Client-identified important events in psychotherapy: Interactional structures and practices

Viklund, Erika; Holmqvist, Rolf; Nelson, Karin Zetterqvist

doi:10.1080/10503300903170939

Cited by 26 publications

(14 citation statements)

References 33 publications

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“…While Extract 3 provides an example of the radio psychologist’s extended affiliative response to the caller’s takeaways, the next extract illustrates how the radio psychologist could disagree with at least part of a caller’s conclusions. Disagreement is a significant component of therapeutic work (Viklund et al, 2010) and may be used by therapists to increase clients’ awareness and to challenge their problematic cognitive and emotional patterns (Weiste, 2015). In Extract 4, the radio psychologist disagrees with a caller in order to modify the conclusions she draws from the discussion.…”

Section: Discussionmentioning

confidence: 99%

“…Disagreement is a significant component of therapeutic work (Viklund et al, 2010) and may be used by therapists to increase clients' awareness and to challenge their problematic cognitive and emotional patterns (Weiste, 2015). In Extract 4, the radio psychologist disagrees with a caller in order to modify the conclusions she draws from the discussion.…”

Section: Reviewing Caller's Understandingsmentioning

confidence: 99%

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‘What are you taking away with you?’ Closing radio counselling encounters by reviewing progress

Thell

Peräkylä

2018

Discourse Studies

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Psychological radio counselling is a relatively recent development in psychological practice, where professionals provide psychological help via mass media communication. In the media context, a professional and a help-seeker face a number of communicative challenges, one of which is to close the encounter meaningfully with regard to its counselling and radio tasks. This study explicates how radio counselling encounters can be rounded off by summarising and reviewing the progress achieved in understanding the caller’s problem. At the end of the encounters, the radio psychologist invited callers to look back at the conversation and to formulate possible gains from it. On one hand, the radio psychologist encouraged callers’ reflection and acknowledged the callers’ entitlement to pass judgement on the outcomes of the encounter. On the other hand, the radio psychologist checked and subsequently reviewed the caller’s understanding of his or her problem and its solutions. We discuss how the practice was used to round off the encounters in a distinct way with an orientation to their counselling and radio objectives.

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Section: Discussionmentioning

confidence: 99%

Section: Reviewing Caller's Understandingsmentioning

confidence: 99%

‘What are you taking away with you?’ Closing radio counselling encounters by reviewing progress

Thell

Peräkylä

2018

Discourse Studies

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“…The client's reactions to the therapist's comments and the power relationship were evaluated by micro analyses of therapy session transcripts. In another study, the problems in the therapeutic relationship was worked through conversational analysis by examining turn taking in therapy dialogue (Viklund, Holmqvist & Nelson, 2010).…”

Section: Analyzing the Change Of Meaning In Psychotherapy: Conversatimentioning

confidence: 99%

Psychotherapy Process Analysis: Application of the Qualitative Research Methods to Psychotherapy Research

Sarı

2019

AYNA Klinik Psikoloji Dergisi

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Bu makale psikoterapi araştırmalarında söylem, anlatı ve konuşma analizinin kullanımı ile psikoterapide değişen anlamın incelenmesine odaklanmıştır. Psikoterapi sürecinin incelendiği araştırmalar terapötik varsayımların kabul edildiği ve sorgulandığı farklı epistemolojik duruşlar esas alınarak aktarılmıştır. Bu bağlamda, vakaya odaklanan ve danışanın problemini, içsel duygu durumunu, bilişsel sürecini yansıtan araştırmalar, terapi ilişki ve terapi etkileşimine odaklanan araştırmalar ve kültürel bağlam, güç ilişkisi, ideoloji gibi makro seviyede psikoterapi sürecini ele alan araştırmalar incelenmiştir. Son olarak psikoterapi araştırmalarında etik ikilemler ve araştırmanın niteliği konuları tartışılmıştır.

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“…For psychotherapies, client resistance is a pertinent feature: According to Vehviläinen (2008, p. 120), when discussing psychoanalysis, resistance is not an interactional failure, but "a starting point for exploration." In their CA informed study of client-identified important events in psychotherapy sessions, Viklund, Holmqvist, & Zetterqvist Nelson (2010) found that sequences of interaction, which clients in post-session interviews pointed out as important, involved some kind of disagreement between the therapist and the client. Thus, resistance or disagreement is not an obstacle to psychotherapy or something that needs to be sorted out in order for the therapy to take place.…”

Section: Describing the Therapeutic Relationshipmentioning

confidence: 99%

Therapeutic Discourse

Weiste

Peräkylä

2015

The International Encyclopedia of Language and Social Interaction

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Therapeutic discourse is the talk in interaction between clinician and client that aims to improve the mental health of a client. Therapeutic discourse can be conducted in a wide range of institutional settings, varying from primary-care medicine, to rehabilitation and social work. In psychotherapy, therapeutic discourse is the key activity, as the sole business of the psychotherapeutic encounter is to talk and interact in ways that improve the client's mental health. Early studies of therapeutic discourse Therapeutic discourse has been an interest of social scientific and linguistic research from as early as the 1950s. Qualitative interaction analysis of audio-or video-recorded psychotherapy sessions was started by Pittenger, Hockett, and Danehy (1961), who described in detail an audio recording of the first five minutes of an initial psychiatric interview. They paid particular attention to the implicit meanings conveyed by the lexical and prosodic choices of the participants. The major milestone was Labov and Fanshel's book Therapeutic Discourse (1977) in which they analyze a single, 15-minute long segment of psychotherapy interaction using speech act theory. In their analysis, Labov and Fanshel single out four basic types of actions: metalinguistic action (initiating, continuing, or ending an action), representation, request, and challenge. Through the examination of these actions, the authors address themes that are pertinent also in the clinical understanding of psychotherapy, such as emotion and repression. The early studies employed a major part of the concepts and tools of linguistic and social scientific interaction research. Therapeutic discourse has, however, also been studied in other disciplines. Psychotherapy process research is perhaps the most comprehensive research field for understanding therapeutic discourse. Psychotherapy process research Due to the centrality of language and interaction in psychotherapy, themes pertaining to therapeutic discourse are addressed not only in linguistic and social scientific research, but also in clinical and psychological research on psychotherapy. There is a rich research tradition on processes through which psychological change in the client occurs during

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Client-identified important events in psychotherapy: Interactional structures and practices

Cited by 26 publications

References 33 publications

‘What are you taking away with you?’ Closing radio counselling encounters by reviewing progress

‘What are you taking away with you?’ Closing radio counselling encounters by reviewing progress

Psychotherapy Process Analysis: Application of the Qualitative Research Methods to Psychotherapy Research

Therapeutic Discourse

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