Episodes of meeting in psychotherapy: An empirical exploration of patients’ experiences of subjective change during their psychotherapy process

  • Javiera Duarte | javieraduarte@gmail.com Center of Studies in Clinical Psychology and Psychotherapy, Universidad Diego Portales (CEPPS-UDP) and Instituto Milenio para la Investigación en Depresión y Personalidad (MIDAP), Chile. https://orcid.org/0000-0002-7569-0048
  • Claudio Martinez Center of Studies in Clinical Psychology and Psychotherapy, Universidad Diego Portales (CEPPS-UDP) and Instituto Milenio para la Investigación en Depresión y Personalidad (MIDAP), Chile.
  • Alemka Tomicic Center of Studies in Clinical Psychology and Psychotherapy, Universidad Diego Portales (CEPPS-UDP) and Instituto Milenio para la Investigación en Depresión y Personalidad (MIDAP), Chile.

Abstract

This study aims to assess moments of meeting in psychotherapy -understood as moments of intense connectedness and intimacy, shared between patient and therapist during any therapeutic encounter that enable a spin in the therapy process- using a qualitative interview with patients who were undergoing or had finished psychological treatment. Micro-pehenomenological interviews were conducted with nine patients who were undergoing or had finished psychological treatment. Transcriptions of the interviews were subject to micro-phenomenological analysis. A general structure of episodes of meeting showing their temporal evolution was identified and divided into six consecutive phases. These findings suggest that episodes of meeting in psychotherapy are lived and remembered by patients in a significant way; they are emotionally charged and have a meaning for each participant. Also, emotional and nonverbal cues seem to be highly relevant features. Moments of meeting could be understood as implicit mechanisms that allow changes in the implicit relational domain.

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References

Aron, L. (1998). The clinical body and the reflexive mind. Aron, L. and Anderson, F. S. (ed.). Relational Perspectives on the Body. Hillsdale, N.J. The Analytic Press, pp 3-38
Boston Change Process Study Group. (2002). Explicating the implicit: The local level and the micro process of change in the analytic situation. Int. J. Psychoanal. 83 1051-1062
Boston Change Process Study Group. (2005). The “something more” than interpretation revisited: Sloppiness and co-creativity in the psychoanalytic encounter. Japa 693-729
Boston Change Process Study Group. (2008a). Forms of relational meaning: Issues in the relations between the implicit and reflective- verbal domains Psychoanalytic Dialogues,18, 125-148. doi:10.1080/10481880801909351
Boston Change Process Study Group. (2008b). Forms of relational meaning: Reply to commentaries. Psychoanalytic Dialogues,18, 197-202. doi: 10.1080/10481880801909583
Boston Change Process Study Group. (2010) Change in Psychotherapy: A unifying paradigm. New York: Norton
Cozolino, L. J. (2002). The Neuroscience of Psychotherapy: Building and Rebuilding the Human Brain. New York: W.W. Norton and Company
Duarte, J., Tomicic, A. & Martínez, C. (2019). Moments of meeting in psychotherapy from therapists’ perspective: Understanding therapeutic change through implicit relational knowledge. Unpublished Manuscript.
Duarte, J., Fischersworring, M., Martínez, C., & Tomicic, A. (2017): “I couldn’t change the past; the answer wasn’t there”: A case study on the subjective construction of psychotherapeutic change of a patient with a Borderline Personality Disorder diagnosis and her therapist, Psychotherapy Research, Advance online publication. doi: 10.1080/10503307.2017.1359426
Fivush, R., & Haden, C. (2003). Autobiographical memory and the construction of a narrative self: developmental and cultural perspectives. Mahwah: Lawrence Erlbaum Associates.
Flick, U. (2002) An introduction to qualitative research. (2nd ed.). London: Sage.
Fosshage, J. (2011) How do we “know” what we “know”? and change what we “know”? Psychoanalytic Dialogues, 21: 55-74 doi: 10.1080/10481885.2011.545328
Given, L. M. (2008). The sage encyclopedia of qualitative research methods. Vol 1 & 2. Thousand Oaks California: Sage
Hoffman, M. (1997). Syncopation. National Symphony Orchestra. NPR. Retrieved 13 July 2009.
Katz E. (2011). Attending to clinical practice: A phenomenological study exploring the structure of clinical attention and its relationship with holistic competence (Doctoral thesis, University of Toronto, Toronto, Canada).
Krause, M. (1995). La investigación cualitativa: Un campo de posibilidades y desafíos [Qualitative research: A field of possibilities and challenges]. Revista Temas de Educación, 7, 19-40.
Lieberman, M (2000). Intuition: A social-cognitive neuroscience approach. Psychological Bulletin 126; 109–37.
Lord, S. (2017) Moments of meeting in psychoanalysis. Interaction and Change in the Therapeutic Encounter. Relational Perspectives Book Series. London: Routledge.
Lutz A., Lachaux J. P., Martinerie J. & Varela F. J. (2002) Guiding the study of brain dynamics using first person data: Synchrony patterns correlate with on-going conscious states during a simple visual task. Proceedings of the National Academy of Sciences United States of America 99, 1586–1591
Lyons Ruth, K. (2000) “I sense that you sense that I sense…”: Sander's recognition process and the specificity of relational moves in the psychotherapeutic setting. Infant Mental Health Journal, 21 (1-2), 85-98
Lyons- Ruth, K. (1998). Implicit relational knowing: Its role in development and psychoanalytic treatment. Infant Mental Health, 19 (3), 282-289.
Lyons-Ruth, K. (1999). The two-person unconscious: Intersubjective dialogue, enactive relational representation, and the emergence of new forms of relational organization. Psychoanal. Inq., 19, 576-617.
Lyons-Ruth, K., Bruschweiler- Stern, N., Harrison, A., Morgan, A., Nahum, J., Sander, L., Stern, D., & Tronick, E. (1998). Implicit relational knowing: Its role in development and psychoanalytic treatment. Infant Mental Health Journal, 19 (3), 282–289.
Midgley, N., Ansaldo, F., & Target, M. (2013, December 30). The Meaningful Assessment of Therapy Outcomes: Incorporating a Qualitative Study into a Randomized Controlled Trial
Evaluating the Treatment of Adolescent Depression. Psychotherapy. Advance online
publication. doi: 10.1037/a0034179
Morgan, A. (1998). Moving along to things left undone. Infant Mental Health Journal, 19(3), 324-332
Petitmengin C. (1999) The intuitive experience. Journal of Consciousness Studies 6 (2–3): 43–47.
Petitmengin C. (2006) Describing one’s subjective experience in the second person. An interview method for the science of consciousness. Phenomenology and the Cognitive Sciences 5: 229–269.
Petitmengin C., Navarro V. & Le Van Quyen M. (2007) Anticipating seizure: Pre-reflective experience at the center of neurophenomenology. Consciousness and Cognition 16: 746–764.
Ponterotto, J. G. (2006). Brief note on the origins, evolution, and meaning of the qualitative research concept “thick description”. The Qualitative Report, 11, 538-549. Extracted from http://www.nova.edu/ssss/QR/QR11-3/ponterotto.pdf
Remillieux, A. (2009). Explicitation et modélisation des connaissances de conduite dechangement à la SNCF: Vers une gestion des connaissances pré-réfléchies. (Doctoral Thesis. Institut national des telecommunications d’Evry, Évry, France)
Siegel, D.J. (2007). The Mindful Brain: Reflection and Attunement in the Cultivation of Well-Being. New York: W.W. Norton & Company.
Solms, M., & Turnbull, O. (2003). The brain and the inner world: An introduction to the neuroscience of subjective experience. New York: Other press
Stern, D. (2004). The present moment in psychotherapy and everyday life. New York: Norton.
Stern, D., Sander, L., Nahum, J., Harrison, A., Lyons- Ruth, K., Morgan, B,…& Tronick, E. (1998). Non Interpretative Mechanisms in Psychoanalytic Therapy. The “something more” than interpretation.Int. J. Psycho-Anal, 79, 903-921.
Stern, D., Sander, L., Nahum, J., Harrison, A., Lyons- Ruth, K., Morgan, Bruschweiler Stern, N., & Tronick, E. (2002). Explicating the implicit: The local level and the microprocess of change in the analytic situation. Int. J. Psychoanal. 83, 1051-1062.
Valenzuela- Moguillansky, C., O’ Regan, K., & Petitmengin, C. (2013). Exploring the subjective experience of the “rubber hand” illusion. Frontiers in human neuroscience, 7 Art 659. doi: 10.3389/fnhum.2013.00659
Valenzuela- Moguillansky, C. & Vásquez- Rosati, A. (2018) An analysis procedure for the micro-phenomenological interview. Constructivist Foundations14 (2) 123-145.
Varela F. J. (1996) Neurophenomenology: A methodological remedy for the hard problem, Journal of Consciousness Studies 3(4): 330–349.
Vermersch P. (1994/2011). L’entretien d’explicitation [The elicitation interview] (7th ed.). ESF éditeur, Issy-les-Moulineaux.
Wallace, B.A. (2006). The Attention Revolution: Unlocking the Power of the Focused Mind. Boston: Wisdom Press
Zeedyk, S. (2006). From Intersubjectivity to Subjectivity: The transformative roles of emotional intimacy and imitation. Infant and Child Development, 15, 321–344.
Published
2020-05-21
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Keywords:
Episodes of meeting, microphenomenological interview, subjective experience, implicit relational knowing, process research
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How to Cite
Duarte, J., Martinez, C., & Tomicic, A. (2020). Episodes of meeting in psychotherapy: An empirical exploration of patients’ experiences of subjective change during their psychotherapy process. Research in Psychotherapy: Psychopathology, Process and Outcome, 23(1). https://doi.org/10.4081/ripppo.2020.440