Negotiating behavioural change: therapists' proposal turns in cognitive behavioural therapy

Ekberg, Katie and Le Couteur, Amanda (2012) Negotiating behavioural change: therapists' proposal turns in cognitive behavioural therapy. Communication and Medicine, 9 3: 229-239. doi:10.1558/cam.v9i3.229

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Author Ekberg, Katie
Le Couteur, Amanda
Title Negotiating behavioural change: therapists' proposal turns in cognitive behavioural therapy
Journal name Communication and Medicine   Check publisher's open access policy
ISSN 1612-1783
Publication date 2012-01-01
Sub-type Article (original research)
DOI 10.1558/cam.v9i3.229
Open Access Status File (Publisher version)
Volume 9
Issue 3
Start page 229
End page 239
Total pages 11
Place of publication Sheffield, United Kingdom
Publisher Equinox Publishing
Subject 2739 Public Health, Environmental and Occupational Health
Abstract Cognitive behavioural therapy (CBT) is an internationally recognised method for treating depression. However, many of the techniques involved in CBT are accomplished within the therapy interaction in diverse ways, and with varying consequences for the trajectory of therapy session. This paper uses conversation analysis to examine some standard ways in which therapists propose suggestions for behavioural change to clients attending CBT sessions for depression in Australia. Therapists' proposal turns displayed their subordinate epistemic authority over the matter at hand, and emphasised a high degree of optionality on behalf of the client in accepting their suggestions. This practice was routinely accomplished via three standard proposal turns: (1) hedged recommendations; (2) interrogatives; and (3) information-giving. These proposal turns will be examined in relation to the negotiation of behavioural change, and the implications for CBT interactions between therapist and client will be discussed. Copyright
Keyword Behavioural activation
Conversation analysis
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Non HERDC
School of Health and Rehabilitation Sciences Publications
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