It
is nicely supported with quotes from Kelly, Bannister and Fransella and shows
how the focus of the theory was in personal change and reconstruction. I
particularly liked the way in which the corollaries are presented with helpful
interpretations (for example: understanding others for construing oneself – the
sociality corollary, and the constraint on change – the modulation corollary).
We then have two chapters on constructivism; its roots and image of the person.
Just what is psychological constructivism? Chiari and Nuzzo suggest that some
definitions of are so broad that they would include most cognitive approaches.
So, they argue, it is not enough to underline the person’s ability to be
proactive and anticipate events. Forty years ago, there was some weight behind
Don Bannister’s quip that orthodox psychology viewed the person as "a Ping-Pong
ball with a memory". But since the demise of behaviourism, there are few
psychologists who see the person as purely passive and reactive. Chiari and
Nuzzo argue that psychological constructivism should refer only to those
approaches that bridge the subject/object divide, that is, those that see
perceptions neither as more-or-less good representations of the world, nor
fixed in the interior world of the perceiver. Reality is both found and made, and constructivism looks at
neither subject nor object pole, but at the
correlation between the two, the world of the ‘in-between’.
Chiari and Nuzzo
point out that this focus is not new; it was at the basis of pragmatism in the
USA, and phenomenology and hermeneutics in Europe. It seems to me vital that
constructivists are aware of the history and development of the approach to
avoid perpetual reinvention of the wheel. It is important to build carefully on
what has been done already in order to avoid the production of new overlapping
and often confusing vocabularies. Chiari and Nuzzo’s proposal for integration
is for a hermeneutic constructivism that underlines the primacy of the
interactions between person and world. From this position, it makes no sense to
see perceptions as representations of a ‘real world out there’. Instead they
are constructions that are merely more or less viable. Using the metaphor of a
key and a lock, they point out that the key doesn’t tell us what the lock is
like. It’s merely one construction (among others) that will do the job of
opening the door. Readers of this journal will recognise constructive
alternativism as one species of hermeneutic constructivism.
The implications
for the practice of therapy are spelled out in Chapters 3 – 6. Unlike in
‘realist’ cognitive therapies, there can be no formulation of what is
irrational, or what constitutes a cognitive distortion. There can be no
prescription about the right way of thinking or acting. The hermeneutic
constructivist can only help people search for what are viable sets if
constructions in their particular situations. Each of us is embedded in a
particular social context that limits our range of viable constructions. There
can be no God’s eye view from which to declare what is right or wrong. Like the
captain that manages to navigate through a dangerous channel without a chart (a
metaphor the authors attribute to Watzlawick) any success cannot be said to
represent the correct passage. The
sailor does not know how near he was to disaster, or whether there was a better
route. He only knows that his course was viable. Drawing mainly on Kelly, but
also on others as well as their own extensive clinical experience, the authors
look at the therapeutic relationship, common problem narratives, and the
process of therapy itself.
David Winter says in his recommendation on the
book cover: this is ‘a rich source of clinical wisdom which will be of great
value to both trainees and more experienced therapists’. An example of this
clinical wisdom is the compelling description of frequently occurring plots in
clients’ narratives. These they attribute to early interactions and patterns of
attachment, contrasting those paths traced by aggressiveness with those traced
by either threat or guilt. However, not all clinicians will find this an easy
book to read. The chapters on the theoretical foundations of constructivism
bring together a wide range of philosophy and psychology and require careful
reading. But I strongly agree with David Winter’s assessment. In my view this
book should be essential reading for constructivist therapists. | |
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ABOUT THE
AUTHOR
Trevor
Butt, PhD, is Emeritus Reader in Psychology at the University of Huddersfield, UK. He trained as a clinical psychologist before
working at the University of Huddersfield. He has published in the areas of personal construct theory,
phenomenology, and psychotherapy, and is the joint author (with Vivien
Burr) of Invitation to
Personal
Construct Psychology. He also wrote Understanding People (2004) and George Kelly - The Psychology of Personal Constructs (2008). Email: t.butt@hudd.ac.uk
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REFERENCE
Butt, T. (2010) Review of Chiari, G., Nuzzo, M. L.: Constructivist psychotherapy: A narrative hermeneutic approach. (2010). Personal
Construct Theory & Practice, 7, 14-15, 2010 (Retrieved from http://www.pcp-net.org/journal/pctp10/butt10.html)
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Received: 15 January 2010 - Accepted: 16 January 2010 -
Published: 11 February 2010 |
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