Misalignment as a Therapeutic Resource

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Voutilainen , L , Peräkylä , A & Ruusuvuori , J E 2010 , ' Misalignment as a Therapeutic Resource ' , Qualitative Research in Psychology , vol. 7 , no. 4 , pp. 299-315 . https://doi.org/10.1080/14780880902846411

Title: Misalignment as a Therapeutic Resource
Author: Voutilainen, Liisa; Peräkylä, Anssi; Ruusuvuori, Johanna Elisabeth
Contributor: University of Helsinki, Sociology
University of Helsinki, Helsinki Collegium for Advanced Studies
University of Helsinki, Department of Social Research (2010-2017)
Date: 2010-11-24
Language: eng
Number of pages: 17
Belongs to series: Qualitative Research in Psychology
ISSN: 1478-0895
URI: http://hdl.handle.net/10138/29483
Abstract: The article reports conversation analysis of a single cognitive psychotherapy session in which an interactional misalignment between the therapist and the patient emerges, culminates, and is mitigated. Through this case study, the interactional practices lead- ing to a rupture in therapeutic alliance and the practices leading to its mending are explored. In the session the therapist pursues investigative orientation in relation to the patient’s experience under discussion, whereas the patient maintains orientation to “troubles-telling.” The diverging projects of the participants amount to overt misalign- ment. Eventually, the therapist brings the relationship of the patient and herself as a topic of conversation in ways which turn the misalignment into a resource of therapeu- tic work. The microanalysis of actual interactional patterns in this single case is linked to discussions of therapeutic alliance in psychotherapeutic literature.
Subject: 514 Sociology
alliance ruptures; cognitive psychotherapy; conversation analysis; emotion; misalignment
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