Transcending a Differend: Studying Therapeutic Processes Conversationally

Studies of actual conversational behaviours used to generate positive change in family therapy are relatively rare. In this study such conversational details were examined as they occurred in a single session of family therapy. With passages identified by family members as helpful, discursive methods of analysis (conversation analysis and critical discourse analysis) were used to examine an actual conversation between a renowned family therapist (Karl Tomm) and a family formerly at a conversational impasse. Conversational practices and sequences in talk used by the therapist and family members to bridge these differences in their ways of relating are discussed.     

CONCEPTUALIZING CONVERSATIONAL COMPLEXITY

A successful conversation requires participants to have knowledge of both the topic under discussion and the nature of conversation. This study asks whether people who are more sophisticated in their representation of conversation behave differently than their less sophisticated counterparts. This issue was probed by devising two operationalizations of what we call Conversational complexity. The two measures assessed peoples' constructs about conversation (operationalized by a measure of construct differentiation) and the manner in which people psychologically structure conversations (via a sorting task tapping the degree to which they focus on the surface features, or deeper structures, of conversations). Individuals who completed the two measures of complexity also participated in conversations and completed a number of personality indices. Each operationalization of conversational complexity was positively correlated with a variety of conversational involvement behaviors, measures of conversational enjoyment and person complexity, and memory for the interactions. Generally speaking, effective interactants who enjoyed conversations and recalled them well tended to have more constructs about conversations and psychologically represented conversations at a deeper level than their counterparts.     

Gender constructions from a project on sex offenders

Abstract

The four-year group therapy of 16 sex offenders in prison was videotaped, and 21 sessions were carefully transcribed and analysed by means of conversation analysis and analysis of metaphor and narration. These qualitative methods are apt for verbal data and can be combined with psychoanalytic thinking in a productive way. New forms of process analysis can be developed. The results presented here are selected to relate to the topic of how the imprisoned group therapy participants constructed “gender” by ways of speaking about themselves, women, and their victims, young girls. The results show that it would be a mistake to think of these ways of speaking as if they could be ignored in favour of “deeper” motives, lying “behind” the words. Our results show how unconscious constructions of gender are not beyond language, but in language. “Doing gender” is a conversational practice.     

Efficacy and social validity of procedures for improving conversational skills of college students with autism

Better conversational skills correspond to a higher quality of life for adults diagnosed with autism spectrum disorder (ASD). In this study, we taught vocal–verbal responses discriminated by compound arrangements of concealed conversation partner mands to two college students with ASD. Participants learned to engage in self-questioning about their conversation partner's behavior and to reinforce three concealed mands for termination of an aversive conversation scenario. We assessed generalization to conversation probes with trained confederates and to interactions with untrained conversational partners (e.g., peers, professors). Finally, we collected peer ratings of the social validity of changes in conversational behavior as well as participants' ratings of study goals, procedures, and outcomes.     

AN ECOBEHAVIORAL EXAMINATION OF A SIMPLE STRATEGY FOR INCREASING MEALTIME LANGUAGE IN RESIDENTIAL FACILITIES

Typically in large residential facilities for retarded persons, meals are served in an institutional style that does not appear to encourage appropriate peer interactions. An ecological program alternative is serving meals in a family style. The present study was designed to examine both the feasibility of serving family style meals and the effects of family style meal service on mealtime language. Five retarded young adult male residents, who had some conversational skills and appropriate table manners, participated in this study. The experimental design involved a multiple baseline analysis across meals (dinner, lunch, and breakfast). Observers coded the youths' mealtime verbalizations according to the type, content, and direction of the verbalizations and they recorded the length of the meals. The analysis of the verbalization data indicated that during family style meals the participants spoke substantially more often than during institutional style meals. Increases in peer-directed conversation about the meals primarily accounted for the verbalization changes. Family style serving also resulted in the youths spending more time with their meals. In addition, social validation measures suggested that the family style procedures were preferred by the consumers (participants, staff, and concerned community members).     

Cross-Cultural Comparisons of the Perceived Importance of Conversational Constraints

This study investigates how cultural groups may differ in their perceptions about preferred communication behavior. It focuses on the importance attached to “conversational constraints” in conversation. For the primary goal of requesting, the following five conversational constraints are identified: (a) concern for clarity, (b) concern for avoiding hurting the hearer's feelings, (c) concern for nonimposition, (d) concern for avoiding negative evaluation by the hearer, and (e) concern for effectiveness. Five hypotheses are formulated regarding the relationships between individualistic-collectivistic orientation (an important dimension of“culture”) and these five conversational constraints. Data were collected from 892 participants (undergraduates studying in Korea, Hawaii, and the mainland United States). After being presented at random with one of the six request situations, participants rated the perceived importance of each conversational constraint in that situation. The results indicate that the perceived importance of clarity was higher in the more individualistic cultures. On the other hand, the perceived importance of avoiding hurting the hearer's feelings and of minimizing imposition were higher in the more collectivistic cultures. The perceived importance of effectiveness and of avoiding negative evaluation by the hearer, on the other hand, did not significantly differ across the three cultural groups. Theoretical as well as practical implications are discussed.     

Virtual conversation partner for adults with autism

Autistic Spectrum Disorder (ASD) is notable for severely impaired reciprocal social interaction skills relative to language and intellectual abilities, presenting a major barrier to social integration and vocational success. Evidence-based interventions to address these needs are lacking. We report on the development of a small, prototype conversation simulation to teach conversational skills to adolescents and adults with ASD and average to superior intellectual abilities. We also report on a test of the feasibility and acceptability of the simulation approach with a sample of the target population. The simulation engages the user in a virtual conversation with an on-screen partner whose reactions provide naturalistic feedback geared to the appropriateness of the learner's response choices. The prototype simulation, which provides for up to 12 potentially unique multi-turn conversations, was used over a period of 2 weeks by 16 adolescents and adults who then rated statements about the system on a linear scale of 1 (disagreement) to 5 (high agreement). The participants highly endorsed the majority of positive statements about the quality and credibility of the interaction and the virtual conversation partner. In contrast, agreement with positive statements about instructional features external to the conversation was moderate. Unexpectedly, most participants strongly agreed that using the simulation had been helpful to them. Further development and testing in the context of a controlled study with randomized assignment to control and experimental groups are needed to determine whether this approach is effective in improving real-world pragmatic language behavior of high-functioning adults with ASD.     

Negative self-imagery in social anxiety contaminates social interactions

Patients with social phobia report experiencing negative images of themselves performing poorly when in feared social situations. The present study investigates whether such negative self-imagery (based on memory of past social situations) contaminates social interactions. High socially anxious volunteers participated in two conversations with another volunteer (conversational partner). During one conversation, the socially anxious volunteers held in mind a negative self-image, and during the other they held in mind a less negative (control) self-image. As predicted, when holding the negative image the socially anxious volunteers felt more anxious, reported using more safety behaviours, believed that they performed more poorly, and showed greater overestimation of how poorly they came across (relative to ratings by the conversational partner). Conversational partners rated the socially anxious volunteers' performance as poorer in the negative image condition. Furthermore, the conversation was contaminated since both groups of participants rated its quality as poorer in the negative image condition.     

Negative self‐imagery in social anxiety contaminates social interactions

Patients with social phobia report experiencing negative images of themselves performing poorly when in feared social situations. The present study investigates whether such negative self‐imagery (based on memory of past social situations) contaminates social interactions. High socially anxious volunteers participated in two conversations with another volunteer (conversational partner). During one conversation, the socially anxious volunteers held in mind a negative self‐image, and during the other they held in mind a less negative (control) self‐image. As predicted, when holding the negative image the socially anxious volunteers felt more anxious, reported using more safety behaviours, believed that they performed more poorly, and showed greater overestimation of how poorly they came across (relative to ratings by the conversational partner). Conversational partners rated the socially anxious volunteers' performance as poorer in the negative image condition. Furthermore, the conversation was contaminated since both groups of participants rated its quality as poorer in the negative image condition.     

It’s not what you said,it’s how you said it: An analysis of therapist vocal features during psychotherapy

Psychotherapy is a conversation, whereby, at its foundation, many interventions are derived from the therapist talking. Research suggests that the voice can convey a variety of emotional and social information, and individuals may change their voice based on the context and content of the conversation (e.g. talking to a baby or delivering difficult news to patients with cancer). As such, therapists may adjust aspects of their voice throughout a therapy session depending on if they are beginning a therapy session and checking in with a client, conducting more therapeutic ‘work’ or ending the session. In this study, we modelled three vocal features—pitch, energy and rate—with linear and quadratic multilevel models to understand how therapists’ vocal features change throughout a therapy session. We hypothesised that all three vocal features would be best fit with a quadratic function—starting high and more congruent with a conversational voice, decreasing during the middle portions of therapy where more therapeutic interventions were being administered, and increasing again at the end of the session. Results indicated a quadratic model for all three vocal features was superior in fitting the data, as compared to a linear model, suggesting that therapists begin and end therapy using a different style of voice than in the middle of a session.     

Social behavior and off-target verbosity in elderly people

This study investigated social behavior in older adults with varying levels of off-target verbosity (OTV). After screening 455 adults in Phase 1, 198 individuals were selected to participate in both a get-acquainted conversation and an experimental cues situation and to complete social and cognitive measures. Higher OTV participants had lower cognitive inhibitory scores, talked more, were less interested in their partners, and focused more on themselves. Their conversational partners were less satisfied. Age and cognitive functioning were not related to OTV scores or conversational style for low- and mid-range participants. Although high-OTV individuals talked less when exposed to social cues signalling boredom, they spoke more relative to other participants. Self-reported social behavior had little relation with OTV and conversational style, but higher OTV individuals were less accurate in judging videotaped social interactions. Gender differences in conversational behavior are also discussed.     

The Sequential Production of Social Acts in Conversation

With reference to Mead, Peirce, speech act theory, conversation analysis, and Luhmann's phenomenological grounded version of systems theory, the paper tries to reconstruct actions as products of communication. A triadic sequence is identified as the elementary unit for the intersubjective constitution of an act. This unit combines three achievements: (a) the constitution of meaning by sequential attribution, (b) the intersubjective coordination of attributed meanings, and (c) the reproduction of rules, guiding the process of constitution and coordination of attributed meanings. Then, using the tools of systems theory and applying them to empirical results of ethnomethodology and conversation analysis, it is shown how the rule scheme is integrated in a triadic sequence, functioning on three different levels of communication. Finally, a specific form of repair after next turn is discussed, relating it to the function of preserving the structure of conversational types. The analysis of such conversational types opens a possible realm of cooperation between conversation analysis and Luhmann's version of systems theory.     

Knowledge of Pragmatic Conversational Structure

Knowledge of conversational pragmatic structure was examined by asking 53 female volunteers to rate the naturalness of three versions of an appointment-making conversation from a beauty salon. One version was the naturally occurring conversation. The other two were its two most frequent reconstructions created by a separate group of subjects asked to put the scrambled natural conversation back together again. A chi-square lest and standardized deviates showed that the naturally occurring conversation was rated as the most natural one. This result is attributed to subjects' implicit knowledge about conversational pragmatic structure. The role that this knowledge might play in language comprehension is discussed.     

TEACHING AUTISTIC CHILDREN CONVERSATIONAL SPEECH USING VIDEO MODELING

We assessed the effects of video modeling on acquisition and generalization of conversational skills among autistic children. Three autistic boys observed videotaped conversations consisting of two people discussing specific toys. When criterion for learning was met, generalization of conversational skills was assessed with untrained topics of conversation; new stimuli (toys); unfamiliar persons, siblings, and autistic peers; and other settings. The results indicated that the children learned through video modeling, generalized their conversational skills, and maintained conversational speech over a 15-month period. Video modeling shows much promise as a rapid and effective procedure for teaching complex verbal skills such as conversational speech.