{"id":{"repo_id":"ubc","oai_identifier":"oai:circle.library.ubc.ca:2429/2339"},"canonical_url":"https://search.dev.ndltd.org/etd/ubc/oai:circle.library.ubc.ca:2429/2339","repository":{"repo_id":"ubc","name":"University of British Columbia","base_url":"http://circle.library.ubc.ca/oai/request"},"display":{"title":"Comprehensive discourse analysis of symbolic externalization","abstract":"The purpose of this study was to discover how therapist and clients co-create relational novelty using symbolic externalization intervention in successful Experiential Systemic Therapy (ExST) for marital treatment of alcohol dependence through a single case study design. A comprehensive discourse analysis method was used to study the therapeutic conversation within a 15 minute therapy episode in which therapist and clients externalized the problem of alcohol. The therapy episode was video-taped, audio-taped, transcribed and then analyzed according to the procedures of comprehensive discourse analysis. The analysis of the clients' and therapist's discourse revealed eight themes that contributed to co-creating relational novelty at the intrapersonal, interpersonal and symptomatic system levels. The themes co-constructed by the therapist and clients to attain relational novelty included: (a) creating and maintaining a collaborative atmosphere; (b) challenging propositions and competence; (c) refraining alcohol as a seducer; (d) moving from an individual to a relational understanding of the role of alcohol in the couple’s relationship; (e) re-defining and accenting the couple’s commonalities; (f) diffusing tension and defensiveness; (g) regulating the intensity of experiences; and (h) deepening contrasting experiences. The therapeutic process involved movement away from the old, restrictive story or meaning of the alcohol dependence toward a new perspective while simultaneously moderating the atmosphere and character of the therapy. The outcome, the proximal in-session relational novelty, that the therapist and clients co-created using the symbolic externalization intervention demonstrated that therapeutic change is a dynamic, interactive, and context dependent process.","abstract_html":"The purpose of this study was to discover how therapist and clients co-create relational novelty using symbolic externalization intervention in successful Experiential Systemic Therapy (ExST) for marital treatment of alcohol dependence through a single case study design. A comprehensive discourse analysis method was used to study the therapeutic conversation within a 15 minute therapy episode in which therapist and clients externalized the problem of alcohol. The therapy episode was video-taped, audio-taped, transcribed and then analyzed according to the procedures of comprehensive discourse analysis. The analysis of the clients&#x27; and therapist&#x27;s discourse revealed eight themes that contributed to co-creating relational novelty at the intrapersonal, interpersonal and symptomatic system levels. The themes co-constructed by the therapist and clients to attain relational novelty included: (a) creating and maintaining a collaborative atmosphere; (b) challenging propositions and competence; (c) refraining alcohol as a seducer; (d) moving from an individual to a relational understanding of the role of alcohol in the couple’s relationship; (e) re-defining and accenting the couple’s commonalities; (f) diffusing tension and defensiveness; (g) regulating the intensity of experiences; and (h) deepening contrasting experiences. The therapeutic process involved movement away from the old, restrictive story or meaning of the alcohol dependence toward a new perspective while simultaneously moderating the atmosphere and character of the therapy. The outcome, the proximal in-session relational novelty, that the therapist and clients co-created using the symbolic externalization intervention demonstrated that therapeutic change is a dynamic, interactive, and context dependent process.","abstract_has_math":false,"creators":["Wiebe, Katharine"],"institution":"University of British Columbia","degree_name":"Master of Arts - MA","degree_level":"master's","degree_discipline":"Psychology","degree_department":null,"school":null,"contributors":[],"advisors":[],"committee_chairs":[],"committee_members":[],"year":1993,"date_issued":"1993","date_published":"1993","updated_at":"2026-07-24T05:07:19Z","subjects":[],"languages":["eng"],"rights":["For non-commercial purposes only, such as research, private study and education. 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The therapy episode was video-taped, audio-taped, transcribed and then analyzed according to the procedures of comprehensive discourse analysis. The analysis of the clients' and therapist's discourse revealed eight themes that contributed to co-creating relational novelty at the intrapersonal, interpersonal and symptomatic system levels. The themes co-constructed by the therapist and clients to attain relational novelty included: (a) creating and maintaining a collaborative atmosphere; (b) challenging propositions and competence; (c) refraining alcohol as a seducer; (d) moving from an individual to a relational understanding of the role of alcohol in the couple’s relationship; (e) re-defining and accenting the couple’s commonalities; (f) diffusing tension and defensiveness; (g) regulating the intensity of experiences; and (h) deepening contrasting experiences. The therapeutic process involved movement away from the old, restrictive story or meaning of the alcohol dependence toward a new perspective while simultaneously moderating the atmosphere and character of the therapy. The outcome, the proximal in-session relational novelty, that the therapist and clients co-created using the symbolic externalization intervention demonstrated that therapeutic change is a dynamic, interactive, and context dependent process."]},{"key":"dc:format","label":"Dc Format","values":["12523755","application/pdf"]},{"key":"dc:title","label":"Title","values":["Comprehensive discourse analysis of symbolic externalization"]}]}],"canonical_facts":{"dc:creator":["Wiebe, Katharine"],"dc:date":["1993"],"dc:description":["The purpose of this study was to discover how therapist and clients co-create relational novelty using symbolic externalization intervention in successful Experiential Systemic Therapy (ExST) for marital treatment of alcohol dependence through a single case study design. A comprehensive discourse analysis method was used to study the therapeutic conversation within a 15 minute therapy episode in which therapist and clients externalized the problem of alcohol. The therapy episode was video-taped, audio-taped, transcribed and then analyzed according to the procedures of comprehensive discourse analysis. The analysis of the clients' and therapist's discourse revealed eight themes that contributed to co-creating relational novelty at the intrapersonal, interpersonal and symptomatic system levels. The themes co-constructed by the therapist and clients to attain relational novelty included: (a) creating and maintaining a collaborative atmosphere; (b) challenging propositions and competence; (c) refraining alcohol as a seducer; (d) moving from an individual to a relational understanding of the role of alcohol in the couple’s relationship; (e) re-defining and accenting the couple’s commonalities; (f) diffusing tension and defensiveness; (g) regulating the intensity of experiences; and (h) deepening contrasting experiences. 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