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首页> 外文期刊>Sociology of health & illness >Epistemic asymmetries in psychotherapy interaction: therapists' practices for displaying access to clients' inner experiences
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Epistemic asymmetries in psychotherapy interaction: therapists' practices for displaying access to clients' inner experiences

机译：心理治疗互动中的认知不对称：治疗师展示客户内在经历的实践

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摘要

The relationship between a psychotherapist and a client involves a specific kind of epistemic asymmetry: in therapy sessions the talk mainly concerns the client's experience, which is unavailable, as such, to the therapist. This epistemic asymmetry is understood in different ways within different psychotherapeutic traditions. Drawing on a corpus of 70 audio-recorded sessions of cognitive psychotherapy and psychoanalysis and using the method of conversation analysis, the interactional practices of therapists for dealing with this epistemic asymmetry are investigated. Two types of epistemic practices were found to be employed by therapists while formulating and interpreting the client's inner experience. In the formulations, the therapists and clients co-described the client's experience, demonstrating that the client's inner experience was somewhat similarly available to both participants. In the interpretations, the therapists constructed an evidential foundation for the interpretation by summarising the client's talk and using the same descriptive terms as the client. Clients held therapists accountable for this epistemic work: if they failed to engage in such work, their right to know the client's inner experience was called into question.
机译：心理治疗师与服务对象之间的关系涉及一种特定的认知不对称：在治疗环节中，谈话主要涉及服务对象的经验，而这是治疗师无法获得的。在不同的心理治疗传统中，这种认知不对称性的理解方式不同。利用70个音频记录的认知心理治疗和心理分析会议的语料库，并使用对话分析方法，研究治疗师应对这种认知不对称的互动做法。在制定和解释客户的内在经历时，发现治疗师采用了两种认知实践。在配方中，治疗师和服务对象共同描述了服务对象的经历，表明服务对象的内在经历在两个参与者之间都具有相似的意义。在解释中，治疗师通过总结服务对象的谈话并使用与服务对象相同的描述性术语，为解释提供了证据基础。委托人要求治疗师对此项认知工作负责：如果他们没有从事这种工作，那么他们了解委托人内在经历的权利就会受到质疑。

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