The use of early recollections as a narrative aid in psychotherapy

A narrative framework is put forward for using early recollections as a narrative aid in psychotherapy. According to this framework, early recollections are beginning episodes in the current version of an autobiography or self-narrative which is continuously updated to make sense of current concerns. Inclusion of these episodes in psychotherapy can provide therapists who share an interest in narrative and their clients with a quick way to recognize central themes that are restricting clients’ lives and detect openings to revise them. Revisions regard the form and content of early recollections. Three case examples propose ways of incorporating early recollections in empathic dialogs, including the process of detecting restricting themes and encouraging persons to tell stories in more compassionate voices. Group therapy is proposed as one of the contexts where early recollections can be discussed, but readers are encouraged to extend these ideas to work with individuals and families.     

Fiction as an aid to therapy: a narrative and family rationale for practice

Stories of literary merit written by others (novels, plays, etc.) can be used in therapy to help people tell their personal stories. Existing approaches to the use of fiction draw mainly from psychoanalytic assumptions. From a narrative and family perspective, the claim is that when persons of all ages spontaneously report on the content of a favourite story, this story functions as a 'safe' vehicle for them to talk about their own lives, experiences and emotions that have been marginalized or shaped to fit transgenerational themes. In addition, the form of a favourite story can help in the transformation of a non-intelligible and/or pessimistic self-narrative. A case example is used to illustrate the suggested steps for working with clients on a favourite novel. The therapist encourages family member(s) to claim ownership of the assumed experiences, wishes and positive life developments of their favourite characters, and to help them see the narrative structures and linguistic features they have used for the various retellings of the story as properties of their own self-narratives.     

Narrative innovation in life design counseling: The case of Ryan

The main aim of this research is to study the patterns of narrative change in a case of life design counseling (LDC). The innovative moments coding system (IMCS) was used to conduct an intensive analysis of the career counseling sessions. This coding system is grounded in a narrative conception of the self, and suggests that narrative change results from the elaboration and development of narrative exceptions to a client's core problematic self-narrative. The results supports the adequacy of the IMCS to the study of change in career counseling and reveal that the intervention promotes a pattern of change characterized by three types of innovative moments: action, reflection, and protest. The results are discussed taking into account their implications for career counseling theory, research and practice.     

Innovative moments and change in Career Construction Counseling

This article presents an exploratory study of the process of change during Career Construction Counseling (CCC). The Innovative Moments Coding System (IMCS) and the Return to the Problem Coding System (RPCS) were used to an intensive analysis of a career counseling case — the case of Michael. Both systems are grounded in a narrative conception of the self which suggests that narrative change results from the elaboration and development of narrative exceptions to a client's core problematic self-narrative. The IMCS identifies and tracks the occurrence of five different types of narrative change and the RPCS tracks the ambivalence present in the clients discourse throughout the therapeutic process. This is the first attempt to use these methods with a career counseling case. The results suggest that the narrative elaboration progresses from the first to the third session. We discuss these results, emphasizing the process of change in career counseling with clients in which maladaptive repetition underlies career decision-making difficulties.     

Narrative and Clinical Change in Cognitive-Behavior Therapy: A Comparison of Two Recovered Cases

Psychotherapy research suggests that therapeutic change is associated with the emergence and development of innovative moments (IMs)—that is, exceptions to the problematic self-narrative that brought the client to therapy. This study compares two recovered cases of major depression, according to symptom measures, that presented contrasting profiles of evolution of IMs: one typical of successful therapy (Barbara), and another typical of unsuccessful therapy (Claudia). The core conflictual relationship theme (CCRT) was used to study narrative change independently of the innovative moments coding system (IMCS). The results suggest a high congruence between the IMCS and the CCRT profiles. Although Barbara presented changes in the IMCS and the CCRT in a similar way, Claudia's self-narratives (IMs and CCRT), despite symptom change, did not change. The results are discussed, considering the importance of narrative changes in recovery from depression and the maintenance of therapeutic gains.     

Grief Therapy and the Reconstruction of Meaning: From Principles to Practice

Viewed from a constructivist perspective, grieving is a process of reconstructing a world of meaning that has been challenged by loss. Although most people successfully navigate bereavement and retain or return to pre-loss levels of functioning, a significant proportion struggle with protracted grief, and are unable to find meaning in the wake of an unsought transition. For these individuals, constructivist therapists have a number of strategies at their disposal that foster meaning making and help clients reestablish a coherent self-narrative that integrates the loss, while also permitting their life story to move forward along new lines. After reviewing theory and evidence that scaffolds this constructivist conceptualization, this article draws on excerpts of therapy with two bereaved clients to illustrate how narrative retelling, therapeutic writing, a focus on metaphorical language, and the use of visualization can all be viable strategies in helping individuals reconstruct meaning in the wake of bereavement.     

Coherence of Personal Narratives across the Lifespan: A Multidimensional Model and Coding Method

Personal narratives are integral to autobiographical memory and to identity, with coherent personal narratives being linked to positive developmental outcomes across the lifespan. In this article, we review the theoretical and empirical literature that sets the stage for a new lifespan model of personal narrative coherence. This new model integrates context, chronology, and theme as essential dimensions of personal narrative coherence, each of which relies upon different developmental achievements and has a different developmental trajectory across the lifespan. A multidimensional method of coding narrative coherence (the Narrative Coherence Coding Scheme or NaCCS) was derived from the model and is described here. The utility of this approach is demonstrated by its application to 498 narratives that were collected in six laboratories from participants ranging in age from 3 years to adulthood. The value of the model is illustrated further by a discussion of its potential to guide future research on the developmental foundations of narrative coherence and on the benefits of personal narrative coherence for different aspects of psychological functioning.     

The self-narrative and acute psychosis

The aim of this study was to apply the narrative approach in analyzing family therapy meetings in cases of acute psychosis. The self-narrative is essential in acute psychosis since it is either collapsed or not coherent enough. The results indicate that it is important to create concrete practices that produce stories concerning the patient in relation to others. The self-narrative must be re-authored by the patient even though it is socially constructed. This is achieved by creating multiple perspectives of self-narratives in so-called therapy meetings with the patient, family members, and staff members representing different professionals.     

Writing and Praying Collects as an Intervention in Narrative Therapy

The integration of spiritual practices in therapy is a valuable tool for supporting and reinforcing change. This paper explores the use of a written form of prayer called a collect as an intervention in narrative therapy. A collect is a form of prayer with a structure that can be easily co-constructed by clients and therapists. This spiritual intervention serves as a therapeutic document to help reinforce the externalization of a client’s problem or help thicken alternative narratives. Relevant aspects of narrative therapy and written prayer are summarized. A guide for implementation, examples of collects, and a worksheet for helping clients write collects is provided.

     

Narrative self-constitution and vulnerability to co-authoring

All people are vulnerable to having their self-concepts shaped by others. This article investigates that vulnerability using a theory of narrative self-constitution. According to narrative self-constitution, people depend on others to develop and maintain skills of self-narration and they are vulnerable to having the content of their self-narratives co-authored by others. This theoretical framework highlights how vulnerability to co-authoring is essential to developing a self-narrative and, thus, the possibility of autonomy. However, this vulnerability equally entails that co-authors can undermine autonomy by contributing disvalued content to the agent’s self-narrative and undermining her authorial skills. I illustrate these processes with the first-hand reports of several women who survived sexual abuse as children. Their narratives of survival and healing reveal the challenges involved in (re)developing the skills required to manage vulnerability to co-authoring and how others can help in this process. Finally, I discuss some of the implications of co-authoring for the healthcare professional and the therapeutic relationship.     

Using a Narrative Metaphor: Implications for Theory and Clinical Practice

The evolution of family therapy from a cybernetic metaphor to a narrative metaphor has led us to think differently about therapy, about clients, and about ourselves as therapists. In this article we pursue how this different way of thinking has informed a theoretical understanding of a narrative therapy approach and consequently has opened space for different ways of working clinically. We begin by tracing the evolution to narrative; we consider the implications of social constructionism and its political effects; and we complete the discussion by focusing on narrative theory. We then show how the clinical work follows logically and is coherent with the theoretical considerations. We describe, and illustrate with clinical examples, an innovative approach to working with couples and families with adolescents. In this work we pay attention to the larger cultural stories, including gender constructions, and to personal stories that persons have created to make meaning out of their experience as they interact with one another in a reciprocal meaning-making process. Interventions focus on externalizing the problem narrative that is influencing the client(s), mapping the effects of the problem pattern and/or the totalizing view persons might have of others, and creating space for client(s) to notice preferred actions and intentions. Finally, we close the loop by asking questions of ourselves and others about the effects of working from a narrative metaphor.     

The politics of making meaning: discourse analysis of a 'postmodern' interview

Both constructivist and constructionist models of therapy seek to produce new meanings with clients and families. Critics have pointed out that these therapies may neglect to consider the political and embedded nature of meaning making. This paper describes a discourse analysis of a construction/uctivist interview. Three interlocking conversational strategies employed by the interviewer are identified: exteriority, the disciplining of narrative and locality . These strategies are examined in the light of their effects on the unfolding narrative in the session, both in a productive and a restrictive sense. The function of therapy theory and techniques in subjugating client narratives as well as providing processes for constructing new meaning is discussed.     

A Narrative Approach to Supporting Clients Living with HIV

The number of individuals living with Human Immunodeficiency Virus (HIV) continues to grow, increasing the responsibility of mental health counselors to effectively intervene and better understand the unique struggles facing survivors of HIV. Narrative therapy, a postmodern approach to counseling, is presented for use with clients living with HIV. Basic tenets of narrative therapy (externalizing the problem, identifying socially constructed messages, focusing on strengths, and reauthoring client stories) and application with HIV-positive clients are discussed, highlighting the influence of narrative therapy on both physical and mental health issues. A case application is provided.     

Relations Between Narrative Coherence,Identity, and Psychological Well‐Being in Emerging Adulthood

The hypothesis that the ability to construct a coherent account of personal experience is reflective, or predictive, of psychological adjustment cuts across numerous domains of psychological science. It has been argued that coherent accounts of identity are especially adaptive. We tested these hypotheses by examining relations between narrative coherence of personally significant autobiographical memories and three psychological well‐being components (i.e., purpose and meaning, positive self‐view, positive relationships). We also examined the potential moderation of the relations between coherence and well‐being by assessing the identity content of each narrative. We collected two autobiographical narratives of personally significant events from 103 undergraduate students and coded them for coherence and identity content. Two additional narratives about generic/recurring events were also collected and coded for coherence. We confirmed the prediction that constructing coherent autobiographical narratives is related to psychological well‐being. Further, we found that this relation was moderated by the narratives' relevance to identity and that this moderation held after controlling for narrative ability more generally (i.e., coherence of generic/recurring events). These data lend strong support to the coherent narrative identity hypothesis and the prediction that unique events are a critical feature of identity construction in emerging adulthood.     

Depotentiation of Symptom-Producing Implicit Memory in Coherence Therapy

In this second of three articles, we suggest criteria defining the optimal use of neuroplasticity (synaptic change) in psychotherapy and provide a detailed examination of the use of neuroplasticity in coherence therapy. We delineate a model of how coherence therapy engages native mental processes that (a) efficiently reveal specific, symptom-generating, unconscious personal constructs in implicit emotional memory and then (b) selectively depotentiate these constructs, ending symptom production. Both the psychological and the neural operation of this methodology are described, particularly how it defines and follows the built-in rules of change of the brain–mind–body system. On neuroscientific grounds, we suggest a fundamental distinction between transformative change, which permanently eliminates symptom-generating constructs and neural circuits, and counteractive change, which creates new constructs and circuits that compete against the symptom-generating ones and is inherently susceptible to relapse. We propose that coherence therapy achieves transformative change through the reconsolidation of memory, a recently discovered form of neuroplasticity, and present evidence consistent with this hypothesis. Subjective attention emerges as a critical agent of change in both the phenomenological and neural viewpoints, profoundly connecting these two domains.     

A personal construct psychology view of relapse: indications for a narrative therapy component to stuttering treatment

Relapse following treatment for stuttering is a common problem for many clients. It has often been suggested that one factor contributing to relapse is the client's difficulty in adjusting to a new role as a fluent speaker. In this tutorial article, we first present a personal construct view of relapse, which suggests that this difficulty may be addressed by increasing the meaningfulness of the fluent speaker role for the speaker. Section 3 proposes that post-treatment success for persons who stutter may be facilitated by the use of a narrative approach to counseling in which the meaningfulness of the fluent speaker role is elaborated. In this approach, clients are guided through a process of deconstructing their stuttering-dominated personal narrative, followed by the reconstruction of an alternative narrative that is more compatible with being a fluent speaker. EDUCATIONAL OBJECTIVES: The reader will (1) learn about a personal construct psychology perspective on resistance and relapse in stuttering therapy, (2) be able to describe a narrative approach to counseling for people who stutter that is directed toward the long-term maintenance of fluent speech and the steps of deconstruction of the dominant stuttering narrative and reconstruction of a new, more fluent personal narrative, and (3) be able to prepare a series of narrative interview questions with which to engage clients in conversations that may facilitate the deconstruction and reconstruction processes.     

Understanding Continuity to Recognize Discontinuity

In this paper the author comments on the contribution by António P. Ribeiro and Miguel M. Gonçalves (in this journal) that offer a creative and unique perspective on maintenance and transformation of problematic self-narrative. From here the author contributes to the topic through the exploration of some issues: a) the relation, in the dialogical process of self-narrative construction, between semiotic processes that give voice to the semantic opposition and semiotic processes that give voice to the contradictory; b) the relation between sameness and ipseity in the self-narrative process; c) the role of a pathemic axis of meaning in the generation process of self-narratives. A final reflection is done on narrative as a device of clinical intervention in which the author makes a distinction between methods based on the recognition and extension of variability and methods based on the recognition of permanency so to get to variability.     

Factor structure of the Friends and Family interview

The aim of this study was to specify the latent construct structure of the Friends and Family Interview (FFI: Steele & Steele, 2005) based on its dimensional scale coding protocol. The FFI is a semi-structured interview measuring attachment in middle childhood. We analyzed data from 341 FFI interviews with children aged 7–12 years, recruited in the Scandinavian Öresund Region. Exploratory Factor Analysis revealed a three-component model as best fitting the data. The first component, denoting attachment security, gathered all dimensional scales for evidence of secure base/safe haven regarding mother/father and coherence in the child’s narrative style, along with scales regarding reflective functioning, self-perception, and social functioning. The second component comprised preoccupying feelings of anger, but also derogation. The third component gathered all scales coding idealization. Inter-relations among the components were consistent with attachment theory, and respondents’ scores for all three components differed significantly across the four categorical attachment classifications. Affect regulation of negative emotion through anger and through derogation co-occurred, and was distinct from regulation through maintaining a belief that things are better than they appear (idealization). These two affect regulation strategies appeared commonly when reflective functioning, and an organized self-perception, and positive peer relations were less in evidence. The multi-dimensional FFI coding system appears to measure successfully these diverse features of the child’s narrative provided in response to the interview. Overall, our findings support the construct validity of the FFI and provide further evidence of its usefulness for assessing attachment in middle childhood and early adolescence.