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The Discursive Performance of Change Process in Systemic and Constructionist Therapies: A Systematic Meta-Synthesis
Eleftheria Tseliou1, Charlotte Burck2, Liz Forbat3
1Laboratory of Psychology, Department of Early Childhood Education, University of Thessaly, Volos, Greece.
Family Process
|July 1, 2020
Summary
This meta-synthesis reveals how systemic and constructionist therapy change occurs through relational shifts, non-pathologizing dialogue, forward movement, and power dynamics in therapeutic conversations.
Area of Science:
- Psychology
- Therapeutic Communication
- Discourse Analysis
Background:
- Systemic and constructionist approaches emphasize discourse and interaction in therapy.
- A comprehensive overview of in-session change process in these therapies is lacking.
Purpose of the Study:
- To qualitatively meta-synthesize research on change process in systemic and constructionist therapy.
- To identify key themes in therapeutic dialogue related to change.
Main Methods:
- Qualitative meta-synthesis of 35 articles.
- Systematic search of PsycINFO and MEDLINE databases (2,977 studies initially identified).
- Thematic analysis of therapy process data from naturally occurring therapeutic dialogue.
Main Results:
- Four main themes of change process performance were identified: shifting to a relational perspective, shifting to non-pathologizing therapeutic dialogue, moving-forward dialogue, and the dialogic interplay of power.
- Change in systemic and constructionist therapy is embedded within an interactional and discursive matrix.
- Qualitative studies of natural therapeutic discourse are valuable for understanding this matrix.
Conclusions:
- Therapeutic change is a discursive and interactional accomplishment within systemic and constructionist approaches.
- Discursive methodologies, such as conversation analysis, are crucial for elucidating the mechanisms of change.
- Further research utilizing qualitative analysis of therapeutic dialogue is recommended.
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