Doing-together with words: the sequential unfolding of a moment of meeting in a psychoanalytic therapy session

Changes in psychoanalytic therapy have been traditionally attributed to self-knowledge (insight) in the client, provided by the therapist’s interpretations. In recent years there has been growing realization that such changes can also be the consequence of the development of new forms of relatedness...

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Main Authors: Marcos Herrera, Andrea Ugarte, Gabriela Vásquez-Torres, Kene M. Durand, Miguel Sánchez
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-12-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1205500/full
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author Marcos Herrera
Andrea Ugarte
Gabriela Vásquez-Torres
Kene M. Durand
Miguel Sánchez
author_facet Marcos Herrera
Andrea Ugarte
Gabriela Vásquez-Torres
Kene M. Durand
Miguel Sánchez
author_sort Marcos Herrera
collection DOAJ
description Changes in psychoanalytic therapy have been traditionally attributed to self-knowledge (insight) in the client, provided by the therapist’s interpretations. In recent years there has been growing realization that such changes can also be the consequence of the development of new forms of relatedness through client–therapist interaction, particularly through special intersubjective moments called moments of meeting. Drawing on the methods and findings of Conversation Analysis about the sequential organization of psychotherapeutic interaction, this single-case study examines the unfolding of a moment of meeting in the final session of a brief psychoanalytic therapy in Peru (in Spanish) with a female client victim of domestic violence. Our analysis shows that the moment of meeting, which resolves a challenge to the intersubjective relationship posed by a now moment, comes about interactionally through a sequentially accomplished shared practice of co-animation. In this sequence the client, who had previously assumed a passive role, exercises her own agency to assume an active role, which the therapist ratifies through his response. In this way, a momentary but significant transformation in the here-and-now relationship between client and therapist occurs. Thus, our analysis contributes to the understanding of how a transformation of relation—the transitory emergence of a new form of relatedness—can take place in and through sequentially organized talk and action in psychotherapy. Our study also sheds light on the role of language in moments of meeting, as the moment of meeting in our segment does not occur in parallel with the exchange of linguistic utterances between client and therapist, but through the exchange of such linguistic utterances and through the sequence of actions carried out by that exchange. In this way, the sequential doing-together with words leads to a moment of meeting, bringing about change, at least momentarily, in the implicit ways-of-being-with-others of the client.
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spelling doaj.art-bfcb59a91ee64369bab20bc28ae2f6ed2023-12-07T09:19:13ZengFrontiers Media S.A.Frontiers in Psychology1664-10782023-12-011410.3389/fpsyg.2023.12055001205500Doing-together with words: the sequential unfolding of a moment of meeting in a psychoanalytic therapy sessionMarcos Herrera0Andrea Ugarte1Gabriela Vásquez-Torres2Kene M. Durand3Miguel Sánchez4Department of Humanities, Pontifical Catholic University of Peru, Lima, PeruDepartment of Psychology, Pontifical Catholic University of Peru, Lima, PeruDepartment of Psychology, Pontifical Catholic University of Peru, Lima, PeruEscuela de Posgrado, Pontifical Catholic University of Peru, Lima, PeruEscuela de Posgrado, Pontifical Catholic University of Peru, Lima, PeruChanges in psychoanalytic therapy have been traditionally attributed to self-knowledge (insight) in the client, provided by the therapist’s interpretations. In recent years there has been growing realization that such changes can also be the consequence of the development of new forms of relatedness through client–therapist interaction, particularly through special intersubjective moments called moments of meeting. Drawing on the methods and findings of Conversation Analysis about the sequential organization of psychotherapeutic interaction, this single-case study examines the unfolding of a moment of meeting in the final session of a brief psychoanalytic therapy in Peru (in Spanish) with a female client victim of domestic violence. Our analysis shows that the moment of meeting, which resolves a challenge to the intersubjective relationship posed by a now moment, comes about interactionally through a sequentially accomplished shared practice of co-animation. In this sequence the client, who had previously assumed a passive role, exercises her own agency to assume an active role, which the therapist ratifies through his response. In this way, a momentary but significant transformation in the here-and-now relationship between client and therapist occurs. Thus, our analysis contributes to the understanding of how a transformation of relation—the transitory emergence of a new form of relatedness—can take place in and through sequentially organized talk and action in psychotherapy. Our study also sheds light on the role of language in moments of meeting, as the moment of meeting in our segment does not occur in parallel with the exchange of linguistic utterances between client and therapist, but through the exchange of such linguistic utterances and through the sequence of actions carried out by that exchange. In this way, the sequential doing-together with words leads to a moment of meeting, bringing about change, at least momentarily, in the implicit ways-of-being-with-others of the client.https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1205500/fullconversation analysispsychotherapy interactionpsychoanalysismoments of meetingtherapeutic relationshiptransformative sequence
spellingShingle Marcos Herrera
Andrea Ugarte
Gabriela Vásquez-Torres
Kene M. Durand
Miguel Sánchez
Doing-together with words: the sequential unfolding of a moment of meeting in a psychoanalytic therapy session
Frontiers in Psychology
conversation analysis
psychotherapy interaction
psychoanalysis
moments of meeting
therapeutic relationship
transformative sequence
title Doing-together with words: the sequential unfolding of a moment of meeting in a psychoanalytic therapy session
title_full Doing-together with words: the sequential unfolding of a moment of meeting in a psychoanalytic therapy session
title_fullStr Doing-together with words: the sequential unfolding of a moment of meeting in a psychoanalytic therapy session
title_full_unstemmed Doing-together with words: the sequential unfolding of a moment of meeting in a psychoanalytic therapy session
title_short Doing-together with words: the sequential unfolding of a moment of meeting in a psychoanalytic therapy session
title_sort doing together with words the sequential unfolding of a moment of meeting in a psychoanalytic therapy session
topic conversation analysis
psychotherapy interaction
psychoanalysis
moments of meeting
therapeutic relationship
transformative sequence
url https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1205500/full
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