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Related Experiment Video

Updated: Nov 29, 2025

Multimodal Protocol for Assessing Metacognition and Self-Regulation in Adults with Learning Difficulties
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Downgrading Deontic Authority in Open Dialogue Reflection Proposals: A Conversation Analysis.

Ben Ong1,2, Scott Barnes3, Niels Buus1,4,5,6

  • 1Faculty of Medicine and Health, Susan Wakil School of Nursing and Midwifery, University of Sydney, Sydney, NSW, Australia.

Family Process
|November 21, 2020
PubMed
Summary

Open Dialogue therapists often reduce their authority when suggesting reflective conversations to foster collaboration. This careful negotiation of power dynamics is key to the Open Dialogue approach.

Keywords:
AuthorityConversation analysisDeonticsOpen dialoguePowerProposalsReflectionanálisis de la conversacióndeónticodiálogo abiertopoderpropuestasreflexión会话分析反思开放式对话提议权力道义

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Area of Science:

  • Psychology
  • Psychiatry
  • Communication Studies

Background:

  • The Open Dialogue approach emphasizes client and family collaboration in therapy.
  • Therapists face challenges balancing collaborative goals with session management responsibilities.

Purpose of the Study:

  • To analyze how Open Dialogue therapists propose transitions to reflecting conversations.
  • To understand the negotiation of therapist authority and collaboration in practice.

Main Methods:

  • Conversation analysis of 14 hours of recorded Open Dialogue therapy sessions.
  • Focus on therapists' methods for initiating "reflecting conversations".

Main Results:

  • Therapists routinely downgrade their deontic authority when proposing reflections.
  • Techniques include framing proposals as questions, providing justifications, and using phrases like "I'm wondering."
  • Highly downgraded proposals may reduce the salience of acceptance, potentially hindering the transition.

Conclusions:

  • Therapists actively manage power dynamics to facilitate collaboration in Open Dialogue.
  • Findings offer practical insights into implementing Open Dialogue principles.
  • This research refines the understanding of "collaboration" and "power" within therapeutic interactions.