Downgrading Deontic Authority in Open Dialogue Reflection Proposals: A Conversation Analysis

Family Process
Ben OngNiels Buus

Abstract

The Open Dialogue approach promotes collaboration with clients and families in decisions about the direction of therapy. This creates potential problems for Open Dialogue therapists who seek collaboration but also have responsibility for managing the session. Using conversation analysis, we examined 14 hours of video recordings of Open Dialogue sessions, and specifically how therapists proposed the transition to a reflecting conversation. We found that, when making proposals to reflect, therapists routinely downgrade their deontic authority (i.e., adopt a less powerful, more collaborative position). They did this through framing proposals as interrogatives, providing accounts, and by prefacing their proposals with "I'm wondering". More heavily downgraded proposals made acceptance less salient, potentially risking transition to the reflection. These findings provide more detail on how theoretical concepts such as "collaboration" and "power" are actually displayed and negotiated in practice and can contribute to a more nuanced understanding of what constitutes Open Dialogue.

References

Mar 1, 1994·Family Process·R T Hare-Mustin
Aug 29, 2002·Journal of Marital and Family Therapy·Jaakko Seikkula
Nov 11, 2003·Family Process·Michael Guilfoyle
Aug 29, 2006·Journal of Marital and Family Therapy·Shari J Couture, Olga Sutherland
Nov 2, 2016·Psychiatric Services : a Journal of the American Psychiatric Association·Christopher GordonDouglas Ziedonis
Feb 7, 2017·Issues in Mental Health Nursing·Niels BuusCamilla Blach Rossen
Jun 14, 2019·BJPsych Open·Rachel H TribeStephen Pilling

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