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Interactional positioning and narrative self-construction in the first session of psychodynamic-interpersonal psychotherapy

Madill, A., Sermpezis, C. and Barkham, M. (2005) Interactional positioning and narrative self-construction in the first session of psychodynamic-interpersonal psychotherapy. Psychotherapy Research, 15 (4). pp. 420-432. ISSN 1468-4381

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The purpose of this study is to identify possible session one indicators of end of treatment psychotherapy outcome using the framework of three types of interactional positioning; client’s self-positioning, client’s positioning between narrated self and different partners, and the positioning between client and therapist. Three successful cases of 8-session psychodynamic-interpersonal (PI) therapy were selected on the basis of client Beck Depression Inventory scores. One unsuccessful case was also selected against which identified patterns could be tested. The successful clients were more descriptive about their problems and demonstrated active rapport-building, while the therapist used positionings expressed by the client in order to explore the positionings developed between them during therapy. The unsuccessful case was characterized by lack of positive self-comment, minimization of agentic self-capacity, and empathy-disrupting narrative confusions. We conclude that the theory of interactional positioning has been useful in identifying patterns worth exploring as early indicators of success in PI therapy.

Item Type: Article
Copyright, Publisher and Additional Information: © 2005 Society for Psychotherapy Research. This is an author prepared version of a paper published in Psychotherapy Research.
Keywords: psychotherapy, brief therapy, psychodynamic-interpersonal, early indicators, subject position, positioning theory, interactional positioning, narrative
Institution: The University of Leeds
Academic Units: The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Psychology (Leeds)
Depositing User: Repository Officer
Date Deposited: 02 Oct 2006
Last Modified: 06 Jun 2014 01:17
Published Version: http://taylorandfrancis.metapress.com/openurl.asp?...
Status: Published
Publisher: Routledge Journals
Refereed: Yes
Identification Number: 10.1080/10503300500091249
URI: http://eprints.whiterose.ac.uk/id/eprint/1493

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