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Reflexive Questions as Constructive Interventions: A Discursive Perspective

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Therapy as Discourse

Part of the book series: The Language of Mental Health ((TLMH))

Abstract

This chapter aims to promote dialogue between discursively-oriented researchers and therapists, by exploring reflexive questions as a specific discursive therapy practice that can be used to co-construct preferred understandings of clients’ relationships, identities, experiences, and actions. From a discursive psychology approach, we suggest that the constructive potential of reflexive questions rests in triggering and accomplishing preferred (acceptable and helpful) formulations of such self-understandings. In our view, this type of preferred attribution work is therapeutic in that it conversationally accomplishes client-preferred meanings and fosters clients’ autonomy and capacity to generate change on their own. In order to empirically demonstrate these therapeutic effects, we use a discursive psychological approach to analyze exemplars of reflexive questions. Based on our suggestion that understanding therapy outcomes and client’s agency can be seen as situated conversational accomplishment, we end discussing some methodological, theoretical and ethical implications for therapy research and practice.

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Notes

  1. 1.

    Discursive researchers have studied “preference” emphasizing how people construct their talk as more or less preferred (see Pomerantz & Heritage, 2013). For example, how speakers select certain ways of talking with particular interlocutors (“recipient design”) or how certain kinds of initiating actions (invitations) normatively prefer or “expect” particular kinds of responses (acceptance). Notably conversation analysts relate preference to affiliation, or responses that endorse the teller’s point of view (Lindström & Sorjonen, 2013). Since we focus on attribution , affiliation is the interactional phenomenon closest to our interest—generation of preferred meaning.

  2. 2.

    These are English translations of data from a research project funded by the Government of Chile, Fondecyt project No. 11150198, approved by Universidad Adolfo Ibáñez’ local Board of Ethics. Names are pseudonyms. Project involves the study of family therapy involving children with “disruptive behaviors.” Data for this chapter were simplified to better suit its aims.

  3. 3.

    Numbers in parenthesis indicate time in seconds. Square parenthesis [ ] indicates an overlap of talk between J and T. Parenthesis ( ) indicates non-verbals. Talk between ° ° is quieter than surrounding talk (e.g., whispering). The sign “=” marks no discernible pause between the end of a speaker’s utterance and the start of the next utterance.

  4. 4.

    Hepburn and Potter (2012) characterize tremulous or wobbly delivery and aspiration as “a feature of speakers’ attempts to talk through a crying episode” (p. 198), which seemed to be the case here. Sniffs were audible, defined as “inhalation, with the addition of various voiced vowels and consonants, caused by nasal or ‘wet’ sounds” (pp. 197–198).

References

  • Anderson, H. (1997). Conversation, language, and possibilities: A postmodern approach to therapy. New York, NY: Basic Books.

    Google Scholar 

  • Andersen, T. (1987). The reflecting team: Dialogue and meta-dialogue in clinical work. Family Process, 26, 415–428.

    Article  Google Scholar 

  • Asay, T. P., & Lambert, M. J. (1999). The empirical case for the common factors in therapy: Quantitative findings. In A. Hubble, B. Duncan, & S. Miller (Eds.), The heart and soul of change: What works in therapy (pp. 23–55). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • Avdi, E. (2005). Negotiating a pathological identity in the clinical dialogue: Discourse analysis of a family therapy. Psychology and Psychotherapy: Theory, Research and Practice, 78(4), 493–511.

    Article  Google Scholar 

  • Berger, P. L., & Luckmann, T. (1991). The social construction of reality: A treatise in the sociology of knowledge. London: Penguin.

    Google Scholar 

  • Bohart, A. C., & Tallman, K. (2010). Clients: The neglected common factor in psychotherapy. In B. L. Duncan, S. D. Miller, B. E. Wampold, & M. A. Hubble (Eds.), The heart and soul of change: Delivering what works in therapy (pp. 83–111). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • Bohart, A. C., & Wade, A. G. (2013). The client in psychotherapy. In M. Lambert (Ed.), Bergin and Garfield’s handbook of psychotherapy and behavior change (6th ed., pp. 219–257). Hoboken, NJ: Wiley.

    Google Scholar 

  • Buber, M. (1970). I and Thou. New York, NY: Charles Scribner’s Sons.

    Google Scholar 

  • Buttny, R. (1990). Blame–account sequences in therapy: The negotiation of relational meanings. Semiotica, 78(3–4), 219–248.

    Google Scholar 

  • Canadian Psychological Association. (2000). Canadian code of ethics for psychologists (3rd. ed.). Ottawa, ON: Author Retrieved from http://www.cpa.ca/docs/File/Ethics/cpa_code_2000_eng_jp_jan2014.pdf

    Google Scholar 

  • Combs, G., & Freedman, J. (2012). Narrative, poststructuralism, and social justice: Current practices in narrative therapy. The Counseling Psychologist, 40(7), 1033–1060.

    Article  Google Scholar 

  • De Jong, P., & Berg, I. K. (2002). Interviewing for solutions (2nd ed.). Pacific Grove, CA: Brooks/Cole.

    Google Scholar 

  • De Shazer, S. (1984). The death of resistance. Family Process, 23(1), 11–17.

    Article  Google Scholar 

  • Dreier, O. (2015). Interventions in everyday lives: How clients use psychotherapy outside their sessions. European Journal of Psychotherapy & Counselling, 17(2), 114–128.

    Article  Google Scholar 

  • Edwards, D. (1997). Discourse and cognition. London, UK: Sage.

    Google Scholar 

  • Edwards, D. (1999). Emotion discourse. Culture & Psychology, 5(3), 271–291.

    Article  Google Scholar 

  • Edwards, D. (2005). Discursive psychology. In K. L. Fitch & R. E. Sanders (Eds.), Handbook of language and social interaction (pp. 257–273). Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Edwards, D., & Potter, J. (1992). Discursive psychology. London: Sage.

    Google Scholar 

  • Freedman, J., & Combs, G. (1996). Narrative therapy: The social construction of preferred realities. New York: Norton.

    Google Scholar 

  • Gadamer, H. G. (2004). Truth and method (J. Weinsheimer & D. G. Marshall, Trans., 2nd Rev. ed.). New York, NY: Continuum.

    Google Scholar 

  • Gendlin, E. T. (1996). Focusing-oriented psychotherapy: A manual of the experiential method. New York, NY: Guilford Press.

    Google Scholar 

  • Gonzalez, D. M. (2016). Client variables and psychotherapy outcomes. In D. J. Cain, K. Keenan, & S. Rubin (Eds.), Humanistic psychotherapies: Handbook of research and practice (2nd ed.). Washington, DC: American Psychological Association.

    Google Scholar 

  • Greenberg, L. S., & Pinsoff, W. (1986). The psychotherapeutic process: A research handbook. New York, NY: Guilford Press.

    Google Scholar 

  • Hayano, K. (2013). Question design in conversation. In J. Sidnell & T. Stivers (Eds.), The handbook of conversation analysis (pp. 395–414). Malden, MA: Wiley-Blackwell.

    Google Scholar 

  • Hepburn, A., & Potter, J. (2012). Crying and crying responses. In A. Peräkylä & M.-L. Sorjonen (Eds.), Emotions in interaction (pp. 195–211). New York, NY: Oxford University Press.

    Chapter  Google Scholar 

  • Hepburn, A., & Wiggins, S. (Eds.). (2005). Developments in discursive psychology. Discourse & Society, 16(5), 595–601.

    Google Scholar 

  • Heritage, J. (2013). Epistemics in conversation. In J. Sidnell & T. Stivers (Eds.), The handbook of conversation analysis (pp. 370–394). Malden, MA: Wiley-Blackwell.

    Google Scholar 

  • Jefferson, G. (1984). Notes on a systematic deployment of the acknowledgement tokens ‘yah’ and ‘mm hm’. Papers in Linguistics, 17, 197–216.

    Article  Google Scholar 

  • Jefferson, G. (1991). List-construction as a task and resource. In G. Psathas (Ed.), Interactional competence (pp. 63–92). New York: Irvington Publishers.

    Google Scholar 

  • Lindstrom, A., & Sorjonen, M.-L. (2013). Affiliation in conversation. In J. Sidnell & T. Stivers (Eds.), The handbook of conversation analysis (pp. 350–369). Malden, MA: Wiley-Blackwell.

    Google Scholar 

  • Lock, A., & Strong, T. (Eds.). (2012). Discursive perspectives in therapeutic practice. Oxford, UK: Oxford University Press.

    Google Scholar 

  • MacMartin, C. (2008). Resisting optimistic questions in narrative and solution-focused therapies. In A. Peräkylä, C. Antaki, S. Vehviläinen, & I. Leudar (Eds.), Conversation analysis and psychotherapy (pp. 80–99). New York, NY: CUP.

    Chapter  Google Scholar 

  • O’Reilly, M. (2014). Blame and accountability in family therapy: Making sense of therapeutic spaces discursively. [Special issue]. Qualitative Psychology, 1(2), 163–177.

    Google Scholar 

  • Orlinsky, D. E., Ronnestad, M. H., & Willutzki, U. (2004). Fifty years of psychotherapy process-outcome research: Continuity and change. In J. Clarkin, K. Levi, A. Bergin, & S. Garfield (Eds.), Handbook of psychotherapy and behavior change (5th ed., pp. 307–390). Hoboken, NJ: Wiley.

    Google Scholar 

  • Paré, D. (2012). The practice of collaborative counseling and psychotherapy: Developing skills in culturally mindful helping. Los Angeles, CA: Sage.

    Google Scholar 

  • Patrika, P., & Tseliou, E. (2016). Blame, responsibility and systemic neutrality: A discourse analysis methodology to the study of family therapy problem talk. Journal of Family Therapy, 38(4), 467–490.

    Article  Google Scholar 

  • Peräkylä, A. (1995). AIDS counselling: Institutional interaction and clinical practice. Cambridge: Cambridge University Press.

    Book  Google Scholar 

  • Pomerantz, A. (1986). Extreme case formulations: A way of legitimizing claims. Human Studies, 9(2–3), 219–229. https://doi.org/10.1007/BF00148128

    Article  Google Scholar 

  • Pomerantz, A., & Heritage, J. (2013). Preference. In J. Sidnell & T. Stivers (Eds.), Handbook of conversation analysis (pp. 210–228). Hoboken, NJ: Wiley-Blackwell Press.

    Google Scholar 

  • Potter, J. (1996). Representing reality. London: Sage.

    Google Scholar 

  • Potter, J. (2010). Contemporary discursive psychology: Issues, prospects and Corcoran’s awkward ontology. British Journal of Social Psychology, 49, 691–701.

    Article  Google Scholar 

  • Potter, J., & Hepburn, A. (2007). Discursive psychology: Mind and reality in practice. In Language, discourse and social psychology (pp. 160–180). London: Palgrave Macmillan.

    Chapter  Google Scholar 

  • Prochaska, J. O., DiClemente, C. C., & Norcross, J. C. (1992). In search of how people change: Applications to addictive behaviors. American Psychologist, 47(9), 1102–1114.

    Article  Google Scholar 

  • Raymond, G. (2003). Grammar and social organization: Yes/no interrogatives and the structure of responding. American Sociological Review, 68(6), 939–967. https://doi.org/10.2307/1519752

    Article  Google Scholar 

  • Shotter, J. (2008). Conversational realities revisited: Life, language, body and world. Chagrin Falls, OH: Taos Institute Publications.

    Google Scholar 

  • Speer, S. A. (2012). Hypothetical questions: A comparative analysis and implications for ‘applied’ versus ‘basic’ conversation analysis. Research on Language and Social Interaction, 45(4), 352–374.

    Article  Google Scholar 

  • Stancombe, J., & White, S. (2005). Cause and responsibility: Towards an interactional understanding of blaming and ‘neutrality’in family therapy. Journal of Family Therapy, 27(4), 330–351.

    Article  Google Scholar 

  • Strong, T. (2007). Accomplishments in social constructionist counseling: Micro-analytic and retrospective analyses. Qualitative Research in Psychology, 4(1–2), 85–105.

    Article  Google Scholar 

  • Sutherland, O. A., Sametband, I., Gaete, J., Couture, S. J., & Strong, T. (2013). Conversational perspective of therapeutic outcomes: The importance of preference in the development of discourse. Counselling and Psychotherapy Research, 13(3), 220–226.

    Article  Google Scholar 

  • Te Molder, H. (2015). Discursive psychology. In K. Tracy, C. Ilie, & T. Sandel (Eds.), The international encyclopedia of language and social interaction (pp. 1–11). Boston, MA: Wiley.

    Google Scholar 

  • Tileagă, C., & Stokoe, E. (Eds.). (2016). Discursive psychology: Classic and contemporary issues. New York: Routledge.

    Google Scholar 

  • Tomm, K. (1987a). Interventive interviewing: Part I. Strategizing as a fourth guideline for the therapist. Family Process, 26, 2–13. https://doi.org/10.1111/j.1545-5300.1987.00003.x

    Article  Google Scholar 

  • Tomm, K. (1987b). Interventive interviewing: Part II. Reflexive questioning as a means to enable self-healing. Family Process, 26, 153–183. https://doi.org/10.1111/j.1545-5300.1987.00167.x

    Article  Google Scholar 

  • Tomm, K. (1988). Interventive interviewing: Part III. Intending to ask lineal, circular, reflexive and strategic questions? Family Process, 27, 1–15. https://doi.org/10.1111/j.1545-5300.1988.00001.x

    Article  PubMed  Google Scholar 

  • Vehviläinen, S. (2008). Identifying and managing resistance in psychoanalytic interaction. In A. Peräkylä, C. Antaki, S. Vehviläinen, & I. Leudar (Eds.), Conversation analysis and psychotherapy (pp. 120–138). Cambridge: Cambridge University Press.

    Chapter  Google Scholar 

  • Watzlawick, P., Beavin, J., & Jackson, D. (1967). Pragmatics of human communication. New York, NY: W. W. Norton.

    Google Scholar 

  • Weingarten, K. (1992). A consideration of intimate and non-intimate interactions in therapy. Family Process, 31(1), 45–59. https://doi.org/10.1111/j.1545-5300.1992.00045.x

    Article  PubMed  Google Scholar 

  • White, M. (2003). Narrative practice and community assignments. International Journal of Narrative Therapy and Community Work, 2(1), 17–56.

    Google Scholar 

  • White, M. (2007). Maps of narrative practice. New York, NY: WW Norton & Company.

    Google Scholar 

  • White, M., & Epston, D. (1990). Narrative means to therapeutic ends. New York, NY: WW Norton & Company.

    Google Scholar 

  • Wiggins, S. (2017). Discursive psychology: Theory, method and application. London: Sage.

    Google Scholar 

  • Wittgenstein, L. (1953). Philosophical investigations. Oxford: Blackwell.

    Google Scholar 

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Acknowledgment

Work on this chapter was supported by funding received from CONICYT, Fondecyt Program No. 11150198.

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Correspondence to Joaquín Gaete .

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Gaete, J., Smoliak, O., Couture, S. (2018). Reflexive Questions as Constructive Interventions: A Discursive Perspective. In: Smoliak, O., Strong, T. (eds) Therapy as Discourse. The Language of Mental Health. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-319-93067-1_6

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