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
- Daniela Di Riso, Antonello Colli, Daphne Chessa, Cristina Marogna, Valeria Condino, Adriana Lis, Vittorio Lingiardi, Stefania Mannarini, A supportive approach in psychodynamic-oriented psychotherapy. An empirically supported single case study. , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 14 No. 1 (2011)
- Salvatore Gullo, Gianluca Lo Coco, Laura Salerno, Federica La Pietra, Vincenzo Bruno, A study of personality subtypes in treatment seeking obese patients , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 16 No. 2 (2013)
- Attà Negri, Giovanbattista Andreoli, Luca Belotti, Arianna Barazzetti, E. Hale Martin, Psychotherapy trainees’ epistemological assumptions influencing research-practice integration , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 22 No. 3 (2019)
- Ana Catarina Nunes da Silva, António Branco Vasco, Jeanne C. Watson, Alexithymia and therapeutic alliance: a multiple case study comparing good and poor outcome cases , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 21 No. 2 (2018)
- Joseph Firth, Felipe Schuch, Vijay A. Mittal, Using exercise to protect physical and mental health in youth at risk for psychosis , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 23 No. 1 (2020)
- Alessandra De Coro, Silvia Andreassi, Rachele Mariani, Elisabetta Iberni, Valeria Crisafulli, Adriana Matarrese, The evaluation of outcomes and process in psychotherapies offered by Mental Health Centers and an University Clinical Psychology Center , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 13 No. 2 (2010)
- Alessandro Talia, Svenja Taubner, Madeleine Miller-Bottome, Advances in research on attachment-related psychotherapy processes: seven teaching points for trainees and supervisors , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 22 No. 3 (2019)
- Raffaella Perrella, Antonio Semerari, Francesca Scafuto, Giorgio Caviglia, ERRATUM: Metacognition, borderline pathology and psychotherapeutic change: a single-case study , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 21 No. 1 (2018)
- Attà Negri, Christopher Christian, Rachele Mariani, Luca Belotti, Giovanbattista Andreoli, Kerri Danskin, Linguistic features of the therapeutic alliance in the first session: a psychotherapy process study , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 22 No. 1 (2019)
- Sigmund Karterud, Case formulations in mentalization-based group therapy , Research in Psychotherapy: Psychopathology, Process and Outcome: Vol. 21 No. 3 (2018)
<< < 18 19 20 21 22 23 24 25 26 27 > >>
You may also start an advanced similarity search for this article.
