Abstract:
:Previous investigations have found specific communication patterns in couples dealing with depression, specifically when depression concurs with conjugal conflicts. The presence of these patterns can reflect couples' difficulties in engaging in collaborative communication during their sessions, posing a real challenge for therapists. This exploratory study uses a dialogical approach to examine issues of dominance and type of dialogue in two couples who differed in terms of their levels of dyadic adjustment. The therapists' reactions were explored in order to detect the kinds of responses that were most effective at engendering a collaborative attitude in therapy sessions. The method used to analyze the dialogue was Dialogical Investigations of Happenings of Change (DIHC). Results on dominance indicated that the degree of quantitative and semantic dominance displayed by a different member of the couple in each case was illustrative of their relational dynamics, while in both cases interactional dominance was exercised by the therapists. Results on dialogue revealed that dialogic dialogue might help to coconstruct new shared meanings of depression. The findings indicated that certain responses by therapists as part of the dialogue could be useful in bringing about a reduction in hostility between the members of a couple, provided that the responses are maintained over the course of the session. Some research and clinical implications that emerge from the results are discussed. :En investigaciones previas se han descubierto patrones de comunicación específicos en parejas que afrontan la depresión, particularmente cuando la depresión coincide con conflictos conyugales. La presencia de estos patrones puede reflejar las dificultades de las parejas para entablar una comunicación colaborativa durante sus sesiones, lo cual plantea un verdadero desafío para los terapeutas. Este estudio exploratorio utiliza un enfoque dialógico para analizar las cuestiones de dominación y el tipo de diálogo en dos parejas que diferían en cuanto a sus niveles de ajuste diádico. Se analizaron las reacciones de los terapeutas a fin de detectar los tipos de respuestas que fueron más eficaces para generar una actitud colaborativa en las sesiones de terapia. El método utilizado para analizar el diálogo fue “Investigaciones Dialógicas de Sucesos de Cambio” (Dialogical Investigations of Happenings of Change, DIHC). Los resultados sobre la dominación indicaron que el grado de dominación cuantitativa y semántica demostrado por un integrante diferente de la pareja en cada caso fue ilustrativo de su dinámica relacional, mientras que en ambos casos los terapeutas ejercieron dominación interaccional. Los resultados sobre el diálogo revelaron que el diálogo dialógico podría contribuir a coconstruir nuevos significados comunes de la depresión. Los resultados indicaron que ciertas respuestas de los terapeutas como parte del diálogo podrían ser útiles para producir una reducción de la hostilidad entre los integrantes de una pareja, siempre y cuando se mantengan las respuestas durante el transcurso de la sesión. Se debaten algunas implicancias científicas y clínicas que surgen de los resultados. :以前的调查研究已经发现在对待抑郁的伴侣们之间存在一些特定的交流模式,特别是当抑郁发生时期伴侣之间也同时存在一些伴侣关系冲突。出现这些模式可以反映出伴侣在和治疗师一起接受治疗的时间里,很难得进行彼此协作型的交流,因而给治疗师造成了切实的挑战。本研究是针对两对伴侣案例的探索性研究,他们的二元调整水平各有不同,文中使用对话方式探究主导控制问题和对话的类型。针对治疗师的反应也进行了研究,旨在发现那些在治疗过程中能最有效地引发伴侣的互相合作态度的回应方式。用于分析对话的方法被称作“考察变化产生的对话式调查”(DIHC)。针对主导控制性的调查结果表明,每个案例中在次数上和语言使用上的主导控制其程度分别由不同的一方表现出来, 这说明了他们之间的关系的动态特性, 两对伴侣的互动性主导控制则是由治疗师调解影响下产生的。对话研究的结果表明对话性质的谈话可能帮助伴侣共建对抑郁的新的意义,且为双方共同理解。结果还表明治疗师的某些反应成为了伴侣对话过程中的一个组成部分,可以起到积极作用而减少伴侣之间的敌意,前提是治疗师的这些反应能在整个治疗的单位时间里不中断。本文最后也讨论了从研究结果看出的对未来研究的启示和临床实践的意义。.
journal_name
Fam Processjournal_title
Family processauthors
Artigas Miralles L,Vilaregut Puigdesens A,Feixas Viaplana G,Mateu Martínez C,Seikkula J,Vall Castelló Bdoi
10.1111/famp.12494subject
Has Abstractpub_date
2020-09-01 00:00:00pages
1080-1093issue
3eissn
0014-7370issn
1545-5300journal_volume
59pub_type
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