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In:Relationships in Organized Helping: Analyzing interaction in psychotherapy, medical encounters, coaching and in social media
Edited by Claudio Scarvaglieri, Eva-Maria Graf and Thomas Spranz-Fogasy
[Pragmatics & Beyond New Series 331] 2022
► pp. 127–150

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Relationship management by means of solution-oriented questions in German psychodiagnostic interviews

 | University of Greifswald
 | University of Heidelberg
 | University of Cologne
 | Leibniz-Institute for the German Language Mannheim
Published online: 7 September 2022
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https://doi.org/10.1075/pbns.331.06kab
Abstract
The article addresses Solution-Oriented Questions (SOQs) as an interactional practice for relationship management in psychodiagnostic interviews. Therapeutic alliance results from the concordance of alignment, as willingness to cooperate regarding common goals, and of affiliation, as relationship based upon trust. SOQs particularly allow for both: They are situated at the end of a troublesome topic area, which is linked to low agency on the patient’s side, and they reveal understanding of and interest in the patient. Following the paradigm of Conversation Analysis and German Gesprächsanalyse this paper analyzes the design and functions of SOQs as a means for securing and enhancing the relationship in the process of therapy. Our data comprise 15 videotaped first interviews following the manual of the Operationalized Psychodynamic Diagnostics. The analyses refer to all SOQs found but will be illustrated by means of a single conversation.
Article outline
  • 1.Introduction
  • 2.Data and method
  • 3.Analyses
    • Design
    • Positioning and context
    • Sequential organization and global development of relationship
      • Positions 0–2
      • Positions 3 and 4
  • 4.Discussion
  • Acknowledgements
  • Notes
  • References
References (56)
References
Ardito, Rita, and Daniela Rabellino. 2011. “Therapeutic alliance and outcome of psychotherapy: historical excursus, measurements, and prospects for research.” Frontiers in Psychology 270: 1–11. .Google Scholar logo with link to Google Scholar
Arundale, Robert B. 2010. “Constituting face in conversation: Face, facework, and interactional achievement.”  Journal of Pragmatics 42(8): 2078–2105. Google Scholar logo with link to Google Scholar
Bröcher, Leonie. 2017. Lösungsorientierte Fragen in psychodiagnostischen Gesprächen: Die Funktionen der Testung, impliziter Kritik und Ermittlung tatsächlicher Lösungsmöglichkeiten. Universität Mannheim: Master Thesis.Google Scholar logo with link to Google Scholar
Brown, Penelope, and Stephen Levinson. 1987. Politeness: Some universals in language use. Cambridge: University Press. Google Scholar logo with link to Google Scholar
Bühler, Karl. 1934. Sprachtheorie: Die Darstellungsfunktion der Sprache. Jena: Gustav Fischer.Google Scholar logo with link to Google Scholar
Bucholtz, Mary, and Kira Hall. 2005. “Identity and interaction: A sociocultural linguistic approach.”  Discourse studies 7(4–5): 585–614. Google Scholar logo with link to Google Scholar
Clark, Herbert. 1992. Arenas of Language Use. Chicago: University of Chicago Press.Google Scholar logo with link to Google Scholar
Davies, Bronwyn, and Rom Harré. 1990. “Positioning: The discursive production of selves.”  Journal for the Theory of Social Behaviour 20(1): 43–63. Google Scholar logo with link to Google Scholar
Deppermann, Arnulf. 2008. Gespräche analysieren: Eine Einführung. Wiesbaden: Verlag für Sozialwissenschaften. Google Scholar logo with link to Google Scholar
. 2015. “Agency in Erzählungen über Gewalterfahrungen in Kindheit und Jugend.“ In Narrative Bewältigung von Trauma und Verlust, ed. by Carl Eduard Scheidt, Gabriele Lucius-Hoene, Anja Stukenbrock, and Elisabeth Waller, 64–75. Heidelberg: Schattauer.Google Scholar logo with link to Google Scholar
Ehrenthal, Johannes C., and Cord Benecke. 2019. “Tailored treatment planning for individuals with personality disorders: The OPD approach.” In Case Formulation for Personality Disorders: Tailoring Psychotherapy to the Individual Client, ed. by Ueli Kramer, 291–314. Cambridge, MA: Elsevier. Google Scholar logo with link to Google Scholar
Flückiger, Christoph, Aaron C. Del Re, Bruce E. Wampold, Dianne Symonds, and Adam Horvath. 2012. “How central is the alliance in psychotherapy? A multilevel longitudinal meta-analysis.” Journal of Counseling Psychology 59(1): 10–17. Google Scholar logo with link to Google Scholar
Goffman, Erving. 1977. “The arrangement between the sexes.” Theory and Society 4: 301–331. Google Scholar logo with link to Google Scholar
Holly, Werner. 2001. “Beziehungsmanagement und Imagearbeit.“ In Text- und Gesprächslinguistik. Handbücher zur Sprach- und Kommunikationswissenschaft, ed. by Klaus Brinker, Gerd Antos, Wolfgang Heinemann, and Sven Sager, 1382–1393. Berlin/New York: de Gruyter. Google Scholar logo with link to Google Scholar
Horvath, Adam. 2006. “The alliance in context: Accomplishments, challenges, and future directions.” Psychotherapy 43(3): 258–263. Google Scholar logo with link to Google Scholar
Horvath, Adam, and Leslie Greenberg (eds.). 1994. The working alliance: Theory, research, and practice. Oxford: Wiley.Google Scholar logo with link to Google Scholar
Jakobson, Roman. 1960: “Linguistics and poetics.” In: Style in language, ed. by Thomas A. Sebeok A., 350-377, Cambridge, Mass.: Institute of Technology Press.Google Scholar logo with link to Google Scholar
Kabatnik, Susanne, Thomas Spranz-Fogasy, Christoph Nikendei, and Johannes C. Ehrenthal. 2019. “Lösungsorientierte Fragen im psychotherapeutischen Gespräch.” In Pragmatik der Veränderung, ed. by Eva-Maria Graf, Claudio Scarvaglieri, and Thomas Spranz-Fogasy, 147–175. Tübingen: Narr.Google Scholar logo with link to Google Scholar
Konerding, Klaus-Peter. 2015. “Heilung durch Sprache und Sprechen: Linguistik und Psychotherapie.“ In Handbuch Sprache in der Medizin, ed. by Albert Busch and Thomas Spranz-Fogasy, 225–242. Berlin: De Gruyter. Google Scholar logo with link to Google Scholar
Kook, Jiyeon. 2015. Agency in Arzt-Patient-Gesprächen. Bern: Peter Lang. Google Scholar logo with link to Google Scholar
Lambert, Michael J. (ed.). 2013. Bergin and Garfield’s handbook of psychotherapy and behavior change. 6th ed. New York: Wiley.Google Scholar logo with link to Google Scholar
Läpple, Sina, Christoph Nikendei, Johannes C. Ehrenthal, and Thomas Spranz-Fogasy. 2021. Therapeutische Reaktionen auf Patientenwiderstand in psychodiagnostischen Gesprächen – am Beispiel Lösungsorientierter Fragen. Göttingen: Verlag für Gesprächsforschung.Google Scholar logo with link to Google Scholar
Lindström, Anna, and Marja-Leena Sorjonen. 2013. “Affiliation in conversation.” In Handbook on Conversation Analysis, ed. by Jack Sidnell, and Tanya Stivers, 350–369. Chichester: Blackwell.Google Scholar logo with link to Google Scholar
Linke, Angelika, and Juliane Schröter. 2017. “Sprache in Beziehungen – Beziehungen in Sprache. Überlegungen zur Konstitution eines linguistischen Forschungsfeldes.” In Sprache und Beziehung, ed. by Angelika Linke, and Juliane Schröter, 1–32. Berlin: de Gruyter. Google Scholar logo with link to Google Scholar
Locher, Miriam A., and Richard J. Watts. 2008. “Chapter 4. Relational work and impoliteness: Negotiating norms of linguistic behaviour”. In Impoliteness in Language: Studies on its Interplay with Power in Theory and Practice, ed. by Derek Bousfield, and Miriam A. Locher, 77–100. Berlin, New York: De Gruyter Mouton.Google Scholar logo with link to Google Scholar
Mack, Christina, Christoph Nikendei, Johannes C. Ehrenthal, and Thomas Spranz-Fogasy. 2016. “[…] hab ich glaub ich die richtigen Fragen gestellt: Therapeutische Fragehandlungen in psychodiagnostischen Gesprächen.” Mannheim: IDS.Google Scholar logo with link to Google Scholar
MacMartin, Clare. 2008. “Resisting optimistic questions in narrative and solution-focused therapies,” In Conversation Analysis and Psychotherapy, ed. by Anssi Peräkylä, Charles Antaki, Sanna Vehviläinen, and Ivan Leudar, 80–99. Cambridge: Cambridge University Press. Google Scholar logo with link to Google Scholar
Mandelbaum, Jenny. 2003. “Interactive methods for constructing relationships.” In Studies in language and social interaction, ed. by Phillip J. Glenn, Curtis LeBaron, and Jenny Mandelbaum, 207–220. Mahwah, NJ: Lawrence Erlbaum. Google Scholar logo with link to Google Scholar
Marciniak, Agnieszka. 2017. Agency in lösungsorientierten Fragen im psychodiagnostischen Gespräch. Agency-Implikationen und Reaktionen in Wunschfrage-Sequenzen. Universität Mannheim: Master Thesis.Google Scholar logo with link to Google Scholar
Marciniak, Agnieszka, Christoph Nikendei, Johannes C. Ehrenthal, and Thomas Spranz-Fogasy. 2016. “… Durch Worte heilen. Linguistik und Psychotherapie.” Sprachreport 32/3: 1–11.Google Scholar logo with link to Google Scholar
Muntigl, Peter, and Adam Horvath. 2018. “The alliance as a discursive achievement: a conversation analytical perspective.” In Therapy as Discourse: Practice and Research, ed. by Olga Smoliak, and Tom Strong, 71–93. Palgrave Macmillan.Google Scholar logo with link to Google Scholar
Muntigl, Peter, Naomi Knight, and Ashley Watkins. 2012. “Working to keep aligned in psychotherapy: using nods as a dialogic resource to display affiliation.” Language and Dialogue 2(1): 9–27. Google Scholar logo with link to Google Scholar
Muntigl, Peter, and Adam Horvath. 2014. “‘I can see some sadness in your eyes’: When experiential therapists notice a client’s affectual display.” Research on Language and Social Interaction 47(2): 89–108. Google Scholar logo with link to Google Scholar
Oelschläger, Eileen. 2017. Lösungsorientierte Fragen in psychodiagnostischen Gesprächen: Testen, Übertragen der Verantwortung und implizite Kritik. Universität Mannheim: Master thesis.Google Scholar logo with link to Google Scholar
OPD Task Force (eds.). 2009. Operationalized Psychodynamic Diagnosis OPD-2. Manual of Diagnosis and Treatment Planning. Bern: Hogrefe.Google Scholar logo with link to Google Scholar
Peräkylä, Anssi. 2019. “Conversation Analysis and Psychotherapy: Identifying Transformative Sequences.” Research on Language and Social Interaction, 52(3): 257–280. .Google Scholar logo with link to Google Scholar
Peräkylä, Anssi, Charles Antaki, Sanna Vehviläinen, and Ivan Leudar (eds.). 2008. Conversation Analysis and Psychotherapy. Cambridge: Cambridge University Press. Google Scholar logo with link to Google Scholar
Pomerantz, Anita. 1986. “Extreme case formulations: A way of legitimizing claims.” Human Studies 9: 219–30. Google Scholar logo with link to Google Scholar
Pomerantz, Anita, and John Heritage. 2013. “Preference.” In The Handbook of Conversation Analysis, ed. by Jack Sidnell, and Tanya Stivers, 210–228. Chichester: Wiley Blackwell.Google Scholar logo with link to Google Scholar
Reinicke, Rebecca. 2018. Emotive und kognitive Verben in lösungsorientierten Fragen in psychodiagnostischen Gesprächen. Universität Mannheim: Master Thesis.Google Scholar logo with link to Google Scholar
Ribeiro, Eugenia, Antonio P. Ribeiro, Miguel M. Goncalves, Adam Horvath, and William Stiles. 2013. “How collaboration in therapy becomes therapeutic: the therapeutic collaboration coding system.” Psychology and Psychotherapy 86(3): 294–314. Google Scholar logo with link to Google Scholar
Sachse, Rainer. 1999. Lehrbuch der Gesprächspsychotherapie. Göttingen: Hogrefe.Google Scholar logo with link to Google Scholar
Schauenburg Henning, Jennissen Simona, and Cierpka Manfred (eds.). 2020. Heidelberger Standards zur psychodynamischen Diagnostik nach OPD-2. Heidelberg: Medizinische Fakultät Heidelberg.Google Scholar logo with link to Google Scholar
Schwitalla, Johannes. 2010. “Von sich selbst oder dem direkten Adressaten in der 3. Person sprechen.” In Perspektiven auf Kommunikation, ed. by Werner Kallmeyer, Ewald Reuter, and Jürgen Schopp, 163–184. Berlin: Saxa.Google Scholar logo with link to Google Scholar
Selting, Margret, et al.. 2011. “A System for Transcribing Talk-in-Interaction: GAT 2.” Translated by Elisabeth Couper-Kuhlen, and Dagmar Barth-Weingarten. Gesprächsforschung 12: 1–51. [URL].Google Scholar logo with link to Google Scholar
Sidnell, Jack, and Tanya Stivers (eds.). 2013. The Handbook of Conversation Analysis. Chichester: Wiley-Blackwell.Google Scholar logo with link to Google Scholar
Spranz-Fogasy, Thomas. 2020. “Fragen und ihre Funktionen in psychotherapeutischen Gesprächen.” In Institutionelle und organisationale Kommunikation, ed. by Helmut Gruber, Jürgen Spitzmüller, and Rudolf de Cillia, 39–69, Göttingen: Vandenhoeck & Ruprecht. Google Scholar logo with link to Google Scholar
Spranz-Fogasy, Thomas, Susanne Kabatnik, and Christoph Nikendei. 2018. “Wissenskonstitution durch Lösungsorientierte Fragen in psychodiagnostischen Gesprächen.” In Rhetorik und Medizin, ed. by Ernest W. B. Hess-Lüttich, 111–133. Berlin: de Gruyter. Google Scholar logo with link to Google Scholar
Spranz-Fogasy, Thomas. 2010. „Verstehensdokumentation in der medizinischen Kommunikation: Fragen und Antworten im Arzt-Patient-Gespräch.“ In Verstehen in professionellen Handlungsfeldern, ed. by Arnulf Deppermann, Ulrich Reitemeier, Reinhold Schmitt, and Thomas Spranz-Fogasy, 27-116, Tübingen: Gunter Narr Verlag.Google Scholar logo with link to Google Scholar
Steensig, Jakob. 2019. “Conversation Analysis and Affiliation and Alignment.” The Encyclopedia of Applied Linguistics: 944–948. .Google Scholar logo with link to Google Scholar
Vehviläinen, Sanna. 2008. “Identifying and managing resistance in psychoanalytic interaction,” In Conversation Analysis and Psychotherapy, ed. by Anssi Peräkylä, Charles Antaki, Sanna Vehviläinen, and Ivan Leudar, 120–138. Cambridge: Cambridge University Press. Google Scholar logo with link to Google Scholar
Voutilainen, Liisa, Anssi Peräkylä, and Johanna Ruusuvuori. 2011. “Therapeutic change in interaction: Conversation analysis of a transforming sequence.” Psychotherapy Research 21(3): 348–365. Google Scholar logo with link to Google Scholar
Wachtel, Paul. 2011. Therapeutic Communication, Second Edition: Knowing What to Say When. New York: Guilford.Google Scholar logo with link to Google Scholar
Watzlawick, Paul, Janet Beavin, and Don Jackson. 1967. Pragmatics of Human Communication. A Study of Interactional Patterns, Pathologies, and Paradoxes. New York.Google Scholar logo with link to Google Scholar
Weiste, Elina, and Anssi Peräkylä. 2013. “A comparative conversation analytic study of formulations in psychoanalysis and cognitive psychotherapy.” Research on Language and Social Interaction 46(4): 299–321. Google Scholar logo with link to Google Scholar
. 2015. “Therapeutic Discourse.” In The International Encyclopedia of Language and Social Interaction, ed. by Karen Tracy, 1–10. Oxford: Wiley-Blackwell. Google Scholar logo with link to Google Scholar
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