https://doi.org/10.4081/ripppo.2020.440
Episodes of meeting in psychotherapy: An empirical exploration of patients’ experiences of subjective change during their psychotherapy process
Submitted: November 8, 2019
Accepted: April 2, 2020
Published: May 21, 2020
Accepted: April 2, 2020
Abstract Views: 1030
PDF: 619
HTML: 27
HTML: 27
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
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.
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
DOI: https://doi.org/10.1177/00030651050530030401
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
DOI: https://doi.org/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
DOI: https://doi.org/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
DOI: https://doi.org/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.
DOI: https://doi.org/10.4324/9781410607478
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
DOI: https://doi.org/10.1080/10481885.2011.545328
Given, L. M. (2008). The sage encyclopedia of qualitative research methods. Vol 1 & 2. Thousand Oaks California: Sage
DOI: https://doi.org/10.4135/9781412963909
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.
DOI: https://doi.org/10.1037/0033-2909.126.1.109
Lord, S. (2017) Moments of meeting in psychoanalysis. Interaction and Change in the Therapeutic Encounter. Relational Perspectives Book Series. London: Routledge.
DOI: https://doi.org/10.4324/9781315389967
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
DOI: https://doi.org/10.1073/pnas.032658199
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.
DOI: https://doi.org/10.1080/07351699909534267
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.
DOI: https://doi.org/10.1002/(SICI)1097-0355(199823)19:3<282::AID-IMHJ3>3.0.CO;2-O
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
DOI: https://doi.org/10.1037/a0034179
Morgan, A. (1998). Moving along to things left undone. Infant Mental Health Journal, 19(3), 324-332
DOI: https://doi.org/10.1002/(SICI)1097-0355(199823)19:3<324::AID-IMHJ9>3.0.CO;2-L
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.
DOI: https://doi.org/10.1007/s11097-006-9022-2
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.
DOI: https://doi.org/10.1016/j.concog.2007.05.006
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.
DOI: https://doi.org/10.1516/B105-35WV-MM0Y-NTAD
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
DOI: https://doi.org/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.
DOI: https://doi.org/10.1002/icd.457
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
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Michela Gatta, Marta Sisti, Laura Sudati, Marina Miscioscia, Alessandra Simonelli, The Lausanne Trilogue Play within the outcome evaluation in infant mental health: a preliminary report , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 19 No. 1 (2016): Special issue on Qualitative and Quantitative Research in Child and Adolescent Psychotherapy: part 2
- Paola Manfredi, Claudia Taglietti, A psychodynamic contribution to the understanding of anger - The importance of diagnosis before treatment , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 25 No. 2 (2022)
- Francesco Gazzillo, Adriano Schimmenti, Ivan Formica, Alessandra Simonelli, Sergio Salvatore, Effectiveness is the gold standard of clinical research , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 20 No. 2 (2017)
- Lindsey Myers, Howard Steele, Miriam Steele, Anne Murphy, Exploring maternal reflective functioning as a predictor of mother-child dyadic behaviour over time in a clinical context , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 25 No. 1 (2022)
- Kim de Jong, Johanna Wilkens, Timothy Anderson, Kane Steggles, Facilitative interpersonal skills in benign versus challenging therapy situations in trainee therapists: a pilot study , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 27 No. 2 (2024)
- Osmano Oasi, John Auerbach, Introduction to the issue in honor of Sidney Blatt , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 20 No. 1 (2017)
- Jose L. Vilchez, Mental footnotes: knowledge constructivism from logical thinking to personal beliefs and therapy , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 19 No. 2 (2016)
- Irene Messina, Pietro Spataro, Alessandro Grecucci, Danielle M. Moskow, Cristina Marogna, Stefan G. Hofmann, Interpersonal emotion regulation questionnaire: psychometric properties of the Italian version and associations with psychopathology , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 25 No. 2 (2022)
- Brigitte Holzinger, Franziska Nierwetberg, Larissa Cosentino, Lucille Mayer, DreamSenseMemory - a Gestalt-based dream-work approach embracing all our senses , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 24 No. 2 (2021): SPECIAL ISSUE "Working on dreams, from psychotherapy to neuroscience"
- Paula Dagnino, Mariane Krause, Carola Pérez, Nelson Valdès, Alemka Tomicic, The Evolution of Communicative Intentions During Change Episodes and Throughout the Therapeutic Process , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 15 No. 2 (2012)
<< < 8 9 10 11 12 13 14 15 16 17 > >>
You may also start an advanced similarity search for this article.
