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The art of tentativity: Delivering interpretations in psychodynamic psychotherapy
Journal of Pragmatics ( IF 1.860 ) Pub Date : 2021-02-18 , DOI: 10.1016/j.pragma.2021.01.028
Anja Stukenbrock , Arnulf Deppermann , Carl Eduard Scheidt

In psychotherapy, therapists often formulate interpretations of clients' prior talk which are ‘unilateral’ in the sense that therapists index that they are themselves the author of an interpretive inference which may not be acceptable to the client. Based on 100 German-language recordings of brief psychodynamic psychotherapy (4 clients with 25 sessions each), we describe a multimodal practice of constructing extended multi-unit turns of delivering therapeutic interpretations. The practice includes gaze aversion until the main point of the interpretation is reached, perceptive and cognitive formulae, epistemic hedges, inserted accounts, parenthesis, self-repair, and self-reformulations. These design-features work together to index that the therapist produces an interpretation that can be heard as being tentative. The design of the therapists' turns reflexively indexes the expectation that the client might resist the interpretation; at the same time they are constructed to avoid resistance and to invite the client's self-exploration into new directions, often with a focus on emotions.



中文翻译:

不确定性的艺术:在心理动力学心理治疗中提供解释

在心理治疗中,治疗师经常对客户的事先谈话进行解释,这是“单方面的”,这是指治疗师认为自己本身就是解释性推论的作者,而这种解释性推论可能不会被客户接受。基于简短的心理动力心理治疗的100条德语录音(4位客户,每位25个疗程),我们描述了构建扩展的多单元轮流进行治疗解释的多模式实践。实践包括凝视厌恶,直到达到解释的要点,感知和认知公式,认知树篱,插入的记述,括号,自我修复和自我改造。这些设计功能共同作用,以指示治疗师产生的解释可被视为暂时的。治疗师的转弯设计可以灵活地反映出客户可能会拒绝解释的期望;同时,它们的构建是为了避免抵触,并邀请服务对象的自我探索朝着新的方向发展,通常侧重于情感。

更新日期:2021-02-18
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