Making Sense of Multi‐Actor Dialogues in Family Therapy and Network Meetings

TLDR

Family therapists have increasingly viewed psychotherapy as a dialogical activity, creating challenges in addressing the dialogical qualities of multi‑actor dialogues in therapeutic conversations. This article proposes preliminary ideas for qualitative investigations of multi‑actor dialogues, aiming to integrate Bakhtin’s theoretical concepts with dialogical tools and narrative coding practices. The authors present Dialogical Methods for Investigations of Happening of Change, a method that categorizes responsive dialogue qualities in a session and micro‑analyses specific topical episodes by examining speaker voices, positioning, and addressees. The method is illustrated by analyzing a couple therapy session with a depressed woman and her husband.

Abstract

In recent years, a number of family therapists have conceptualized psychotherapy as a dialogical activity. This view presents family therapy researchers with specific challenges, the most important of which is to find ways of dealing with the dialogical qualities of the multi‐actor dialogues that occur, for example, in family therapeutic conversations. In this article, we propose some preliminary ideas concerning qualitative investigations of multi‐actor dialogues. Our aim is to work toward an integration of Bakhtin’s theoretical concepts with good practices in qualitative research (e.g., dialogical tools and concepts of a narrative processes coding system) in order to make sense of family therapy dialogues. A specific method that we have called Dialogical Methods for Investigations of Happening of Change is described. This method allows for a general categorization of the qualities of responsive dialogues in a single session, and also for a detailed focus on particular sequences through a microanalysis of specific topical episodes. The particular focus is on the voices present in the utterances, the positioning of each speaker, and the addressees of the utterances. The method is illustrated via an analysis of a couple therapy session with a depressed woman and her husband.