Ekberg Katie, Lecouteur Amanda
School of Health and Rehabilitation Sciences, The University of Queensland, Australia.
School of Psychology, University of Adelaide, Australia.
Commun Med. 2012;9(3):229-39. doi: 10.1558/cam.v9i3.229.
Cognitive behavioural therapy (CBT) is an internationally recognised method for treating depression. However, many of the techniques involved in CBT are accomplished within the therapy interaction in diverse ways, and with varying consequences for the trajectory of therapy session. This paper uses conversation analysis to examine some standard ways in which therapists propose suggestions for behavioural change to clients attending CBT sessions for depression in Australia. Therapists' proposal turns displayed their subordinate epistemic authority over the matter at hand, and emphasised a high degree of optionality on behalf of the client in accepting their suggestions. This practice was routinely accomplished via three standard proposal turns: (1) hedged recommendations; (2) interrogatives; and (3) information-giving. These proposal turns will be examined in relation to the negotiation of behavioural change, and the implications for CBT interactions between therapist and client will be discussed.
认知行为疗法（CBT）是一种国际公认的治疗抑郁症的方法。然而，CBT所涉及的许多技巧在治疗互动中以不同方式完成，并且对治疗过程的走向产生不同的影响。本文运用会话分析方法，研究澳大利亚治疗师向参加抑郁症CBT治疗的客户提出行为改变建议的一些标准方式。治疗师的建议轮次显示出他们在手头事务上的从属认知权威，并强调客户在接受他们的建议方面有高度的选择权。这种做法通常通过三种标准的建议轮次来完成：（1）模糊建议；（2）疑问句；（3）提供信息。将结合行为改变的协商来考察这些建议轮次，并讨论其对治疗师与客户之间CBT互动的影响。
