Different ways of recounting a session: therapist reconstructions and verbatim transcripts. Implications for training and understanding of the process in two cases of gender violence
DOI:
https://doi.org/10.26439/persona2023.n26(2).6713Abstract
The reconstruction of psychoanalytic sessions from the therapist’s subjective record has been the paradigmatic input from which therapeutic processes have been studied and the main theoretical and technical psychoanalytic models have been developed, being central material in the training of therapists. The systematic investigation of the therapeutic process from audio and video recordings, as well as the direct observation of caregiver-infant dyads for studying the forms of communication and mutual regulation, have generated a broadening of the understanding of the processes responsible for psychological change and the development of competencies for clinical work. Thus, we proposed to analyze the reconstructions that two therapists made of psychotherapy sessions with women victims of violence, along with the literal transcriptions of these sessions (audio recorded), with the aim of analyzing how these two ways of recording the session are related, in order to understand relevant aspects of the collection and recording of the therapeutic process, and to discuss their implications in therapeutic training, particularly in the work with victims of gender violence. This is a qualitative approach and the data was analyzed through an inductive thematic analysis method (Braun & Clarke, 2006). The results show common elements and significant differences between both records, which were organized into three thematic axes: (1) the similar, (2) the attenuated, and (3) the excluded. In the similar, the reconstructions are linked to the transcriptions insofar as they maintain a sequential organization of the main events narrated and the textual register of phrases, metaphors and figurative contents. On the other hand, contents associated with aggression, violence, sexuality and affective aspects, especially those expressed towards the therapist or those of high intensity, are recorded in the reconstructions in an attenuated and softened form. Likewise, the nonverbal, prosodic or rhythmic interactional aspects that organize the therapeutic exchange are omitted in the reconstructions. We discuss the reliance on the therapist’s reconstructions as the only record for purposes of therapeutic supervision and understanding of the processes, particularly in cases of gender-based violence.
Downloads
References
Altimir, C., & Jiménez, J. P. (2021). The clinical relevance of interdisciplinary research on affect regulation in the analytic relationship. Frontiers in Psychology, 12. https://doi.org/10.3389/fpsyg.2021.718490
Araya-Véliz, C., Casassus, S., Guerra, C., Salvo, D., Zapata, J., & Krause, M. (2017). Criteria chilean clinical supervisors consider relevant when supervising: a qualitative study. Revista Argentina de Clínica Psicológica, 26(1), 47-58. https://10.24205/03276716.2017.1004
Aron, L. (1991). The patient’s experience of the analyst’s subjectivity. Psychoanalytic Dialogues, 1(1), 29-51. https://doi.org/10.1080/10481889109538884
Beebe, B., & Lachmann, F. M. (1994). Representation and internalization in infancy: three principles of salience. Psychoanalytic Psychology, 11(2), 127-165. https://psycnet.apa.org/doi/10.1037/h0079530
Bourdieu, P. (2003). El oficio de científico. Ciencia de la ciencia y reflexividad. Anagrama.
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101. https://doi.org/10.1191/1478088706qp063oa
Braun, V., & Clarke, V. (2012). Thematic analysis. En H. Cooper, P. M. Camic, D. L. Long, A. T. Panter, D. Rindskopf & K. J. Sher (Eds.), APA handbook of research methods in psychology. Research designs: quantitative, qualitative, neuropsychological, and biological (Vol. 2, pp. 57-71). American Psychological Association. https://doi.org/10.1037/13620-004
Bucci, W. (2005). Process research. En E. S. Person, A. M. Cooper & G. O. Gabbard (Eds.), The American psychiatric publishing textbook of psychoanalysis (pp. 317-333). American Psychiatric Association.
Eagle, M. N., & Wolitzky, D. L. (2011). Systematic empirical research versus clinical case studies. Journal of the American Psychoanalytic Association, 59(4), 791-818. https://10.1177/0003065111416652
Fonagy, P. (2015). An open door review of outcome studies in psychoanalysis: report prepared by the research committee of the IPA at the request of the president. University College London.
Girardi, M., & Camus, M. (2019). Los contextos de la psicoterapia y la escena del cambio. En Jiménez, J. P & Figueroa, J. (Eds.), La práctica del psicoanálisis. Evolución y actualidad (pp. 57-82). Mediterráneo.
Instituto Nacional de Estadística e Informática (2023). Perú: indicadores de resultados de los programas presupuestales, 2022. Encuesta demográfica y de salud familiar. https://bvs.minsa.gob.pe/local/MINSA/6154.pdf
Kächele, H., Albani, C., Buchheim, A., Hölzer, M., Hohage, R., Mergenthaler, E., Jiménez, J., Leuzinger-Bohleber, M., Neudert-Dreyer, L., Pokorny, D., & Thomä, H. (2006). The german specimen case, Amalia X: empirical studies. The International Journal of Psychoanalysis, 87(3), 809-826. https://doi.org/10.1516/17NN-M9HJ-U25A-YUU5
Kächele, H., Schachter, J., & Tomä, H. (2009). From psychoanalytic narrative to empirical single case research. Routledge.
Krause, M., & Altimir, C. (2016). Introducción: desarrollos actuales en la investigación del proceso psicoterapéutico. Estudios de Psicología, 37(2-3), 201-225. https://doi.org/10.1080/02109395.2016.1227574
Lemma, A., Target, M., & Fonagy, P. (2011). Brief dynamic interpersonal therapy. a clinician´s guide. Oxford University.
Patton, M. (1999). Enhancing the quality and credibility of qualitative analysis. Health Services Research, 34(5), 1189-1208. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1089059/
Schmidt-Hellerau, C., Szönyi, G., & Hartke, R. (2022, 15 de febrero). About psychoanalysis. International Psychoanalytical Association https://www.ipa.world/IPA/en/Psychoanalytic_Treatment/About__Psychoanalysis.aspx
Shedler, J. (2010). The efficacy of psychodynamic psychotherapy. American Psychologist, 65(2), 98-109. https://doi.org/10.1037/a0018378
Stern, D. (2004). The present moment: in psychotherapy and everyday life. W. W. Norton & Company.
Stern, D., Sander, L., Nahum, J., Harrison, A., Lyons-Ruth, K., Morgan, A., Bruschweilerstern, N., & Tronick, E. (1998). Non-interpretive mechanisms in psychoanalytic therapy: the ‘something more’ than interpretation. The International Journal of PsychoAnalysis, 79(5), 903-921.
Widdowson, M. (2011). Case study research methodology. International Journal of Transactional Analysis Research, 2(1), 25-34.
Downloads
Published
Issue
Section
License
Acceptance for publication implies the transfer of printing and reproduction rights, by any form and means, to the publisher, while the author retains the intellectual property of the article.