Research on the effectiveness of family constellations is limited, with studies often lacking rigorous scientific methodology. Researcher Salome Scholtens from the University of Groningen emphasizes the need for comparison with established treatments like cognitive behavioral therapy, alongside objective measurements of outcomes like anxiety and depression.

A review study assessing twelve studies involving 569 participants showed potential effectiveness of family constellations. However, the researchers are cautious due to the weak designs of the studies.

Scholtens, who became interested in the subject after a positive personal experience, seeks to explain the mechanism behind family constellations. She believes the visual aspect plays a crucial role, offering a different approach to problem-solving compared to traditional verbal communication.