Patients’ Representation of the Therapeutic Dialogue and the Outcome of Therapy

2018 ◽  
Vol 88 (1) ◽  
pp. 39-40
Author(s):  
Alice Marble ◽  
Per Høglend ◽  
Randi Ulberg
Keyword(s):  
Therapeutic Dialogue

scholarly journals Client's immersed and distanced speech and therapist's interventions in emotion-focused therapy for depression: an intensive analysis of a case study

2016 ◽  
Vol 19 (2) ◽  
Author(s):  
Ana Bela Couto ◽  
Eunice Barbosa ◽  
Sara Silva ◽  
Tiago Bento ◽  
Ana Sofia Teixeira ◽  
...  
Keyword(s):  
Laboratory Studies ◽  
Clinical Change ◽  
Emotion Focused Therapy ◽  
Client Variables ◽  
Observational Measures ◽  
Helping Skills ◽  
System A ◽  
Therapeutic Dialogue ◽  
The Relationship

Previous laboratory studies have explored the importance of participants adopting an immersed or distanced perspective in the analysis of their experiences. These studies concluded that distancing allows analyzing emotions in a healthier way and immersion leads to higher vulnerability. However, in psychotherapy, the relationship between these perspectives and clinical change has been less investigated. The present study aims to contribute to understanding how these variables evolve during psychotherapy and also to explore the therapist’s contributions to this process. This study analyzes a good-outcome case of emotion-focused therapy for depression through two observational measures of psychotherapy process: the measure of immersed and distanced speech – which identifies client’s adoption of an immersed or distanced stance when talking about their problems – and the helping skills system – which identifies therapist’s interventions focused on exploration, insight or action. Results showed a decrease of immersed speech and an increase of distanced speech along the process, with a higher frequency of exploration skills preceding both types of client’s speech. Finally, the evolution of therapist’s and client’s speech showed a reasonable flexibility of therapeutic dialogue throughout the sessions, in particular due to the evolution of client variables (evidencing a higher diversity of behaviors).

scholarly journals Illness narratives of substance users from urban India

2017 ◽  
Vol 4 (3) ◽  
Author(s):  
Shalini Singh
Keyword(s):  
Gender Gap ◽  
Medical Community ◽  
Social Aspects ◽  
Drug Abuse Treatment ◽  
New Delhi ◽  
Social Dimensions ◽  
Medical Problems ◽  
Therapeutic Dialogue ◽  
The Social ◽  
Abuse Treatment

Reading Veena Das’s book 'Affliction: Health, Disease, Poverty' was a journey of revelations for me as a health professional. The various dialects of illness that are spoken in the rapidly urbanizing Indian community become coherent, lending a voice to the distinctive sociocultural distress of the men and women who form a part of it. A discussion of the social aspects of illness brings certain questions to mind: Does the medical community fully understand those it tries to help? Is the therapeutic dialogue about the social dimensions of medical problems or vice versa? How do we bridge the mental health gender gap in our societies? To try and find some answers, I present the illness stories of two women who sought treatment at drug abuse treatment clinics in the urban slums of New Delhi. This think piece describes substance use disorder in the context of the cultural processes that have shaped these women, their families, and society.

Sopravvivenza e ripresa: riflessioni psicoanalitiche

GRUPPI ◽  
2009 ◽  
pp. 11-30
Author(s):  
Anna Ornstein
Keyword(s):  
Opportunity To Learn ◽  
Point Of View ◽  
Traumatic Memory ◽  
Traumatic Memories ◽  
Psychological Mechanisms ◽  
Therapeutic Dialogue ◽  
The Holocaust ◽  
Empathic Listening ◽  
Psychological Organization ◽  
The Impact

- In response to a concern that the impact of the Holocaust will not be recognized by psychotherapists treating survivors, several psychoanalysts who were refugees from Nazi Germany devoted a great deal of time and effort to detailing the psychopathological consequences of the Holocaust trauma. Considering the magnitude of the trauma, it was not difficult to find evidence of psychopathology. However, because of their almost exclusive emphasis on psychopathology, most of these researchers failed to recognize the particular manner in which survivors mourned their enormous losses and made an effort to integrate their painful memories into the rest of their personality. This meant the loss of an opportunity to learn about the process of recovery following severe traumatization. The paper also described a hypothesis regarding the psychological mechanisms involved in adaptations to extreme conditions. From the author's point of view, this constituted a link in the survivors' effort to establish psychic continuity between their pre-Holocaust psychological organization and adaptations to a new life. Unlike her colleagues, the author believes that integration of traumatic memories was possible as long as the survivors encountered an empathic listening perspective and their effort to recover was validated. Survivors of trauma have every reason to expect that their stories will evoke fear, confusion, horror and disbelief and that therapists will protect themselves from these affects by resorting to generalizations or praise for the survivor's heroism or special qualities. Such responses however make it impossible for survivors to proceed, and the affects associated with the traumatic memory may never, or only partially, enter the therapeutic dialogue. Once recovered and articulated, the memories are accompanied by grief and anger, indicating that an increase in self-cohesion, a healing of the vertical split, has allowed the previously feared affects to enter consciousness. From the author's viewpoint, feeling anger is an expectable and healthy response in this context. Justified anger is not to be confused with chronic narcissistic rage, which can constitute the nucleus of severe personality disorders.Key words: Holocaust, trauma, traumatic memories, adaptation, integration, empathic listening.Parole chiave: Olocausto, trauma, ricordi traumatici, adattamento, integrazione, ascolto empatico.

Patients’ representations of the therapeutic dialogue: a pathway towards the evaluation of psychotherapy process and outcome

2018 ◽  
pp. 17-28
Author(s):  
Jesse D. Geller ◽  
Donna S. Bender ◽  
Norbert Freedman ◽  
Joan Hoffenberg ◽  
Denise Kagan ◽  
...  
Keyword(s):  
Psychotherapy Process ◽  
Therapeutic Dialogue ◽  
Process And Outcome

The therapeutic dialogue in narco-analytic treatments.

Psychotherapy ◽  
1979 ◽  
Vol 16 (1) ◽  
pp. 91-97
Author(s):  
Benjamin Moaz ◽  
Chasya Pincus
Keyword(s):  
Therapeutic Dialogue
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