Abstract

Do clients with phobic, obsessive–compulsive, eating, and depressive disorders interact with their therapist using ways of relating whose respective meanings are characteristic of the semantics of freedom, goodness, power, or belonging? And does the therapist take a position in tune with clients’ dominant semantic? This study aims to answer these questions to verify the hypothesis, derived from Ugazio’s family semantic polarities theory: that there is no single way of building the therapeutic relationship, rather, there are as many ways as there are semantics and related disorders. We applied the Semantic Grid of Therapeutic Relationship to 120 video-recorded sessions, the first two sessions of 60 clients with phobic (12), obsessive–compulsive (12), eating (12), depressive or bipolar disorders (12) and problems with daily life (12). The SG-DTR allows the detection and classification of the interactive semantic polarities (ISPs), in which client and therapist, mainly nonverbally, move away from their ascribed roles. The results confirm that the lived story between therapist and client in the here and now of the session is constructed in different ways according to the patients’ disorder. This study opens a new research perspective on the therapeutic relationship and shows the application of a method which can also be used by clinicians, especially when they are facing an impasse during the therapy.

摘要

患有恐惧症、强迫症、饮食和抑郁症的来访者是否使用相关方式与他们的治疗师互动，这些方式各自的含义是自由、善良、权力或归属的语义特征？治疗师的立场是否与来访者的主导语义相一致？本研究旨在回答这些问题以验证源自 Ugazio 的家庭语义极性理论的假设：建立治疗关系没有单一的方法，而是存在与语义和相关疾病一样多的方法。我们将治疗关系的语义网格应用于 120 个视频录制的会话，前两个会话的 60 名患有恐惧症 (12)、强迫症 (12)、进食 (12)、抑郁或双相情感障碍 (12) 以及与日常生活 (12). SG-DTR 允许检测和分类交互式语义极性 (ISP)，其中客户和治疗师，主要是非语言，远离他们的既定角色。结果证实，治疗师和来访者在治疗的此时此地之间的生活故事是根据患者的疾病以不同的方式构建的。这项研究为治疗关系开辟了一个新的研究视角，并展示了一种临床医生也可以使用的方法的应用，尤其是当他们在治疗过程中面临僵局时。结果证实，治疗师和来访者在治疗的此时此地之间的生活故事是根据患者的疾病以不同的方式构建的。这项研究为治疗关系开辟了一个新的研究视角，并展示了一种临床医生也可以使用的方法的应用，尤其是当他们在治疗过程中面临僵局时。结果证实，治疗师和来访者在治疗的此时此地之间的生活故事是根据患者的疾病以不同的方式构建的。这项研究为治疗关系开辟了一个新的研究视角，并展示了一种临床医生也可以使用的方法的应用，尤其是当他们在治疗过程中面临僵局时。