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夫妻治疗会谈中从独白到对话的转变:治疗师视角下的变化的对话式研究。

The shift from monologue to dialogue in a couple therapy session: dialogical investigation of change from the therapists' point of view.

机构信息

Institute for Dialogic Practice, Haydenville, MA 01039, USA.

出版信息

Fam Process. 2012 Sep;51(3):420-35. doi: 10.1111/j.1545-5300.2012.01406.x.

Abstract

As part of a larger research project on couple therapy for depression, this qualitative case study examines the nature of dialogue. Drawing on Bakhtinian concepts, the investigation shows how the conversation shifts from a monologue to dialogue. Among the findings are: first, the process of listening is integral to the transforming experience. That is, the careful listening of the therapist can evoke new voices, just as the experience of one of the partners' "listening in" to the conversation between the other partner and the therapist can create movement and new trajectories. The latter is a qualitative difference between dialogic therapy with a couple and that with an individual. Second, the therapist not only acts as creative listener, but as the dialogue unfolds, actively contributes to meaning-making. Third, the study upholds having a team of researchers as a polyphonic forum and the usefulness of Bakhtinian concepts in clinical research on dialogue in multi-actor sessions.

摘要

作为一项关于夫妻治疗抑郁症的更大研究项目的一部分,本定性案例研究考察了对话的本质。该研究借鉴了巴赫金的概念,表明了对话是如何从独白转变为对话的。研究结果包括:第一,倾听过程是转变体验不可或缺的一部分。也就是说,治疗师的仔细倾听可以唤起新的声音,就像其中一个伴侣“倾听”另一个伴侣和治疗师之间的对话一样,可以创造出运动和新的轨迹。后者是夫妻对话治疗与个体治疗之间的质的区别。第二,治疗师不仅充当创造性的倾听者,而且随着对话的展开,积极促进意义的构建。第三,这项研究支持研究团队作为一个复调论坛的存在,以及在多角色会议中使用巴赫金概念进行对话的临床研究的有用性。

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