Assimilation of voices in psychotherapy: The case of Jan.

Abstract

The authors present a marker-based method for tracking the assimilation of a previously outcast voice into the self, conceived as a community of voices. In a qualitative assimilation analysis of the case of Jan, a woman whose depressive symptoms abated in process-experiential psychotherapy, the authors tracked 2 major themes, excerpted 43 relevant passages, and rated each passage on the Assimilation of Problematic Experiences Scale (APES). Ratings by 3 independent raters who used a marker-based APES manual were highly correlated with the investigators' consensus ratings. APES ratings tended to increase across sessions, as expected in successful therapy. The authors present passages to illustrate the assimilation of a voice of neediness and weakness by Jan's dominant superwoman voice and the assimilation of a voice of rebellion and assertiveness by Jan's dominant good-girl voice, yielding a more complex and flexible community.