Generative systemic-constructionist psychotherapy in the face of crisis in the context of armed violence in colombia: Case of MM, Montes de María – Department of Sucre

Abstract

This article aims to show a process of systemic-constructionist and generative therapy in the face of crisis situations experienced by MM. MM is a woman victim–survivor from the region of Los Montes de María in Colombia, a territory hard hit by armed violence between 1990 and 2008. Methodologically, the fragments presented are those that are repeated in three sessions. Psychotherapeutic work is a combination of dialogical and interactive resources, opportunities, and capacities that combine three kinds of time in MM's daily life. These are: first, the past of the violence; second, the present comprised of the presence of memories of violence, social and family interactions, together with psychiatric diagnoses; and third, the sense of a future based on the hope of reducing their suffering and taking action against the violence. Analysis and interpretation are hermeneutical constructions carried out throughout the psychotherapeutic process and in the midst of generative dialogues. On the one hand, the scientific and everyday knowledge that helps to process and transform the crisis is recognised. On the other hand, it shows a form of knowledge that distances itself from the parameters of science and positivist approaches. In conclusion, this article is an opportunity to question traditional positions within the field of mental health in the light of moments constructed with MM in the framework of systemic-constructionist therapy, seen as a relational space where generative contexts are built.