Marlene Matos

Narrative Therapy and the Nature Of “Innovative Moments” in the Construction of Change

In the narrative metaphor of psychotherapy, clients transform themselves by changing their life stories. According to White and Epston (1990), the construction of change occurs from the expansion of unique outcomes—or innovative moments, as we prefer to call them—that is, the development of episodes outside the problem-saturated narrative. Unique outcomes operate as exceptions to the rule (i.e., to the problem-saturated story) that can be changed to a new rule (i.e., a new narrative). We suggest that some forms of unique outcomes can operate as shadow voices (Gustafson, 1992) of the problem-saturated story, allowing a temporary release from the problem, but facilitating a return to it. In our view, there is a particular type of unique outcome—reconceptualization—that facilitates sustained change. This kind of innovation facilitates the emergence of a meta-level perspective about the change process itself and, in turn, enables the active positioning of the person as an author of the new narrative.

Innovative moments and change in narrative therapy

Abstract Narrative therapy suggests that change happens by paying close attention in therapy to “unique outcomes,” which are narrative details outside the main story (White & Epston, 1990). In this exploratory study, unique outcomes were analyzed in five good-outcome and five poor-outcome psychotherapy cases using the Innovative Moments Coding System (Gonçalves, Matos, & Santos, 2008). Across 127 sessions, innovative moments were coded in terms of salience and type. In accordance with the theory, results suggest that innovative moments are important to therapeutic change. Poor- and good-outcome groups have a global difference in the salience of the innovative moments. In addition, results suggest that two particular types of innovative moments are needed in narrative therapy for therapeutic change to take place: re-conceptualization and new experiences. Implications for future research using this model of analysis are discussed.

Tracking novelties in psychotherapy process research: The innovative moments coding system

Abstract This article presents a method for the assessment of innovative moments, which are novelties that emerge in contrast to a clients problematic self-narrative as expressed in therapy, the innovative moments coding system (IMCS). The authors discuss the theoretical background of the IMCS as well as its coding procedures. Results from several studies suggest that the IMCS is a reliable and valid coding system that can be applied to several modalities of psychotherapy. Finally, future research implications are discussed.

Innovative moments and change pathways: A good outcome case of narrative therapy

OBJECTIVES Our aim was to explore the development of innovative moments (i-moments) in therapeutic conversation and to study how they match our heuristic model that accounts for the development of change, drawn from previous empirical research. DESIGN In this therapeutic process research, we analysed a good outcome case of narrative therapy with a woman victim of intimate violence. METHODS This case, composed of 12 sessions, was analysed with the Innovative Moments Coding System: Version 1. This coding system allowed the identification of five different types of innovations (i-moments) that appeared during the therapeutic process: action, reflection, protest, re-conceptualization, and performing change. For each session, an index of temporal salience was computed, as the percentage of the time in the session that client and therapist spent talking about each i-moment. Our analysis procedures provided a quantitative and also a complementary qualitative approach. RESULTS Data showed that the types of i-moments emerged differently throughout the process. Early sessions were characterized mainly by action and reflection (low temporal salience), middle sessions were found to have mainly protest i-moments (low or middle temporal salience), and final sessions were characterized by the combination of high salient re-conceptualization and performing change i-moments. CONCLUSIONS Findings suggested that narrative change seems to develop in a cyclical way, in which different types of i-moments contribute to the development of a new self-narrative in different phases.

The role of mutual in-feeding in maintaining problematic self-narratives: Exploring one path to therapeutic failure

Abstract According to the authors narrative model of change, clients may maintain a problematic self-stability across therapy, leading to therapeutic failure, by a mutual in-feeding process, which involves a cyclical movement between two opposing parts of the self. During innovative moments (IMs) in the therapy dialogue, clients’ dominant self-narrative is interrupted by exceptions to that self-narrative, but subsequently the dominant self-narrative returns. The authors identified return-to-the-problem markers (RPMs), which are empirical indicators of the mutual in-feeding process, in passages containing IMs in 10 cases of narrative therapy (five good-outcome cases and five poor-outcome cases) with females who were victims of intimate violence. The poor-outcome group had a significantly higher percentage of IMs with RPMs than the good-outcome group. The results suggest that therapeutic failures may reflect a systematic return to a dominant self-narrative after the emergence of novelties (IMs).

Innovative moments and poor outcome in narrative therapy

Abstract Aims: To analyse a poor outcome case of narrative therapy with a woman victim of intimate violence. Method: The Innovative Moments Coding System: version 1 was applied to all sessions to track the innovative moments (i-moments) in the therapeutic process. I–moments are the narrative details that occur in psychotherapeutic conversations that are outside the influence of the problematic narrative. This research aims to describe the processes involved in the stability of meanings in psychotherapy through a dialogical approach to meaning making. Findings: Contrarily to what usually occurs in good outcome cases, re-conceptualization i-moments are absent. Moreover, two specific types of i-moments emerged with higher duration: reflection and protest. Qualitative analysis showed that the potential meanings of these i-moments were surpassed by a return to the problematic narrative. Conclusion: The therapeutic stability seems to be maintained by a systematic return to the problematic narrative after the em...

Post-relationship stalking: the experience of victims with and without history of partner abuse

This article analyses a side of the post-relationship stalking that has been neglected: the experience of women that were victims of this type of violence without having any history of abuse during their prior relationship. It analyses the differences between post-relationship stalking victims with and without history of partner abuse on what concerns to suffered stalking dynamics, emotional answers and types of coping strategies. This survey gathered data using online resources and the sample was constituted by 107 female post-intimate stalking victims. Results revealed that victims who were targets of past violence suffered a more serious post-relationship stalking campaign. Results also demonstrated that fear towards stalking behaviours is an endemic response when dealing with such experiences. Post-relationship stalking victims, in general, have also revealed being actives in coping with their individual experiences of victimisation.

Cyber-harassment victimization in Portugal

Cyber-harassment is one of todays problems in adolescent health. This study aimed to determine the prevalence of cyber-victimization among Portuguese adolescents. It also explored its nature, patterns and victims reactions of fear and help-seeking. A representative sample of 627 adolescents, aged 12-16, enrolled in schools from northern Portugal and Azores answered an online survey. Cyber-victimization was widely experienced by these adolescents, mainly among older adolescents. Results evidenced a high prevalence rate of adolescents (66.1%) double involved as both cyber-victim and cyber-aggressor. Although not all adolescents reported fear (37%) or sought help (45.9%), persistent victimization increased fear. In turn, fear increased help-seeking behaviors. Cyber-victims were more afraid encountering unknown cyber-aggressors (vs. acquainted) and when victimized by older males (vs. younger females cyber-aggressors). Younger girls reported more fear and more help-seeking behaviors while older boys were more often victim-aggressors. The subgroup of victim-aggressors was both the target of a higher diversity of cyber-victimization behaviors than the victim-only subgroup and also engaged in fewer help-seeking behaviors. Those adolescents who sought help considered it helpful. Implications for educational, social and political practices are discussed. Most of adolescents were victims of cyber-harassment.Over 66% of victims were double involved both as victim and aggressors.Most of the victims were not afraid, nor sought for help following cyber-harassment.Fear, help-seeking and its helpfulness depend on nature and dynamics of cyber-harassment.Young girls were more likely to be afraid and seek help, mainly from informal sources.

Perceptions and personal experiences of unwanted attention among Portuguese male students

The present study investigated male perceptions and personal experiences of ‘unwanted attention’ (UA), as well as possible associations between perceptions and personal experiences of UA. Ninety-one male college students, from five Portuguese universities, were asked to indicate which of a continuum of 47 behaviours represented UA. Although UA, stalking and harassment are rarely addressed in Portugal, male college students shared a clear understanding of what behaviours constituted UA, with the identification of four main categories of UA behaviours: ‘aggressive’, ‘threatening’, ‘classic’ and ‘dysfunctional attachment’. Almost all participants (96%) reported personal experiences of at least one UA behaviour. There was a minimal relationship between perceptions and personal experiences of the individual behaviours. The findings highlight the widespread risk of male victimisation and the need to legitimise male complaints.

Effectiveness of a Group Intervention Program for Female Victims of Intimate Partner Violence

Group intervention has been widely used with female victims of intimate partner violence (IPV). However, efficacy studies are scarce due to several research limitations. This study evaluates the effectiveness of an 8-week group intervention program, with a cognitive-behavioral orientation and attended by 23 female victims of IPV. Self-report psychological assessment was conducted at pre-test, post-test, and follow-up. Results revealed that the group intervention had a positive impact on participants, showing a decrease in re-victimization and in beliefs toward legitimizing IPV. A decrease in levels of depression and a significant improvement in general clinical symptoms were also evident. Self-esteem and social support were enhanced throughout group intervention. The changes were confirmed through follow-up after 3 months, suggesting that this group intervention has important effects on female victims. The implications of the findings for practice are also discussed.