Change in psychotherapy: A dialogical analysis single-case study of a patient with bulimia nervosa

Alessandro Salvini, Elena Faccio, Giuseppe Mininni, Diego Romaioli, Sabrina Cipolletta, Gianluca Castelnuovo

Research output: Contribution to journalArticle

Abstract

Starting from the critical review of various motivational frameworks of change that have been applied to the study of eating disorders, the present paper provides an alternative conceptualization of the change in psychotherapy presenting a single-case study. We analyzed six psychotherapeutic conversations with a bulimic patient and found out narratives "for" and "against" change. We read them in terms of tension between dominance and exchange in I-positions, as described by Hermans. These results indicate that the dialogical analysis of clinical discourse may be a useful method to investigate change from the beginning to the end of therapy.

Original languageEnglish
Article numberArticle 546
JournalFrontiers in Psychology
Volume3
Issue numberDEC
DOIs
Publication statusPublished - 2012

Keywords

  • Dialogical self
  • Discourse analysis
  • I-positions
  • Motivation for change
  • Psychotherapy
  • Relational perspective

ASJC Scopus subject areas

  • Psychology(all)

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