A moment within the psychoanalytic psychotherapy of an adult female patient – The meanings of nonverbal and bodily expressions

Päivi Aho-Mustonen, Henrik Enckell, Jaakko Seikkula, Valeri Tsatsishvili, Virpi-Liisa Kykyri
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Abstract

ABSTRACT This case study adresses the multiple meanings of a moment of strong non-verbal and bodily expression within a course of psychoanalytic psychotherapy. One therapy session was video-recorded in the private practice of the therapist-researcher. In selecting important moments for qualitative analysis, two criteria were used: 1) the moment included intense nonverbal or bodily expression 2) the moment was experienced by the therapist as intensely affecting, both in meanings and in bodily experiences. The automatic silence detection (ASD) algorithm was used to detect and locate changes in sound energy in the session audio. The moment selected for this study involved unexpected laughter. To capture the multiple layers of the psychotherapeutic interactions, the moment was analyzed using a micro-analytic approach, applying the Sandwich model of Harrison, which takes into consideration both the verbal and nonverbal interaction. Animated complementary bodily expressions were observed, mostly in congruence with the words. It appeared that the moment marked a rift in communication and at the same time the possibility to open up new insights into intergenerational traumas. The paper discusses the benefits of the research in the work of the therapist.
一个成年女性病人的精神分析心理治疗的瞬间——非语言和身体表达的意义
本案例研究解决了在精神分析心理治疗过程中强烈的非语言和身体表达的多重含义。有一次治疗过程在治疗师兼研究员的私人诊所里被录了下来。在选择用于定性分析的重要时刻时,使用了两个标准:1)时刻包括强烈的非语言或身体表达;2)治疗师在意义和身体体验上都经历了强烈的影响。采用自动沉默检测(ASD)算法检测和定位会话音频中声能的变化。这项研究选择的时刻包括意想不到的笑声。为了捕捉心理治疗互动的多个层面,使用微观分析方法,应用哈里森的三明治模型分析了这一时刻,该模型同时考虑了语言和非语言互动。可以观察到动画互补的身体表情,大部分与单词一致。这一刻似乎标志着沟通上的裂痕,同时也有可能开启对代际创伤的新见解。本文讨论了该研究对治疗师工作的益处。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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