141 research outputs found
Verbal Response Modes in Action:Microrelationships as the Building Blocks of Relationship Role Dimensions
Dimensions of interpersonal relationships, such as attentiveness, directiveness, and presumptuousness, have typically been assessed through impressionistic ratings or by aggregate scores derived from coding of specific (e.g., verbal) behaviors. However, the meanings of these dimensions rest on the interpersonal microrelationships that are actually observed by the raters or coders. In this qualitative study, the way these global relationship qualities were built from microrelationships at the utterance level was examined in passages from one medical interaction. Applications of microrelationships to future communications research are suggested
Convergence and Divergence of Themes in Successful Psychotherapy: An Assimilation Analysis
Theme convergence is the linking of seemingly unrelated problem domains as they advance through assimilation stages-a developmental sequence of cognitive and affective changes through which problematic content is hypothesized to pass during successful psychotherapy. Theme divergence is the contradiction or conflict of solutions to different problems, so that progress in one domain leads to stagnation or regression in another domain. An intensive qualitative method called assimilation analysis was used to examine theme convergence and divergence in a successful psychodynamic psychotherapy with a 20–yr–old female patient. Because specific problems often fail to progress monotonically, even in successful psychotherapy cases, it is suggested that clients\u27 problems cannot be resolved in isolation; instead, they may influence each other toward resolution or stagnation in complex and unpredictable ways
Hiding shame - a case study of developing agency
The hiding aspect of shame makes the study of shame difficult. In this article we aim to show through Hanna’s case study how shame manifests and develops during the course of one psychotherapy process. This will be done using Assimilation analysis (APES) and Dialogical Sequence Analysis (DSA) to show in detail one idiosyncratic developmental path through which the relationship toward the problematic shame experience changes and develops in psychotherapy. Results show how the manifestation of shame toward the problematic experience of being seen was present in the first moments of the first meeting, but also how during the sequence of sessions 7 – 9 Hanna’s relationship toward shame evoked referent unveils and developed gradually through therapeutic work from assimilation stage 2 to reaching stage 5-6 at the end of the 9th hour. This study shows how Hanna was able to reach a new kind of active agency toward the shame that, in the beginning, held the agency in her ’community of voices’, and how this understanding of shame’s developing and hiding nature can be of use in a clinically meaningful way.Peer reviewe
Retrocessos no contexto de terapia linguÃstica de avaliação
O modelo de assimilação é um modelo integrativo
que pode ser aplicado a qualquer tipo de setting
terapêutico para a descrição do processo de mudança.
A Escala de Assimilação de Experiências Problemáticas
(EAEP) descreve o processo de assimilação de
experiências problemáticas em terapia. Ainda que a
EAEP apresente uma sequência ordenada, estudos
demonstram que o processo de assimilação não é
contÃnuo; contrariamente, o processo parece seguir um
padrão de altos e baixos, com progressos seguidos de
retrocessos, particularmente em psicoterapias cognitivas.
Neste artigo, apresentamos uma análise dos
retrocessos no processo de uma cliente com um bom
prognóstico, Maria, em tratamento com terapia
linguÃstica de avaliação. A amostra é composta por
105 retrocessos retirados da análise da assimilação de
Maria de três problemas principais. As razões para a
maioria dos retrocessos podem ser classificadas numa de
três categorias: a zona de desenvolvimento próximo, a
metáfora de equilÃbrio e as linhas múltiplas. Cada uma
destas categorias pode ser compreendida como uma
consequência da estratégia cognitiva e ainda como
parte do processo da terapia cognitiva e não como um
desvio ou insucesso. Neste sentido, os retrocessos,
enquadrados no modelo de assimilação, reflectem
algumas das principais caracterÃsticas da terapia
cognitiva. No entanto, não podemos excluir a possibilidade
dos retrocessos no desenvolvimento poderem
indicar uma perspectiva de insucesso e, como tal, os
terapeutas devem estar atentos e procurar solucioná-los.The assimilation model is an integrative model
that can be applied to any kind of therapeutic setting
for describing the process of change. The Assimilation
of Problematic Experiences Scale (APES) describes the process of assimilation of problematic experiences
in therapy. Although the APES presents an orderly
sequence, studies have shown that assimilation process
is not smooth; instead it seems to follow a sawtoothed
path, with advances followed by setbacks or reversals,
particularly in cognitive psychotherapies.
In this paper, we report an analysis of assimilation
setbacks in the process of of a good-outcome client,
MarÃa, treated with linguistic therapy of evaluation are
analyzed. The sample is composed of 105 setbacks
taken from analysis of MarÃa's assimilation of three
main problems. The reasons for most of the setbacks
could be classified in one of three categories: the zone
of proximal development, the balance metaphor, and
multiple strands. Each of these categories can be
understood as a consequence of the cognitive strategy
and thus part of the process of cognitive therapy
rather than a deviation or failure. In this sense
setbacks, framed in the assimilation model, reflect
some of the main characteristics of cognitive therapy.
Nevertheless, we could not exclude the possibility that
setbacks could mark a prospective drop-out; therefore,
therapists should pay attention and resolve them.info:eu-repo/semantics/publishedVersio
The role of mutual in-feeding in maintaining problematic self-narratives: exploring one path to therapeutic failure
According to the author’s narrative model of change, clients may maintain a problematic self-stability across therapy, leading
to therapeutic failure, by a mutual in-feeding process, which involves a cyclical movement between two opposing parts of the
self. During innovative moments (IMs) in the therapy dialogue, clients’ dominant self-narrative is interrupted by exceptions to
that self-narrative, but subsequently the dominant self-narrative returns. The authors identified return-to-the-problem markers
(RPMs), which are empirical indicators of the mutual in-feeding process, in passages containing IMs in 10 cases of narrative
therapy (five good-outcome cases and five poor-outcome cases) with females who were victims of intimate violence. The
poor-outcome group had a significantly higher percentage of IMs with RPMs than the good-outcome group. The results
suggest that therapeutic failures may reflect a systematic return to a dominant self-narrative after the emergence of novelties (IMs
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