Change in Psychotherapy: A Dialogical Analysis Single-Case Study of a Patient with Bulimia Nervosa

Abstract

Starting from the critical review of various motivational frameworks of change that have been applied to the study of eating disorders, the present paper provides an alternative conceptualization of the change in psychotherapy presenting a single-case study. We analyzed six psychotherapeutic conversations with a bulimic patient and found out narratives "for" and "against" change. We read them in terms of tension between dominance and exchange in I-positions, as described by Hermans. These results indicate that the dialogical analysis of clinical discourse may be a useful method to investigate change from the beginning to the end of therapy.

DOI: 10.3389/fpsyg.2012.00546

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@inproceedings{Salvini2012ChangeIP, title={Change in Psychotherapy: A Dialogical Analysis Single-Case Study of a Patient with Bulimia Nervosa}, author={Alessandro Salvini and Elena Faccio and Giuseppe Mininni and Diego Romaioli and Sabrina Cipolletta and Gianluca Castelnuovo}, booktitle={Front. Psychology}, year={2012} }