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Family Constellation Therapy: Healing Relationships

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Family constellation therapy offers a unique approach to connecting individuals with their familial history and addressing the often unseen emotional currents that influence their daily lives.

By fostering a deeper understanding of oneself within the context of one’s family, individuals may find the tools and insights to navigate their relationships and emotional landscape more effectively.

Fundamental Principles

Family Constellations

Family Constellation Therapy is a therapeutic approach that aims to uncover and address hidden dynamics within families, revealing the complex interplay of relationships between family members.

This holistic approach considers each individual’s influence on the family system and explores the role of family history in shaping the present circumstances.

A central aspect of Family Constellation Therapy is understanding the impact of one’s family tree and ancestors on one’s current experiences.

Family Tree and Ancestors

The family tree represents the generations that came before the individual, and the presence or absence of important figures can often lead to unconscious loyaltiespatterns of behavior, and unresolved traumas that manifest in the lives of those born into the family system.

To dive deeper into these hidden dynamics, a Family Constellation therapist typically conducts a ritual wherein representatives are chosen to stand in for key family members, both past and present.

Ideally, the representatives should not have prior knowledge of the family’s history so they can embody the essence of chosen family members more purely.

As the process unfolds, the representatives may experience emotions or physical sensations that provide valuable insights into the family’s dynamics.

Once the systemic constellation is set up, the therapist guides the representatives, observing their interactions and asking questions. By doing so, they can identify patterns and connections between the client’s experience and their ancestors, uncovering generational traumas and unresolved issues.

This process can bring awareness to the impact of the family tree on the client’s life and help them release any negative influences.


Family constellation therapy employs various techniques to explore and address family dynamics, intergenerational patterns, and unresolved issues.

Some common techniques used in family constellation include:

1. Family Mapping

Therapists often begin by creating a visual representation of the client’s family system, including family members, relationships, and significant events.

This family map helps clients and therapists identify patterns, connections, and areas of focus for the constellation process.

2. Representative Selection

Representative Selection

In a typical family constellation session, individuals from the group are chosen to represent family members or significant elements of the family system.

These representatives stand in for the client’s family members and interact with each other to reveal underlying dynamics and emotions.

Additionally, this helps explore transgenerational patternsinherited traumas, and unresolved issues passed down through generations. By acknowledging and honoring ancestral influences, clients can gain insights into their family history and break free from unconscious patterns.

3. Systemic Inquiry

Through facilitated dialogue and exploration, the therapist encourages representatives to express their feelings, perceptions, and sensations while embodying their roles in the constellation.

This process allows hidden dynamics and systemic entanglements to emerge, providing insights into underlying family issues.

4. Movement and Resolutions

As the constellation unfolds, the therapist may facilitate movements or interventions to address unresolved conflicts, imbalances, or entanglements within the family system.

This may involve repositioning representatives, expressing unspoken emotions, or facilitating reconciliations between family members.

5. Integration and Closure

At the end of a family constellation session, the therapist facilitates integration and closure by reflecting on the insights gained, identifying action steps or intentions for healing, and providing support for ongoing processing and integration outside of the session.


    Family Constellation Therapy

    Family Constellation Therapy (FCT) is a therapeutic approach that addresses various mental health concerns by exploring the dynamics of an individual’s family system.

    It can be beneficial for individuals experiencing depression, anxiety, grief, and trauma, as well as those struggling with intergenerational conflicts and stressors.


    One of the primary applications of FCT is in the treatment of trauma.

    This therapy enables individuals to identify and address unresolved issues from their family system that may be contributing to their current mental health concerns.

    Through FCT, participants can gain insight into the generational patterns, traumas, and dynamics that may have shaped their experiences and emotional responses.

    Chronic Illness

    Family Constellation Therapy can also be effective in addressing chronic illness, as it helps individuals explore the systemic roots of their physical ailments.

    By uncovering and addressing the underlying emotional and relational aspects of an illness, FCT can serve as a valuable adjunct to traditional medical treatments.

    Relational Conflicts

    Another application of FCT is in resolving conflicts and improving relationships within families.

    The therapy can help individuals understand the underlying patterns that contribute to family tension, allowing them to make changes that lead to healthier, more harmonious relationships.

    The therapy’s focus on intergenerational trauma can also be useful for addressing the impact of past family events on current dynamics, thereby aiding in conflict resolution and emotional healing.

    Benefits and Outcomes

    Constellations Therapy

    Family constellation therapy is a therapeutic approach that aims to improve individuals’ mental health and well-being by addressing family dynamics and patterns.

    There are several benefits and outcomes associated with this form of therapy, impacting various aspects of a person’s life.

    Improving emotional well-beingBy exploring family dynamics and relationships, individuals can gain insights into the root causes of their negative emotions and emotional patterns.

    This helps them to release any emotional baggage, leading to a more balanced emotional state and increased harmony within the family system.
    Promoting Healthier RelationshipsThrough the process of observing and participating in family constellations, individuals can develop a better understanding of their own communication patterns as well as those of their family members.

    This increased awareness can lead to more open and effective communication within the family, ultimately promoting healthier relationships.
    Fostering Healthier ConnectionsBy uncovering hidden dynamics and patterns within the family, individuals can identify behaviors that may be negatively affecting their relationships.

    With newfound understanding and awareness, they can work towards modifying these behaviors and fostering healthier connections with others.

    Controversies and Criticisms

    Family Constellation Therapy

    While Family Constellation Therapy has its proponents and anecdotal successes, it also faces significant criticisms. 

    The lack of evidence-based research, the potential perpetuation of patriarchal values, and an insufficiently diverse approach to the complexity of modern families all contribute to the controversy surrounding this therapeutic modality.

    Lack of Evidence-Based Research

    Family Constellation Therapy (FCT) has been met with a mix of enthusiasm and skepticism since its inception.

    One major criticism is the lack of evidence-based research supporting the effectiveness of this therapeutic approach.

    While some anecdotal success stories have emerged, critics argue that more rigorous scientific research is necessary to validate its claims.

    Potential Perpetuation of Patriarchal Values

    Another area of contention is FCT’s alleged patriarchal view. Critics claim that the therapy perpetuates outdated gender roles and assumptions by emphasizing a traditional family structure.

    In these situations, the male figure is considered the leader and protector, and the female figure is submissive, nurturing, and emotionally supportive.

    These traditional roles can be limiting and disempowering for some individuals, particularly women.

    Insufficiently Diverse Approach

    The approach to homosexuality in Family Constellation Therapy has also raised concerns. While FCT does not claim to “cure” homosexuality, its underlying principles may inadvertently perpetuate harmful beliefs.

    By primarily focusing on a traditional, heterosexual family model, FCT may unintentionally marginalize and alienate clients who identify as LGBTQ+.

    Given the complexity and diversity of modern families, requiring clients to adhere to a specific family structure may not be conducive to their healing process.

    Additionally, some professionals in the mental health field argue that FCT overemphasizes the role of family dynamics in an individual’s psychological well-being.

    By attributing one’s issues to unresolved family traumas, there is a risk of overlooking other factors that might contribute to psychological distress, such as social, economic, or environmental influences.

    Frequently Asked Questions

    Frequently Asked Questions

    What are some recommended books on family constellation therapy?

    Here are a few popular books on family constellation therapy:

    1. “Love’s Hidden Symmetry: What Makes Love Work in Relationships” by Bert Hellinger, Gunthard Weber, and Hunter Beaumont.
    2. “The Healing Power of the Past: A New Approach to Healing Family Wounds” by Bert Hellinger and Gabriele Ten Hovel.
    3. “Family Constellations: A Practical Guide to Uncover the Roots of Chronic Ailments and Abide by the Family Orders” by Jakob Schneider.

    These books provide insights into the theory and practice of family constellation therapy, offering valuable information for therapists, clients, and anyone interested in learning more about this therapeutic approach.

    What do reviews generally say about the effectiveness of family constellation therapy?

    Reviews vary regarding the effectiveness of family constellation therapy. Some individuals report significant positive changes and improvements in their mental health, while others may not experience the same level of success.

    It is important to remember that individual experiences will be different, and not all therapeutic approaches work for everyone.

    Can family constellation therapy be conducted online?

    Yes, family constellation therapy can be conducted online. Many therapists and facilitators now offer online sessions, workshops, and webinars to make this approach more accessible to a wider audience.

    Online family constellation therapy can be effective in addressing various issues, as it utilizes the same principles that are applied in traditional in-person settings.

    However, the effectiveness of online family constellation therapy will largely depend on the skills of the therapist and the individual’s level of engagement in the process.

    You can find the right licensed therapist for you and your family using online directories such as


    Konkolÿ Thege, B., Petroll, C., Rivas, C., & Scholtens, S. (2021). The effectiveness of family constellation therapy in improving mental health: a systematic review. Family process60(2), 409-423. Link.

    Stiefel, I., Harris, P., & Zollmann, A. W. (2002). Family constellation—A therapy beyond words. Australian and New Zealand Journal of Family Therapy23(1), 38-44. Link.

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    About the author

    Eliana Galindo
    Eliana is a dedicated psychologist from Colombia who has gained extensive experience and made significant contributions in child development, clinical psychology, and rehabilitation psychology.Her work as a rehabilitation psychologist with disabled children has been transformative and compassionate. In the child development field, she creates nurturing environments through assessments, interventions, and collaboration with families.In clinical psychology, she supports individuals overcoming mental health challenges with empathy and evidence-based approaches. Inspired by her experiences, Eliana is motivated to write about mental health, aiming to raise awareness and advocate for a compassionate and inclusive approach to well-being.

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