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Methods - An Interpretive Methodology Applied to Existential Psychotherapy1
MARTIN J. PACKER

[5]

And if context is crucial for Heidegger, so too is it crucial for the conversation analyst. Because everyday conversation itself depends on and works with context in complex and critical ways, the analysis of conversation requires careful attention to context. Indeed, speech acts can be treated as first and foremost operations on context (Levinson, 1983, p. 276). Context is important both in the form of surrounding discourse (what Lyons, c 1995, p. 258, calls "co-text"), and in the form of the broader social settings in which any conversation is located. Robert Nofsinger points out that:

"utterances are both context-shaped and context-renewing. That is, each utterance is interpreted in the context of the talk that preceded it and forms part of the context of talk that follows it. This aspect of context is constructed, maintained, and modified turn by turn as the conversation progresses. Context, in this immediate and narrow sense, is composed not just of what people know, but of what participants do to show each other which items of their shared knowledge should be used in making interpretations. The conversational actions produced by participants create an interpretive resource that is used to align conversational understanding" (Nofsinger, 1991, pp. 142-143).

And Goodwin and Duranti remark that it is very often the case that a "focal event cannot be properly understood, interpreted appropriately, or described in a relevant fashion, unless one looks beyond the event itself to other phenomena (for example cultural setting, speech situation, shared background assumptions) within which the event is embedded" and that often "features of the talk itself invoke particular background assumptions relevant to the organization of the subsequent interaction" (1992, p. 3). At the same time it must be acknowledged that "the scope of context is not easy to define... one must consider the social and psychological world in which the language user operates at any given time" (Ochs, 1979, p. 1, cited in Levinson, 1983, p. 23).

Indexicality has been called "the single most obvious way in which the relationship between language and context is reftected in the structures of languages themselves" (Levinson, 1983, p. 54). Indexicals point: think of one's index finger, the one used for pointing. To understand the sense, to get the point or feel the force, of an tterance that contains n indexical, one needs to know something of the context. To judge whether "I am Tom" is true or false, one has to know the identity of the speaker. Hanks (1992) has written that "verbal deixis is a central aspect of the social matrix of orientation and perception through which speakers produce context." There is a variety of ways : grammatical features can tie talk to context: pronouns ("he," "she"), demonstratives, time and place adverbs ("here," "there," "now," "then"), as well as features such as verb tense. Tracing the indexicals of a conversation allows one to identify the contexts invoked and what is being done with them. An utterance has the power to index referents and thus invoke context. Understanding this is central to grasping the way talk can change people.

Conversation analysis offers a way to describe talk that is sensitive to context and temporal organization--the phenomena that 1 suggested earlier are lost by coding-scheme approaches to therapeutic interaction. Deployed within a non-dualistic ontol- i ogy attentive to the "upon which" of being, conversation analysis is the first step in an articulation of the ontological work in which people position themselves and are positioned by others, are moved, and are changed.

THE INTERPRETIVE ANALYSIS OF
EXISTENTIAL PSYCHOTHERAPY

Each of the four papers that follow tells us something about the therapeutic process as it is exemplified in Laing's psychotherapy demonstration. Each uses the techniques of conversation analysis in order to articulate what is accomplished in the ongoing dialogue between Laing and Leila. But each goes further, showing us the ontological work that is done. Scott Bortle draws from Heidegger's notion of the ontological power of context; Yael Goldman explores Laing's own writings on the genesis of schizophrenia; Jenny Hwang extends the pragmatic analysis into a consideration of pragmatic paradox; and Lynn Harper re-contextualizes the demonstration within the larger setting of the 1985 Laing conference. Let me briefly summarize the work:

Scott Bortle, in the first paper, "Building context: Transpersonal reality in existential psychotherapy," looks at the way several distinct contexts are invoked in the course of the conversation. He describes how the "here-and-now" of the interaction is as a result progressively enriched, to build what Laing will later call a "transpersonal field," with the consequence that both Laing and Leila have a richer understanding of who the other is. The contexts of family and Christianity prove particularly important,.because it becomes evident in Leila's contribution to the discourse that her personal history is one in which these two contexts are laminated together, melded. The result, Bortle proposes, is an ontological muddle, which Laing both recognizes and is able to help Leila find a way out of. Bortle notes the central role that the concept of context plays in both Heidegger's ontological investigation in Being and Time, and in conversation analysis. He draws on Heidegger's argument that context has an ontological priority--that it is the "upon which" of being, to show us that it is through a sensitive response to the lamination of the contexts that Laing accomplishes therapeutic change. The "unfaithful daughter" finds that she could instead be "happily indifferent," a stance that is legitimate within bothcontexts; a way to be both a daughter and a Christian. Now she knows who she is.

In the second paper, "Speaking with the Gospel," Yael Goldman picks up where Bortle leaves off, and shows how the enriched here-and-now of the conversation enables Laing to achieve a therapeutic "short-cut" that accomplishes repositioning and ontological change. The conversation begins with Leila in an ontological muddle, in confusion over who she is. Is she paranoid? Is she a Christian? Is she an unfaithful daughter? Goldman's analysis maps how Laing helps Leila clarify the basis of this confusion, and open up an alternative. Goldman draws our attention to several respects in which the discourse of this demonstration departs from what we would typically consider the norm for therapeutic discourse. In particular, she examines Laing's citation of a passage from the New Testament, and argues that this citation functions as a pragmatic short-cut, enabling Laing to make quick and efficient use of the laminated contexts that Bortle has described. It does some of their interactional work for them, by exploiting and explicating the interwoven contexts.

Goldman also makes reference to Laing's writing on "making madness comprehensible," and suggests that he uses the bible passage to make the point that separation from the bonds and knots of family life may be necessary for ones sanity. At this point in the demonstration Laing and Leila have already aligned with one another as skeptical, even radical, Christians. Now an entire metapsychology is encapsulated in Laing's citation, in a form designed for a deeply religious recipient. And its appropriate reception depends on her recognition of his religiosity.

In "A reading of pragmatics and paradox," Jenny Hwang extends the analysis of the pragmatics of the demonstration to include an interpretation of the logical properties of the conversational action, including what Watzlawick, Beavin and Jackson (1967) called its "pragmatic paradoxes." Hwang traces the way Laing challenges Leila's formulations, countering her pessimism and despair. Hwang describes Leila's changing attitude and changing ontological commitments as she becomes more certain who she is. Laing's citation of the bible passage can be understood, Hwang proposes, as a metacommunication, an intervention in the paradoxical language game that Leila has been playing, that involves "prescribing the symptom."

And in "Therapeutic inversions," Lynn Harper recontextualizes the interaction between Laing and Leila, reminding us that the demonstration occurred at a difficult time in Laing's career and life. She raises the question of whom the demonstration was designed to benefit: Leila, Laing himself, the conference organizers, or the attendees? Her answer is that there is an inescapable ambiguity here, even contradiction, and that an equal ambiguity attends the outcome of the demonstration. When Leila accompanies Laing onto the stage to face the audience, is she cured, truly no longer showing symptoms, or is the demonstration in fact continuing, Leila still an entertaining spectacle for the audience? If the world is crazy, as Laing was fond of saying, it is is [sic] "stupid," "ugly," and "inexpressibly confused," if "the conference is a conspiracy," then what is the benefit to overcoming schizophrenic withdrawal to become a participant again? This ambiguity, Harper argues, runs through the entire interaction, as Laing repeatedly adopts the stance of expert authority and at the same time disavows and undercuts it. And the demonstration places Laing, not just Leila, in the position of the person who is observed, judged, and evaluated.


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Hermeneutic Research on Psychotherapy. Methods: A Joumal For Human Science
[Special Issue, Annual Edition].
Guest Editor: Martin J. Packer. University of Dallas, 2000.


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