Ong2022

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Ong2022
BibType ARTICLE
Key Ong2022
Author(s) Ben Ong, Scott Barnes, Niels Buus
Title Developing multiple perspectives by eliding agreement: A conversation analysis of Open Dialogue reflections
Editor(s)
Tag(s) EMCA, Disagreement, Open Dialogue, Psychotherapy, Epistemics
Publisher
Year 2022
Language
City
Month
Journal Discourse Studies
Volume 24
Number 1
Pages 47-64
URL Link
DOI 10.1177/14614456211037439
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

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Abstract

Open Dialogue is an approach to working with mental health problems that emphasises promoting dialogue between multiple perspectives within an individual person and between all the people present, including the therapists. Therapists’ own perspectives are often introduced during conversations called reflections, which present a potential source of different perspectives. Using conversation analysis we analysed 14 hours of video-recorded Open Dialogue sessions with a focus on therapists’ reflections. We noticed that therapists did not display explicit agreement with each other’s reflections. This absence of explicit agreement was displayed through a variety of verbal and non-verbal forms. Eliding agreement facilitated deference to the epistemic authority of the client, assertion of epistemic rights from second position, emphasis of a positive perspective or to voice multiple perspectives. Therapists avoided consensus and thus presented multiple perspectives to the family while also attending to issues of contingency. The implications of epistemic primacy and asymmetry connected to sequential structures in talk pose a challenge to the generation of collaborative reflective dialogues.

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