Sarpavaara Harri
Centre for Advanced Study, University of Tampere, Finland.
Commun Med. 2010;7(2):177-86.
This paper examines the use of metaphors in client-counsellor interaction in motivational interviewing counselling sessions in the context of probation service. Clients who participated in these counselling sessions and in this study had either an alcohol or drug abuse problem. My aim is to show how the interaction between the client and counsellor is shaped by reciprocal use of metaphors, and how the client's change-talk finds expression in metaphorical utterances. In these counselling sessions, the use of metaphors occurred in five interactional configurations: 1. participants work with and develop together shared metaphors; 2. the client accepts the counsellor's metaphorical description but does not use it himself/ herself; 3. either the client or the counsellor suggests an alternative metaphor; 4. the counsellor systematically ignores the client's metaphor; and 5. the counsellor does not understand the meaning of the client's metaphor. The analysis suggests that metaphorical utterances play a major part in the interaction between the client and the counsellor and in the client's change-talk. These findings support the notion that metaphor and change are closely linked, and a metaphor may act as a vehicle of change.
本文探讨了在缓刑服务背景下，动机式访谈咨询环节中隐喻在来访者与咨询师互动中的运用。参与这些咨询环节及本研究的来访者存在酗酒或药物滥用问题。我的目的是展示来访者与咨询师之间的互动如何通过隐喻的相互运用得以塑造，以及来访者的改变谈话如何在隐喻话语中得以体现。在这些咨询环节中，隐喻的运用呈现出五种互动模式：1. 参与者共同使用并发展共享隐喻；2. 来访者接受咨询师的隐喻描述，但自己并不使用；3. 来访者或咨询师提出替代隐喻；4. 咨询师系统性地忽略来访者的隐喻；5. 咨询师不理解来访者隐喻的含义。分析表明，隐喻话语在来访者与咨询师的互动以及来访者的改变谈话中发挥着重要作用。这些发现支持了隐喻与改变紧密相连的观点，并且隐喻可能充当改变的媒介。
