Maintenance and Transformation of Problematic Self-Narratives: A Semiotic-Dialogical Approach

This study focuses on how the emergence of innovative moments (IMs), which are exceptions to a person’s dominant self-narrative (i.e., his or her usual way of understanding and experiencing), progresses to the construction of a new self-narrative. IMs challenge a person’s current framework of understanding and experiencing, generating uncertainty. When uncertainty is excessively threatening, a semiotic strategy to deal with it often emerges: attenuation of novelty’s meanings and implications by a quick return to the dominant self-narrative. From a dialogical perspective, a dominant voice (which organizes one’s current self-narrative) and a non-dominant or innovative voice (expressed during IMs) establish a cyclical relation, mutual in-feeding, blocking self-development. In this article, we analyze a successful psychotherapeutic case focusing on how the relation between dominant and non-dominant voices evolves from mutual in-feeding to other forms of dialogical relation. We have identified two processes: (1) escalation of the innovative voice(s) thereby inhibiting the dominant voice and (2) dominant and innovative voices negotiating and engaging in joint action.     

Mapping the dialogical self: towards a rationale and method of assessment

It is widely believed that the well‐adjusted individual has an integrated, coherent and autonomous ‘core self’ or ‘ego identity’. In this paper it is argued that a ‘multi‐voiced’ or ‘dialogical self’ provides a better model. In this model the self has no central core; rather, it is the product of alternative and often opposing narrative voices. Each voice has its own life story; each competes with other voices for dominance in thought and action; and each is constituted by a different set of affectively‐charged attachments: to people, events, objects and our own bodies. It is argued that by exploring these attachments the dominant narrative voices of the self may be identified. A semi‐structured interview protocol, the Personality Web, is introduced as a method for studying the dialogical self. In phase 1, 24 attachments are elicited in four categories: people (6), events (6), places and objects (8), and orientations to body parts (4). During interviewing, the history and meaning of each attachment is explored. In phase 2, participants were asked to group their attachments by strength of association into clusters, and multidimensional scaling was used to map the individual's ‘web’ of attachments. Using a combination of qualitative and quantitative methods, the strategy of clustering attachments was shown to be successful as a means for empirically examining the dialogical self. Two case studies of midlife adults are described to illustrate the arguments and methods proposed. Copyright © 2000 John Wiley & Sons, Ltd.     

How Can We Understand and Describe “Non-Narrative” Narratives? A Qualitative Study of Workers with Recurring Sick Leave

This study explored methodologies enabling us to hear the “non-narrative” voices of participants in narrative research. Individual semi-structured interviews were conducted with seven Japanese workers with recurring sick leave, and the data were analyzed using thematic analysis (TA) and dialogical narrative analysis (DNA). In narrators' apparently chaotic and fragmented statements, TA identified three divided self-images that remained disconnected: image of present self with a sense of setbacks, image of past self, and image of ideal self. As the last two self-images ceaselessly negate the first, these workers had lost a sense of autonomy and self-confidence. On the other hand, DNA described their desperate endeavors to organize their sick leave experiences by appealing to the typology of the illness narrative; however, this effort remained a failure. Through two qualitative analyses that suspended the premise that each narrative enables the narrator's construction of self, we were able to understand the real status of participants who could not narrate their experiences. The ethical obligation of researchers to respect the “unfinalizability” of narrative and remain open to continuous dialogue is discussed.     

Dialogical journal writing as ‘self‐therapy’: ‘I matter’

Aim: This case study of one woman's (Jane's) experience of dialogical journal writing presents a way of finding a ‘compassionate image’ for self‐therapy. Various theoretical analyses are indicated with Mindfulness‐based conceptualisations at the forefront. Methodology: Based on three recorded interviews, the narrative inquiry took place over a year. Methodologically, this paper is also one contribution to an ongoing debate about different research approaches in therapeutic writing research. Participants: This study took place in Aotearoa New Zealand, where both Jane and I are migrants. Discussion: This account draws on a report of self‐directed writing for well‐being, seen as an alternative to counselling or medication for depression and anxiety. It focuses on how a particular style of writing evolved and how the motivation to write continues.     

A systematic review of the literature on counselling and psychotherapy for the prevention of suicide: 1. Quantitative outcome and process studies

Scope of review: The paper reports a meta‐review of 15 previous systematic reviews and meta‐analyses of the literature concerning the outcome of counselling and psychotherapy with people at risk of suicide; a meta‐analysis of 67 outcome studies in this area; and a narrative review of 17 studies of the therapeutic process. Publication time span: The literature reviewed was published between 1981 and 2008. Publication origin: The majority of the literature reviewed was by authors from the USA or the UK, but there were also authors from other European countries, Australia, Canada, India, and Sri Lanka. Findings: There is evidence of the effectiveness of dialectical behaviour therapy, cognitive‐behavioural therapy, and problem solving therapy, but also for other forms of therapy. Therapist and client variables, as well as the therapeutic relationship, appear to be related to treatment outcome. Conclusions: People at risk of suicide should have access to psychological interventions, including, but not necessarily limited to, those within the cognitive‐behavioural spectrum. Therapies for which there have been promising findings, but which are under‐researched, should be a research priority.     

Reading the Lucan call of the first disciples differently: the voices of sensing and intuition

Abstract

This article argues that discipleship is a notion of growing importance to the Christian denominations and that the Marcan narrative of the call of the first disciples has been of particular importance in giving shape to this notion. The Lucan narrative of the call of the first disciple, involving the great catch of fish, is problematic in two ways, concerning its relationship with the Marcan understanding of call and also with the Johannine post-resurrection narrative. Against this background this article reports on an empirical study, drawing on the reader perspective and on the SIFT approach to biblical hermeneutics, that illuminates the distinctive voices of sensing types and intuitive types reading Luke 5: 1–7.     

Emplotting the traumatic self: Narrative revision and the construction of coherence

Abstract

In this article we provide a constructivist‐narrative conceptualization of the origins and psychotherapeutic methods for treating trauma. We believe that the experience of trauma ensues when lived events outpace peoples’ abilities to emplot or narrate these events from the perspective of dominant life narratives. The sights, sounds, and smells associated with traumatic events preclude such emplotment. The therapeutic objectives of narrative therapy include finding ways to develop meanings for the trauma and subsequently to integrate these with the dominant narrative. Two case studies are provided to illustrate our conceptualization and therapeutic approach.     

Intrusive re‐experiencing in post‐traumatic stress disorder: Phenomenology,theory, and therapy

The article describes features of trauma memories in post‐traumatic stress disorder (PTSD), including characteristics of unintentional re‐experiencing symptoms and intentional recall of trauma narratives. Re‐experiencing symptoms are usually sensory impressions and emotional responses from the trauma that appear to lack a time perspective and a context. The vast majority of intrusive memories can be interpreted as re‐experiencing of warning signals, i.e., stimuli that signalled the onset of the trauma or of moments when the meaning of the event changed for the worse. Triggers of re‐experiencing symptoms include stimuli that have perceptual similarity to cues accompanying the traumatic event. Intentional recall of the trauma in PTSD may be characterised by confusion about temporal order, and difficulty in accessing important details, both of which contribute to problematic appraisals. Recall tends to be disjointed. When patients with PTSD deliberately recall the worst moments of the trauma, they often do not access other relevant (usually subsequent) information that would correct impressions/predictions made at the time. A theoretical analysis of re‐experiencing symptoms and their triggers is offered, and implications for treatment are discussed. These include the need to actively incorporate updating information ( “I know now …”) into the worst moments of the trauma memory, and to train patients to discriminate between the stimuli that were present during the trauma ( “then”) and the innocuous triggers of re‐experiencing symptoms ( “now”).     

Skating through pregnancy and motherhood: A narrative analysis of digital stories of elite figure skating expectant mothers

ObjectivesAlthough research on elite sport and motherhood is growing, more research is needed to understand the narratives that shape their identities and lives. We sought to build on sport psychology research centralizing the media as naturalistic data resources to explore elite athlete mother identity in cultural context. The specific aim was to explore how elite athlete identities are portrayed during pregnancy on Instagram.DesignTwo high profile elite figure skating expectant mothers’ (i.e., Meagan Duhamel and Aljona Savchenko) Instagram posts were the focus of a dialogical narrative analysis (DNA) grounded in relativist narrative inquiry. Two research questions were explored: 1. how do expectant athlete mothers portray themselves in big and small stories, and 2. what are the implications (e.g., psychosocial, behavioural) of identity meanings portrayed in digital stories?ResultsDNA of 122 posts (n = 82 for Duhamel, n = 40 for Savchenko) identified a key big story: (re)configuring ideal pregnancy. Four small stories fed into fluid meanings of ‘ideal pregnancy’ and ways of ‘doing pregnancy’ linked to self-identity portrayals: documenting the growing life, baby bumps on display, Olympic dreams/journeys and living the good life through leisure. Consumerism was shown to thread small stories. These findings show contradictions of motherhood meanings and body ideals (e.g., feminine, athletic) vs realities (e.g., tired, sore), linked to actions (e.g., skating during pregnancy, promoting products or athlete brand), in good mother and biomedical narratives.ConclusionsA big and small story approach grounded in narrative inquiry holds value to learn more about the digital landscape’s role in shaping athlete expectant mother self-identities. Future research exploring social media (e.g., Twitter, Facebook) may expand intertextual understanding of athlete mothers' identities and lives.     

Therapeutic activities and the assimilation model: A preliminary exploratory study on the Insight stage

The assimilation model describes the process of change assuming that the self is enriched when there is a dialogue between nondominant voices or problematic experiences and the dominant voices. This dialogue is best seen in the Insight stage. The aim of this paper is to study the Insight stage during the assimilation process in relation to the main therapeutic activities performed by the therapist. All the Insights from the assimilation process of a patient, María, were analysed. In assimilation terms, María could be described through the nondominant voices of “dizziness,” “tiredness,” and “inability to cope with daily demands,” and through the dominant voices of “control,” “overcome and solve,” and “why something is happening.” María showed a successful assimilation of her problematic experiences. The therapeutic context was the Linguistic Therapy of Evaluation (LTE), a kind of cognitive therapy based on the theory of General Semantics. María was considered a good outcome case in the LTE sample. Results showed that there were some general therapeutic activities related to these Insights. A high percentage of activities pointed to one of the main issues of LTE: the development of an extensional orientation. At the same time, some of these activities were related to María’s voices. Results are discussed in relation to the relevance of the development of an extensional orientation for the assimilation process; how voices are recognized or challenged in therapy, and to the importance of considering relationship issues during the assimilation process.     

Mo(ve)ments in the academic supervision relationship: Ethics in practice

Context: The context of the article is a supervisory relationship between an academic supervisor and a student‐researcher and an ethic of risk within the research and supervision. Focus: The challenges for supervisor and student, and thus the supervisory relationship, and the strategies to move beyond the ethical dilemmas encountered in the research project, within an ethic of risk, form the focus of the article. Discussion: This article highlights the moments when a student counsellor/ researcher came to an impasse in transcribing and analysing data generated in an auto‐ethnography, and the author, the academic supervisor's responses to these difficulties. The use of specific knowledge, skills and strategies in the supervisory relationship opened space for agency and movement within these moments of impasse. Text work and researcher identity work was facilitated through the use of particular listening skills and narrative therapy informed questions.     

(White) Voices: Discussion of Articles by Gillian Straker and Tessa Philips

In this discussion, I consider two substantially different articles about growing up in South Africa and the authors’ reflections on how this has influenced them. I focus on two issues raised by both Straker and Philips: that of becoming conscious of what Straker, drawing on the work of Ngai (2003), describes as ugly emotions, and the issue of voice—who can speak, who cannot, and some of the complexities that surround this issue. I refer to the problematic fact that the three voices heard in this section on South Africa are White and that each one of us has benefitted markedly from apartheid. I make reference to the power of knowledge and the potentially transformative nature of the voices that speak it as is evidenced in both articles. However, I draw attention to the fact that the knowledge and the voices that speak it have not actually done much to change the status quo in current day South Africa—inequality, poverty, marginalization, and oppression continue to be reproduced and maintained. Referring to the emotional struggles that come with this consciousness on a daily basis, I conclude with a hope, nevertheless, that a tiny bit of growth and transformation might usefully come from what each of us has attempted to say in these articles.     

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.     

Life story research: A relevant methodology for counsellors and psychotherapists

Aims: This paper introduces, describes and proposes life story research as an important, relevant and appropriate contribution to counselling and psychotherapy research. It shows how narrative knowledge is created and constructed through the stories people tell about their lived experiences and explores the concept of ‘narrative knowing’ (Bruner, 1986). Methods: Drawing on life story research with people who linked their history of problematic drug use with experiences of historic trauma/abuse, the paper contributes to the ongoing discussion related to the similarities/differences between therapy and research and what we might learn from each that informs the other. Implications for practice: The paper offers narrative ideas and practices as ways of researching matters of social and psychological importance. It suggests that therapists (and counselling researchers) could learn from what participants tell us about the therapeutic value of using life story methods which one participant described as helping him to face ‘out into the world, without unduly or specifically delving into, or focusing on [my] emotional state’. This learning may be particularly relevant for therapists working with traumatised clients.     

‘Seeing beyond the battled body’ – An insight into selfhood and identity from women's accounts who self‐harm with a diagnosis of borderline personality disorder

Background: Self‐harm (self poisoning and self‐injury) is broadly characterised as any act intended to harm one's own body, without a conscious intent to die. Research indicates that when practitioners encounter self‐harm they often remain anxious, fearful, frustrated, and challenged about such individuals, principally because they are constrained to understand and respond to self‐harm almost exclusively within a problematised discourse (Walker, 2006). That is, a problem that must be diagnosed and contained. Women who self‐harm with a diagnosis of BPD are often portrayed as being risky, chaotic and their identity can be unstable. The aim of this study was to examine and explore the subjective experiences of women who self‐harm with a diagnosis of BPD. Participants: Four women who had a history of self‐harming behaviour with the diagnosis of BPD volunteered for the study. Method: Face‐to‐face, in‐depth narrative interviews were undertaken and were analysed within a framework which drew upon aspects of the ‘performance’ (Langellier, 1989; 2001) and ‘narrative thematic’ approaches (Reissman, 1993). Findings: Two of the participant's accounts illustrate how their self‐harming appeared to have affected their selfhood and sense of agency. They discuss how the external signs of self‐harm may take over their identity and how others communicate and interact with them. Despite the problematic nature of self‐harm implications for practice are highlighted which practitioners may draw upon in their work around self‐harm.     

Comparing elite male and female distance runner's experiences of disordered eating through narrative analysis

ObjectivesResearchers have called for additional forms of theorizing and qualitative methodologies to explore disordered eating in athletes. The current study used social constructionism and narrative analysis to compare and contrast the disordered eating experiences of one male and female athlete.DesignNarrative inquiry was combined with an in-depth case study approach to explore the narrative and gendered construction of disordered eating in one elite male (age 19) and female (age 34) distance runner. The personal and cultural narratives drawn upon to construct meanings around the body, food and running and how these framed experiences were of interest.MethodsA structural and performative narrative analysis was conducted on four in-depth interviews (i.e., both runners participated in two separate interviews).ResultsBoth runners drew upon a performance narrative to construct running experiences and self-identities as elite athletes. When elite athletic identity became threatened by moments of perceived failure (e.g., poor performance, injury), disordered eating thoughts and behaviors emerged for both runners. Gendered narratives around the body, food and running further differentiated specific meanings and the emotional impact of these experiences for each male and female athlete.ConclusionsThis study extends quantitative and qualitative explorations of disordered eating in distance runners by highlighting additional understandings of the complex social, cultural and gendered construction of these experiences.     

Contingent Resistances Methodology: Analyzing Resistance in Parents' and Daughters' Choice of an All‐Girl Middle School

Contemporary perspectives on dominance and resistance as multifaceted and dialogical call for a similarly dialogical methodology, as reflected in Saukko's concept of contingent resistances. Compared to much of the past resistance research, contingent resistances sets forth an expanded vision of dialogicality in research design and in the interpretation of actor's meanings. Our purpose is to illustrate three implications of this methodology: (i) polyvocality—a comparison of perspectives of two groups of actors; (ii) consideration of the full range of meanings relevant to the action with particular attention to reactions from the local context; and (iii) interpretations of resistance that are firmly grounded in narrators' meanings. The analysis is based on interviews with parents and their young adolescent daughters about their decision to attend a new all‐girl college‐preparatory public school located in southwestern USA. Expanding on past studies of girls' school choice, we show how parents and daughters create different meanings of this decision, largely based on interactions with their peers. Although both parents and daughters emphasized academic opportunity as their main reason for the school choice, daughters, unlike parents, were confronted with violating peer femininity/heteronormativity norms. Thus, the decision required resistance on the part of daughters in a way that it did not for parents. We view contingent resistances as a useful methodological framework in a range of areas where questions of resistance are at stake. Copyright © 2013 John Wiley & Sons, Ltd.     

‘Coming out’ in therapy? Perceived risks and benefits of self‐disclosure of sexual orientation by gay and lesbian therapists to straight clients

Primary objective: The study's primary objective was to investigate the experiences of gay and lesbian therapists, when considering self‐disclosure of their sexual orientation to straight (i.e. heterosexual) clients. This qualitative study set out to ascertain the key factors gay therapists take into account when considering this decision and to explore the effects this self‐disclosure may have on themselves, their clients and their therapeutic relationships. Research design: The research design was based on the use of semi‐structured interviews, undertaken with a non‐random, purposive sample of counsellors and psychotherapists (n=8) in current practice. The rationale for this method was to aid exploration of therapists' experiences of the process of self‐disclosure. Methods and procedures: Inclusion criteria were for therapists who self‐identified as being gay or lesbian, and who were experienced in clinical work with straight clients. Transcribed data was analysed using inductive thematic analysis. Main outcomes and results: Some therapists reported being confident with self‐disclosure relating to their own sexual orientation. However, a common theme related to the reportedly high levels of anxiety and vulnerability, which therapists identified. Key themes emerged around: respondents' fears of client judgement; a need for therapist self‐protection; self‐awareness of the potential impact of their own fears and prejudices on the therapeutic relationship; and the potential relevance of internalised homophobia, as an overall constraining factor. Conclusions: Self‐disclosure of their sexual orientation to straight clients is constructed, in this initial survey, as being potentially problematic and risky for some gay therapists.