Looking at the Psychotherapy Process as an Intersubjective Dynamic of Meaning-Making: A Case Study with Discourse Flow Analysis

Abstract

This work presents a dialogic model of psychotherapy (the Two-Stage Semiotic Model, TSSM) with discourse flow analysis (DFA) and a low-inferential method of analysis based on it. TSSM claims that in good-outcome psychotherapy, the patient's system of meanings follows a U-shaped trend: First, it decreases, and then the dialog promotes new meanings. DFA represents a session's dialog as a “discourse network” made by the associations for temporal adjacency between contents; then it studies the network's dynamic properties. DFA has been applied to the textual corpus obtained from the verbatim transcript of a 15-session psychotherapy course. Findings are consistent with the hypotheses.

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