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Authority in therapeutic interaction: A conversation analytic study
Journal of Marital and Family Therapy ( IF 1.8 ) Pub Date : 2021-02-24 , DOI: 10.1111/jmft.12471
Olga Smoliak 1 , Clare MacMartin 1 , Alexa Hepburn 2 , Amanda Le Couteur 3 , Robert Elliott 4 , Christopher Quinn-Nilas 5
Affiliation  

A paradigmatic shift toward postmodern, collaborative practice in family therapy raises questions about how therapists can use professional authority to facilitate change and how clients can assert their knowledge and agency. We used conversation analysis to investigate how the authority to know and to determine here-and-now action (i.e., who does what, and how, in therapy) was negotiated and accomplished in 10 sessions of emotion-focused therapy involving chair work. Therapists were observed to rely on a particular interactional sequence structure: stepwise entry into a directive, in which directives were preceded by a question-answer sequence. We show how instances where clients’ views were elicited prior to the delivery of a directive resulted in different interactional consequences from instances where therapists straightforwardly directed clients to perform some action. The study offers evidence concerning how therapists can facilitate chair work collaboratively and responsively.

中文翻译:

治疗互动中的权威:对话分析研究

家庭治疗中向后现代、协作实践的范式转变引发了关于治疗师如何利用专业权威来促进改变以及客户如何维护他们的知识和能动性的问题。我们使用对话分析来调查在涉及椅子工作的 10 次情绪集中治疗中如何协商和完成了解和确定此时此地行动(即,谁在治疗中做什么以及如何做)的权威。观察到治疗师依赖于特定的交互序列结构:逐步进入指令,其中指令之前是问答序列。我们展示了在交付指令之前如何征求客户意见的实例与治疗师直接指导客户执行某些操作的情况不同,会产生不同的交互后果。该研究提供了有关治疗师如何以协作和响应方式促进椅子工作的证据。
更新日期:2021-02-24
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