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The article addresses Solution-Oriented Questions (SOQs) as an interactional practice for relationship management in psychodiagnostic interviews. Therapeutic alliance results from the concordance of alignment, as willingness to cooperate regarding common goals, and of affiliation, as relationship based upon trust. SOQs particularly allow for both: They are situated at the end of a troublesome topic area, which is linked to low agency on the patient’s side, and they reveal understanding of and interest in the patient. Following the paradigm of Conversation Analysis and German Gesprächsanalyse this paper analyzes the design and functions of SOQs as a means for securing and enhancing the relationship in the process of therapy. Our data comprise 15 videotaped first interviews following the manual of the Operationalized Psychodynamic Diagnostics. The analyses refer to all SOQs found but will be illustrated by means of a single conversation.
In psychotherapy, therapists often formulate interpretations of clients' prior talk which are ‘unilateral’ in the sense that therapists index that they are themselves the author of an interpretive inference which may not be acceptable to the client. Based on 100 German-language recordings of brief psychodynamic psychotherapy (4 clients with 25 sessions each), we describe a multimodal practice of constructing extended multi-unit turns of delivering therapeutic interpretations. The practice includes gaze aversion until the main point of the interpretation is reached, perceptive and cognitive formulae, epistemic hedges, inserted accounts, parenthesis, self-repair, and self-reformulations. These design-features work together to index that the therapist produces an interpretation that can be heard as being tentative. The design of the therapists' turns reflexively indexes the expectation that the client might resist the interpretation; at the same time they are constructed to avoid resistance and to invite the client's self-exploration into new directions, often with a focus on emotions.