| Abstract | dc.description.abstract | The study of the change process in psychotherapy has advanced considerably during the
last 30 years, focusing its efforts on the study of relevant intra-session episodes in order
to contribute to a better understanding of psychotherapy and how change occurs. Although
there are different conceptualizations of relevant episodes, up to the present, the different
episodes developed and the conception of change that emerges from each one, have
focused mainly on the patient, neglecting the dyadic and relational aspects of the
therapeutic process, which emphasize that new experiences of relationship with the
therapist would be the essence of change. In this line an approach to relevant episodes,
which includes change in psychotherapy as a relational and interactive phenomenon
between patient and therapist, is that of Daniel Stern and the Boston Group (1998, 2004)
which propose moments of meeting in psychotherapy as central moments for reorganizing
the patient’s implicit relational knowing. However, despite its theoretical solidity, this
approach lacks empirical systematization, which hinders its study. The aim of this
dissertation was to design a procedure for identifying and outlining episodes of meeting
between therapist and patient during the psychotherapeutic process and to establish the
main characteristics (verbal, non-verbal and relational) of the interaction between patient
and therapist during its occurrence. This descriptive-relational exploratory study was
based on a qualitative methodological approach, that combined grounded theory with a
phenomenological approach called the micro analytic interview. Eight therapeutic dyads,
thirteen therapists, nine patients and five experts were interviewed to approach this
phenomenon from different perspectives and grasp its central features. This thesis is
considered relevant as it is a contribution for the investigation of the psychotherapeutic
process and for clinical practice. | es_ES |
