Item Details

”Open” and ”closed” therapies: Psychotherapeutic relationship and variety in actions in different phases of therapies

Issue: Vol 16 No. 2 (2019) Special Issue: Understanding Change in Psychotherapy

Journal: Communication & Medicine

Subject Areas: Healthcare Communication Linguistics

DOI: 10.1558/cam.33860

Abstract:

Abstract As a longitudinal process, psychotherapy is geared to facilitate a positive change in the patients. Starting from the classical psychoanalytical tradition, a fundamental aim in many types of psychotherapy is to increase the clients’ contact with their problematic emotions and parts of the self, and increase their self-reflexive abilities. As the interaction in psychotherapy aims towards a change, it is evident that it is not only the patient’s inner experience that changes during the process of psychotherapy, but also the relationship between the participants develops over time. In this paper, we propose a way to describe the global dynamics of the therapist-patient interaction, by making a distinction between what we call open and closed therapies. This perspective emerged from our work with a set of data coming from five dyads of psychodynamic psychotherapy. We consider how much variety there is in the interactional moves of the participants, that is, in the possible relations between two turns at talk. We call therapies with sequential variation as “open therapies” and those with rather stable sequential patterns as “closed therapies”. We propose that the variety on sequential relations links to the phasic organization that is common to all psychotherapeutic processes (in that they have beginning, middle and end) and to the change in the internal world of the patient.

Author: Liisa Voutilainen, Anssi Peräkylä

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References :

Bateman, Anthony and Jeremy Holmes (1995) Introduction to Psychoanalysis: Contemporary Theory and Practice. London: Routledge. https://doi.org/10.4324/9780203298398

Bercelli, Fabrizio, Federico Rossano and Maurizio Viaro (2013) Supra-session courses of action in psychotherapy. Journal of Pragmatics 57: 118–137. https://doi.org/10.1016/j.pragma.2013.08.001

Busch, Fred (1994) Some ambiguities in the method of free association and their implications for technique. Journal of the American Psychoanalytic Association 42 (2): 363–384. https://doi.org/10.1177/000306519404200202

Du Bois, John W. (2007) The stance triangle. In Robert Englebretson (ed.) Stancetaking in Discourse Subjectivity, Evaluation, Interaction, 139–182. Amsterdam: John Benjamins. https://doi.org/10.1075/pbns.164.07du

Freud, Sigmund (1950a) [1913] On beginning the treatment (Further recommendations on the technique of psycho-analysis I). Translated by James Strachey, in Standard Edition of the Complete Psychological Works of Sigmund Freud, 12: 121–144. London: Hogarth Press.

Freud, Sigmund (1950b) [1914] Remembering, repeating and working-through. Translated by Joan Riviere, modified by James Strachey, in Standard Edition of the Complete Psychological Works of Sigmund Freud, 12: 147–156. London: Hogarth Press.

Gelso, Charles (2014) A tripartite model of the therapeutic relationships that work: Theory, research, and practice. Psychotherapy Research 24 (2): 117–131. https://doi.org/10.1080/10503307.2013.845920

Goffman, Erving (1955) On face work: An analysis of ritual elements in social interaction. In Erving Goffman (ed.) Interaction Ritual: Essays on Face-to-Face Behavior, 5–45. Garden City, NY: Doubleday. https://doi.org/10.4324/9780203788387-2

Goffman, Erving (1961) Role distance. In Erving Goffman (ed.) Encounters: Two Studies in the Sociology of Interaction, 85–132. Indianapolis: Bobbs-Merrill.

Goodwin, Charles (2007) Participation, stance and affect in the organization of activities. Discourse and Society 18 (1): 53–73. https://doi.org/10.1177/0957926507069457

Hepburn, Alexa and Galina Bolden (2013) The conversation analytic approach to transcription. In Jack Sidnell and Tanya Stivers (eds) The Handbook of Conversation Analysis, 57–76. Oxford: Wiley-Blackwell. https://doi.org/10.1002/9781118325001.ch4

Leiman, Mikael (2012) Dialogical sequence analysis in studying psychotherapeutic discourse. International Journal for Dialogical Science 6 (1): 123–147.

Muntigl, Peter (2013) Resistance in couples counselling: Sequences of talk that disrupt progressivity and promote disaffiliation. Journal of Pragmatics 49: 18–37. https://doi.org/10.1016/j.pragma.2013.01.003

Ogden, Thomas H. (1986) The Matrix of the Mind: Object Relations and the Psychoanalytic Dialogue. Northvale, NJ: J. Aronson.

Peräkylä, Anssi (2011) After interpretation: Third position utterances in psychoanalysis. Research on Language and Social Interaction 44 (3): 288–316.

Peräkylä, Anssi (2012) Die Interaktionsgeschichte einer Deutung. In Ruth Ayass and Christian Meyer (eds) Sozialität in Slow Motion: Theoretische und Empirische Perspektiven, 375–405. Wiesbaden: Springer-Verlag. https://doi.org/10.1007/978-3-531-19020-4_18

Peräkylä, Anssi (2015) From narcissism to face work: Two views on the self in social interaction. American Journal of Sociology 121 (2): 445–474. https://doi.org/10.1086/682282

Peräkylä, Anssi (2019) Conversation analysis and psychotherapy: Identifying transformative sequences. Research on Language and Social Interaction 52 (3): 257–280. https://doi.org/10.1080/08351813.2019.1631044

Peräkylä, Anssi, Charles Antaki, Sanna Vehviläinen and Ivan Leudar (2008) Analysing psychotherapy in practice. In Anssi Peräkylä, Charles Antaki, Sanna Vehviläinen and Ivan Leudar (eds) Conversation Analysis and Psychotherapy, 5–25. Cambridge: Cambridge University Press. https://doi.org/10.1017/CBO9780511490002.002

Sorjonen, Marja-Leena and Anssi Peräkylä (2012) Introduction. In Anssi Peräkylä and Marja-Leena Sorjonen (eds) Emotion in Interaction, 3–15. Oxford: Oxford University Press. https://doi.org/10.1093/acprof:oso/9780199730735.003.0001

Stivers, Tanya (2008) Stance, alignment, and affiliation during storytelling: When nodding is a token of affiliation. Research on Language and Social Interaction 41 (1): 31–57. https://doi.org/10.1080/08351810701691123

Stivers, Tanya and Federico Rossano (2010) Mobil­izing response. Research on Language & Social Interaction 43 (1): 3–31. https://doi.org/10.1080/08351810903471258

Tähkä, Veikko (1993) Mind and Its Treatment: A Psychoanalytic Approach. Madison, CT: Inter­national Universities Press.

Vehviläinen, Sanna, Anssi Peräkylä, Charles Antaki and Ivan Leudar (2008) A review of the conversational practices of psychotherapy. In Anssi Peräkylä, Charles Antaki, Sanna Vehviläinen and Ivan Leudar (eds) Conversation Analysis and Psychotherapy, 188–197. Cambridge: Cambridge University Press. https://doi.org/10.1017/CBO9780511490002.012

Voutilainen, Liisa, Anssi Peräkylä and Johanna Ruusuvuori (2011) Therapeutic change in inter­action: Conversation analysis of a trans­forming sequence. Psychotherapy Research 21 (3): 348–365. https://doi.org/10.1080/10503307.2011.573509

Voutilainen, Liisa, Federico Rossano and Anssi Peräkylä (2018) Conversation analysis and psych­otherapeutic change. In Simona Pekarek Doehler, Johannes Wagner and Esther González-Martínez (eds) Documenting Change Across Time: Longitudinal Studies on the Organization of Social Interaction, 225–254. London: Palgrave Macmillan. https://doi.org/10.1057/978-1-137-57007-9_8

Weiste, Elina and Anssi Peräkylä (2013) A comparative conversation analytic study of formulations in psychoanalysis and cognitive psychotherapy. Research on Language and Social Interaction 46 (4): 299–321. https://doi.org/10.1080/08351813.2013.839093

Winnicott, Donald W. (1971) Playing & Reality. London: Tavistock.