University of Helsinki, Department of Social Research, Finland.
Psychother Res. 2011 May;21(3):348-65. doi: 10.1080/10503307.2011.573509.
A process of change within a single case of cognitive-constructivist therapy is analyzed by means of conversation analysis (CA). The focus is on a process of change in the sequences of interaction, which consist of the therapist's conclusion and the patient's response to it. In the conclusions, the therapist investigates and challenges the patient's tendency to transform her feelings of disappointment and anger into self-blame. Over the course of the therapy, the patient's responses to these conclusions are recast: from the patient first rejecting the conclusion, to then being ambivalent, and finally to agreeing with the therapist. On the basis of this case study, we suggest that an analysis that focuses on sequences of talk that are interactionally similar offers a sensitive method to investigate the manifestation of therapeutic change. It is suggested that this line of research can complement assimilation analysis and other methods of analyzing changes in a client's talk.
本文通过会话分析（CA）分析了认知建构主义治疗中单例案例中的变化过程。重点是分析交互序列中的变化过程，这些序列由治疗师的结论和患者对结论的反应组成。在结论中，治疗师调查并挑战患者将失望和愤怒的感觉转化为自责的倾向。在治疗过程中，患者对这些结论的反应被重新塑造：从患者最初拒绝结论，到犹豫不决，最终同意治疗师的观点。基于这项案例研究，我们提出，关注在交互上相似的话语序列的分析为研究治疗变化的表现提供了一种敏感的方法。我们还建议，这种研究方法可以补充同化分析和其他分析客户话语变化的方法。
