Utilizing the Genogram to Integrate Systems and Psychoanalytic Thinking

The authors propose that there is not one model of integration that is superior; rather, integration is a natural clinical process that results in a fuller case conceptualization. Each case is unique and might call for a tailored approach, such as is described by Shakow (1976) and Strieker and Treirweiler (1995). The authors outline an assimilative model for the integration of strategic systems thinking and a psychoanalytic approach based on Freud's psychosexual stage model and usage of characteristic defense mechanisms. The traditional systemic genogram was modified and is proposed to be an ideal tool for integrative case conceptualization. It may be that such a visual tool as the genogram is ideal for grounding other integrative models as well. A clinical case example is presented in depth to which this integrative model was applied, and it is intended to be a useful integrative model for treating couples with sexual problems or intimacy issues.