Therapeutic change in interaction : Conversation analysis of a transforming sequence

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Voutilainen , L , Peräkylä , A & Ruusuvuori , J E 2011 , ' Therapeutic change in interaction : Conversation analysis of a transforming sequence ' , Psychotherapy Research , vol. 21 , no. 3 , pp. 348-365 . https://doi.org/10.1080/10503307.2011.573509

Title: Therapeutic change in interaction : Conversation analysis of a transforming sequence
Author: Voutilainen, Liisa; Peräkylä, Anssi; Ruusuvuori, Johanna Elisabeth
Contributor: University of Helsinki, Department of Social Research (2010-2017)
University of Helsinki, Sociology
University of Helsinki, Sociology
Date: 2011-05-27
Language: eng
Belongs to series: Psychotherapy Research
ISSN: 1050-3307
URI: http://hdl.handle.net/10138/27394
Abstract: A process of change within a single case of cognitive-constructivist therapy is analyzed by means of conversation analysis (CA). The focus is on a process of change in the sequences of interaction, which consist of the therapist’s conclusion and the patient’s response to it. In the conclusions, the therapist investigates and challenges the patient’s tendency to transform her feelings of disappointment and anger into self-blame. Over the course of the therapy, the patient’s responses to these conclusions are recast: from the patient first rejecting the conclusion, to then being ambivalent, and finally to agreeing with the therapist. On the basis of this case study, we suggest that an analysis that focuses on sequences of talk that are interactionally similar offers a sensitive method to investigate the manifestation of therapeutic change. It is suggested that this line of research can complement assimilation analysis and other methods of analyzing changes in a client’s talk.
Subject: 5141 Sociology
process research
qualitative research methods
conversation analysis
cognitive-constructivist therapy
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