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The metaphoric dance: co-construction of metaphor in cognitive behaviour therapy

Published online by Cambridge University Press:  26 October 2015

Fiona Mathieson ,
Jennifer Jordan ,
Janet D. Carter  and
Maria Stubbe
Fiona Mathieson*
Affiliation:
Department of Psychological Medicine, University of Otago, Wellington, School of Medicine and Health Sciences, Wellington, New Zealand
Jennifer Jordan
Affiliation:
Department of Psychological Medicine, University of Otago, Christchurch, Christchurch, New Zealand
Janet D. Carter
Affiliation:
Department of Psychology, University of Canterbury, Christchurch, New Zealand
Maria Stubbe
Affiliation:
Department of Primary Health Care and General Practice, University of Otago, Wellington, School of Medicine and Health Sciences Wellington, New Zealand
*
*Author for correspondence: Ms. F. Mathieson, Department of Psychological Medicine, University of Otago, Wellington, School of Medicine and Health Sciences PO Box 7343, Wellington 6242, New Zealand (email: [email protected])
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Abstract

Attention to client metaphors has been asserted as a way of enhancing cognitive behaviour therapy. Metaphors can be part of the shared language that is co-constructed between clients and therapists. Recent advances in cognitive linguistics have provided the most clearly operationalized method yet to identify metaphors in conversations, allowing analysis of how shared language develops. This study aims to explore how metaphoric shared language develops in early cognitive behaviour therapy sessions. Based on 12 transcripts of early cognitive behaviour therapy sessions, an iterative process led to the identification of a range of therapist and client responses to each other's metaphors, and identification of whether therapists or clients initiated metaphoric exchanges. Types of responses to therapist or client metaphors within three speaking turns were found to be: repetition, rephrasing, exploration, elaboration/extension, or agreement. Bursts of metaphoric exchange were initiated and taken up by therapists and clients at a similar rate. To conclude, therapists need to attend to the occurrence of metaphors and be aware of the range of potential responses that can engage the client in the ‘metaphoric dance’ (co-construction of shared metaphors). This has the potential to enhance engagement and outcomes though more salient reformulating of the problem for the client.

Keywords

Co-constructioncognitive behaviour therapydiscourse dynamicsmetaphorshared language
Type
Original Research
Information
the Cognitive Behaviour Therapist , Volume 8 , 2015 , e24
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2015 

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References

Recommended follow-up reading

Blenkiron, P (2010). Stories and Analogies in CBT. Chichester: Wiley-Blackwell.Google Scholar
Kopp, R (1995). Metaphor Therapy: Using Client-generated Metaphors in Psychotherapy. London: Brunner-Routledge.Google Scholar
Stott, R, Mansell, W, Salkovskis, P, Lavender, A, Cartwright-Hatton, S (eds) (2010). The Oxford Guide to Metaphors in CBT: Building Cognitive Bridges. New York: Oxford University Press.CrossRefGoogle Scholar

References

Angus, L, Korman, Y (2002). Conflict, coherence and change in brief psychotherapy: a metaphor theme analysis. In: The Verbal Communication of Emotions: Interdisciplinary Perspectives, pp. 151–165. Mahwah, NJ: Lawrence Erlbaum Associates Publishers.Google Scholar
Angus, L, Rennie, D (1989). Envisioning the representational world: the client's experience of metaphoric expression in psychotherapy. Psychotherapy: Theory, Research, Practice, Training 26, 372–379.CrossRefGoogle Scholar
Barlow, J, Kerlin, J, Pollio, H (1971). Training Manual for Identifying Figurative Language. University of Tennessee: Metaphor Research Group.Google Scholar
Barlow, J, Pollio, H, Fine, H (1977). Insight and figurative language in psychotherapy. Psychotherapy: Theory, Research & Practice 14, 212–222.CrossRefGoogle Scholar
Bayne, R, Thompson, KL (2000). Counsellor response to clients’ metaphors: an evaluation and refinement of Strong's model. Counselling Psychology Quarterly 13, 37–49.CrossRefGoogle Scholar
Blenkiron, P (2005). Stories and analogies in cognitive behaviour therapy: a clinical review. Behavioural and Cognitive Psychotherapy 33, 45–49.CrossRefGoogle Scholar
Bucholz, M, Reich, U (2014). Dancing insight. How psychotherapist use change of positioning in order to complement split-off areas of experience. Chaos and Complexity Letters 8, 1–26.Google Scholar
Cameron, L (2007). Patterns of metaphor use in reconciliation talk. Discourse & Society 18, 197–222.CrossRefGoogle Scholar
Cameron, L (2008). Metaphor shifting in the dynamics of talk. In: Confronting Metaphor in Use: An Applied Linguistic Approach (ed. Zanotto, M., Cameron, L. & Cavalcanti, M.), pp. 45–62. Amsterdam: Benjamins.CrossRefGoogle Scholar
Cameron, L, Maslen, R (2010). Metaphor Analysis: Research Practice in Applied Linguistics, Social Sciences and the Humanities. London: Equinox Publishing Ltd.Google Scholar
Carter, J, Crowe, M, Carlyle, D, Frampton, C, Jordan, J, McIntosh, V, O'Toole, V, Whitehead, L, Joyce, P (2012). Patient change processes in psychotherapy: development of a new scale. Psychotherapy Research 22, 115–126.CrossRefGoogle ScholarPubMed
Ferrara, KW (1994). Therapeutic Ways with Words. New York: Oxford University Press.CrossRefGoogle Scholar
Hill, C, Regan, A (1991). The use of metaphors in one case of brief psychotherapy. Journal of Integrative and Eclectic Psychotherapy 10, 56–57.Google Scholar
Kopp, R (1995). Metaphor Therapy: Using Client-generated Metaphors in Psychotherapy. London: Brunner-Routledge.Google Scholar
Kuyken, W, Padesky, CA, Dudley, R (2009). Collaborative Case Conceptualisation: Working Effectively with Clients in Cognitive-Behavioral Therapy. New York: The Guilford Press.Google Scholar
Lippe, AL vd, Monsen, JT, Ronnestad, MH, Eilertsein, E (2008). Treatment failure in psychotherapy: the pull of hostility. Psychotherapy Research 18, 420–432.CrossRefGoogle ScholarPubMed
Mathieson, F, Jordan, J, Carter, J, Stubbe, M (2015). Nailing down metaphors in CBT: definition, identification and frequency. Behavioural and Cognitive Psychotherapy doi:10.1017/S1352465815000156.Google ScholarPubMed
McMullen, LM (1989). Use of figurative language in successful and unsuccessful cases of psychotherapy: three comparisons. Metaphor & Symbolic Activity 4, 203–225.CrossRefGoogle Scholar
Pollio, H, Barlow, J (1975). A behavioural analysis of figurative language in psychotherapy: one session in a single case study Language and Speech 18, 136–154.CrossRefGoogle Scholar
Rasmussen, B (2000). Poetic truths and clinical reality: client experiences of the use of metaphor by therapists. Smith College Studies in Social Work 70, 355–373.CrossRefGoogle Scholar
Rasmussen, B, Angus, L (1996). Metaphor in psychodynamic psychotherapy with borderline and non-borderline clients: a qualitative analysis. Psychotherapy: Theory, Research, Practice, Training 33, 521–530.CrossRefGoogle Scholar
Ronen, T (2011). The Positive Power of Imagery: Harnessing Client Imagination in CBT and Related Therapies. West Sussex, UK: Wiley-Blackwell.CrossRefGoogle Scholar
Sims, P, Whynot, C (1997). Hearing metaphor: an approach to working with family-generated metaphor. Family Process 36, 341–355.CrossRefGoogle ScholarPubMed
Stoddard, J, Afari, N (2014). The Big Book of ACT Metaphors: A Practitioner's Guide to Experiential Exercises and Metaphors in Acceptance and Commitment Therapy. Oakland, CA: New Harbinger.Google Scholar
Stott, R, Mansell, W, Salkovskis, P, Lavender, A, Cartwright-Hatton, S (eds). (2010). Oxford Guide to Metaphors in CBT: Building Cognitive Bridges. New York: Oxford University Press.CrossRefGoogle Scholar
Strong, T (1989). Metaphors and client change in counselling. International Journal for the Advancement of Counselling 12, 203–213.CrossRefGoogle Scholar
Wertsch, J. (1998). Mind as Action. New York: Oxford University Press.Google Scholar
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