Literature DB >> 33364999

How Speakers Orient to the Notable Absence of Talk: A Conversation Analytic Perspective on Silence in Psychodynamic Therapy.

A S L Knol1,2, Tom Koole1,3, Mattias Desmet2, Stijn Vanheule2, Mike Huiskes1.   

Abstract

Silence has gained a prominent role in the field of psychotherapy because of its potential to facilitate a plethora of therapeutically beneficial processes within patients' inner dynamics. This study examined the phenomenon from a conversation analytical perspective in order to investigate how silence emerges as an interactional accomplishment and how it attains interactional meaning by the speakers' adjacent turns. We restricted our attention to one particular sequential context in which a patient's turn comes to a point of possible completion and receives a continuer by the therapist upon which a substantial silence follows. The data collection consisted of 74 instances of such post-continuer silences. The analysis revealed that silence (1) can retroactively become part of a topic closure sequence, (2) can become shaped as an intra-topic silence, and (3) can be explicitly characterized as an activity in itself that is relevant for the therapy in process. Only in this last case, the absence of talk is actually treated as disruptive to the ongoing talk. Although silence is often seen as a therapeutic instrument that can be implemented intentionally and purposefully, our analysis demonstrated how it is co-constructed by speakers and indexically obtains meaning by adjacent turns of talk. In the ensuing turns, silence indeed shows to facilitate access to the patient's subjective experience at unconscious levels.
Copyright © 2020 Knol, Koole, Desmet, Vanheule and Huiskes.

Entities:  

Keywords:  conversation analysis; psychodynamic therapy; psychotherapy process research; silence; single case study

Year:  2020        PMID: 33364999      PMCID: PMC7750524          DOI: 10.3389/fpsyg.2020.584927

Source DB:  PubMed          Journal:  Front Psychol        ISSN: 1664-1078


  12 in total

1.  Therapist use of silence in therapy: a survey.

Authors:  Clara E Hill; Barbara J Thompson; Nicholas Ladany
Journal:  J Clin Psychol       Date:  2003-04

Review 2.  Silence as communication in psychodynamic psychotherapy.

Authors:  Robert C Lane; Mark G Koetting; John Bishop
Journal:  Clin Psychol Rev       Date:  2002-09

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Authors:  J A ARLOW
Journal:  J Am Psychoanal Assoc       Date:  1961-01

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Authors:  M A ZELIGS
Journal:  J Am Psychoanal Assoc       Date:  1961-01

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Authors:  D W WINNICOTT
Journal:  Int J Psychoanal       Date:  1958 Sep-Oct

6.  A study of silent disengagement and distressing emotion in psychotherapy.

Authors:  Jessica V Stringer; Heidi M Levitt; Jeffrey S Berman; Susan S Mathews
Journal:  Psychother Res       Date:  2010-09

7.  Mind the gap: In-session silences are associated with client attachment insecurity, therapeutic alliance, and treatment outcome.

Authors:  Sarah I F Daniel; Sofie Folke; Susanne Lunn; Matthias Gondan; Stig Poulsen
Journal:  Psychother Res       Date:  2016-05-05

8.  Empirically supported methods of short-term psychodynamic therapy in depression - towards an evidence-based unified protocol.

Authors:  Falk Leichsenring; Henning Schauenburg
Journal:  J Affect Disord       Date:  2014-08-12       Impact factor: 4.839

9.  The Ghent Psychotherapy Study (GPS) on the differential efficacy of supportive-expressive and cognitive behavioral interventions in dependent and self-critical depressive patients: study protocol for a randomized controlled trial.

Authors:  Reitske Meganck; Mattias Desmet; Claudi Bockting; Ruth Inslegers; Femke Truijens; Melissa De Smet; Rosa De Geest; Kimberly Van Nieuwenhove; Vicky Hennissen; Goedele Hermans; Tom Loeys; Ufuoma Angelica Norman; Chris Baeken; Stijn Vanheule
Journal:  Trials       Date:  2017-03-14       Impact factor: 2.279

10.  Reformulating and Mirroring in Psychotherapy: A Conversation Analytic Perspective.

Authors:  A S L Knol; Mike Huiskes; Tom Koole; Reitske Meganck; Tom Loeys; Mattias Desmet
Journal:  Front Psychol       Date:  2020-03-05
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  1 in total

1.  Psychodynamic Therapist's Subjective Experiences With Remote Psychotherapy During the COVID-19-Pandemic-A Qualitative Study With Therapists Practicing Guided Affective Imagery, Hypnosis and Autogenous Relaxation.

Authors:  Andrea Jesser; Johanna Muckenhuber; Bernd Lunglmayr
Journal:  Front Psychol       Date:  2022-01-07
  1 in total

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