Sequences Of Talk Research Articles

Hiding Shame – A Case Study of Developing Agency

Abstract The hiding aspect of shame makes the study of shame difficult. In this article we aim to show through Hanna’s case study how shame manifests and develops during the course of one psychotherapy process. This will be done using Assimilation analysis (APES) and Dialogical Sequence Analysis (DSA) to show in detail one idiosyncratic developmental path through which the relationship toward the problematic shame experience changes and develops in psychotherapy. Results show how the manifestation of shame toward the problematic experience of being seen was present in the first moments of the first meeting, but also how during the sequence of sessions 7 – 9 Hanna’s relationship toward shame evoked referent unveils and developed gradually through therapeutic work from assimilation stage 2 to reaching stage 5-6 at the end of the 9th hour. This study shows how Hanna was able to reach a new kind of active agency toward the shame that, in the beginning, held the agency in her ’community of voices’, and how this understanding of shame’s developing and hiding nature can be of use in a clinically meaningful way.

A Creative Writing Case Study of Gender-Based Violence in Coach Education: Stacey’s Story

Creative nonfiction writing is the literary technique employed in this article to explore insights and assist our understanding of an “alleged” sexual assault in a sport coach education environment. Creative nonfiction employs various narrative tools—characters, setting, figurative language, sequences of events, plot, sub-plot, and dialogue—designed to render the sensitive and controversial elements of sexual assault significant. Readers are, therefore, invited to engage with Stacey’s Story and reflect on the actions of both the perpetrator(s) and the victim. While there are risks associated with the sharing of stories, especially those which are considered dangerous, it is envisaged that Stacey’s Story will be viewed as an opportunity to develop more critical responses and advance our understanding of gender-based violence in sport.

Exploring Relational Dialogue in Solution-Focused Coaching Sessions: An Analysis of Co-Construction and Reflection

ABSTRACT Purpose: To examine solution-focused coaching (SFC) as a means to enhance clinicians’ professional development. Methods: Six pediatric rehabilitation clinicians (three physical, two occupational, and one behavior therapist) each received two SFC sessions targeting clinical listening goals. Conversational intervals were noted in session transcriptions. Frequencies of relational strategies and conversational intervals were calculated. The meaning of intervals > 10 s was examined. Results: The most frequent relational strategies indicated that SFC facilitates reflection and critical thinking, and encourages action. An appreciable number of long intervals (>10 s) occurred, indicating substantial reflection by participants. These were embedded in relational dialogue sequences involving coach questions and formulations, and participant pauses. Conclusions: The findings support the use of SFC as a professional development tool and substantiate the view that SFC ‘works’ through the coach’s use of relational strategies designed to facilitate collaborative conversations that build solutions through an emphasis on reflection and action.

Bevegelser mot ansvar: endrings­skapende dialoger i to terapier med menn som utøver vold i nære relasjoner [Opening up for responsibility: Co-creating change in two therapies with men who use violence against their intimate partner

There is a paucity of knowledge on psychotherapy aiming to help clients stop engaging in intimate partner violence (IPV). The purpose of this study is to enrich our understanding of the processes of violence-focused therapy by developing rich and clinically relevant descriptions that can inform and inspire other therapists. Using constructivist grounded theory, we shed light on how clients and therapist co-create change. The main finding of this study is that clients use language that can be understood as opening up toward or moving away from recognizing and experiencing responsibility. This can even occur within the same utterance. We describe how therapists meet these ways of speaking and how this interaction unfolds in sequences of dialogue. Use of language is an important gateway to change because it can both reflect and create clients’ experience of agency in their life. The findings can be useful for clinicians working with this and other client groups. It can also aid in further research on violence-focused therapy. Clinical implications are discussed.

Implementation of Dialogical Sequence Analysis as a Case Formulation for the Assessment of Patients at a Community Mental Health Centre : Randomized Controlled Pilot Study

Background: We implemented a case formulation method, which is based on dialogical sequence analysis (DSA) in a community mental health center. The aim was to achieve better congruence and collaboration between the patient and professionals concerning the tasks and goals of the assessments. Here we report a randomized clinical study in which we compare DSA-based and standard psychiatric assessments. Methods: In this randomised clinical study, we compared DSA-based and standard psychiatric assessments. There were 40 outpatients in both, the DSA and the assessment as usual (AAU) groups. We recorded the lengths of individual assessment periods, the number and durations of visits, and the numbers of clinicians who were involved in the various phases of assessment. The Working Alliance Inventory was completed by the patients (WAI-P) and the clinicians (WAI-T) during the treatment planning (i.e. final) visit. Results: In our results, the total WAI-P and WAI-T scores and all WAI subscale scores correlated significantly in the DSA group (Spearman’s rho = 0.562–.667, p < 0.01). In the AAU group, the only significant – albeit weaker – correlation was found in the WAI Bond subscale (rho = 0.369, p < 0.05). Compared to the AAU group, assessment periods were shorter and the number of visits were fewer in the DSA group. Conclusion: Our findings are clinically notable. They show that the patient-centred, DSA-based case formulation complements psychiatric assessment in a collaborative way and results in a better joint understanding regarding the patient’s problems and needs in a shorter time period than the standard assessment.

Burning

Burning Michael C. Reiff Burning 2018 Directed by Lee Chang-dong Distributed by Well Go USA Entertainment www.netflix.com 148 minutes It has been nearly a decade since Korean director Lee Chang-Dong directed his two hallmark works: 2010's Poetry and 2007's Secret Sunshine. Dong's artistic reputation has rested comfortably with those film's nuanced character studies, but also with his subtle use of genre, in particular the tropes of crime thrillers. Abductions and death frame and influence each film, but these genre elements are not so much explosive plot developments as quiet shocks that push Dong's characters to deeper introspection and understanding. Using this genre – filled with investigations, authority figures and a searching structure, Dong has also subtle scrutinized wider issues of control, power and privilege in modern Korean society. This holds true with Dong's most recent film, Burning, a film that continues to develop Dong's darker motifs, societal critiques and genre meditations while also integrating outside influences, from Japanese writer Haruki Murakami and F. Scott Fitzgerald to the cinematic language and omnipresence of paranoia in later Hitchcock films. Burning centers around an aspiring writer named Lee Jong-su, who is living in Seoul, South Korea when he has to return to his hometown, an agrarian exurb of the South Korean capital, after his father is arrested for attacking a local government official. Along with upkeeping the failing family farm, Jong-su also becomes re-acquainted with a grade school friend, Shin Hae-mi. After a few dates, they begin a sexual relationship, only to have it cut short when Hae-mi decides to travel to Africa - and asks Jong-su to watch her tiny apartment and feed her (seemingly invisible) cat. Upon her return to South Korea, however, Jong-su finds Hae-mi in a relationship with a wealthy Korean man she met on her travels – named only Ben – though she continues to attempt a friendship with Jong-su. Splitting his time between the rustic greenhouses and cow pens of his village and tagging along with Hae-mi and Ben on lavish dinners and parties in the penthouses of Seoul, Jong- su begins to suspect there is more to Ben than simply directionless affluence. And after a night of drinking and smoking marijuana, Ben admits to a hobby of burning other people's greenhouses, an act he compares to a deistic ritual and which he says he will re-enact soon, and close to Jong-su's house. Even worse, the next day, Hae-mi disappears. With these strange and unsettling developments, Jong-su becomes torn between two seemingly parallel paths, though ones that eventually seem to converge – one, obsessively tracking and monitoring the greenhouses in his rural community, and two, attempting to find out what happened to his former lover. Burning is based on the legendary Japanese novelist Haruki Murakami's short story "Barn Burning" from his short story collection The Elephant Vanishes, and much of the short story's melancholy spirit is maintained, as well as major plot points, characters and a few key dialogue sequences (the short story itself is name-checked in the first five minutes of Burning, as department store promotors announce special deals in anticipation of the "release" of "Barn Burning" by Murakami, an interesting metatextual flourish). Running throughout much of Murakami's pop surrealist novels and spare, dream-like short stories is a wry, distanced sense of melancholy longing. Characters, even while in committed relationships, often feel lonely, rootless, adrift in modern Japanese—and often global—society. Though Burning transposes the setting and characters into South Korea, Dong maintains much of this Murakami's essence, at least in the first half of the film. Even when Jong-su is talking, visiting or making love to Hae-mi, both characters exude a certain yearning – for a version of their relationship that doesn't quite exist in the present, for a resolution to the missed opportunities in their shared past. [End Page 54] This sense of distanced longing and restlessness becomes both more explicit and wider in scope when Ben arrives; Jong-su, though often inches away from Hae-mi, has to endure the indignities of...

DE LA ORALIDAD LITERARIA A LA ORALIDAD FÍLMICA EN TRES MODELOS TEXTUALES DE DIÁLOGO. LA COLMENA: NOVELA, GUION, FILME

La colmena novela y La colmena filme son dos géneros narrativos cuyos procesos de textualización, si bien remiten a la misma historia, difieren entre sí. Por su parte, en la película, el relato cinematográfico opera narrativa y descriptivamente a partir de la secuenciación de imágenes en las que coexisten entre otros elementos: acción, espacios, movimiento y diálogos de personajes. El resultado es una concreción de la historia dada en forma multimodal. En la novela todo es verbal, discursivo: la textualización es una sucesión de formas lingüísticas con poder evocador. El nexo común más relevante que comparten, aparte de la historia contada, son los diálogos de los personajes. Por su parte, entre el producto fuente y el producto meta está el guion cinematográfico de J. L. Dibildos, que cumple una función mediadora para adaptar la obra de C. J. Cela, transformarla y hacer de La colmena un texto fílmico. En este trabajo se han analizado y comparado diálogos de La colmena de las tres propuestas creativas, con dos objetivos: (1) determinar si las variantes lingüísticas vienen pragmáticamente dadas por la escenografía de las secuencias y (2) constatar si la técnica constructivista desarrollada por Cela para hacer verosímiles los diálogos literarios sirve de referencia para la creación de nuevas secuencias dialogales e interacciones entre personajes que se inventan en el guion.

Lumbar Spine Fusion Patients' Use of an Internet Support Group: Mixed Methods Study.

BackgroundInternet use within health care contexts offers the possibility to provide both health information and peer support. Internet Support Groups (ISGs) for patients may offer advantages, which are not found in face-to-face support. In patients undergoing lumbar spine fusion (LSF), ISGs could have a particular potential, as peer support on the web might bridge the decreased satisfaction with social life and social isolation found within these patients. ISGs might in this way contribute to increasing the functioning and overall health-related quality of life. However, LSF patients may generally belong to a group of citizens not prone to internet and online peer support. However, our knowledge of how LSF patients use ISGs is limited.ObjectiveThe aim of this study was to describe the characteristics of users of an ISG and thematically explore the content of ISG interactions in Danish patients undergoing instrumented LSF because of degenerative spine disorders.MethodsParticipants were recruited from a randomized controlled trial and included in a prospective cohort with a mixed methods design. Sociodemographic characteristics and information on psychological well-being (symptoms of anxiety and depression) were obtained at baseline and 1 to 5 weeks before surgery. Usage of the ISG was registered from baseline until 3 months after surgery. All posts and comments were collected, and content analysis was performed.ResultsA total of 48 participants comprised the study population, with a mean age of 53 years (range 29-77). Of the participants, 54% (26/48) were female, 85% (41/48) were cohabitating, 69% (33/48) were unemployed, and the majority (69% [33/48]) had secondary education. Approximately one-third of the participants had symptoms of depression (35%, 17/48) and anxiety (29%, 14/48). Overall, 90% (43/48) of the participants accessed the ISG. No correlations were found between sociodemographic characteristics and access to the ISG. Women were more prone to be active users, contributing with posts (P=.04). Finally, active users contributing with posts or comments had viewed more pages, whereas passive users, users without posts or comments, had more interactions with the ISG (P<.001). The ISG contained 180 conversation threads, generating 354 comments. The 180 conversation threads in the ISG were constituted by 671 independent dialogue sequences. On the basis of those 671 dialogue sequences, 7 thematic categories emerged.ConclusionsSociodemographic characteristics were not predictors of ISG use in this study, and active use was found to be gender dependent. Content of interactions on the ISG emerged within 7 thematic categories and focused on social recognition, experience of pain or use of pain medication, experience of physical activity or physical rehabilitation, expression of psychosocial well-being, advising on and exploring the ISG, and employment, which seemed to correspond well with the prevalent occurrence of symptoms of anxiety and depression.

A study on Aspect of Teacher’s Speech and Educational Implications in Korean Language Class of Middle School : Focusing on the ‘QuestionAnswer-Evaluation/Feedback’ Dialogue Sequence

A study on Aspect of Teacher’s Speech and Educational Implications in Korean Language Class of Middle School : Focusing on the ‘QuestionAnswer-Evaluation/Feedback’ Dialogue Sequence

Evidentiality and stance in YouTube comments on smartphone reviews

Abstract Online participatory environments have become saturated spaces in terms of the opportunities that they offer for the display of different viewpoints and ideologies. YouTube, as a popular video-sharing and networking site, constitutes a new media space that invites both individual and collaborative stance-taking by participants who gather, virtually, to address a particular topic, issue or event depicted visually and discussed textually through the comments that are posted on the site. This interactional dynamics triggers a dialogic sequence of follow-ups through which stances are formulated following up on previous stances or counterstances. Against this background, this paper reports on a case study of individual and collaborative, and interdiscursive and intradiscursive stance-taking in participants’ comments to an online review focusing on the strategic use of direct (tactile) and indirect (inferential) references to evidentiality and their co-occurrence with argumentative markers. In this multilayered context stance-taking does not only contribute to evaluation but also to the construction of collective identities.

On Hastily Declaring Platonic Dialogues Spurious: the Case of Critias

This paper takes issue with the thesis of Rashed and Auffret that the Critias that has come down to us is not a genuine dialogue of Plato. Authors do not consider the style of the Critias, which should be a factor in any complete study of authorship. It observes the widespread consensus that the style of the Timaeus and Critias are virtually inseparable. It surveys a wide range of stylistic studies that have tended to confirm this, before answering a possible objection that cites the similarity of style between the genuine Laws and Philip of Opus’ Epinomis. Since the main argument used by Rashed and Auffret relies on an inconsistency between Timaeus and Critias consideration is given to the types of inconsistency found within Platonic dialogues and sequences of dialogues, particularly the hiatus-avoiding dialogues including Timaeus itself and Laws. Finally, alternative explanations of the alleged inconsistency are offered.

Offering patients opportunities to reveal their subjective experiences in psychiatric assessment interviews

ObjectiveWith the intention of understanding the dynamics of psychiatric interviews, we investigated the usual (DSM/ICD-based) psychiatric assessment process and an alternative assessment process based on a case formulation method. We compared the two different approaches in terms of the clinicians’ practices for offering patients opportunities to reveal their subjective experiences. MethodsUsing qualitative and quantitative applications of conversation analysis, we compared patient–clinician interaction in five usual psychiatric assessments (AAU) with five assessment interviews based on dialogical sequence analysis (DSA). ResultsThe frequency of conversational sequences where the patient described his/her problematic experiences was higher in the DSA interviews than in the AAU interviews. In DSA, the clinicians typically facilitated the patient’s subjective experience talk by experience-focused questions and formulations, whereas in AAU, such talk typically occurred in environments where the clinicians’ questions and formulations focused on non-experiential, medical matters. ConclusionInteraction in DSA was organized to provide for the patient’s experience-focused talk, whereas in AAU, the patient needed to go against the conversational grain to produce such talk. Practice implicationsBy facilitating patients’ opportunities to uncover subjective experiences, it is possible to promote their individualized care planning in psychiatry.

A Hermeneutic Understanding of Dialogue as a Tool for Global Peace

The problem of threat to international politics and global peace has undermined the effectiveness of the power of dialogue. The world seems to be in the condition of will to power derivable from the mutually assured destructive (MAD) tendencies. Is it possible to extend global peace? How can this be achieved? In this paper, we posit that dialogue is a fundamental medium for conflict resolution and peaceful coexistence in a diverse world. We contend that monologue in international politics understood in terms of might is right undermines the effectiveness of dialogue and often leads to violent conflicts within and between countries. Our world today is at a crossroads. Dialogue, however, foregrounds the medium of conflict resolution and the social consciousness of human communication. We present a hermeneutic understanding of dialogue that follows from relevant works of Hans Georg Gadamer and Jűrgen Habermas. This paper espouses the power of dialogue as a basis for the normative foundation of an emancipated social global order. The dialogical sequence has a cobweb of social interconnectedness and the ethics of global peace. We present a literal and philosophical understanding of dialogue and a contextual understanding of dialogue within the hermeneutic tradition.

Saying “Yes” and “No” to requests

Abstract The current study adopts a variational pragmatic approach to compare the dialogic sequence of the directive speech act of request and its reaction of consent versus refusal in Egyptian and Saudi Arabic. To this end, 413 Egyptian and Saudi undergraduate students completed a Discourse Completion Task (DCT). Data analysis indicated more differences between Egyptian and Saudi Arabic in request consent strategies than refusal strategies. Among the noted differences in consent strategies were Egyptians’ stronger preference for direct strategies and elaborate responses than Saudis who displayed more varied combination patterns and exhibited stronger gender differences. In refusal strategies, however, a general similarity between Egyptians and Saudis was obvious at the level of strategies, combination patterns and the influence of social factors.

Amalia X: dialogical sequence analysis as a method in theory-based single case research in psychoanalysis

ABSTRACTIn this article, Dialogical sequence analysis (DSA) is introduced as a method in theory-based single case research. The structure of article is as follows: first, we will describe briefly the historical background of single case studies and their position as the foundation of psychoanalytic knowledge formation. Secondly, we will describe through Amalia X’s case how one psychoanalytic ‘specimen case’ has been used as a cornerstone for a comprehensive psychoanalytic process research model, the so called ‘Ulm model’. Amalia X is one of the most studied single cases internationally also outside psychoanalytic process study field. Thirdly, we will introduce the central theory and practice of DSA. Fourthly, in the last section of our article, we will show in practice how DSA can be used in the analysis of Amalia’s dream in the session 152.

Effectiveness of interactive mental flexibility groups for patients on acute inpatient psychiatric unit

With the intention of understanding the dynamics of psychiatric interviews, we investigated the usual (DSM/ICD-based) psychiatric assessment process and an alternative assessment process based on a case formulation method. We compared the two different approaches in terms of the clinicians’ practices for offering patients opportunities to reveal their subjective experiences.Using qualitative and quantitative applications of conversation analysis, we compared patient–clinician interaction in five usual psychiatric assessments (AAU) with five assessment interviews based on dialogical sequence analysis (DSA).The frequency of conversational sequences where the patient described his/her problematic experiences was higher in the DSA interviews than in the AAU interviews. In DSA, the clinicians typically facilitated the patient’s subjective experience talk by experience-focused questions and formulations, whereas in AAU, such talk typically occurred in environments where the clinicians’ questions and formulations focused on non-experiential, medical matters.Interaction in DSA was organized to provide for the patient’s experience-focused talk, whereas in AAU, the patient needed to go against the conversational grain to produce such talk.By facilitating patients’ opportunities to uncover subjective experiences, it is possible to promote their individualized care planning in psychiatry.

Hemingway’s Desolation Laid Bare, Perhaps

“A Clean, Well-lighted Place,” was first published in Scribner’s Magazine, in 1933, and ever since has been a significant focus of the literary world, with few daring to risk their literary aspirations, in rebuttal of previously published assertions as the dark forebodings of a world bereft of faith or joy. One is left to ponder a literary profession that appears bereft of a critical examination of the work, or, may not being able to see the forest for the trees. Responding to the assertion by Robert Penn Warren, that Hemingway lived in a “world of violent action,” WB Bache preferred to see the writer as a representative of unique craft and insight, and that he should be seen as, “a creative artist.” This is why I too, found Hemingway an enigma, as someone with a unique literary style, but possessing too, a wicked side. In his art, as he was in life, a hard drinking, womanizing, errant joker, who I feel certain here, is having a laugh at us all, from the other side. Sam Bluefarb (1971) wrote of the “Need to break through to some transcendent purpose—esthetic or religious—without which life seems to have little or no meaning.” Indeed, the melancholia which pervades this literary offering drags the reader down, into its darkness and despair, its depths of the maudlin, the mundane. The pathos may be evident, but does the meaning of the story have to be so dark, and so bitter? The “illogical dialogue sequence,” Warren Bennett (1990) ascribed to the tale, appears to be too bad, too lacking substance, too illogical for words, and so devoid of natural development that it takes on an artificiality such that it could only be a frolic that Hemingway is having, at our expense. Hemingway was a disciple of misogyny, this brute found love so often, not with docile, “pleasant”, or amenable women, but independent, vibrant, aggressive, articulate, intelligent, and yes, “feisty.” None of them was just a decoration, all were treated abysmally, and yet they all loved him till they had no more love left to give, until he had drained them of their capacity to continue to love him. These relationships open the door to a less discussed possibility, that “A Clean Well-lighted Place,” was actually a metaphoric celebration of femininity, in praise of womanhood, an explanation of the clean illumination of our lives (places), without whom, we are dark and dull, and lifeless, much like the iconic short story.

Paideia Platonikê: Does the later platonist programme of education retain any validity today?

During the Middle Platonic period, from the second-century CE on, and in a more elaborately structured way from the time of Iamblichus (early fourth-century CE) on, the Platonist Schools of later antiquity took their students through a fixed sequence of Platonic dialogues, beginning with the Alcibiades I, concerned as it was with the theme of self-knowledge, and ending—at least in the later period—with the Timaeus and Parmenides, representing the two ‘pinnacles’ of Platonic philosophy, concerned with the physical and intelligible realms, respectively. There seems also have been a preliminary period of study, in which one mastered the techniques of logic, with the help of Aristotle’s Organon. It may be also that, at least in Iamblichus’ school and later, some attention was paid to the life and teachings of Pythagoras, including Pythagorean mathematics and numerology, and perhaps a degree of observance of the Pythagorean way of life, e.g. periods of silence, meditation, dietary restrictions.

Alliance rupture and repair processes in borderline personality disorder: A case study using dialogical sequence analysis

Objective: This study examined alliance rupture and repair processes in borderline personality disorder (BPD) and how the content of sessions interacts with the quality of the alliance. Design: A mixed methods single case study design was employed incorporating quantitative and qualitative measures of process and outcome. Methods: This case study examined a 22-year-old female with BPD who received 16 sessions of Cognitive Analytic Therapy. Measures of alliance, symptoms and global functioning were taken across multiple time-points. Selected sessions were analysed using dialogical sequence analysis (DSA), a theory-driven method of psychotherapy research that analyses utterances according to their author, addressee and referential object. Results: Quantitative data indicated symptom reduction without functional improvement. DSA demonstrated that the first exchanges in therapy were reflective of key relational themes. The case suggests that, rather than simply negotiating tasks and goals, repairing ruptures involves systematically linking the manifest topic to the client’s core problems. Conclusions: This case study points to the mediating role that the content of sessions has on alliance quality. Results underline the importance of the therapist stance, the need for a shared formulation to make sense of relational processes and the use of responsively timed interventions to decrease desperation and improve self-reflection.

Multimodal character viewpoint in quoted dialogue sequences

We investigate the multimodal production of character viewpoint in spoken American English narratives by performing complementary qualitative and quantitative analyses of two quoted dialogues, focusing on the storyteller’s use of character viewpoint gestures, character intonation, character facial expression, spatial orientation and gaze. A micro-analysis revealed that the extent of multimodal articulation depends on (i) the quoted speaker, with different multimodal articulatory patterns found for quotes by the speaker’s past self vs. a third-person character, and (ii) the position of the quoted utterance within the quoted dialogue, with mid-dialogue utterances garnering less co-articulation than initial or final utterances within the quoted dialogue. We further investigated these observations using a quantitative approach, which was based on generalized additive modeling (GAM). The GAM analysis revealed different multimodal patterns for each quoted character, as indicated by the number of co-produced multimodal articulators. These patterns were found to hold regardless of the quote’s position within the narrative. We discuss these findings with respect to previous work on multimodal quotation.This article is part of the special collection: Perspective Taking