Trajectories of confrontation in group counselling for diabetes prevention

    Activity: Talk or presentationConference presentation


    Contributors: Logren Aija, Ruusuvuori Johanna, Laitinen Jaana / Confrontation is an activity that professionals can use strategically as a counselling technique. For example in psychotherapy, therapists can challenge the client either with a supportive disagreement that validates client's emotional experience, respects client's epistemic primacy and strives to adapt the differences in perspectives of the client and the professional, or with an unsupportive disagreement, that maintains the differences and therapist's access to client's knowledge and experience (Weiste 2015). In group counselling, group members can also confront each other's disclosures and thus generate discussions that can be either supportive or unsupportive. In addition, in group counselling confrontation can be a multi-party activity in which participants take sides to support or challenge each other. In this presentation, we examine the sequences in and through which group members confront each other's evaluations and/or claims concerning the topic talked about in the group counselling intervention aiming to prevent type 2 diabetes.In examining the trajectories through which confrontation is comprised of, we make a distinction between (dis)affiliation, (dis)alignment and (dis)agreement with the preceding turn. Affiliative response supports the affective stance and preference that were expressed in the previous turn, whereas alignment refers to a response that is co-operating with the structural level of the previous turn, adopting the proposed interactional roles and supporting the proposed line of activity (Stivers, Mondada & Steensig 2011). Agreement is understood as an activity that acknowledges the epistemic aspect of the previous turn (Heritage & Raymond 2005). We suggest that confrontation as a sequential activity is constructed with specific combinations of these three practices in such a way that joint understanding and sharing of experience are created and maintained, and overt conflict is avoided while epistemic and evaluative stances adopted in previous turn are encouraged to be re-evaluated. In this presentation we show how participants balance between supportive and unsupportive confrontation. Sequences of confrontation are one key point in counselling discussions where individual process towards health behaviour change can be supported. Findings of the trajectories of confrontation between group members help to understand the therapeutic relationship within group participants.
    Period14 Jul 2017
    Event title6th International Meeting on Conversation Analysis and Clinical Encounters (CACE 2017)
    Event typeOther
    Degree of RecognitionInternational