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Therapist Positioning and Power in Discursive Therapies: A Comparative Analysis

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Abstract

The “discursive turn” in therapy gave the therapeutic relationship its deserved significance, which was implied but never fully recognized in traditional therapy literature. The exception would be the writing of Rogers, Satir, and Whitaker. Therapists’ actions in relation to clients became the topic of critical analysis and reflection rather than a resource for addressing some underlying inter- or intra-psychic forces and processes. This paper focuses on the issue of the therapist’s relational engagement with families, particularly the notion of therapist power, as conceived within three discursive approaches to family therapy: narrative, solution-focused, and collaborative.

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Notes

  1. The exception would be the writings of Virginia Satir (1983) and Carl Whitaker (Whitaker and Keith, 1981).

  2. “Positioning” is a momentary assumption of certain rights and obligations with respect to what sorts of things a person in that position can say or do. Discursive positions are locations from which people engage others as they interact (Davies and Harré 1990). For me, positioning is a fluid, interactive process contingent upon the efforts of all people in interaction. As Winslade points out, “Any position in a relation creates an implicit (even if not explicitly stated) platform for another to respond from and gestures towards the other an invitation to stand upon that platform in making a response” (2005, p. 353). Therapists’ actions in interaction are shaped by clients’ preceding actions (and the entire conversation up to that point or even previous conversations) and are, in turn, shaping of clients’ responses and vice versa.

  3. The term “discursive” refers to what people say and how they say it in communicating with each other.

  4. Discursive or collaborative therapies in general are not to be confused with the particular discursive approach known as “collaborative language systems.” Harlene Anderson, one of its developers, has recently shortened the title of this approach to “collaborative therapy” (Anderson 2005).

  5. From a discursive perspective, it would seem reasonable to view “empowerment” not as something unilaterally done to the client by the therapist but as an interactive process, whereby the client’s sense of mastery and agency are developed and expanded in the course of dialogue.

  6. I have only touched on certain aspects of this micro–macro debate. For further details see, for example, Korobov (2001), Schegloff (1997), Billig (1999), and Wetherell (1998).

  7. “Systemic” refers to how client problems are understood in relational context, as products and processes of patterns of relational interaction.

  8. As a social constructionist therapist and researcher, I believe that it is impossible to arrive at an accurate, objective perspective on what transpires in therapy. Researchers can only offer accounts or versions of what happens when therapists and clients interact, based on their favored theoretical and methodological commitments.

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Acknowledgments

Funding for this paper was made possible by the Social Sciences and Humanities Research Council of Canada. Special thanks to Tom Strong, Janice DeFehr, and Robbie Bush for their editorial comments.

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Sutherland, O. Therapist Positioning and Power in Discursive Therapies: A Comparative Analysis. Contemp Fam Ther 29, 193–209 (2007). https://doi.org/10.1007/s10591-007-9050-2

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