A Critical Methodological Review of Discourse and Conversation Analysis Studies of Family Therapy

Discourse (DA) and conversation (CA) analysis, two qualitative research methods, have been recently suggested as potentially promising for the study of family therapy due to common epistemological adherences and their potential for an in situ study of therapeutic dialog. However, to date, there is no systematic methodological review of the few existing DA and CA studies of family therapy. This study aims at addressing this lack by critically reviewing published DA and CA studies of family therapy on methodological grounds. Twenty‐eight articles in total are reviewed in relation to certain methodological axes identified in the relevant literature. These include choice of method, framing of research question(s), data/sampling, type of analysis, epistemological perspective, content/type of knowledge claims, and attendance to criteria for good quality practice. It is argued that the reviewed studies show “glimpses” of the methods’ potential for family therapy research despite the identification of certain “shortcomings” regarding their methodological rigor. These include unclearly framed research questions and the predominance of case study designs. They also include inconsistencies between choice of method, stated or unstated epistemological orientations and knowledge claims, and limited attendance to criteria for good quality practice. In conclusion, it is argued that DA and CA can add to the existing quantitative and qualitative methods for family therapy research. They can both offer unique ways for a detailed study of the actual therapeutic dialog, provided that future attempts strive for a methodologically rigorous practice and against their uncritical deployment.     

Do temporal processes underlie left hemisphere dominance in speech perception?

It is not unusual to find it stated as a fact that the left hemisphere is specialized for the processing of rapid, or temporal aspects of sound, and that the dominance of the left hemisphere in the perception of speech can be a consequence of this specialization. In this review we explore the history of this claim and assess the weight of this assumption. We will demonstrate that instead of a supposed sensitivity of the left temporal lobe for the acoustic properties of speech, it is the right temporal lobe which shows a marked preference for certain properties of sounds, for example longer durations, or variations in pitch. We finish by outlining some alternative factors that contribute to the left lateralization of speech perception.     

Intelligence is differentially related to neural effort in the task-positive and the task-negative brain network

Previous studies on individual differences in intelligence and brain activation during cognitive processing focused on brain regions where activation increases with task demands (task-positive network, TPN). Our study additionally considers brain regions where activation decreases with task demands (task-negative network, TNN) and compares effects of intelligence on neural effort in the TPN and the TNN. In a sample of 52 healthy subjects, functional magnetic resonance imaging was used to determine changes in neural effort associated with the processing of a working memory task. The task comprised three conditions of increasing difficulty: (a) maintenance, (b) manipulation, and (c) updating of a four-letter memory set. Neural effort was defined as signal increase in the TPN and signal decrease in the TNN, respectively. In both functional networks, TPN and TNN, neural effort increased with task difficulty. However, intelligence, as assessed with Raven's Matrices, was differentially associated with neural effort in the TPN and TNN. In the TPN, we observed a positive association, while we observed a negative association in the TNN. In terms of neural efficiency (i.e., task performance in relation to neural effort expended on task processing), more intelligent subjects (as compared to less intelligent subjects) displayed lower neural efficiency in the TPN, while they displayed higher neural efficiency in the TNN. The results illustrate the importance of differentiating between TPN and TNN when interpreting correlations between intelligence and fMRI measures of brain activation. Importantly, this implies the risk of misinterpreting whole brain correlations when ignoring the functional differences between TPN and TNN.     

Intrinsic frames of reference in haptic spatial learning

It has been proposed that spatial reference frames with which object locations are specified in memory are intrinsic to a to-be-remembered spatial layout (intrinsic reference theory). Although this theory has been supported by accumulating evidence, it has only been collected from paradigms in which the entire spatial layout was simultaneously visible to observers. The present study was designed to examine the generality of the theory by investigating whether the geometric structure of a spatial layout (bilateral symmetry) influences selection of spatial reference frames when object locations are sequentially learned through haptic exploration. In two experiments, participants learned the spatial layout solely by touch and performed judgments of relative direction among objects using their spatial memories. Results indicated that the geometric structure can provide a spatial cue for establishing reference frames as long as it is accentuated by explicit instructions (Experiment 1) or alignment with an egocentric orientation (Experiment 2). These results are entirely consistent with those from previous studies in which spatial information was encoded through simultaneous viewing of all object locations, suggesting that the intrinsic reference theory is not specific to a type of spatial memory acquired by the particular learning method but instead generalizes to spatial memories learned through a variety of encoding conditions. In particular, the present findings suggest that spatial memories that follow the intrinsic reference theory function equivalently regardless of the modality in which spatial information is encoded.     

The fear of the body in psychotherapy

This paper identifies the fear of attending to and engaging with the patient's body and the therapist's body, regardless of therapeutic orientation, as a topic rarely explored in books and articles but pervasively experienced because of the cultural norms brought to the consulting room. It explores how we might name the constituent parts of this fear and describes how they inter-link. A case study then exemplifies learning about and transforming such fear in both patient and therapist. Finally, the paper offers suggestions of how therapists might increase their awareness and turn this fear into a tool which extends their range of skills.     

Functional magnetic resonance imaging study of Piaget's conservation-of-number task in preschool and school-age children: a neo-Piagetian approach

Jean Piaget’s theory is a central reference point in the study of logico-mathematical development in children. One of the most famous Piagetian tasks is number conservation. Failures and successes in this task reveal two fundamental stages in children’s thinking and judgment, shifting at approximately 7 years of age from visuospatial intuition to number conservation. In the current study, preschool children (nonconservers, 5-6 years of age) and school-age children (conservers, 9-10 years of age) were presented with Piaget’s conservation-of-number task and monitored by functional magnetic resonance imaging (fMRI). The cognitive change allowing children to access conservation was shown to be related to the neural contribution of a bilateral parietofrontal network involved in numerical and executive functions. These fMRI results highlight how the behavioral and cognitive stages Piaget formulated during the 20th century manifest in the brain with age.     

Through the eyes of dieters: Biased size perception of food following tempting food primes

Why do some dieters succeed in controlling their diet while others do not? This research focused on a perceptual process—size perception of food objects—that may moderate the success of dieters in self-control dilemmas. We assessed successful and unsuccessful dieters' size perception of palatable food (Study 1) and diet-food (Study 2) after pre-exposing them to tempting food primes. Dieters perceived palatable food as bigger when primed with tempting food (vs. control prime), regardless of self-regulatory success in dieting (Study 1). Palatable food thus looms larger for both unsuccessful and successful dieters when in a “hot” state. In contrast, the perceived size of diet-food was increased by a tempting food prime only for successful dieters, but decreased for unsuccessful dieters (Study 2). These results are interpreted in terms of differences in the mental accessibility of competing goals (eating enjoyment vs. dieting) in successful vs. unsuccessful dieters. Indeed, when the dieting goal was made accessible for all dieters by a diet prime, even unsuccessful dieters perceived diet-food as bigger (Study 2). This research provides insight into a perceptual process that may be detrimental or beneficial in resolving self-control conflicts in the domain of eating and dieting behavior—and probably other domains of self-control as well.     

An fMRI investigation of a novel analogue to the Trail-Making Test

The Trail-Making Test (TMT) is a widely used neuropsychological measure that assesses visuomotor abilities and cognitive flexibility. For the TMT-A condition participants are required to locate and connect numbers (i.e. 1-2-3…) while in the TMT-B condition participants perform the set-shifting task of locating and connecting numbers and letters (i.e. 1-A-2-B…). The TMT-B condition has shown impairments in many clinical populations, particularly schizophrenia patients, but the neurobiological underpinning of the task can be difficult to discern given pragmatic obstacles in adapting the task for neuroimaging. In a behavioural testing experiment we demonstrated a close correspondence between performance on the standard TMT and a novel, computer programmed adaptation of the TMT (pcTMT). The pcTMT was designed for functional magnetic resonance imaging (fMRI) administration and neuroimaging data for this task were obtained in. A whole brain analysis revealed significantly greater activation during the pcTMT-B relative to the pcTMT-A in right inferior/middle frontal cortices, right precentral gyrus, left angular gyrus/left middle temporal gyrus. These results identify the regions that most likely underlie cognitive flexibility during the TMT and are candidate regions underlying the impairment of groups with poor set-shifting abilities.     

Dichotic listening and left-right confusion

The present study examined the relationship between individual differences in dichotic listening (DL) and the susceptibility to left-right confusion (LRC). Thirty-six men and 59 women completed a consonant-vowel DL test, a behavioral LRC task, and an LRC self-rating questionnaire. Significant negative correlations between overall DL accuracy and LRC rates in men (behavioral task) and self-ratings in women, indicated that the more participants struggled with left-right discrimination, the fewer DL syllables they reported correctly. However, there was no relationship between LRC and the typical right ear advantage. Thus, there is a sex- and task-dependent relationship between LRC and overall DL accuracy, but not between LRC and ear asymmetry. It is concluded that (a) atypical ear asymmetries, as in certain clinical populations, cannot be explained by associated deficits in left-right discrimination, and (b) LRC can negatively affect task performance, even when participants do not have to make explicit "left" versus "right" decisions.     

New Sexism in Couple Therapy: A Discursive Analysis

The persistence of gender inequality in postindustrial societies is puzzling in light of a plethora of changes that destabilize it, including shifts in economy, legislation, and the proliferation of feminist politics. In family relations, such persistence manifests as a disconnect between couples aspiring to be more egalitarian yet continuing to enact traditional gender roles and hierarchies. There is an emerging consensus that gender inequality persists because of people's continued reliance on sexist ideology or gendered assumptions that constitute women as innately distinct from and inferior to men. Sexist ideology changes its form to accommodate to changing socio‐economic conditions. Contemporary forms of sexism are old ways of legitimizing male power articulated in new and creative ways, often by incorporating feminist arguments. To effectively recognize and address “new sexism,” scholars and practitioners require new, innovative research frameworks. Our objective in writing this article is two‐fold. First, we seek to advance discursive (i.e., focused on language in use) approaches to the study of sexism. Second, we present the results of a discursive analysis of “new” sexist discourse in the context of couple therapy. The study provides preliminary evidence that, despite endorsing egalitarian norms, couples studied continue to rely on gender binaries and remain entrenched in old‐fashioned patterns of gender inequality. Implications of these results for the practice of couple therapy and for future research are discussed.