Nach einem Überblick über die Unterscheidung von Pausen, Schweigen und Stille und einer knappen Diskussion älterer Auffassungen zum Schweigen in therapeutischen Sitzungen wird ein theoretischer Bezugsrahmen entworfen. Danach sind Pausen nicht Gegensatz, sondern Element der Konversation und sie können nicht individuell zugerechnet werden, weil der andere sie gewährt. Das unterscheidet sie vom Schweigen. Es werden Transkriptbeispiele therapeutischer Situationen analysiert, in denen Pausen vorkommen. Sie lassen sich als Folgen von Ereignissen vor der Pause analysieren. Der theoretische Hintergrund ist die Konversationsanalyse, die (...) Anschluss an neurowissenschaftliche Überlegungen zu Sprechpausen gewinnt. Gesprächsstrukturelle Momente und motivationale Zusammenhänge lassen sich auf der Annahme von Harvey Sacks, des Begründers der Konversationsanalyse, zusammenführen: Jede Konversation wird von einer stillen Dimension, die er »my-mind-is-with-you« nannte, begleitet. (shrink)

Summary This paper starts with a short review of recent developments in psychotherapy process research and analyzes that a medical, or better, technical approach in process research – using words such as ‘intervention’, ‘effect’ and ‘outcome’ – is gradually acknowledged as only one side of psychotherapy; the other, more human or ‘humanistic’ side, is ‘conversation’, described by prominent authors as ‘low technology’. Conversation analysis cannot study psychotherapy as a whole. Sessions are subdivided into ‘situations’. What are situations? I make a (...) proposal to answer this question by three components: open up, select and control options. Then, 11 transcribed extracts from psychoanalytical therapy sessions are used to describe three types of situations and the special kind of requirements they demand from a therapist. Obviously, such situations appear during a session, they can be handled if therapists are sensitized for certain difficulties to arise. Shift-of-situation and double meaning are new observations in this approach to define the situational gestalt and train ‘seeing’ it. (shrink)

Das szenische Verstehen kann mit philosophischen Auffassungen verbunden werden, die dem Menschen eine »szenische Existenzform« zusprechen. Das schließt die Interaktion, v.a. aber die »Konversation« ein, die nach Freuds Vorschlag Ausgangslage aller Theoriebildung ist. Dazu lassen sich die Mittel der Konversationsanalyse nutzen. Die Konversationsanalyse wird mit ihren beiden »Zweigen«, einem sozialwissenschaftlichen und einem linguis­tischen, vorgestellt und an transkribierten Beispielen erläutert. Die Verbindung von szenischem Verstehen und Konversationsanalyse kann das Unbewusste, wie gezeigt wird, um die Dimension der aktuellen Gesprächsdynamik erweitern und damit (...) eine Empirie wissenschaftlich bearbeiten, die anderen, derzeit dominanten empirischen Methoden entgeht. (shrink)

The Boston-Theory about Now-Moments, Moments-of-Meeting and “present moments” up-to-date has not founded this impressive theory in a precise transcript. What are these moments in detail? How to recognize them? There are strong affinities between the microanalytic work of the Boston-Group and social-scientific conversation analysis, but there are deviations, too. In a first part, I will sound out affinities and differences intending to become able to more precisely determine what these moments are and how they can be detected. In a second (...) paper, I will turn to an interview with a holocaust-survivor with the methodological goal to find more methodological precise determinations of what now-moments are. (shrink)

Conversation analysis (CA) of children-adult—interaction in various contexts has become an established field of research. However,child therapyhas received limited attention in CA. In child therapy, the general psychotherapeutic practice of achieving empathy faces particular challenges. In relation to this, our contribution sets out three issues for investigation and analysis: the first one is that practices of achieving empathy must be preceded by efforts aiming to establish which kind of individualized conversation works with this child (Midgley,2006). Psychotherapy process researchers in adult (...) therapy (Stiles et al.,2015) have found that therapists “invent” a new therapy for each patient (Norcross and Wampold,2018). The second issue is that it can be difficult for adults to understand the ways in which children express their conflicts and issues. In particular, play activities in therapy, e.g., with dolls, can open up additional scenarios of interaction. The play scenario can be used to disclose unformulated problems masked in everyday and family interactions. The third issue is how to respect the child's higher degree of vulnerability, compared with adult patients. How is it communicated and dealt with in therapy? We present an interaction analysis of a single case study of the first 20 min of a child therapy session with an adopted girl aged 4 years brought to treatment because of “unexplainable rage.” The session was videotaped; parents granted permission. We analyze this session using an applied version of CA. In our analysis, we describe “doing contrariness,” as a conversational practice producing epistemic and affiliative disruptions, while “avoiding doing contrariness” and “remedying contrariness” are strategies for preserving or restoring the affiliative dimension of a relationship (in child therapy). We show how these practices operate in various modes and how they are used by both parties in our case study to variously aid and impedethe achievement of empathy and understanding. (shrink)

Name der Zeitschrift: Nietzsche-Studien Jahrgang: 43 Heft: 1 Seiten: 320-330.

This book is the first comprehensive treatment in recent decades of silence and silencing in psychoanalysis from clinical and research perspectives, as well as in philosophy, theology, linguistics, and musicology.

Over the last 102 years, a lot of discussion was being held about the psychoanalytic conception of the “death drive,” but still with inconclusive results. In this paper, we start with a brief review of Freud’s conception, followed by a comprised overview of its subsequent support or criticisms. The core of our argument is a systematic review of current biochemical research about two proposed manifestations of the “death drive,” which could hopefully move the discussion to the realm of science. It (...) was already established that drive satisfaction leads to the secretion of beta-endorphins, and research evidence also shows that the same biochemical mechanisms get activated in the case of masochism and the gambling disorder but only if they are preceded by chronic frustration of the essential drives. We conclude that the actual situation is more complex than Freud hypothesized, and that a fundamental revision of the psychoanalytic drive theory is necessary. (shrink)