File(s) under permanent embargo
Reason: The file associated with this record is under embargo until 24 months after publication, in accordance with the publisher's self-archiving policy. The full text may be available through the publisher links provided above.
The Discursive Performance of Change Process in Systemic and Constructionist Therapies: A Systematic Meta-Synthesis Review of In-Session Therapy Discourse
Despite the emphasis of systemic and constructionist approaches on discourse and
interaction, to date there has been no comprehensive overview of how change process
is performed within in-session therapeutic dialogue. In this paper we present a
qualitative meta-synthesis of 35 articles reporting systemic and constructionist
therapy process data from naturally occurring therapeutic dialogue. The studies were
selected following the screening against eligibility criteria of a total sample of 2977
studies identified through a systematic search of PsycINFO and MEDLINE databases.
Thematic analysis of the 35 studies’ findings identified four main themes depicting
change process performance; (a) shifting to a relational perspective, (b) shifting to
non-pathologizing therapeutic dialogue, (c) moving-forward dialogue, and (d) the
dialogic interplay of power. Findings highlight the interactional and discursive matrix
within which systemic and constructionist change process occurs. Findings illuminate
the value of qualitative research studies sampling naturally occurring therapeutic
discourse in bringing this matrix forth, particularly when utilizing discursive
methodologies like conversation or discourse analysis.