Peter Rober

Making sense of multi-actor dialogues in family therapy and network meetings

In recent years, a number of family therapists have conceptualized psychotherapy as a dialogical activity. This view presents family therapy researchers with specific challenges, the most important of which is to find ways of dealing with the dialogical qualities of the multi-actor dialogues that occur, for example, in family therapeutic conversations. In this article, we propose some preliminary ideas concerning qualitative investigations of multi-actor dialogues. Our aim is to work toward an integration of Bakhtins theoretical concepts with good practices in qualitative research (e.g., dialogical tools and concepts of a narrative processes coding system) in order to make sense of family therapy dialogues. A specific method that we have called Dialogical Methods for Investigations of Happening of Change is described. This method allows for a general categorization of the qualities of responsive dialogues in a single session, and also for a detailed focus on particular sequences through a microanalysis of specific topical episodes. The particular focus is on the voices present in the utterances, the positioning of each speaker, and the addressees of the utterances. The method is illustrated via an analysis of a couple therapy session with a depressed woman and her husband.

The Complexity of Couple Communication in Bereavement: An Illustrative Case Study.

Sharing grief experiences, or “storying” grief, can be a key resource in adapting to loss, one that can contribute to stronger bonds and relational intimacy within the family. In this article, the authors conceptualize communication between grieving family members in terms of 3 “D” processes, emphasizing the extent to which such communication is dialectic, dialogic, and dynamic in nature. They illustrate the complexity of sharing about a mutual loss, focused on these 3 features, by referring to a case study of a couple coping with the death of a child in the context of a newly formed family. Rather than unilaterally advocating the promotion of open communication, the authors suggest that therapists working with bereaved families first discuss the complexities of communication with the family members, specifically those concerning talking and keeping silent, and explore the different meanings associated with sharing grief experiences with each other.

POSITIONING IN THE THERAPIST'S INNER CONVERSATION: A DIALOGICAL MODEL BASED ON A GROUNDED THEORY ANALYSIS OF THERAPIST REFLECTIONS

In recent years, a dialogical perspective has emerged in the family therapy field in which the therapists inner conversation is conceptualized as a dialogical self. In this study, we analyze the data of a grounded theory study of therapist reflections and we portray the therapists self as a dynamic multiplicity of inner positions embodied as voices, having dialogical relationships in terms of questions and answers or agreement and disagreement. We propose a descriptive model of the therapists inner conversation with four positions. In this model, each of the four positions represents a concern of the therapist: attending to the clients process, processing the clients story, focusing on the therapists own experience, and managing the therapeutic process. Detailed analyses of vignettes of therapist reflections illustrate the model, and implications of this model for training and supervision are considered.

Avoiding Colonizer Positions in the Therapy Room: Some Ideas About the Challenges of Dealing with the Dialectic of Misery and Resources in Families

Some authors have argued that certain acts of family therapists-despite their best intentions-may represent a form of colonizing the family. When acting as a colonizer, a therapist is understood as becoming overly responsible for the family and focusing too strongly on change. In so doing, the therapist disrespects the familys pace, and neglects their own resources for change. This paper aims to highlight the need for therapists to be hypersensitive both to the resources of families entering therapy as well as to the impact of prevailing ideologies on their own positioning in the session. The kind of sensitivity advocated here is dialectical in the sense that every family is understood as having potentials promoting dynamism, happiness, and well-being as well as potentials contributing to stagnation, unhappiness, and misery. In this article, using illustrations from clinical practice, we present some ideas for resisting the tendency by the therapist to assume a colonizing position as a professional solver of problems for families. Our main aim here is to redirect the therapist toward connecting with the familys suffering, as well as with the resource repertoire it has developed for navigating and negotiating its way through life.

What's on the therapist's mind? A grounded theory analysis of family therapist reflections during individual therapy sessions

Abstract The authors used a videotape-assisted recall procedure to study the content of family therapists’ inner conversations during individual sessions with a standardized client. Grounded theory was used to analyze therapists’ reflections, resulting in a taxonomy of 282 different codes in a hierarchical tree structure of six levels, organized into four general domains: attending to client process; processing the clients story; focusing on therapists’ own experience; and managing the therapeutic process. In addition to providing a descriptive model of therapists’ inner conversation, this research led to an appreciation of the wealth of therapists’ inner conversation. In particular, the authors found that therapists work hard to create an intersubjective space within which to talk by trying to be in tune with their clients and by using clients as a guide.

Some hypotheses about hesitations and their nonverbal expression in family therapy practice

When people seek therapy they have stories to tell. In the course of the therapeutic conversation the clients continually make selections about what they want to tell, and what they want to keep silent. In this article the author focuses on the border zone between the said and the not-yet-said, and proposes three hypotheses about the client’s hesitations about speaking in the family therapy session. In these hypotheses ‘hesitation’ is used as a metaphor to give meaning to some nonverbal utterances of clients in such a way that space is opened up in a respectful way for as-yet untold stories. I suggest that it is fruitful to think of certain nonverbal utterances of the clients as hesitations to proceed with the conversation, and to use these nonverbal utterances, in the line of Tom Andersen’s thinking (1995), as a starting point for a respectful dialogue with the family about the good reasons they might have not to speak. Not only can this open up space for as-yet unspoken stories, it can also help the therapist to establish a collaborative therapeutic relationship with the family. These ideas are illustrated with several case studies.

“Cycling Around an Emotional Core of Sadness” Emotion Regulation in a Couple After the Loss of a Child

In contrast to the traditional view of working through grief by confronting it, recent theories have emphasized an oscillating process of confronting and avoiding the pain of loss. In this qualitative study, we sought a better understanding of this process by conducting a detailed case study of a bereaved couple after the loss of their infant daughter. We employed multiple data collection methods (using interviews and written feedback) and an intensive auditing process in our thematic analysis, with special attention to a recurrent metaphor used by this bereaved couple in describing their personal and relational experience. The findings suggest the presence of a dialectic tension between the need to be close to the deceased child and the need for distance from the pain of the loss, which was evidenced on both individual and relational levels. For this couple, the image of “cycling around an emotional core of sadness” captured their dynamic way of dealing with this dialectic of closeness and distance.

Trying to comfort the parent: a qualitative study of children dealing with parental depression.

In this article, we look at childrens experiences of parentification in families in which one of the parents is hospitalized for depression. Children (7-14 years old) and their parents were invited for a family interview. Using thematic analysis, we constructed a general framework of 14 childrens experiences, guided by the explorative research question: How do children experience parental depression and how do they experience their own caregiving in the family? The thematic analysis revealed eight themes. One of these themes (trying to comfort the parent) was selected for a microanalysis in one family interview. Our study illustrates the process of overt negotiating of caretaking between parent and child with an underlying moral dilemma and related emotions. The dynamic of children hiding their worry can be seen as an answer to the parents expressed wish to not burden her children. These dynamics are situated in ongoing debates in family therapy literature, and some suggestions for therapeutic practice are formulated.

The Interacting-Reflecting Training Exercise: Addressing the Therapist’s Inner Conversation in Family Therapy Training

In recent years several authors have made a beginning in describing therapeutic conversations from a dialogical perspective. Training and supervision, however, have not yet been addressed from a dialogical perspective. In this article, an experiential training exercise is described that is focused on the basic dialogical skills of the trainee: respectful inquiry and constructive reflecting. Rather than teaching and instructing, this training exercise is aimed at staging a dialogue. The trainees are invited to take part in this dialogue, as they are encouraged to experiment with new positions and new ways of encountering others, and as their different voices tell of their experiences, of the things they have learned, and of the new perspectives that have opened up for them. Leaning on ideas about the therapists inner conversation (Rober, 1999, 2005b) and stressing the importance of polyphony, dialogism, and tolerance for uncertainty, the training exercise described in this article is consistent with a dialogical and postmodernist frame, as described by Seikkula and Olson (2003).

Intercultural therapy and the limitations of a cultural competency framework: about cultural differences, universalities and the unresolvable tensions between them

Working with a family from a cultural background other than one’s own is considered to be challenging for the therapist. Influenced by social constructionism, the family therapy field highlights the importance of contingency and cultural differences and therapists are encouraged to develop their cultural competency in order to deal with these differences. In this article, starting from contemporary critiques of notions of Western societies’ cultural diversity, we address the way in which the cultural competency framework, by highlighting the importance of cultural differences and the therapist’s culture-specific knowledge, may underestimate the importance of the social dimensions of the issues involved. Furthermore, highlighting cultural differences may obscure the shared humanity present in a transcultural encounter. In this article, as an alternative to the cultural competency framework, we propose a view of intercultural family therapy in which the unresolvable dialectical tension between differences and universalities is central.