Psychology 699

Psychology 699: Dialogical Approach to Psychotherapy

Credit Workshop, May 5-27, 2004

Department of Psychology, Miami University, Oxford, Ohio

Primary Presenter: Dr. Mikael Leiman, University of Joensuu, Finland

NOTE TO STUDENTS IN CLINICAL PSYCHOLOGY: Students who enroll in this intensive workshop will receive 1 hour of academic credit and will fulfill one credit toward the INTERVENTION requirement (i.e., this will be considered as an intervention module). Maximum enrollment: 15.

The workshop aims to introduce the concepts underlying dialogical approach to psychotherapy and offer a brief exposure to its practice. After the course, the students should be familiar with the concepts of dialogical sequences, dialogical patterns, dissociation, and self states. Exercises in identifying dialogical sequences during the early sessions will make use of clinical material brought by the participants.

Schedule

Wednesday, May 5: Orientation

9:00-10:00 (Video Lab, Gaskill Hall): Meet Mikael Leiman via videoconferencing. Explanation of the goals and procedures, including reading assignment in preparation for subsequent sessions.

Preparation for workshop (to be completed before May 18)

Readings

* Leiman, M. (1994). The development of Cognitive Analytic Therapy. International Journal of Short Term Psychotherapy, 9, 67-81.

* Leiman, M. (1997). Procedures as dialogical sequences: A revised version of the fundamental concept in Cognitive Analytic Therapy. British Journal of Medical Psychology, 70, 193-207.

* Ryle, A. (in press) The contribution of cognitive analytic therapy to the treatment of borderline personality disorder. In H. H. Hermans & G. Dimaggio (Eds.), The Dialogical Self in Psychotherapy. Brunner-Routledge.

(* items on electronic reserve)

Video presentation

Mikael Leiman and Bill Stiles: CAT and dialogical counseling

Tuesday, May 18: Introduction

9:00-12:00 (Video Lab, Gaskill Hall): Questions, answers, and discussion on the themes of introductory material with Mikael Leiman via videoconferencing.

Wednesday, May 19: Dialogical Patterns and Dialogical Sequences

9:00-11:00 (Room TBA, Benton Hall): Video recorded lectures on dialogical patterns and dialogical sequences by Mikael Leiman. Discussion conducted by Bill Stiles.

Thursday, May 20: Self-States

9:00-11:00 (Room TBA, Benton Hall): Video recorded lecture on self states by Mikael Leiman . Discussion conducted by Bill Stiles.

Monday, May 24: Clinical seminar I

9:00-12:00 (Video Lab, Gaskill Hall):

Case role play (first interview)

Discussion

The basic conceptual tools of CAT and dialogical psychotherapy: the observer position and the subject position

Assignment: for Thursday, May 27

Readings

* Leiman, M., (in press). Dialogical sequence analysis. In H. H. Hermans & G. Dimaggio (Eds.), The Dialogical Self in Psychotherapy. Brunner-Routledge.

* Leiman, M., & Stiles, W. B. (2001). Dialogical sequence analysis and the zone of proximal development as conceptual enhancements to the assimilation model: The case of Jan revisited. Psychotherapy Research, 11, 311-330.

(* items on electronic reserve)

Writing assignment

Transcribe a passage (approximately one page) from one of your sessions, preferably an early session. Please disguise identifying information (e.g., names of people and places) in the transcribed version.

Describe the dialogical patterns, focusing on the positions taken by your client. This may be discussed during the Friday session. A final written version is due (to Bill Stiles) no later than Monday, May 31.

Thursday, May 27: Clinical seminar II

9:00-12:00 (Video Lab, Gaskill Hall):

Theme: from client utterances to repetitive action patterns

Discussions of participants’ transcribed session vignettes

Monday, May 31: Final version of dialogical pattern exercise due.

Additional Readings

Classical CAT articles that show the early conceptualizations:

* Ryle, A. (1978). A common language for the psychotherapies. British Journal of Psychiatry, 132, 585-594.

* Ryle, A. (1979). The focus in brief interpretive psychotherapy: dilemmas, traps and snags as target problems. British Journal of Psychiatry, 134, 46-54.

* Ryle, A. (1979). Defining goals and assessing change in brief psychotherapy: a pilot study using target ratings and the dyad grid. British Journal of Medical Psychology, 52, 223-233.

* Ryle, A. (1985). Cognitive theory, object relations and the self. British Journal of Medical Psychology, 58, 1-7.

* Ryle, A., Spencer, J. & Yawez, C. (1992). When less is more or at least enough. British Journal of Psychotherapy, 8, 401-412.

Bakhtinian semiotics

Bakhtin, M. M. (1984). Problems of Dostoevsky's poetics. [Edited and translated by C. Emerson.] Minneapolis: University of Minnesota Press. (Third edition originally published, 1972).

* Leiman, M. (1998). Words as intersubjective mediators in psychotherapeutic discourse: The presence of hidden voices in patient utterances. In M. Lähteenmäki & H. Dufva (eds.). Dialogues on Bakhtin: Interdisciplinary Readings. Jyväskylä: Centre for Applied Language Studies.

Voloshinov, V. N. (1973). Marxism and the philosophy of language. Cambridge, MA: Harvard University Press (originally published 1928) .

Conversation on semiotic developments (to be read in sequence):

* Ryle, A. (1991). Object relations theory and activity theory: A proposed link by way of the procedural sequence model. British Journal of Medical Psychology, 64, 307-316.

* Leiman, M. (1992). The concept of sign in the work of Vygotsky, Winnicott and Bakhtin: Further integration of object relations theory and activity theory. British Journal of Medical Psychology, 65, 209-221.

* Ryle, A. (1994). Projective identification: A particular form of reciprocal role procedure. British Journal of Medical Psychology, 67, 107-114.

* Leiman, M. (1994). Projective identification as early joint action sequences: A Vygotskian addendum to the Procedural Sequence Object Relations Model. British Journal of Medical Psychology, 67, 97-106.

* Stiles, W. B. (1997). Signs and voices: Joining a conversation in progress. British Journal of Medical Psychology, 70, 169-176.

* Leiman, M. (1997). Procedures as dialogical sequences: A revised version of the fundamental concept in Cognitive Analytic Therapy. British Journal of Medical Psychology, 70, 193-207.

(* items on electronic reserve)