Downgrading Deontic Authority in Open Dialogue Reflection Proposals: A Conversation Analysis.

Authority Conversation analysis Deontics Open dialogue Power Proposals Reflection análisis de la conversación deóntico diálogo abierto poder propuestas reflexión 会话分析 反思 开放式对话 提议 权力 道义

Journal

Family process
ISSN: 1545-5300
Titre abrégé: Fam Process
Pays: United States
ID NLM: 0400666

Informations de publication

Date de publication:
12 2021
Historique:
pubmed: 22 11 2020
medline: 3 2 2022
entrez: 21 11 2020
Statut: ppublish

Résumé

The Open Dialogue approach promotes collaboration with clients and families in decisions about the direction of therapy. This creates potential problems for Open Dialogue therapists who seek collaboration but also have responsibility for managing the session. Using conversation analysis, we examined 14 hours of video recordings of Open Dialogue sessions, and specifically how therapists proposed the transition to a reflecting conversation. We found that, when making proposals to reflect, therapists routinely downgrade their deontic authority (i.e., adopt a less powerful, more collaborative position). They did this through framing proposals as interrogatives, providing accounts, and by prefacing their proposals with "I'm wondering". More heavily downgraded proposals made acceptance less salient, potentially risking transition to the reflection. These findings provide more detail on how theoretical concepts such as "collaboration" and "power" are actually displayed and negotiated in practice and can contribute to a more nuanced understanding of what constitutes Open Dialogue. El método de diálogo abierto promueve la colaboración con los pacientes y las familias en las decisiones acerca del rumbo de la terapia. Esto genera posibles problemas para los terapeutas que implementan el diálogo abierto y que buscan colaboración, pero que también tienen la responsabilidad de manejar la sesión. Utilizando el análisis de la conversación, analizamos 14 horas de videograbaciones de sesiones de diálogo abierto y, específicamente, cómo los terapeutas propusieron la transición a una conversación reflexiva. Descubrimos que, cuando los terapeutas hacen una propuesta de reflexionar, habitualmente rebajan su autoridad deóntica (p. ej.: adoptan una postura menos poderosa y más colaborativa). Para esto, los terapeutas plantearon las propuestas como interrogaciones, ofrecieron explicaciones e introdujeron sus propuestas con la frase: “Me pregunto”. Las propuestas más rebajadas hicieron que la aceptación se destacara menos, arriesgando potencialmente la transición a la reflexión. Estos hallazgos ofrecen mas detalles sobre cómo los conceptos teóricos, como la “colaboración” y el “poder”, en realidad se muestran y se negocian en la práctica, y pueden contribuir a una comprensión más matizada de lo que constituye el diálogo abierto. 开放性对话的方法促进了在与病人和家庭在有关治疗方向上做出决策时的合作。开放对话治疗师寻求合作但又有责任管理会话,此方法给这一类治疗师带来了潜在的问题。使用会话分析,我们调查了14个小时的公开对话的视频记录,特别是治疗师是如何建议过渡到反思对话的。我们发现,在提出反思建议时,治疗师通常会降低他们的行为权威(即采取一种不那么强势、更具协作性的立场)。这样做的方式是将建议框定为质问句,提供解释,并以 "我在想 "作为建议的前言。更加严重的降级建议使接受不那么突出,可能会有过渡到反思的风险。这些发现提供了更多关于 "协作 "和 "权力 "等理论概念如何在实践中实际呈现和协商的细节,并有助于更细致地理解什么是 "开放式对话"。.

Autres résumés

Type: Publisher (spa)
El método de diálogo abierto promueve la colaboración con los pacientes y las familias en las decisiones acerca del rumbo de la terapia. Esto genera posibles problemas para los terapeutas que implementan el diálogo abierto y que buscan colaboración, pero que también tienen la responsabilidad de manejar la sesión. Utilizando el análisis de la conversación, analizamos 14 horas de videograbaciones de sesiones de diálogo abierto y, específicamente, cómo los terapeutas propusieron la transición a una conversación reflexiva. Descubrimos que, cuando los terapeutas hacen una propuesta de reflexionar, habitualmente rebajan su autoridad deóntica (p. ej.: adoptan una postura menos poderosa y más colaborativa). Para esto, los terapeutas plantearon las propuestas como interrogaciones, ofrecieron explicaciones e introdujeron sus propuestas con la frase: “Me pregunto”. Las propuestas más rebajadas hicieron que la aceptación se destacara menos, arriesgando potencialmente la transición a la reflexión. Estos hallazgos ofrecen mas detalles sobre cómo los conceptos teóricos, como la “colaboración” y el “poder”, en realidad se muestran y se negocian en la práctica, y pueden contribuir a una comprensión más matizada de lo que constituye el diálogo abierto.
Type: Publisher (chi)
开放性对话的方法促进了在与病人和家庭在有关治疗方向上做出决策时的合作。开放对话治疗师寻求合作但又有责任管理会话,此方法给这一类治疗师带来了潜在的问题。使用会话分析,我们调查了14个小时的公开对话的视频记录,特别是治疗师是如何建议过渡到反思对话的。我们发现,在提出反思建议时,治疗师通常会降低他们的行为权威(即采取一种不那么强势、更具协作性的立场)。这样做的方式是将建议框定为质问句,提供解释,并以 "我在想 "作为建议的前言。更加严重的降级建议使接受不那么突出,可能会有过渡到反思的风险。这些发现提供了更多关于 "协作 "和 "权力 "等理论概念如何在实践中实际呈现和协商的细节,并有助于更细致地理解什么是 "开放式对话"。.

Identifiants

pubmed: 33219990
doi: 10.1111/famp.12586
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1217-1232

Informations de copyright

© 2020 Family Process Institute.

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Auteurs

Ben Ong (B)

Faculty of Medicine and Health, Susan Wakil School of Nursing and Midwifery, University of Sydney, Sydney, NSW, Australia.
Nepean Blue Mountains Local Health District, Child and Youth Mental Health Service, Sydney, NSW, Australia.

Scott Barnes (S)

Department of Linguistics, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, NSW, Australia.

Niels Buus (N)

Faculty of Medicine and Health, Susan Wakil School of Nursing and Midwifery, University of Sydney, Sydney, NSW, Australia.
St. Vincent's Hospital Sydney, Sydney, NSW, Australia.
St. Vincent's Private Hospital Sydney, Sydney, NSW, Australia.
Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark.

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