Konsultointi keskusteluna : vuorovaikutuksen vivahteita ja tilanneherkkää tasapainoilua

Soft Prosody and Embodied Attunement in Therapeutic Interaction: A Multimethod Case Study of a Moment of Change

This study focused on a moment of weeping in one psychotherapy case. The overall aim was toexplore the role of “soft prosody” in psychotherapy interaction—that is, the participants’ use ofpauses, a lower volume, slower rhythms, and softer intonation than in the surrounding speech. Amixed-method, micro-analytic perspective was applied to investigate (a) social interaction, includ-ing its verbal and nonverbal elements; (2) the participants’ bodily responses, including autonomicnervous system (ANS) measurements; and (3) the participants’ thoughts and feelings during thetherapy session, as reported in subsequent individual interviews. Soft prosody was observed to be animportant conversational t…

Spouses’ Experiences of Rehabilitees’ Burnout and Recovery

The role of family members’ support in the burnout recovery process has been recognized in several studies. The role of emotional support provided by the spouse has been found to be significant in reducing burnout levels. Although crossover of burnout and emotional support have been investigated, the partners’ experiences of the individuals’ burnout and recovery have remained largely unexplored. To fill this research gap the study aims to provide in-depth knowledge of the experiences of spouses of individuals who have a history of burnout and are recovering from it by participating in a rehabilitation course. Ten spouses of individuals who had previously suffered and had recovered or was re…

Significant Moments in a Couple Therapy Session: Towards the Integration of Different Modalities of Analysis

This chapter presents a couple therapy session from four different research perspectives: The verbal dialogue was analysed with the Dialogical Investigations of Happenings of Change method, the embodied reactions of each participant were analysed by examining the electrodermal activity of each participant, and nonverbal synchrony was observed between the participants. Stimulated Recall Interviews, conducted individually after the session, were used to gain insights on the participants’ thoughts and feelings concerning particular moments in the session. We wished to determine what could be learned from the embodied reactions of the participants in couple therapy, including whether the data o…

A moment within the psychoanalytic psychotherapy of an adult female patient – The meanings of nonverbal and bodily expressions

This case study adresses the multiple meanings of a moment of strong non-verbal and bodily expression within a course of psychoanalytic psychotherapy. One therapy session was video-recorded in the ...

The process and content of advice giving in support of reflective practice in management consulting

Although consulting has been defined as an ‘advice‐giving activity’ there has not been much research on advice practices in management consulting. In particular, there is a lack of evidence on how advice might assist in supporting another central issue in management work, namely reflective practice. This article approaches consulting from a discursive perspective and views reflective practice at the level of language use. The authors use data on naturally occurring talk during a single Organization Development (OD) consulting process and discursive methodology to examine these conversations, and offer empirical evidence on how advising can support reflective managerial practice. Examples of…

The Relational Mind in Couple Therapy : A Bateson-Inspired View of Human Life as an Embodied Stream

Research on human intersubjectivity has found that humans participate in a dialogue throughout their life, and that this is manifested not only via language, but also nonverbally, with the entire body. Such an understanding of human life has brought into focus some basic systemic ideas concerning the human relational mind. For Gregory Bateson, the mind works as a system, formed from components that are in continuous interaction with each other. In our Relational Mind research project, we followed twelve couple therapy processes involving two therapists per session, looking at the ways in which the four participants attuned to each other with their bodies, including their autonomic nervous s…

Nonverbal synchrony in couple therapy linked to clients’ well-being and the therapeutic alliance

Nonverbal synchrony between individuals has a robust relation to the positive aspects of relationships. In psychotherapy, where talking is the cure, nonverbal synchrony has been related to a positive outcome of therapy and to a stronger therapeutic alliance between therapist and client in dyadic settings. Only a few studies have focused on nonverbal synchrony in multi-actor therapy conversations. Here, we studied the synchrony of head and body movements in couple therapy, with four participants present (spouses and two therapists). We analyzed more than 2000min of couple therapy videos from 11 couple therapy cases using Motion Energy Analysis and a Surrogate Synchrony (SUSY), a procedure us…

Alliance Formations in Couple Therapy: A Multimodal and Multimethod Study

AbstractThe authors sought to study underlying processes of alliance formation, a multimethod and multimodal research procedure was developed and applied to a 6-minute episode from one couple thera...

Challenges and added value of measuring embodied variables in psychotherapy

Research on embodied aspects of clinical encounters is growing, but discussion on the premises of including embodied variables in empirical research is scarce. Studies have repeatedly demonstrated that embodied aspects of psychotherapy interaction are vital in developing a therapeutic alliance, and these should be considered to better understand the change process in psychotherapy. However, the field is still debating which methods should be used and which features of the embodied aspects are relevant in the clinical context. The field lacks methodological consistency as well as a theoretical model. In the Relational Mind research project, we have studied the embodied aspects of interaction…

Helping clients to help themselves : a discursive perspective to process consulting practices in multi-party settings

Virpi-Liisa Kykyri tarkastelee asiakkaan ja konsultin välistä vuorovaikutusta prosessikonsultoinnin ryhmätilanteissa. Prosessikonsultoinnin keskeisenä periaatteena on auttaa asiakasta auttamaan itse itseään. Jotta tätä ideaalia voidaan toteuttaa, tarvitaan asiakkaan omaa aktiivista osallistumista sekä asiakkaan ja konsultin yhteistoimintaa asiakkaan ongelmien käsittelyssä.Kykyri selvittää tutkimuksessaan, kuinka tämä tehdään käytännössä: millaista puhetta käytetään, jotta saadaan aikaan asiakkaan aktiivista osallistumista, edistetään muutosta ja oppimista nostamalla esiin ja käsittelemällä kritiikkiä, sekä tehdään konsultoinnin tuloksia näkyväksi siihen osallistuvan ryhmän keskuudessa.Asiak…

"Ulkopuolisuuden olo" : tapaustutkimus peruskoulun keskeyttäneiden romaninaisten koulukokemuksista

Artikkelissa tarkastellaan kolmen peruskoulun keskeyttäneen, vapausrangaistusta suorittavan romaninaisen kertomuksia koulukokemuksistaan. Tutkimusta varten toteutettiin jokaisen osallistujan kanssa kertomushaastattelu, johon sisältyi kolme tapaamiskertaa. Haastattelija kirjoitti kertomusluonnokset, joiden sisällöistä keskusteltiin osallistujien kanssa. Kertomuksista etsittiin haastateltavien nimeämiä koulun keskeyttämisen syitä sekä näiden tekijöiden yhteisvaikutuksia intersektionaalisuuden näkökulmasta. Lisäksi tarkasteltiin yhteenkuuluvuuden kokemuksia sekä tapoja, joilla osallistujat asemoivat itseään koululaisina. Koulun keskeytymisen osasyiksi osallistujat nimesivät muiden muassa syrji…

Inviting Participation in Organizational Change Through Ownership Talk

This article takes the practitioner’s view toward and focuses on participation through talk within multiparty settings of one process consulting case. From the perspective of discursive psychology, the authors ask what happens in interaction when the consultant is working to put into practice the ideal of active client participation in organizational change. They argue that participation is established when psychological ownership of the process is displayed through talk in interaction. This happens when what the authors call “ownership talk” is used: A person is sharing his or her views, interests, and experiences related to the change process.The authors provide detailed observations and …

POLKU-projekti : Keski-Pohjanmaan lasten ja nuorten palveluiden kehittäminen

Tämän tutkimuksen tarkoituksena on välittää kuva Polku-projektista, Keski-Pohjanmaan lasten ja nuorten palveluiden kehittämishankkeesta, joka toteutettiin Jyväskylän yliopiston Chydenius-Instituutissa vuosina 1993-1994. Projekti perustettiin kehittämään alueen lasten ja nuorten palveluita toimivammiksi ottaen huomioon asiakkaan näkökulman ja tehostamalla eri alojen ammattilaisten yhteistyötä. Projekti koostui moniammatillisesta kehittämiskoulutusohjelmasta sekä siihen liittyvästä seurantatutkimuksesta, jonka loppuraportti tämä kirja on.

Conflict as it happens

PurposeAlthough emotions are relevant for conflicted interactions, the role of emotions in organizational conflicts has remained understudied. The purpose of this paper is to contribute to this by looking at the role of nonverbal affective elements in conversations.Design/methodology/approachBringing together organizational “becoming” and embodiment approaches, the study focused on a conflict which emerged during a multi-actor consulting conversation. The episode in question was analyzed via a detailed, micro-level discursive method which focused specifically on the participants’ use of prosodic and nonverbal behaviors.FindingsChanges in prosody were found to have an important role in how t…

Sensitivity in topic development and meaning making in a process consultation contract meeting

PurposeThe purpose of this paper is to explore the discursive practices used when the agenda for a consultation process was negotiated in a contract meeting. The paper illustrates the role of sensitivity in meaning making practices, that is, how displays of sensitivity were intertwined with topic development.Design/methodology/approachThe paper offers an in‐depth analysis of naturally occurring conversation in a meeting between a consultant and two client managers. The audio‐recorded data is analyzed by utilizing methodology introduced and developed in the traditions of Ethnomethodology and Conversation Analysis (CA).FindingsThe authors show how both the consultant and the clients displayed…

A multi-componential methodology for exploring emotions in learning

Studies on emotions in learning are often based on interviews conducted after the learning. Therefore, these do not capture the multi-componential nature of emotions and how emotions are related to the process of learning. We see emotions as dimensional and multi-componential responses to a personally meaningful events and situation. In this methodologically frontline study we developed a multi-componential methodology, which provides complementary information about emotions during learning. In this study, by using a within subject design of one person, we focused on emotions during the professional identity learning. In a laboratory setting, the subject was shown personally meaningful vide…

Estimating Stress in Online Meetings by Remote Physiological Signal and Behavioral Features

Work stress impacts people’s daily lives. Their well-being can be improved if the stress is monitored and addressed in time. Attaching physiological sensors are used for such stress monitoring and analysis. Such approach is feasible only when the person is physically presented. Due to the transfer of the life from offline to online, caused by the COVID-19 pandemic, remote stress measurement is of high importance. This study investigated the feasibility of estimating participants’ stress levels based on remote physiological signal features (rPPG) and behavioral features (facial expression and motion) obtained from facial videos recorded during online video meetings. Remote physiological sign…

A multi-componential methodology for exploring emotions in learning : using self-reports, behaviour registration, and physiological indicators as complementary data

Studies on emotions in learning are often based on interviews conducted after the learning. These do not capture the multi-componential nature of emotions, nor how emotions are related to the processes of learning. We see emotions as dimensional, multi-componential responses to personally meaningful events and situations. In this methodologically advanced pilot study we developed a multi-componential methodology, capable of providing complementary information on emotions in professional learning. For this purpose, we used a within-subject design applied to a single individual, with a focus on emotions during professional learning. Within a laboratory setting, the subject was shown personall…

Sympathetic Nervous System Synchrony in Couple Therapy

The aim of this study was to test whether there is statistically significant sympathetic nervous system (SNS) synchrony between participants in couple therapy. To our knowledge, this is the first study to measure psychophysiological synchrony during therapy in a multiactor setting. The study focuses on electrodermal activity (EDA) in the second couple therapy session from 10 different cases (20 clients, 10 therapists working in pairs). The EDA concordance index was used as a measure of SNS synchrony between dyads, and synchrony was found in 85% of all the dyads. Surprisingly, co-therapists exhibited the highest levels of synchrony, whereas couples exhibited the lowest synchrony. The client-…

Associations Between Sympathetic Nervous System Synchrony, Movement Synchrony, and Speech in Couple Therapy

Background: Research on interpersonal synchrony has mostly focused on a single modality, and hence little is known about the connections between different types of social attunement. In this study, the relationship between sympathetic nervous system synchrony, movement synchrony, and the amount of speech were studied in couple therapy. Methods: Data comprised 12 couple therapy cases (24 clients and 10 therapists working in pairs as co-therapists). Synchrony in electrodermal activity, head and body movement, and the amount of speech and simultaneous speech during the sessions were analyzed in 12 sessions at the start of couple therapy (all 72 dyads) and eight sessions at the end of therapy (…

The Embodied Attunement of Therapists and a Couple within Dialogical Psychotherapy: An Introduction to the Relational Mind Research Project

In dialogical practice, therapists seek to respond to the utterances of clients by including in their own response what the client said. No research so far exists on how, in dialogs, therapists and clients attune themselves to each other with their entire bodies. The research program The Relational Mind is the first to look at dialog in terms of both the outer and the inner dialogs of participants (clients and therapists), observed in parallel with autonomic nervous system (ANS) measurements. In the ANS, the response occurs immediately, even before conscious thought, making it possible to follow how participants in a multiactor dialog synchronize their reactions and attune themselves to eac…

The added value of studying embodied responses in couple therapy research : A case study

This article reports on the added value of embodied responses identified through sympathetic nervous system (SNS) activity in couple therapy research. It focuses on moments of change and the timing of therapeutic interventions or therapeutic moves in a couple therapy session. The data for this single‐case study comprise couple therapy process videotapes recorded in a multi‐camera setting, and measurements of participants’ SNS activity. The voluntary participants were a marital couple in their late thirties and two middle‐aged male psychotherapists. The division into topic segments showed how the key issue of seeking help, which was found to comprise three separate components, was repeatedly…

The Significance of Silent Moments in Creating Words for the Not-Yet-Spoken Experiences in Threat of Divorce

In the context of couple therapy involving the threat of divorce, the study examined the significance of silent moments for arriving at words for the not-yet-spoken experiences. It also examined whether interactional and embodied synchrony occurred during such silent moments. A mixed method analysis was conducted, focusing on the therapeutic dialogue, psychophysiological data (the Autonomic Nervous System, ANS), and the participants’ thoughts and feelings during individual Stimulated Recall interviews. Two episodes containing several silent moments were analyzed. The analysis indicated that during the silent moments the participants continued the therapeutic conversations through their enti…

Entrevistas de Recuerdo Estimulado: ¿Cómo la entrevista de investigación puede contribuir a nuevas prácticas terapéuticas? [Stimulated Recall Interviews: How can the research interview contribute to new therapeutic practices?]

The subjective experiences of participants in couple therapy have been explored through Stimulated Recall Interviews (SRIs), in which both clients and therapists come individually to watch video clips of their therapy sessions. We believe SRIs offer a good resource for Practice Oriented Research (POR) by promoting meaningful, flexible interplay between scientific research and clinical practice. Team members have different roles, either as “insiders” or “outsiders” of the therapeutic setting. The potential benefits of these interviews are illustrated by a case study conducted within the Relational Mind research project, in which SRIs helped to promote the emergence of reflections. SRIs, hith…

Affective Arousal During Blaming in Couple Therapy: Combining Analyses of Verbal Discourse and Physiological Responses in Two Case Studies

Blaming one’s partner is common in couple therapy and such moral comment often evokes affective arousal. How people attune to each other as whole embodied beings is a current focus of interest in psychotherapy research. This study contributes to the literature by looking at attunement during critical moments in therapy interaction. Responses to blaming in verbal dialogue and at the level of the autonomic nervous system (ANS) were investigated in two couple therapy cases with a client couple and two therapists. Video-recorded couple therapy sessions were analyzed using discursive psychology and a narrative approach. The use of positioning, a discourse analytic tool, was also studied. ANS res…

The Added Value of Studying Embodied Responses in Couple Therapy Research: A Case Study.

This article reports on the added value of embodied responses identified through sympathetic nervous system (SNS) activity in couple therapy research. It focuses on moments of change and the timing of therapeutic interventions or therapeutic moves in a couple therapy session. The data for this single-case study comprise couple therapy process videotapes recorded in a multi-camera setting, and measurements of participants' SNS activity. The voluntary participants were a marital couple in their late thirties and two middle-aged male psychotherapists. The division into topic segments showed how the key issue of seeking help, which was found to comprise three separate components, was repeatedly…

Electrodermal activity in couple therapy for intimate partner violence

The aim of this study was to examine the extent to which intimate partner violence (IPV) is discussed in couple therapy, what the participants say about it and how, and how the participants’ electrodermal activity (EDA) is activated during these discussions. We studied four couples for whom IPV was an issue in dialog with their therapists. We used thematic analysis and examined the differences in EDA (measured as skin conductance responses, SCRs) between the participants. We found that although IPV was discussed relatively little in therapy, when the topic arose the victims took an active part in the discussion. We also found that the main themes were descriptions of IPV, explanations for I…

Tutkimus digiohjauksen pulssilla : havaintoja etävälitteisestä ryhmätyönohjauksesta

Videovälitteisyys on tullut jäädäkseen työnohjaukseen ja tarve ymmärtää etäohjauksen piirteitä on herättänyt tutkijat. Tässä artikkelissa esitellään etätyönohjauksen tutkimushanketta ja sen tuloksia sekä pohditaan vuorovaikutuksen edistämisen mahdollisuuksia. nonPeerReviewed

Sympathetic nervous system synchrony: An exploratory study of its relationship with the therapeutic alliance and outcome in couple therapy.

In previous research, we found that sympathetic nervous system synchrony, measured via electrodermal activity (EDA), occurs between participants at the start of couple therapy. The aim now was to test whether this synchrony changes during the therapy process, and how any changes may be related to clients' and therapists' evaluations of the working alliance, and the outcome of therapy. Twelve different couple therapy processes were analyzed (24 clients, plus 10 therapists, working in pairs; hence, 4 persons per session) using EDA concordance indices and questionnaires (Outcome Rating Scale, Session Rating Scale, and Clinical Outcomes in Routine Evaluation-Outcome Measure). EDA synchrony betw…

Cognition in Interaction : Challenges in Assessing Persons with Sensory and Multiple disabilities

This article reports a qualitative study of cognitive assessments of three teenagers with sensory and multiple disabilities, including moderate to profound developmental disability. The aim was to evaluate the possibilities for adapting standardized tests and the implementation of interactional partnership in assessment. Cognitive assessments were made with an individually-adapted psychological assessment tool, the Bayley Scales of Infant and Toddler Development. The assessment situations were video-recorded and analyzed based on sociocultural theories of early interaction, dynamic assessment, and the bodily-tactile modality of cognition. The results showed that the requirements for assessm…

Prejudice and need for relatedness expressed in the narratives of Finnish Roma early school leavers: A multi-case study

AbstractSchool discontinuation in Finland is more common among the Finnish Roma than among the population as a whole. We lack knowledge of the perspective of those of the Roma, representing a minority inside a minority, who have left compulsory school without a leaving certificate. Within a study about school experiences of imprisoned early school leavers in Finland we had six participants with a Finnish Roma background, whose experiences of relatedness, and frustration of it, we examine in this paper. We conducted narrative interviews with the participants, applying a co-operative narrative interpretation to the meanings of what was told. After the field process, we interpreted the narrati…

Studying Nonverbal Synchrony in Couple Therapy : Observing Implicit Posture and Movement Synchrony

AbstractResearch on nonverbal synchrony (movement coordination) in psychotherapy has recently attracted increased attention. Nonverbal synchrony has been shown to relate to the therapeutic alliance and outcome. However, research on nonverbal synchrony in couple therapy remains scarce. In this study, we examined the therapy process of one couple in detail and created a coding scheme to depict posture and movement synchrony. In this case study, we found that the relationship between nonverbal synchrony and the therapeutic alliance was complex. During the therapy process, the amount of nonverbal synchrony varied, as did the participants’ evaluations of the alliance. In couple therapy nonverbal…

Revisiting the Narratives of Finnish Early School Leavers: Mapping Experiences of Detachment through a Self-determination Theory Lens

Basic psychological needs and people’s experiences affect the choices they make, and further shape the trajectories followed through school. The present study focuses on the perspectives of people who left school without graduating. Through narrative interviewing processes we collected the storied experiences of eleven imprisoned early school leavers in Finland. We triangulated data-driven themes and used as theory the concept of three basic psychological needs: autonomy, competence, and relatedness. Of these, relatedness was the most common and a shared topic brought forth by the participants. Experiencing dissatisfaction and frustration as a result of the need for relatedness played a cru…

Stimulated Recall Interview Coding System SRI-CS : Käsikirja 1.0