A philosophy of practice for systemic psychotherapy: the case for critical realism

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An argument is made for Bhaskar's critical realism as a more coherent, accountable and enabling philosophy of practice for systemic psychotherapy than the kinds of strong constructionism and pragmatism that are currently powerful in our field. Constructionism is positioned, not as an opponent to realism in the usual way, but – in a moderate version – as a necessary partner to give realism its critical edge. The dimensions of critical realism are sketched and its potential for the coherent support of practice is illustrated with an analysis of a moment of therapeutic change.

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