O "não" do cliente: o desafio de criar espaço dialógico para ambos os parceiros na terapia conjugal

Autores

  • Peter Rober

Palavras-chave:

terapia conjugal, terapia familiar, relação terapêutica, diálogo, aliança, posicionamento, alteridade

Resumo

O diálogo na terapia conjugal e familiar
(TCF) é, por definição, diálogo de múltiplos atores:
na terapia conjugal, do terapeuta com dois parceiros
da mesma geração; na terapia familiar, com um
mínimo de dois membros da família de, ao menos,
duas gerações diferentes. Isso representa importante
desafio aos terapeutas, já que implica que a
conversação é, com frequência, carregada de tensões
e pode ter consequências dramáticas para os
membros da família na vida real. Na primeira parte
do artigo desenvolvemos uma base conceitual, em
que nos apoiamos na literatura cujo objeto é a TCF,
assim como na discussão conceitual no campo ao
redor do conceito do não-saber. Questionamos a
eficiência terapêutica das intenções igualitárias do
terapeuta e a visão idealista do diálogo naturalmente
curativo ou sanador implícita nesse conceito.
Destacamos, sobretudo, a validade de alguns dos
conceitos de Mikhail Bahktin (endereçamento, responsividade...)
para nos dirigir às complexidades
específicas do encontro da TCF. Em seguida, apresentamos
um estudo de caso no qual nos limitamos
a uma microanálise dos primeiros minutos de
uma primeira sessão de terapia conjugal. Na terceira
parte do artigo, discutimos o que aprendemos
desse caso, confrontando-o com alguns conceitos
e ideias centrais desenvolvidas na primeira
parte. Dessa forma, concluímos que o terapeuta
conjugal e familiar não pode escapar da posição
desconfortável de assumir a responsabilidade de
encontrar caminhos para contribuir ativamente
para um dialogo frutífero que absolutamente não é
um dado natural, mas, ao contrário, um projeto.

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Referências

Anderson, H. (1997). Conversation, language and possibilities: A postmodern approach to therapy. New York: Basic Books.

Anderson, H. & Goolishian, H. (1992). The Client Is The Expert: a Not-Knowing Approach to Therapy. In McNamee S. & Gergen K.J. (Eds.) Therapy as Social Construction (pp.25-39). London: Sage.

Bakhtin, M. (1981). The Dialogic Imagination. Austin (TX): University of Texas Press.

Bakhtin, M. (1984). Problems of Dostoevsky’s Poetics. Minneapolis: University of Minneapolis Press.

Bakhtin, M. (1986). Speech Genres & Other Late Essays. Austin (TX): University of Texas Press.

Baxter, L.A. & Montgomery, B.M. (1996). Relating: Dialogues & dialectics. New York : Guilford Press.

Baxter, L.A. (2004). Dialogues of relating. In Anderson, R., Baxter, L.A. & Cissna, K.N. (Eds.). Dialogue: Theorizing difference in communication studies (p. 107-124). London: Sage.

Beutler, L. E., Malik, M. L., Alimohamed, S., Harwood, T. M., Talebi, H., Noble, S., et al. (2004). Therapist variables. In M. J. Lambert (Ed.), Bergin and Garfield's handbook of psychotherapy and behavior change (pp. 227-306). New York: Wiley.

Billig, M. (1996). Arguing and Thinking: A rethorical approach to social psychology (2nd Edition). Cambridge (Mass.): Cambridge University Press.

Carr, A. (2009a). The effectiveness of family therapy and systemic intervention for child focused problems. Journal of family therapy, 31, 3-45.

Carr, A. (2009b). The effectiveness of family therapy and systemic intervention for adult- focused problems. Journal of family therapy, 31, 46-74.

Davies, B. & Harré, R. (1990). Positioning: The discursive production of selves. Paper downloaded from the internet: http://www.massey.ac.nz/~alock/position/position.htm on January 4th 2006.

Doss, B. D., Atkins, D. C., & Christensen, A. (2003). Who’s dragging their feet? Husbands and wives seeking conjugal therapy. Journal of Conjugal & Family therapy, 29, 165–177.

Emerson, C. (1997). The first hundred years of Mikhail Bakhtin. Princeton (N.J.): Princeton University Press.

Engle, D.E. & Arkowitz, H. (2006). Ambivalence in Psychotherapy. New York: Guilford

Fogel, A. (1985). Coercion to speak, Conrad’s poetics of dialogue. Harvard (M.A.): Harvard University Press.

Fogel, A. (1989). Coerced speech and the Oedipus Dialogue Complex. Morson, G.L., & Emerson, C. (Eds.) Rethinking Mikhail Bakhtin (pp 173-196). New York: Vintage Books.

Gergen, K.J. (1999). An invitation to social construction. London: Sage.

Guilfoyle, M. (2003). Dialogue and Power: a critical analysis of power in dialogical therapy. Family Process, 42, 331-343.

Harré, R. & Van Langenhove, L. (Eds.) (1999). Positioning Theory. Oxford (UK): Blackwell.

Hoffman, L. (1981). Foundations of Family therapy. New York: Basic Books.

Knobloch-Fedders, L., Pinsof, W.M. & Mann, B.J. (2004). The Formation of the Therapeutic Alliance in Couple Therapy. Family Process, 43, 425–442.

Lambert, M.J., Harmon, C., Slade, K., Whipple, J.L., & Hawkins, E.J. (2005). Providing feedback to psychotherapists on their patients’ progress: Clinical results and practice suggestions. Journal of Clinical Psychology, 61, 165-174.

Lambert, M.J.,Whipple, J.L., Smart, D.W., Vermeersch, D.A., Nielsen, S.L. & Hawkins, E.J.. (2001). The effects of providing therapists with feedback on patient progress during psychotherapy: are outcomes enhanced? Psychotherapy Research, 11(1), 49-68.

Larner, G. (1999). Derrida and the deconstruction of power as context and topic in therapy. In Parker, I. (Ed.). Deconstructing Psychotherapy (pp 39-53). London: Sage.

Larner, G. (2004). Levinas: Therapy as discourse ethics. In Strong, T. & Paré, D. (Eds.). Furthering Talk: Advances in discursive therapies (pp 15-32). New York: Kluwer Academic/Plenum Publisheres.

Larner, G. (2008). Exploring Levinas: The ethical self in family therapy. Journal of Family therapy, 30, 351-360.

Marková, I. (2003). Dialogicality and social representations: The dynamics of mind. Cambridge, UK: Cambridge University Press.

Miller, S.L., Hubble, M. & Duncan, B.L. (2008). Supershrinks, what’s the secret of their success? Psychoterapy in Australia, 14, 14-22.

McNamee S. & Ger¬gen K.J. (Eds.) Therapy as Social Construc¬tion. Lon¬don: Sage.

Morson, G.L., & Emerson, C. (1990). Mikhail Bakhtin: Creation of a prosaics. Stanford (CA): Stanford University Press.

Moynehan, J. & Adams, J. (2007). What’s the Problem? A Look at Men in Conjugal Therapy. The American Journal of Family therapy, 35, 41–51.

Norcross, J.C. & Farber, B.A. (2005). Choosing psychoterapy as a career: Beyond “I want to help people”. Journal of Clinical Psychology, 61, 939-943.

Paré, D.A. (2002). Discursive Wisdom: Reflections on ethics and therapeutic knowledge. International Journal of Critical Psychology, 7, 30-52.

Patterson, J., Williams, L., Edwards, T.M., Chamov, L. & Grauf-Grounds, C. (2009). Essential Skills in family therapy: From the first interview to termination. New York: Guilford.

Penn, P., & Frankfurt, M. (1994). Creating a participant text: Writing, multiple voices, narrative multiplicity. Family Process, 33, 217-231.

Rober, P. (2002a). Hesitations and their non-verbal expression in the family therapy session. Journal of Family therapy, 24, 187-204.

Rober, P. (2002b). Constructive Hypothesizing, Dialogic Understanding, and the Therapist's Inner Conversation: Some ideas about knowing and not-knowing in the family therapy session. Journal of Conjugal and Family therapy, 28, 467-478.

Rober, P. (2005a). The therapist’s self in dialogical family therapy: Some ideas about not-knowing and the therapist's inner conversation. Family Process, 44, 477-495.

Rober, P. (2005b). Family therapy as a dialogue of living persons. Journal of Conjugal and Family therapy, 31, 385-397.

Rober, P. & Seltzer, M. (2010). Avoiding colonizing positions in the therapy room. Family Process, 49, 123-137.

Salgado, J. (2007). The feeling of a dialogical self: Affectivity, agency and otherness. In Simão, L.M. & Valsiner, J. (Eds.). Otherness in question: Labyrinths of the self (pp 53-71). Charlotte, NC: Information Age Publishing.

Salgado, J., & Gonçalves, M. (2007). The dialogical self: Social, personal, and (un) conscious. In A. Rosa & J. Valsiner (Eds.), The Cambridge handbook of social cultural psychology. Cambridge: Cambridge University Press.

Seikkula, J. & Olson, M.E. (2003). The Open Dialogue Approach to Acute Psychosis: Its Poetics and Micropolitics. Family Process, 42, 403-418.

Seltzer, W. & Seltzer, M. (2000) Tales full of sound and fury: A cultural approach to family therapeutic work and research in rural Scandinavia. Family Process, 39, 285-306.

Shill, M. A., & Lumley, M. A. (2002). The psychological-mindedness scale: Factor structure, convergent validity and gender in a non-psychiatric sample. Psychology and Psychotherapy: Theory, Research and Practice, 75, 131–150.

Shotter, J. (1993). Conversational realities. London: Sage.

Sprenkle, D.H. & Blow, A.J. (2004). Common Factors and Our Sacred Models. Journal of Conjugal and Family therapy, 30, 113-129

Sprenkle, D.H., Davis, S.D., & Lebow, J.L. (2009). Common Factors in Couple and Family therapy: The overlooked foundation for effective practice. New York: Guilford.

Thomas, S.E.G., Werner-Wilson, R.J. & Murphy, M.J. (2005). Influence of therapist and client behaviors on therapy alliance. Contemporary Family therapy, 27, 19-35.

Vice, S. (1997). Introducing Bakhtin. Manchester (U.K.): Manchester University Press.

Wampold, B. E. (2001). The great psychoterapy debate: Models, methods, and findings. Mahwah, NJ: Erlbaum.

Wampold, B. E. (2006). The psychotherapist. In J. C. Norcross, L. E. Beutler, & R. F. Levant (Eds.), Evidence-based practices in mental health: Debate and dialogue on the fundamental questions (pp. 200–208). Washington, DC: American Psychological Association.

White, M. & Epston, D. (1990). Narrative Means To Thera¬peu¬tic Ends. New York: Norton.

Winnicott, D.W. (1958). Collected Papers. Through Paediatrics to Psycho-Analysis. London: Tavistock Publications.

WORTHAM, S. (2001). Narratives in action: Strategy for Research and Analysis. New York: Teachers College Press, Colombia University.

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Publicado

03/01/2016

Como Citar

Rober, P. (2016). O "não" do cliente: o desafio de criar espaço dialógico para ambos os parceiros na terapia conjugal. Nova Perspectiva Sistêmica, 22(47), 8–25. Recuperado de https://revistanps.com.br/nps/article/view/30

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