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Therapeutic Conversations (What is it? (Posture & stance…
Therapeutic Conversations
Aspects of Questions
Assumptions :
Lineal
Cause & effect assumption --> intrapsychic :silhouette:
Judgemental
Reductionist
Lineal & Strategic Q
Circular
Interactional --> interpersonal :silhouettes:
Patterns of connections
Liberating
Circular & Reflexive Q
Intents
Influencing
Influence C & systems
Perturb the way they perceive
Change meaning of beliefs & meanings
Bring about untold/unknown/ unheard/untellable stories
Don't be overambitious, start small :warning:
Reflexive & Strategic Q
Orienting
Develops worker's understanding (e.g. info)
Known stories (existing info)
Often at early stage of counseling
Lineal & Circular Q
What is it?
Appropriate use of Q & comments
Change: a diff in meaning is experienced
Intervention: a healing intent
Posture & stance
Collaborative
Curious
Respectful
Systemic
Strengths-perspective
Intent
influence C respectfully
Open space for alt healing meanings
Enhance an understanding that supports wellness
Monitor effect of Q, effect is decided by C
Persons of Importance
Reflexivity is regarded as an inherent feature of the relationships among meanings within the belief system that guide communicative actions
Karl Tomm, 1987
The basic mechanism of change is not insight, but reflectivity.
Karl Tomm, 1987
Types of Questions
Lineal Q
Characteristics
Lineal Assumption, Orienting Intent
Investigative in nature
Info gathering, assumes linear cause & effect understanding
Clarify sequence of events over time
Effect on T: conservative
Effect on C: Judgemental
Types
Circular Q
Types
Behavior effect Q
Difference Q
Interpersonal perception Q
Triadic Q
Characteristics
Circular Assumption, Orienting Intent
Exploratory in nature
Explore patterns of interactions
Clarify the here & now situation
Generate a contextual understanding for T
Effect on T: Accepting
Effect on C: Liberating
too many qn, C may experience T as not being empathetic with them :warning:
Strategic Q
Types
Characteristics
Lineal assumption, Influencing intent
To influence C correctively towards change ("not to do" / "to do only")
Leading Q, confrontation Q
For C to continue w problematic beh/ideas
Effect on T: Oppositional/ impositional
Keep posture tentative :check:
Effect on C: Constraining
:warning:pressure to accept T's ideas as better
Can be helpful when C is stuck & is asking for suggestions
:warning:Use it only when there is safety & trust
Reflexive Q
Types
Future-oriented Q
Observer-perspective Q
Unexpected context-change Q
Embedded-suggestion Q
Normative-comparison Q
Distinctive clarifying Q
Q introducing hypotheses
Process-interruption Q
Characteristics
Intent to facilitate self-healing by activating the reflexivity among meanings within pre-existing beliefs. Enable family to generate/generalize constructive patterns of cognition & beh on their own.
Karl Tomm, 1987
Intent is facilitative
Circular assumption, Influencing intent
Trigger C to be observer of own beh, mobilize own awareness to modify beh. Increase empathy to influence change
Open space for alternative meanings (healings), or enhance understanding that support wellness
Effect on C: Generative, enabling & invitational
:warning: C may feel we are siding with other party
Effect on T: Creative & curious
Self-healing process
Anticipate effects but cannot determine
Invites mutual perturbation
Significance of T's intentionality :!: