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Journal of Contemporary Psychotherapy

, Volume 48, Issue 4, pp 205–214 | Cite as

Assimilation Setbacks as Switching Strands: A Theoretical and Methodological Conceptualization

  • Isabel Caro Gabalda
  • William B. Stiles
Original Paper
  • 51 Downloads

Abstract

This paper offers a theoretical and methodological formulation of setbacks in the process of assimilation of problematic experiences in psychotherapy. It is based on a series of theory-building case studies, in which case observations were used to modify and confirm an evolving understanding. Assimilation typically follows a sawtoothed progression in which advances alternate with setbacks. Research has identified two main types of setbacks, called exceeding the therapeutic zone of proximal development, and the balance strategy, which occur under systematically different conditions. Both types of setbacks can be understood as switching strands within a problematic theme. This formulation defines and elaborates the methodological concepts of topic, theme, and strand, as well as the underlying theoretical concepts of internal voices and sub-voices. These are illustrated with examples from a clinical case. This elaboration of the assimilation model is related to other perspectives that emphasize people’s multiplicity of internal voices and used to suggest further studies.

Keywords

Assimilation setbacks APES Therapeutic zone of proximal development Balance strategy Switching strands Voices Theme 

Notes

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

This article does not contain any studies with human participants performed by any of the authors.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Departamento de Personalidad, Evaluación y Tratamientos Psicológicos, Facultad de PsicologíaUniversidad de ValenciaValenciaSpain
  2. 2.Miami UniversityOxfordUSA
  3. 3.Appalachian State UniversityBooneUSA

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