A1 Journal article (refereed)
Dialogue and Dominance in Couple Therapy for Depression : Exploring Therapists' Responses in Creating Collaborative Moments (2020)


Artigas Miralles, Lourdes; Vilaregut Puigdesens, Anna; Feixas Viaplana, Guillem; Mateu Martínez, Clara; Seikkula, Jaakko; Vall Castelló, Berta (2020). Dialogue and Dominance in Couple Therapy for Depression : Exploring Therapists' Responses in Creating Collaborative Moments. Family Process, 59 (3), 1080-1093. DOI: 10.1111/famp.12494


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Publication details

All authors or editors: Artigas Miralles, Lourdes; Vilaregut Puigdesens, Anna; Feixas Viaplana, Guillem; Mateu Martínez, Clara; Seikkula, Jaakko; Vall Castelló, Berta

Journal or series: Family Process

ISSN: 0014-7370

eISSN: 1545-5300

Publication year: 2020

Volume: 59

Issue number: 3

Article number: 1080-1093

Publisher: John Wiley & Sons

Publication country: United States

Publication language: English

DOI: https://doi.org/10.1111/famp.12494

Open Access: Publication channel is not openly available


Abstract

Previous investigations have found specific communication patterns in couples dealing with depression, specifically when depression concurs with conjugal conflicts. The presence of these patterns can reflect couples' difficulties in engaging in collaborative communication during their sessions, posing a real challenge for therapists. This exploratory study uses a dialogical approach to examine issues of dominance and type of dialogue in two couples who differed in terms of their levels of dyadic adjustment. The therapists' reactions were explored in order to detect the kinds of responses that were most effective at engendering a collaborative attitude in therapy sessions. The method used to analyze the dialogue was Dialogical Investigations of Happenings of Change (DIHC). Results on dominance indicated that the degree of quantitative and semantic dominance displayed by a different member of the couple in each case was illustrative of their relational dynamics, while in both cases interactional dominance was exercised by the therapists. Results on dialogue revealed that dialogic dialogue might help to coconstruct new shared meanings of depression. The findings indicated that certain responses by therapists as part of the dialogue could be useful in bringing about a reduction in hostility between the members of a couple, provided that the responses are maintained over the course of the session. Some research and clinical implications that emerge from the results are discussed.


Keywords: couples therapy; depression (mental disorders); dialogicality

Free keywords: couple therapy; depression; Dialogical Investigations of Happenings of Change; dialogical approach; dominance; dyadic adjustment


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Ministry reporting: Yes

Preliminary JUFO rating: 2


Last updated on 2020-05-10 at 10:08