Investigating Therapeutic Relationship through Avoidance Patterns of Client and Psychotherapist: A Conversational Analysis

Öz

Psychotherapy process research can be conducted to analyze therapeutic relationship, emotions, change process in therapy and therapist-client interaction by using qualitative research methods (McLeod, 2001). Conversational analysis is preferred with its main focus on interaction within dialogue, to investigate therapeutic relationship (Perakyla, 2004). This study as a psychotherapy process research aimed at analyzing the avoidance within therapist-client interaction and its effect on therapeutic relationship. Conversational analysis of three schema therapy oriented sessions which represented the avoidance pattern of therapist and client were explored. The focus was on weak agreement and disagreement in the dialogue, interruption and overlap within turn taking organization. Over the course of schema therapy sessions, it was observed that therapist avoided deeply analyzing client’s negative emotions related to therapy and changed the topic. Besides, client was withdrawn, and therapist could not repair the disagreement in the therapeutic dialogue. Investigating avoidance patterns of psychotherapist and client was important to uncover therapeutic rupture. Interaction of avoidance behaviors of client and therapist was discussed in terms of therapeutic alliance rupture and schema therapy model.

Anahtar Kelimeler

• Pyschotherapy research,conversational analysis,therapeutic relationship,schema therapy,qualitative study

Terapi İlişkisinin Terapist ve Danışanın Kaçınma Örüntüleri Açısından İncelenmesi: Bir Konuşma Analizi Çalışması

Öz

Nitel araştırma yöntemlerinin kullanıldığı psikoterapi araştırmaları ile terapi ilişkisi, duygular terapide değişim süreci ve terapist danışan etkileşimi gibi konularda psikoterapide süreç araştırmaları yapılabilmektedir (McLeod, 2001). Konuşma analizi, dilin etkileşimsel dinamiğine odaklandığı için terapi ilişkisinin araştırılmasında tercih edilmektedir (Perakyla, 2004). Bu çalışmanın amacı, bir psikoterapi süreç araştırması olarak, kaçınmanın terapist ve danışan etkileşim sürecinde nasıl ortaya çıktığının ve terapi ilişkisinin bundan nasıl etkilendiğinin anlaşılmasıdır. Şema terapi yaklaşımı ile gerçekleştirilmiş ve terapist-danışan arasındaki kaçınma örüntüsünün ortaya çıktığı üç seans, konuşma analizi ile incelenmiştir. Araştırmanın odağı, terapi diyaloğundaki zayıf anlaşma ve anlaşmazlık bildiren ifadeler, söz kesme, çakışmaları içeren sıra alış organizasyonu olmuştur. Analiz sonuçlarına göre şema terapi seanslarında, terapistin, danışanın terapi seansı ile ilgili negatif duygularını derinlemesine analiz etmekten kaçındığı, konuyu değiştirdiği; danışanın ise geri çekildiği ve terapistin terapi diyaloğundaki anlaşmazlığı onaramadığı gözlenmiştir. Terapist ve danışan arasındaki kaçınma örüntüsünün analiz edilmesi terapötik ittifakta kırılma ile ilgili bilgi vermesi açısından önemlidir. Terapist ve danışanın kaçınma davranışlarının etkileşimi, terapötik ittifakta kırılma ve şema terapi mod modeli bağlamında tartışılmıştır.

Anahtar Kelimeler

• konuşma analizi,terapi ilişkisi,şema terapi,Psikoterapi araştırması,nitel araştırma

Kaynakça

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