Family Constellation Therapy: Do We Share Our Family's Fate?

Start feeling better today!

Connect with your therapist today and take control of your life like our 500.000 happy clients.

Is It Possible That We Share Our Families' Fate?

Recently, it has become common to think that you share the traumas, problems, or experiences of your family from a long time ago, and that these may be the cause of the problems you are having now. So what is Family Constellation Therapy? Is it scientifically based, or is it a popular but controversial concept with a weak scientific foundation?

What is Family Constellation Therapy?

Bert Hellinger, who had the opportunity to observe different cultural communities, introduced the concept of family constellation. After receiving psychoanalytic training following his observations, he developed Family Constellation Therapy by being influenced by Transactional Analysis, Psychodrama, Family and Group Therapies1.

Family Constellation Therapy is based on the understanding that the family has been linked to each other through generations by an invisible bond and that it has a soul as a whole. According to Family Constellation Therapy, the psychological state of individuals is determined by the family they were born into1.

From another point of view, the psychological environment of the individual becomes meaningful within the family system. In fact, this environment is not looked at individually, but as part of a family system that lasts for generations.

According to Hellinger, there is only one correct order in the family system. This order is hierarchical. This correct order ensures that family members are satisfied with the system as it provides peace and stability to all members of the family.

However, any disruption, break-up, or separation of a family member from the ordinary within the family can lead to problems. These problems can persist for generations. In fact, a breakdown in the family constellation can cause psychological disorders2.

The problems seen in the following generations are also caused by the family of origin, where the family order is broken first. That is, the family of origin problems3.

Who Attends Family Constellation Therapy?

Hands That Attend Family Constellation

Participants in Family Constellation Therapy, unlike traditional family therapy, do not consist of real family members. Family Constellation Therapy is carried out in groups of 25 people. 15 people from the group of 25 people are in the role of active participants. The rest represent family members of active participants4.

How Is Family Constellation Therapy Applied?

A short interview is held with clients who actively participate in Family Constellation, about their family background, and homework is given to determine the family tree. With the information obtained from the short interview, it is decided what kind of family system will be established in Family Constellation Therapy. For example, it is important to decide whether to recast the current family today or to repeat a family system from the past4.

After deciding which family system will be revived and reordered, the active participant chooses by whom among the other clients they will be accompanied. Chairs or armchairs may also be used instead of other clients or participants, and these are assumed to represent family members.

After selection, individuals are positioned as described by the active participant and reordered or lined up according to the cues given by the active participant. Thus, it is assumed that the current problems are solved by correcting the previous distortions or deviations in the family order4.

Opinions Supporting Family Constellation Therapy

Some of those who support Family Constellation argue that this method is not therapy. They claim that psychotherapy is based on recognizing, understanding, and re-evaluating past experiences and traumas, but that Family Constellation is applied in a way unlike traditional psychotherapy; it is applied by using psychodrama, problems are intervened in, and adaptation is achieved. In addition, they suggest that family constellation does not last long sessions like psychotherapy5.

Another supporting view considers Bert Hellinger's method as an ultra-short-term solution. They claim that you can get to the root of the problem and solve it quickly5.

A Family In Order

Criticisms of Family Constellation Therapy

Critics have expressed the following concerns: Bert Hellinger's theory of family constellation is based on a patriarchal view of the family, which leads to the conclusion that any problems in the family are the partner's fault. Hellinger expresses that he believes that sexual orientation is not a natural and unchangeable aspect of one's nature but a disease that needs to be treated. He says that a family synopsis workshop helped him cure a person of this "disease."

There are individuals who report experiencing obsessions and psychological problems after participating in Hellinger's Family Constellation Therapy. This suggests that this therapy is contrary to the most important principle in psychology, First, do no harm6.

Research on Family Synthesis Therapy

Some studies on Family Constellation have also yielded positive results. For example, it is known to be effective for non-physical itching and skin-related problems. Based on this, the family constellation approach has been used to reduce itching in dermatological diseases.

One group diagnosed with dermatological disease participated in Family Constellation Therapy, while the other group continued to receive medical treatment only. At the end of three months, the group participating in Family Constellation Therapy had less itching and a reduction in symptoms caused by the disease7. Even though the result was good, it is still not clear what effect it has on people's itching and how it helps reduce disease symptoms.

The article does not include information about how the individuals' treatment continued and their personal experiences during the three months that they participated in Family Constellation Therapy. Therefore, different variables may have been effective in the healing process. Therefore, it would be more beneficial to carry out the studies only to see the effect of Family Constellation in the scientific literature.

In another study conducted to understand the effects of Family Constellation, the biographies of professional classical music composers were examined, and it was found that the first-born children of people who had musicians in their families generations ago had a significant difference in composing classical music8.

However, this research is also controversial because, just like physiological diseases or physical characteristics, artistic abilities can be passed on genetically. It is possible for people who usually have musicians in their family to be inclined towards music with the effect of learning and being curious, and also to have a special talent in this field.

Also, the genetic transmission of a trait does not make it just about the family constellation. In addition, more scientific data is needed to explain only the musical composition of the first children with family constellation, because despite the claim that traumas, problems, or characteristics are genetically shared in family constellation, how there is a systematic transfer and interaction has not been explained with sufficient information. This, in turn, causes the Family Synthesis Therapy to be approached with suspicion.

Family Constellation, Therapy, and the Olive Tree

One of the most important events that made the concept of family constellation and this therapy popular is the Olive Tree series, which started broadcasting in 2022.

In the series, people who suffer from family traumas participate in Family Constellation Therapy, and the source of the psychological or physical problems seen in the daily lives of individuals is based on their family constellation and family origins.


Bert Hellinger's Family Constellation Method does not fulfill the vital rules of the Code of Ethics for Psychotherapists such as process, contract, diagnosis, supervision, confidentiality, alternativeness. In addition, the Family Constellation Therapy does not meet the basic criteria of psychotherapy. Therefore, it is difficult to treat this method as psychotherapy. As a result, it would be great to question the use of the method by psychotherapists and apply it in professional therapeutic institutions5.


  1. Weinholdi J., et al., 2013, Family Constellation Seminars Improve Psychological Functioning in a General Population Sample: Results of a Randomized Controlled Trial.
  2. Hellinger, B., 2017, Orders of Love, Aura Publications.
  3. Stiefel, I., et al., 2013, Family Constellation-A Therapy Beyond Words, Australian & New Zealand Journal of Family Therapy.
  4. Duman, N., 2020, Bert Hellinger and Family Constellation Therapy, Cyprus Turkish Journal of Psychiatry & Psychology.
  5. Talarczyk, M., 2011, Family Constellation Method of Bert Hellinger in the context of the Code of Ethics for Psychotherapists, Archives of Psychiatry and Psychotherapy.
  7. Jafferany, M., et al., 2019, Effects of Family Constellation Seminars on Itch in Patients with Atopic Dermatitis and Psoriasis: A Patient Preference Controlled Trial, Dermatologic Therapy.
  8. Schubert, D., et al., 1977, Family Constellation and Creativity: Firstborn Predominance Among Classical Music Composers, The Journal of Psychology.
*The articles on our site do not provide medical advice and are for informational purposes only. A disorder cannot be diagnosed based on the articles. A disorder can only be diagnosed by a psychiatrist.