Abstract
Psychotherapy research has been able to reveal how the therapists do what they are able to articulate as their basic repertory of doing psychotherapy. The research has also shown that the therapists do additional, equally important things which are not usually included in their own accounts of their therapeutic practice and preferences. Therapeutic skills consist of parts which are different layers of therapists’ personal learning histories and professional experience (i.e. vertical expertise), and of other parts which are more context-interactive and relational knowledge based (i.e. horizontal expertise). In this chapter, I am making an effort to construct a picture about the evolution of the therapist’s actions in the beginning phases of four consecutive couple therapy sessions of a young intercultural couple (neither of them or the therapists were using their native tongue in therapy sessions). This is done through a microanalytical reading of session transcripts using dialogical tools and the concepts of Narrative Processes Coding System (NPCS) developed by Angus et al. The emphasis of the inquiry is on the responsive nonchallenging joining and therapist’s attunement with the couple’s interactive approach, minor shifts in the narrative process modes, and some more openly interventive turns through which the therapist introduces novel ways of approaching and dealing with the issues emerging in the therapeutic dialogue. The outcome of these therapist actions is considered both in the microanalytical context of immediate conversation negotiating the couple’s relationship and in the context of this four-session process. The contribution of this perspective aims to provide tools both for marital and family therapy training and research.
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References
Anderson, H. (2001). Postmodern collaborative and person-centered therapies: What would Carl Rogers say? Journal of Family Therapy, 23, 339–360.
Andolfi, M. (1979). Family therapy: An interactional approach. New York: Plenum Press.
Angus, L., Levitt, H., & Hardtke, K. (1999). The narrative processes coding system: Research applications and implications for psychotherapy practice. Journal of Clinical Psychology, 55, 1250–1270.
Beck, A. T., Rush, S. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford Press.
Beck, A. T., Steer, R. A., & Garbin, M. G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8, 77–100.
Carr, A. (1998). Michael White’s narrative therapy. Contemporary Family Therapy, 20, 485–503.
Dallos, R., & Draper, R. (2000). An introduction to family therapy. Systemic theory and practice. Buckingham: Open Universities Press.
Elliott, R. (2012). Qualitative methods for studying psychotherapy change processes. In D. Harper & A. R. Thompson (Eds.), Qualitative research methods in mental health and psychotherapy (pp. 69–81). Oxford: Wiley-Blackwell.
Friedman, S. (Ed.). (1995). The reflecting team in action. Collaborative practice in family therapy. New York: Guilford Press.
Goldenberg, H., & Goldenberg, I. (2013). Family therapy. An overview (8th ed.). Belmont, CA: BrooksCole.
Gorell Barnes, G. (2004). Family therapy in changing times (2nd ed.). Bristol: Palgrave McMillan.
Gurman, A. S., & Kniskern, D. P. (Eds.). (1991). Handbook of family therapy (Vol. II). New York: Routledge.
Haley, J. (1976). Problem-solving therapy. San Francisco, CA: Jossey-Bass.
Johnson, S. M., & Talitman, E. (1997). Predictors of success in Emotionally Focused Marital Therapy. Journal of Marital and Family Therapy, 23, 135–152.
Kuhlman, I. (2013). Developing accountability in couple therapy for depression: A mixed methods study in a naturalistic setting in Finland (Jyväskylä studies in education, psychology and social research, Vol. 482). Jyväskylä: Jyväskylä University Printing House.
Laitila, A. (2004). Dimensions of expertise in family therapeutic process (Jyväskylä studies in education, psychology and social research, Vol. 247). Jyväskylä: Jyväskylä University Printing House.
Laitila, A., Aaltonen, J., Wahlström, J., & Angus, L. (2001). Narrative process coding system in marital and family therapy: An intensive case analysis of the formation of a therapeutic system. Contemporary Family Therapy, 23, 309–322.
Laitila, A., Aaltonen, J., Wahlström, J., & Angus, L. (2005). Narrative process modes as a bridging concept for the theory, research and clinical practice of systemic therapy. Journal of Family Therapy, 27, 202–216.
Lambert, M. J. (2005). Early response in psychotherapy: Further evidence for the importance of common factors rather than ‘placebo effects’. Journal of Clinical Psychology, 61(7), 855–869.
Lambert, M. J. (2013). Outcome in psychotherapy: The past and important advances. Psychotherapy, 50(1), 42–51.
Lambert, M. J., Whipple, J. L., Vermeersch, D. A., Nielsen, S. L., & Hawkins, E. J. (2001). The effects of providing therapists with feedback on patient progress during psychotherapy: Are outcomes enhanced? Psychotherapy Research, 11(1), 49–68.
Lebow, J. L. (Ed.). (2005). Handbook of clinical family therapy. Hoboken, NJ: Wiley.
Makinen, J. A., & Johnson, S. M. (2006). Resolving attachment injuries in couples using emotionally focused therapy: Steps toward forgiveness and reconciliation. Journal of Consulting and Clinical Psychology, 74(6), 1055–1064.
Markova, I. (2006). On ‘the inner alter’ in dialogue. International Journal for Dialogical Science, 1, 125–147.
McGee, D., Del Vento, A., & Beavin Bavelas, J. (2005). An interactional model of questions as therapeutic interventions. Journal of Marital and Family Therapy, 31, 371–384.
Minuchin, S., Lee, W.-Y., & Simon, G. S. (1996). Mastering family therapy. Journeys of growth and transformation. New York: Wiley.
Partanen, T. (2008). Interaction and therapeutic interventions in treatment groups for intimately violent men. Jyväskylä: Jyväskylä University Printing House.
Quitkin, F. M., McGrath, P. J., Stewart, J. W., Taylor, B. P., & Klein, D. F. (1996). Can the effects of antidepressants be observed in the first two weeks of treatment? Neuropsychopharmacology, 15, 390–394.
Rober, P. (2005). Family therapy as a dialogue of living persons: A perspective inspired by Bakhtin, Voloshinov, and Shotter. Journal of Marital and Family Therapy, 31, 385–397.
Rober, P., Elliott, R., Buysse, A., Loots, G., & De Corte, K. (2008). Positioning in the therapist’s inner conversation: A dialogical model based on a grounded theory analysis of therapist reflections. Journal of Marital and Family Therapy, 34, 406–421.
Salzberger-Wittenberg, I. (1970). Psycho-analytic insight and relationship: A Kleinian approach. London: Routledge.
Schielke, H. J., Stiles, W. B., Cuellar, R. E., Fishman, J. L., Hoener, C., Del Castillo, D., et al. (2011). A case study investigating whether the process of resolving interpersonal problems in couple therapy is isomorphic to the process of resolving problems in individual therapy. Pragmatic Case Studies in Psychotherapy, 7, 477–528.
Seikkula, J., Arnkil, T. E., & Erikson, E. (2003). Postmodern society and social networks: Open and anticipation dialogues in network meetings. Family Process, 42, 185–203.
Seikkula, J., Laitila, A., & Rober, P. (2012). Making sense of multi-actor dialogues in family therapy and network meetings. Journal of Marital and Family Therapy, 38, 667–687.
Seikkula, J., & Trimble, D. (2005). Healing elements of therapeutic conversation: Dialogue as an embodiment of love. Family Process, 44, 461–475.
Shotter, J. (2007). Not to forget Tom Andersen’s way of being Tom Andersen: The importance of what ‘just happens’ to us. Human Systems: The Journal of Systemic Consultation & Management, 18, 15–34.
Smith, C., & Nylund, D. (Eds.). (1997). Narrative therapies with children and adolescents. New York: Guilford Press.
Sparks, J. A., Kisler, T. S., Adams, J. F., & Blumen, D. G. (2011). Teaching accountability: Using client feedback to train effective family therapists. Journal of Marital and Family Therapy, 37, 452–467.
Sprenkle, D. H., Davis, S. D., & Lebow, J. L. (2009). Common factors in couple and family therapy. New York: Guilford Press.
Stewart, J. W., Quitkin, F. M., McGrath, P. J., Amsterdam, J., Fava, M., Fawcett, J., et al. (1998). Use of pattern analysis to predict differential relapse of remitted patients with major depression during 1 year of treatment with fluoxetine or placebo. Archives of General Psychiatry, 55, 334–343.
Stiles, W. B. (1993). Quality control in qualitative research. Clinical Psychology Review, 13, 593–618.
Stiles, W. B. (2003). Qualitative research: Evaluating the process and the product. In S. Llewelyn & P. Kennedy (Eds.), Handbook of clinical health psychology (pp. 477–499). Chichester, UK: Wiley.
Stiles, W. B., Honos-Webb, L., & Lani, J. A. (1999). Some functions of narrative in the assimilation of problematic experiences. Journal of Clinical Psychology, 55, 1213–1226.
Stiles, W. B., Leiman, M., Shapiro, D. A., Hardy, G. E., Barkham, M., Detert, N. B., et al. (2006). What does the first exchange tell? Dialogical sequence analysis and assimilation in very brief therapy. Psychotherapy Research, 16, 408–421.
Vall, B., Seikkula, J., Laitila, A., Holma, J. & Botella, L. (2014). Increasing responsibility, safety, and trust through a dialogical approach: A case study in couple therapy for psychological abusive behavior. Journal of Family Psychotherapy, 25, 275–299.
Vall, B., Seikkula, J., Laitila, A., & Holma, J. (2013). Complexities of dialogue in therapy for intimate partner violence. Addressing the issue of psychological violence. Submitted.
Wampold, B. E. (2001). The great psychotherapy debate. Models, methods, and findings. Mahwah, NJ: Lawrence Erlbaum.
Watzlawick, P., Beavin, J. H., & Jackson, D. D. (1967). Pragmatics of human communication: A study of interactional patterns, pathologies, and paradoxes. New York: Norton.
White, M. (1995). Re-authoring lives. Adelaide: Dulwich Centre.
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Laitila, A. (2016). Introducing Novelties into Therapeutic Dialogue: The Importance of Minor Shifts of the Therapist. In: Borcsa, M., Rober, P. (eds) Research Perspectives in Couple Therapy. Springer, Cham. https://doi.org/10.1007/978-3-319-23306-2_4
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DOI: https://doi.org/10.1007/978-3-319-23306-2_4
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