Submissive voices dominate in depression: Assimilation analysis of a helpful session

Osatuke, Katerine; Mosher, James K.; Goldsmith, Jacob Z.; Stiles, William B.; Shapiro, David A.; Hardy, Gillian E.; Barkham, Michael

doi:10.1002/jclp.20338

Cited by 27 publications

(20 citation statements)

References 14 publications

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“…We may assume tentatively that our tasks as therapists do not facilitate divergence, but convergence. Therapists tend to align with voices, and this infl uences, obviously, the process of therapy (Osatuke et al, 2007), so, if the therapist does not respect all the patient's voices, there could be problems. A therapist who recognizes the multiplicity of voices is a better, more empathic therapist (Dimaggio & Stiles, 2007), and this could have therapeutic consequences, such as repairing ruptures in the therapeutic alliance.…”

Section: Discussionmentioning

confidence: 97%

“…In this sense, patients could fi nd themselves bridges that allow them to move easily and successfully from different and related aspects of themselves (i.e., voices), and this will facilitate the process of therapy (Osatuke et al, 2007). Patients' problems are also never resolved in an isolated way.…”

Section: Discussionmentioning

confidence: 98%

“…However, if our usual repertoire of voices contradicts the experience, this experience becomes a problem (non-dominant voice), and the self cannot assimilate it. A problematic voice expresses experiences incongruent with the dominant voices, with our usual sense of self (Osatuke et al, 2007). The model assumes that, if the self assimilates the experience (the voice), it becomes a resource.…”

Section: Introductionmentioning

confidence: 99%

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Convergence of voices: Assimilation in linguistic therapy of evaluation

Gabalda

2009

Clin Psychology and Psychoth

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This paper shows the convergence of voices in psychotherapy in the context of the assimilation model. Convergence is the link between patients' voices within the community of voices. The main aim of the paper was to explore (a) how convergence (and divergence) is shown during sessions and the usefulness of convergence for the process of assimilation; (b) if a well-structured patient is able to track the sociohistorical antecedents of his/her main voices; and (c) if, at the end of the therapy, the self becomes richer and with more resources.For this aim to be realized, a case study of a patient, María, treated with linguistic therapy of evaluation for 14 sessions, was analysed by using the Assimilation of Problematic Experiences Scale (APES). Three main problematic experiences or non-dominant voices were identified with the APES: inability to do things, dizziness and tiredness. María's main dominant voices were to cure, solve and overcome problems, to be always doing things and to cope.Results showed a convergence but no divergence of voices as early as session 3. Results also showed how continuity-benevolence assumptions were broken and that, at the end of therapy, the patient's self became richer due to assimilation through the dialogue between non-dominant and dominant voices.Discussion emphasized these results, which are especially representative of a well-integrated patient who showed a healthy multiplicity.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

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Convergence of voices: Assimilation in linguistic therapy of evaluation

Gabalda

2009

Clin Psychology and Psychoth

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“…Ela vai reclamar o seu papel central e resistir à entrada de novas alternativas. Para orientar esse processo, o terapeuta terá de alternar na aliança que estabelece com as posições do paciente, de acordo com o contexto em que são mais adaptativas, tendo o cuidado de nunca ignorar ou renegar posições (Osatuke et al, 2007). Os resultados de uma coligação bem sucedida são evidentes, sendo possível reverter uma estrutura monológica estabilizada em processos dialógicos eficientes e flexíveis (Hermans, 2006).…”

Section: A Intervenção Terapêutica Dialógicaunclassified

Estratégias dialógicas de auto-organização da identidade: psicoterapia e reestruturação da gestão interna

Rosa

Gonçalves

2013

Psic.: Teor. e Pesq.

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RESUMO -A identidade tem sido um conceito central na literatura em psicologia e na forma como as diferentes abordagens terapêuticas têm concebido os processos de mudança. Entre as inúmeras perspectivas desenvolvidas sobre essa dimensão do ser humano, destacamos o paradigma dialógico que tem vindo a influenciar de forma crescente a teoria e prática em psicoterapia. Segundo esta perspectiva, a funcionalidade psicológica está relacionada com o modo como os indivíduos conseguem articular e colocar em diálogo produtivo as suas várias vozes ou posições de identidade. Neste artigo apresentamos uma revisão da literatura sobre as estratégias que subjazem a essa capacidade auto-organizadora do sistema identitário e sobre as diretrizes que poderão orientar uma intervenção terapêutica dialógica quando essa capacidade se torna disfuncional.Palavras-chave: identidade, perspectiva dialógica, dinâmica intrapessoal, sistema identitário, psicoterapia Dialogical Self Strategies of Self-Organization: Psychotherapy and Restructuring of Internal Management ABSTRACT -Self-concept has been playing a crucial role in psychological literature and in the way the different therapeutic approaches conceive the processes of change. From the diverse perspectives developed about this human dimension, we emphasise the dialogical paradigm that has been increasingly influential in the psychotherapeutic theory and practice. According to the dialogical perspective the psychological well-being is dependent on the way individuals articulate and maintain productive dialogues between the different voices of the self or "I-Positions". In this paper we present a review of the literature on the strategies that underlie this self-regulatory ability of the self-system and the guidelines of the dialogical therapeutic intervention that could be used when these self-regulatory strategies become dysfunctional.Key words: self, dialogical perspective, intrapersonal dynamics, self-system, psychotherapy A identidade afigura-se como um conceito central para compreender a condição humana e o mundo envolvente e para explicar a forma como lidamos com o caos experiencial. Neste artigo tomamos o conceito de identidade como equivalente ao conceito anglo-saxónico de self. Assim, sempre que nos referimos a identidade estamos a considerar a identidade pessoal, isto é, o sentido que as pessoas fazem de si. Apesar de ser uma dimensão recorrente na teoria e na prática psicológica, a identidade não é um conceito fácil de definir e tem funcionado como uma fonte inesgotável de desenvolvimentos e publicações. As propostas recentes têm permitido reinventar perspectivas antigas e desenvolver novas visões. Um número crescente de teóricos e investigadores concorda que a identidade é um processo fluido e dinâmico, que é construído no tempo a partir de um sentido de autoria, que resulta do conjunto complexo de estados da mente que são organizados numa identidade narrativa (e.g. McAdams, 2001;Sarbin, 1986).A perspectiva dialógica, enquanto teoria de compreensão e estudo da identidade, é her...

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“…The criticized voice, which was passive and struggled with assertiveness, was nevertheless the center of Robert's experience-it was the perspective from which he most often viewed the world (see Osatuke et al, 2007 for a summary of this idea). This voice was significantly influenced, however, by the speaking of the critic voice, which was active and aggressive.…”

Section: Therapistmentioning

confidence: 99%

Employing a Case Study in Building an Assimilation Theory Account of Generalized Anxiety Disorder and Its Treatment with Cognitive-Behavioral Therapy

Gray

Stiles

2011

PCSP

Self Cite

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This theory-building case study aimed to elaborate an account of anxiety and its treatment within an assimilation model of therapeutic change (e.g., Stiles, 2002). A team consisting of the senior author and two other co-investigators independently reviewed the case of Robert, a 52 year-old man who was successfully treated for generalized anxiety disorder (GAD) in a clinical trial of cognitive behavior therapy (CBT). The team observed the expression of Robert's major voicesthe assimilation model's name for the individual parts of a client's personality-in the audio record of the client's in-session dialogue. Prominent among these was a critic voice, described by co-investigators as harsh and derisive toward other aspects of the self. Our work led us to infer that, although the critic voice seemed closely associated with the anxiety that characterized Robert's GAD, it did not produce that anxiety directly through its attacks on his other voices. Rather, the critic voice induced vulnerability to specific, anxiety-arousing external circumstances by derogating Robert's coping skills or exaggerating the threat of specific external circumstances. Robert's anxiety then arose when he encountered those circumstances.

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Submissive voices dominate in depression: Assimilation analysis of a helpful session

Cited by 27 publications

References 14 publications

Convergence of voices: Assimilation in linguistic therapy of evaluation

Convergence of voices: Assimilation in linguistic therapy of evaluation

Estratégias dialógicas de auto-organização da identidade: psicoterapia e reestruturação da gestão interna

Employing a Case Study in Building an Assimilation Theory Account of Generalized Anxiety Disorder and Its Treatment with Cognitive-Behavioral Therapy

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