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夫妻治疗师如何在首次咨询中处理互动的不对称性。

How couple therapists manage asymmetries of interaction in first consultations.

机构信息

Family Therapy and Psychosomatic Department, Jagiellonian University Medical College.

Department of Child and Adolescent Psychiatry, Laboratory of Psychology and Systemic Psychotherapy, Jagiellonian University Medical College.

出版信息

Psychotherapy (Chic). 2021 Sep;58(3):379-390. doi: 10.1037/pst0000348. Epub 2021 Feb 4.

DOI:10.1037/pst0000348
PMID:33539141
Abstract

The study demonstrates how asymmetries in therapists' affiliations with spouses emerge and are addressed in couple therapy. A total of 4 video-recorded couple therapy first sessions were subjected to conversation analysis. The moment-by moment interactions that contribute to one sided affiliation, as well as the therapists' ways of managing such asymmetry, are described in detail. Asymmetries of affiliation regularly co-occur with the exclusion of 1 spouse from the interaction. Asymmetries of affiliation and participation can be addressed by 2 types of action by the therapist: (a) In counterbalancing moves, the therapist shifts their affiliation back to the spouse that was neglected. (b) In systemic couple-directed interventions, the therapist creates symmetry of affiliation and participation not only by attending to the individual spouses but also by addressing the couple as a single social unit. The observations are discussed in the light of the concept of split alliance and alliance ruptures, as well as in the context of research into affiliation as a generic property of social interaction. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

摘要

本研究展示了治疗师在夫妻治疗中与配偶的关联是如何出现和处理的。总共对 4 个视频记录的夫妻治疗初始访谈进行了会话分析。本文详细描述了导致单方面关联的互动以及治疗师处理这种不对称的方式。关联的不对称通常伴随着将一方配偶排除在互动之外。治疗师可以通过两种类型的行动来处理关联和参与的不对称性:(a) 在平衡动作中,治疗师将他们的关联转移回被忽视的配偶。(b) 在系统的夫妻导向干预中,治疗师不仅通过关注个体配偶,而且通过将夫妻作为一个单一的社会单位来创造关联和参与的对称性。这些观察结果是在分裂联盟和联盟破裂的概念以及作为社会互动一般属性的关联研究的背景下进行讨论的。(PsycInfo 数据库记录(c)2021 APA,保留所有权利)。

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