By analyzing session exchanges and questionnaires administered to family therapy clients, this article examines questioning as conversational practice grounded in institutional goals that are therapist-directed and therapist-conceived. In their manifestation in talk and text, therapeutic questions function to replace client accounts with the nosological accounts of institutional psychiatry. The analysis illuminates three ways in which questioning works in the session and then locates these in therapy's professional and institutional logic. A critical reflection on psychotherapy's questioning practices in a social context (...) concludes the article. (shrink)

This study is part of a larger exploration of ‘talk and cure’ that combines the examination of talk-in-interaction, with nonverbal displays, and measurements of the client’s and therapist’s autonomic arousal during therapy sessions. A key assumption of the study is that psychotherapy entails processes of intersubjective meaning-making that occur across different modalities and take place in both verbal/explicit and nonverbal/implicit domains. A single session of a psychodynamic psychotherapy is analysed with a focus on the expression and management of affect, with (...) an aim to describe key interactive events that promote change in both semantic and procedural domains. The clinical dialogue is analysed discursively, with a focus on the conversational processes through which new meanings are jointly constructed and affective states shared; detailed attention is paid to nonverbal displays of affiliation and affect. Furthermore, we explore whether the interactional patterns implicated in joint meaning-making, as revealed by analysing the therapeutic conversation, have correlates in the autonomic arousal of the two protagonists, as reflected in their heart rates. Conversation analysis has still untapped potential to illuminate interactional patterns that underlie the practice of psychotherapy. In this exploratory study we suggest that discursive analyses of talk-in-interaction can be enriched through detailed focus on nonverbal displays as well as measures of physiological arousal. Drawing upon the analysis, we suggest that bringing the methodological strengths of language-based analysis into fertile dialogue with embodied quantitative data can help our explorations of what’s really going on in psychotherapy. (shrink)

A listener can offer an interpretation of what a speaker is currently saying. I distinguish between, on the one hand, proposing a candidate understanding that solves a manifest problem by offering new, relevant information; and, on the other hand, proposing a candidate understanding that does not seem to relate to any obvious obscurity in what the speaker is saying, and only offers material that the speaker clearly knows, or ought to know. Both kinds are interruptions to the progressivity of the (...) speaker’s project, but they differ qualitatitively. I argue that the former is affiliative and the latter disaffiliative, insofar as the latter calls attention to, and therefore invites correction or abandonment of, what the speaker is doing. I discuss what such a move might serve, and show how making it involves epistemic and deontological rights. (shrink)

Within emotion-focused therapy, the client’s ability to express and reflect on core emotional experiences is seen as fundamental to constructing the self and to entering into a change process. For this study, we 1) examine storytelling contexts in which clients do not disclose the emotional impact of their narrative, and 2) identify the interactional practices through which EFT therapists subsequently call attention to what the client may have felt. In doing so, we examine client stories drawn from video-taped individual psychotherapy (...) sessions involving clinically depressed clients. Client stories and therapists’ responses to these stories were analysed using conversation analytic methods. Three different therapist response types were identified: eliciting, naming and illustrating the emotional impact of the client’s prior narrative. These responses also were found to differ in terms of how effectively they could display empathy and secure affiliation with clients. The implications of this work for therapeutic practice are discussed. (shrink)

Within the context of service inquiries, and the specialized inferential logic associated with the particularized activities there is a gap in the orientations of customers and service representatives. Specifically, one problem that arises in customer service encounters is that customers and service representatives appear to arrive at different understandings of what constitutes a relevant response to a service inquiry. By examining one type of customer service context, calls to an electronic repair facility, this article offers a conversation analytic account of (...) how customers use formulations to collaboratively achieve a mutually agreed upon answer to their service inquiry and close the gap in the underlying logics that emerge in these calls. (shrink)

In February 2010, the American Psychiatric Association (APA) launched their DSM-5 website with details about the development of the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The APA invited “the general public” to review the draft diagnostic criteria and provide written comments and suggestions. This revision marks the first time the APA has solicited public review of their diagnostic manual. This article analyzes reported speech on the DSM-5 draft diagnostic criteria for the classification Posttraumatic Stress (...) Disorder. It demonstrates how textual standardization facilitates the cultural portability of the DSM-5 diagnostic criteria such that a community of speakers beyond the borders of the APA come to be seen as exemplary speakers, writers, and revisers of the professional style. Furthermore, analysis shows how co-authoring practices recontextualize the “voice” and persona of putative patient reported speech on Criterion D2. As a consequence of textual standardization, spoken discourse becomes recontextualized as the product of scientific inquiry and the organization of psychiatric knowledge. (shrink)

This article provides a conversation analytic description of a previously unstudied conversational action: ‘articulating the unsaid’ via and-prefaced formulations of other people’s talk. Contributing to the extant research on formulations and on interactional functions of discourse markers, the article shows that and-prefaced formulations accomplish a distinct conversational action that has the following features: these formulations are assertions about the addressee’s domain of knowledge that perform a repair operation in the form of a request for confirmation; they articulate a ‘missing’ element (...) of the addressee’s preceding talk ; what is being formulated is claimably inferable from the prior talk; moreover, such formulations extend the addressee’s course of action on his/her behalf. The article describes compositional and sequential features of and-prefaced formulations and how they shape interactional trajectories of in-progress courses of action. (shrink)

This paper analyses one specific conversational practice of formulation called ‘notionalization’. It consists in the transformation of a description by a prior speaker into a categorization by the next speaker. Sequences of this kind are a “natural laboratory” for studying the differences between descriptions and categorizations regarding their semantic, interactional, and rhetorical properties: Descriptive/narrative versions are often vague and tentative, multi unit turns, which are temporalized and episodic, offering a lot of contingent, situational, and indexical detail. Notionalizations turn them into (...) condensed, abstract, timeless, and often agentless categorizations expressed by a noun (phrase) within one turn constructional unit (TCU). Drawing on audio- and video-taped German data from various types of interaction, the paper focuses on one particular practice of notionalization, the formulation of purportedly common ground by TCUs prefaced with the connective also . The paper discusses their turn-constructional and morphological properties, pointing out affinities of notionalization with language for special purposes. Notionalizations are used for reducing detail and for topical closure. They provide grounds for emergent keywords, which can be reused to re-contextualize topical issues and interactional histories efficiently. Notionalizations are powerful means for accomplishing intersubjectivity while pursuing (sometimes one-sided) practical relevancies at the same time. Their inevitably perspective design thus may lead to re-open the issue they were deemed to settle. The paper closes with an outlook to other practices of notionalization, pointing to dimensions of interactionally relevant variation and commonalities. (shrink)

Drawing on Dutch mortgage orientation consultations, the present study uncovers how mortgage advisors communicate information packages to laypersons. These information packages are jointly constructed by advisors and customers as a distinct activity within a professional advisory setting. We name this activity ‘explicative telling’. Through a systematic analysis of 57 of such explicative tellings we will demonstrate that this explicative telling activity consists of doing preliminary work; a body in which general, official information about a specific mortgage topic is given and (...) information is applied to the customer’s situation; and closing sequences. Essential to the explicative telling activity is the recipient orientation of mortgage information, and also the advisors’ display of accountability for providing eligible information. This is supported by the irreversibility of the preliminary phase and by the presence of news deliverer upshot formulations during the body of the telling. (shrink)

In this article I examine the differences between broadcast political interviews in commercial and public service broadcasters in Spain. The study focuses in particular on political interviews broadcast on ‘morning show’ type programmes. The analysis distinguishes the characteristics that make up the news interview turn-taking system in order to explore the degree to which information and entertainment come together in political interviews broadcast on morning shows. The results show, primarily, that political interviews shown on public service broadcasters’ morning shows adhere (...) to the journalistic standards of neutralism and adversarialness. This is precisely how they strive to make the politician publicly accountable. In political interviews broadcast by commercial broadcasters, however, these rules are followed intermittently. The aim of these interviews appears to be different: to penetrate politicians’ personal sphere with the discernible purpose of entertaining. These differences reflect different interview styles which, in turn, reveal different conceptions of journalism, politics and society. This investigation utilizes the research tools developed in conversation analysis. (shrink)

Previous studies seldom touch on aspects of psychotherapeutic encounters between therapists and clients with particular disorders. Little attention has been paid to the sequence organization of psychotherapeutic interaction between therapists and clients with depression in Chinese medical settings. By adopting conversation analysis, we investigated the specifics of psychotherapeutic encounters, specifically, the transformative sequences of psychotherapeutic interaction between therapists and Chinese adolescents with depression. We identified the fourth aspect of clients’ experience transformed in the Chinese psychotherapeutic interaction with adolescents with depression: (...) cognition, and described how the sequential organization of therapists’ actions facilitates the momentary transformation of clients’ experience in the psychotherapeutic processes. This study not only adds to the conversation analytic study on the transformative sequences in psychotherapeutic interaction but also sheds some light on the study of how therapists transform clients’ experience in Chinese psychotherapeutic interaction. (shrink)

The experience of loss of agency is one of the reasons for clients to go for psychotherapy. Enhancing clients’ agency has been considered a fundamental factor for successful treatment in psychiatry and psychotherapy, yet few studies have investigated the interactional realization of how therapists do this in authentic psychotherapeutic encounters. Drawing on audio-recorded talk-in-interaction between clients and psychotherapists in cognitive behavioral therapy encounters at a mental health center in China, this paper uses the method of conversation analysis to demonstrate how (...) therapists ascribe agency positions to clients by issuing formulations of what the clients have just said. Two types of formulation were identified: affirmative formulations and challenging formulations. In the first type, the therapists highlight the positive aspect of the clients’ description of their experiences and ascribe an agentic position to the clients. In the second, the therapists challenge the clients’ implausible views and their non-agentic positioning of themselves. This study shows that the therapists’ formulation could be employed to manage the epistemic difficulties associated with claiming knowledge about the clients’ inner states and assessing their feelings. In this sense, the formulation is a robust interactional device in negotiating epistemic problems in addressing the clients’ experiences and promoting their agency in therapy. However, it is noteworthy that in the challenging formulation, therapists claim privileged access to the clients’ knowledge domain and challenge their prior epistemic status, which might run the risk of engendering clients’ resistance. (shrink)

Using Conversation Analytic methods, the present study attempts to analyze the various functions of face-based therapist empathy, and how they are sequentially realized in different psychotherapeutic settings. Four types of face-based therapeutic functions are discussed; more specifically, it is illustrated how therapist empathy may serve to maintain, enhance, threaten or even save the client’s face. The findings gained could contribute to a better understanding of the face-based therapeutic functions of empathy; also, the study may inspire researchers to further investigate other (...) functions of therapist empathy in psychotherapy. (shrink)

Conversation analytic research has advanced understanding of the psychotherapeutic process by understanding how psychotherapy is organised over time in and through interaction between clients and therapists. This study progresses knowledge in this area by examining how psychological accounts of experience are progressively developed across a range of helping relationships. Data include: (1) approximately 30 h of psychotherapy sessions involving trainee therapists; (2) approximately 15 h of psychotherapy demonstration sessions involving expert therapists; and (3) approximately 30 h of everyday conversations involving (...) close friends or family members. This article reports an analysis of techniques that are used to bring together two experiences that were discussed separately, to proffer a candidate connection between them. This proffering of candidate connections was recurrently used in psychotherapy. If confirmed by a client, a proffered connection could be used to develop a psychological account of a client’s experiences, which could then warrant some psychological intervention. In contrast, the proffering of connections was observed in only one of the everyday conversations included in the current study, where it was used to develop psychological accounts of experience. This shows that although proffering candidate connections is an everyday interactional practice, it appears to be used with greater frequency in psychotherapy, to advance its specific institutional aims. (shrink)

As an Introduction to the Special Issue on “Formulation, generalization, and abstraction in interaction,” this paper discusses key problems of a conversation analytic (CA) approach to semantics in interaction. Prior research in CA and Interactional Linguistics has only rarely dealt with issues of linguistic meaning in interaction. It is argued that this is a consequence of limitations of sequential analysis to capture meaning in interaction. While sequential analysis remains the encompassing methodological framework, it is suggested that it needs to be (...) complemented by analyzing semantic relationships between choices of formulation in the interaction, ethnography, and structural techniques of comparing selected options with possible alternatives. The paper describes the methodological approach taken to interactional semantics by the papers in the Special Issue, which analyse practices of generalization and abstraction in interaction as they are accomplished by formulations of prior versions of reference and description. (shrink)

Although the practice of formulating has been examined in a variety of institutional settings, its realization in the framework of school interaction has received no attention from a conversation analytic perspective. The present article aspires to fill this gap, offering some preliminary remarks about how reformulations, namely versions of what was previously said or implied, are accomplished in the classroom. More specifically, two types of the teacher’s reformulations are distinguished, on the basis of his/her epistemic access to what is reformulated. (...) The research aims at demonstrating how a general practice adapts to the central activities of the setting in which it is employed. (shrink)

We examine how displays of not remembering are used as an interactional resource in couples therapy. Our study contributes to the understanding of the social epistemology of memory; that is, how displays of not remembering relate to issues of knowledge and how they are assessed and understood with respect to the local interactional projects made relevant in therapy. From our analysis of transcribed audio- and video-taped couples therapy sessions, we found that clients’ displays of not remembering opened up a range (...) of practical epistemic and rhetorical issues: 1) it enabled the creation of new ‘participation frameworks’ in which the client’s spouse could display first-hand knowledge; 2) it made relevant issues of accountability and blame for not having remembered important relationship events; 3) it indexed an avoidance or resistance of conforming to the therapeutic agenda; and 4) it deflected against the interpretation that one may have a certain interest in not remembering. (shrink)

This paper contributes to empirical knowledge of citizen participation as a communicative event, by analyzing discursive tensions in interviews between civil servants and citizen-parents, that are part of a participatory process on how to mitigate violence in a suburban area in Sweden. Citizen participation events are increasingly initiated by public institutions in Western societies. Research, however, shows that goals of participatory processes often conflict with formal decision-making structures and institutional boundaries. Yet, how such tensions play out on the level of (...) interaction is little researched. This study therefore analyzes discursive practices deployed by civil servants and how these construct characteristic tensions for the interviews. Three practices are identified: pursuing the initial question, cueing an institutional frame, and epistemic positioning of the parents. These practices, being guided by an institutional agenda, create tensions both to the parents’ lifeworld and for the ideals of the participatory method itself. (shrink)

Psychological radio counselling is a relatively recent development in psychological practice, where professionals provide psychological help via mass media communication. In the media context, a professional and a help-seeker face a number of communicative challenges, one of which is to close the encounter meaningfully with regard to its counselling and radio tasks. This study explicates how radio counselling encounters can be rounded off by summarising and reviewing the progress achieved in understanding the caller’s problem. At the end of the encounters, (...) the radio psychologist invited callers to look back at the conversation and to formulate possible gains from it. On one hand, the radio psychologist encouraged callers’ reflection and acknowledged the callers’ entitlement to pass judgement on the outcomes of the encounter. On the other hand, the radio psychologist checked and subsequently reviewed the caller’s understanding of his or her problem and its solutions. We discuss how the practice was used to round off the encounters in a distinct way with an orientation to their counselling and radio objectives. (shrink)

This study examines the mediator practices to bring the interaction back on track when the participants of dispute mediation go off-task. An existing collection of 18 transcripts from audio recordings of mediation sessions at a mediation center in the western United States serves as a source of interactional data. First, the study examines the moves mediators make to perform interventions to bring the current state of activity more in line with mediation activity. Second, it accounts for the variety of interventions (...) mediators perform using the concepts of face and facework. The article discusses what the findings mean in terms of mediation, the interaction order and the institutional order. (shrink)

Research on medical interactions shows how the discursive construction of the clinical case impacts diagnostic reasoning and treatment recommendations. Drawing on an ethnographic study in an intensive care unit, we illustrate how this process is at play in a ward that adopts an extreme, guideline-divergent policy as to the use of antibiotics. The article focuses on how physicians assemble the case as ‘treatable’ or ‘not yet treatable’, and how in doing so they ‘talk into being’ two contrastive policies on antibiotics (...) and position themselves toward the one adopted in the ward. The analysis identifies the discursive resources displayed by physicians to both project an infectious disease diagnosis and resist this treatment-implicative trajectory. We argue that the physicians’ contentious discursive construction of the case has crucial consequences in the way the ward’s extreme policy is jointly accomplished as a highly reflexive process sensitive to the contingencies of any particular case. (shrink)

This article examines the design and situated employment of reported `private thoughts' in both everyday and institutional interaction. By reported `private thoughts' we mean the `active voicing' of utterances characterized as `private thought' done in the first place for the speaker-feeler, rather than the listener. Examples are drawn from a large UK collection of over 240 instances from domestic telephone calls, interview talk, therapy sessions, and patient—provider interactions. Instead of treating reported `private thoughts' as neutral and transparent descriptions of the (...) inner mind, we focus on their `brought off ' nature. Drawing on the cumulative resources of conversation analysis and discursive psychology, we focus on lexical and non-lexical features of their design and its similarity to direct reported speech. We go on to illustrate the flexibilities of positioning reporting `private thoughts' affords, that is, how they can be done for the self as a `one-off ', as generalized or hypothetical and how they can be done for others. Our analyses draw attention to how `private thoughts' might be considered as a speaker's resource for handling everyday rational accountability in reporting and explaining actions and events. (shrink)

This conversation analytic study contrasts the German particles ach and achso. and discusses their form, function and interactional trajectory. It extends Golato and Betz’s work on ach and achso. in third positions of repair sequences to other positions and actions, and compares it to work on English oh. Based on the analysis of over 200 instances, I argue that ach so. is used to explicitly mark understanding of a prior action or of the import of the speaker’s own actions while (...) ach functions as a change-of-state token marking the receipt of information without explicitly marking understanding. I discuss the implications of the findings with regard to conversation and cognition and issues of translatability. (shrink)