DIALOGICAL PROCESSES IN PSYCHOTHERAPY

 

Working in a dialogical way, the therapist pays attention to two particular dimensions of a patient's narrative. The first aspect concerns the characters that inhabit the internal dialogue of the patient, the relationships between them, and the way in which they are active during the psychotherapeutic process. Often a patient begins psychotherapy without recognizing the subjectivity of the other and attributing to him/her a stereotyped role. In severely disturbed patients, such rigidity can depend on the type and severity of psychopathology. Here, the therapist may operate by recognizing the forms that these stereotyped relations assume, in order to detach from them and promote a form of relation in which the subjectivity of the other is respected. In this respect, s/he tries to promote the development of an 'I-I' form of relationship, in which one I-position encounters and confirms another I-position in its uniqueness and wholeness of I-I self-relational stance. The second dimension concerns the quality of the discourse of the patient and his/her ability to communicate the information. Sometimes the text produced by the patient is scarcely comprehensible: either because it is poor in information (in this case patient and therapist don't have enough material to orient and plan the psychotherapeutic treatment), either because it is unclear and fragmented so that both therapist and patient are not able to comprehend the relevant arguments the psychotherapeutic work has to focus on. In this second case the aim of psychotherapy is to help the patient produce coherent, rich and comprehensible texts.

 

Discussant: Robert A. Neimeyer, University of Memphis, Memphis (TE), USA

 

Mick Cooper, University of Brighton, UK
From I-Thou to I-I: Extrapolating Buber's interpersonal attitudes to the client's intrapersonal world

 

Giampaolo Salvatore, Giancarlo Dimaggio, Dario Catania & Cristina Azzara, Centro di Psicoterapia Cognitiva, Rome, Italy
Impoverished narrative forms: Psychopathology and clinical approach

 

Donatella Fiore, Daniela Petrilli, Antonello Colli, Serena Mancioppi, Antonio Semerari & Giancarlo Dimaggio, Centro di Psicoterapia Cognitiva, Rome, Italy
Interpersonal processes in the therapy of narcissistic patients

 

Antonello Colli, Vittorio Lingiardi, Giancarlo Dimaggio, Donatella Fiore & Daniela Petrilli, University of Rome 'La Sapienza' / Centro di Psicoterapia Cognitiva, Rome, Italy
Patient's alliance ruptures, therapist's interventions and cognitive interpersonal cycles:
A single case analysis with the Therapeutic Alliance Coding System (TACS)