Molina María Elisa, Picione Raffaele De Luca, Del Rio María Teresa, Guenther Linus P F, Mellado Augusto, Fossa Pablo
Psychology Faculty, Universidad del Desarrollo, Avda. Plaza 680, Las Condes, Santiago, Chile.
Giustino Fortunato University IT, Benevento, Italy.
Integr Psychol Behav Sci. 2025 Feb 20;59(1):32. doi: 10.1007/s12124-025-09891-x.
Psychotherapy, as a cultural activity, faces the challenge of adapting to historical changes and emerging issues. In this article, a multilevel approach to psychotherapeutic intervention that encompasses the individual, relational, and contextual dimensions is proposed. The approach is based on an historical-cultural theoretical framework that integrates constructivist, systemic, and semiotic components to broaden perspectives for psychotherapy. The primary purpose is to integrate concepts derived from cultural psychology to structure ideas related to the theoretical understanding of intervention. A conceptual elaboration is presented to address the extension of the mind into the social and cultural contexts in continuous exchange between the self and others, as an essential vital process. First, the central concepts of semiosis, development, temporality, and dialogicality are presented as theoretical principles that guide this approach. The article elaborates on the cultural semiotic model as a framework to guide therapists' understanding of the issues prompting individuals to seek psychological consultation and change, proposing therapeutic aims, conceptual tools for intervention, and strategies for building the therapeutic relationship. The relevance of this theoretical proposal for psychotherapy, as cultural mediation cuts across individual, relational, and contextual levels, is discussed.
心理治疗作为一种文化活动，面临着适应历史变革和新出现问题的挑战。本文提出了一种多层次的心理治疗干预方法，该方法涵盖个体、关系和情境维度。该方法基于一个历史文化理论框架，该框架整合了建构主义、系统和符号学成分，以拓宽心理治疗的视角。主要目的是整合从文化心理学中衍生出来的概念，以构建与干预理论理解相关的观念。本文进行了概念阐述，以探讨在自我与他人之间持续交流的过程中，心灵如何扩展到社会和文化背景中，这是一个至关重要的生命过程。首先，介绍了符号学、发展、时间性和对话性等核心概念，作为指导该方法的理论原则。本文详细阐述了文化符号学模型，作为指导治疗师理解促使个体寻求心理咨询和改变的问题的框架，提出了治疗目标、干预的概念工具以及建立治疗关系的策略。讨论了这一理论建议对心理治疗的相关性，因为文化调解跨越了个体、关系和情境层面。
