La asimilación de experiencias problemáticas a través de narraciones: un estudio de caso

• Autores: Anna Allepuz Faus, Isabel Caro Gabalda, Irene Rojo Serrano, Ainara Yera Sabater
• Localización: Anales de psicología, ISSN-e 1695-2294, ISSN 0212-9728, Vol. 30, Nº. 1, 2014, págs. 56-69
• Idioma: español
• DOI: 10.6018/analesps.30.1.153991
• Enlaces
  • Texto completo
• Resumen
  • español

    En este trabajo se busca describir el proceso de asimilación a través de narraciones de una participante, Mónica, que tenía problemas de tipo oncológico y el beneficio de emplear narraciones para dicha asimila-ción.

    Mónica escribió 31 narraciones, durante 8 meses, sobre su experiencia con diversos fibroadenomas y tumores benignos. Estas narraciones se analiza-ron mediante el modelo de asimilación y la Escala de Asimilación de Expe-riencias Problemáticas o APES.

    El procedimiento de preparar los datos para el análisis con la APES dio como resultado 373 párrafos que fueron codificados con la APES y en rela-ción a ocho temas distintivos y sus correspondientes voces dominantes y no dominantes, relacionados con sus experiencias problemáticas. Los resul-tados muestran que Mónica alcanzó niveles elevados de asimilación en siete de sus ocho experiencias problemáticas. A pesar de esta asimilación, los da-tos muestran notables retrocesos, es decir, saltos entre distintos niveles APES.

  • English

    In this study we aim to describe the assimilation process through our participant narratives, Mónica, who had oncological problems and to explore the advantages of the use of narratives for assimilating these expe-riences.

    Mónica wrote 31 narratives during 8 months about her experiences of hav-ing fibroadenomas and benign tumors. These narratives were analized by the assimilation model and the Assimilation of Problematic Experiences Scale or APES.

    The procedure to obtain the data ended with a sample of 373 passages that were analized with APES. Those passages were related to eight differ-ent topics and their corresponding dominant and non-dominant voices, from their problematic experiences.

    Results showed that Mónica reached high levels of assimilation in seven of her eight problematic experiences. Despite this assimilation, data showed remarkable setbacks, in other words, a return from a higher to a lower stage of the APES

• Referencias bibliográficas
  • Adler, J. M., Skalina, L. M. & McAdams, D. P. (2008). The narrative reconstruction of psychotherapy and psychological health. Psychotherapy...
  • Bajtin (1984). Problems of Dostoevsky's poetics. Minneapolis: University of Minnesota Press. (Trabajo original publicado en 1929).
  • Bell, S. (2002). Photo images: Jo Spence's narratives of living with illness. Health: An Interdisciplinary Journal for the Social Study...
  • Bhuvaneswar, C., & Shafer, A., (2004). Survivor of that time, that place: clin-ical uses of violence survivors" narratives. Journal...
  • Brody, H. (1987). Stories of sickness. New Haven, CT: Yale University Press.
  • Bruner, J. (1986). Actual minds, possible worlds. MA: Harvard University Press.
  • Bruner, J. (1990). Acts of meaning. Cambridge, MA: Harvard University Press.
  • Bruner, J. (2004). Life as narrative. Social Research, 71, 691-710.
  • Caro Gabalda, I. (2006a). The assimilation of problematic experiences in lin-guistic therapy of evaluation: How did María assimilate the experience...
  • Caro Gabalda, I. (2006b). The assimilation of problematic experiences in the context of a therapeutic failure. Psychotherapy Research, 16,...
  • Caro Gabalda, I. (2007). La asimilación de experiencias problemáticas en la terapia lingüística de evaluación. ¿Cómo asimiló María su incapacidad...
  • Caro Gabalda, I. (2008). Assimilation of problematic experiences in Linguistic Therapy of Evaluation: a case study. Journal of Constructivist...
  • Caro Gabalda, I. & Ibáñez Guerra E. (1992). La Escala Hospitalaria de An-siedad y Depresión. [The Hospital Anxiety and Depression Scale]...
  • Caro Gabalda, I., & Stiles, W.B. (2009). Retrocesos no contexto de terapia linguística de avaliaçâo. Análise Psicologica, 2, 199-212.
  • Caro Gabalda, I. & Stiles, W.B. (2012). Irregular assimilation progress: Rea-sons for setbacks in the context of linguistic therapy of...
  • Derogatis, L. R. (2002). SCL-90-R. Cuestionario de 90 Síntomas. [SCL-90-R. 90 Symptons Questionnaire]. Madrid: TEA.
  • Detert, N. B., Llewelyn, S., Hardy, G.E., Barkham, M., & Stiles, W. B. (2006). Assimilation in good-and pooroutcome cases of very brief...
  • Dimaggio, G., Salvatore, G., Azzara, C. & Catania, D. (2003). Rewriting selfnarratives: The therapeutic process. Journal of Constructivist...
  • Dimaggio, G., & Stiles, W.B. (2007). Psychotherapy in light of internal multiplicity. Journal of Clinical Psychology, 63, 119-127. doi:...
  • Dimaggio, G., Hermans, H. J. M., & Lysaker, P. H. (2010). Health and adaptation in a multiple self. Theory and Psychology, 20, 379-399....
  • Elliot, R. (1985). Helpful and nonhelpful events in brief counseling interviews: An empirical taxonomy. Journal of Counseling Psychology,...
  • Fisher, W. (1985). The narrative paradigm: In the beginning. Journal of Communication, 35, 74-89. doi: 10.1111/j.1460-2466.1985.tb02974.x
  • Frank, A. W. (1992). The Pedagogy of suffering: moral dimensions of psychological therapy and research with the ill. Theory and Psychology,...
  • Frank, A. W. (1994). Reclaiming an orphan genre. Literature and Medicine, 13, 1-21. doi: 10.1353/lm.2011.0180
  • Frank, A. W. (1995). The wounded storyteller: Body Illness, and Ethics. Chicago: The University of Chicago Press.
  • Frank, A. W. (1998). Just listening: narrative and deep illness. Family, Systems & Health, 16, 197-212. doi: 10.1037/h0089849
  • Frank, A. W. (2000). Illness and autobiographical work: dialogue as narrative destabilization. Qualitative Sociology, 23, 135-156. Doi: 10.1023/A:1005411818318
  • Greenberg, M. A., Wortman, C. B. & Stone, A. A. (1996). Emotional Ex-pression and Physical Health: Revising Traumatic Memories or Fostering...
  • Goodridge, D., & Hardy, G. E. (2009). Patterns of change in psychotherapy: An investigation of sudden gains in cognitive therapy using...
  • Hardy, B. (1968). Towards a poetics of fiction: an approach through narrative. En M. Meek, A. Warlow, & G. Barton, (Eds.), The Cool Web:...
  • Henry, H., Stiles, W., & Biran, M. (2005). Loss and mourning in immigra-tion: Using the assimilation model to assess continuing bonds...
  • Hermans, H.J.M. (1996). Voicing the self: From information processing to dialogical exchange. Psychological Bulletin, 119, 31-50. doi: 10.1037/0033-2909.119.1.31
  • Hermans, H. J. M., & Dimaggio, G. (Eds.). (2004). The dialogical self in psychotherapy: An introduction. Nueva York: Brunner-Routledge.
  • Hermans, H. J. M., & Hermans-Jansen, E. (1995). Selfnarratives: the construction of meaning in psychotherapy. Nueva York: Guilford Press.
  • Hermans, H. J. M., Kempen, H. J. G., & van Loon, R. P. P. (1992). The dialogical self: Beyond individualism and rationalism. American...
  • Hewitt, J. P. (1989). Self and society: a symbolic interactionist perspective (6th Ed.). Needham Heights, MA: Allyn and Bacon.
  • Honos-Webb, L., Surko, M., & Stiles, W. B. (1998). Manual for rating assimilation in psychotherapy. Manuscrito sin publicar. Miami University,...
  • Honos-Webb, L., Surko, M., Stiles, W. B., & Greenberg, L. S. (1999). Assimilation of voices in psychotherapy: The case of Jan. Journal...
  • Honos-Webb, L., & Stiles, W. B. (1998). Reformulation of assimilation analysis in terms of voices. Psychotherapy, 35, 23-33. doi: 10.1037/h0087682
  • Honos-Webb, L., Stiles, W. B., Greenberg, L. S., & Goldman, R. (1998). Assimilation analysis of process-experiential psychotherapy: A...
  • Honos-Webb, L., Stiles, W. B., & Greenberg, L. S. (2003). A method of rating assimilation in psychotherapy based on markers of change....
  • Howard, (1991). Culture tales: A narrative approach to thinking, crosscultural psychology, and psychotherapy. American Psychologist, 46, 187-197....
  • Kerner, E. A., & Fitzpatrick M. R. (2007). Integrating writing into psycho-therapy practice: a matrix of change processes and structural...
  • Knobloch, L. M., Endres, L. M., Stiles, W. B., & Silberschatz, G. (2001). Convergence and divergence of themes in successful psychotherapy:...
  • Lani, J. A., Glick, M. J., Osatuke, K., Brandenburg, C., Gray, M. A., Humphreys, C. M., Reynolds, D., & Stiles, W. B. (2002). Markers...
  • Leiman, M., & Stiles, W. B. (2001). Dialogical sequence analysis and the zone of proximal development as conceptual enhancements to the...
  • Lepore S. (1997). Expressive writing moderates the relation between intrusive thoughts and depressive symptoms. Journal of Personality and...
  • López-Roig, S., Terol, M. C., Pastor, M. A., Neipp, M. C., Massutí, B., Rodríguez-Marín, J., Leyda, J. I., Martín-Aragón, M. & Sitges,...
  • Lumley, M. A., & Provenzano, K. M. (2003). Stress management through written emotional disclosure improves academic performance among...
  • Neimeyer, R. A. (1994). The role of client-generated narratives in psycho-therapy. Journal of Constructivist Psychology, 7, 229-242. doi:10.1080/10720539408405232
  • Osatuke, K, Glick M. J., Gray, M. A., Reynolds, D. J. Jr., Humphreys, C. L., Salvi, L. M., & Stiles, W.B. (2004). Assimilation and narrative:...
  • Osatuke, K., Glick, M.J., Stiles, W.B., Greenberg, L.S., Shapiro, D.A., & Barkham, M. (2005). Temporal patterns of improvement in client-centered...
  • Osatuke, K., Humphreys, C, Glick, M., Graff-Reed, R., McKenzie Mack, L., & Stiles, W. B. (2005). Vocal manifestations of internal multiplicity:...
  • Osatuke, K., Stiles, W.B., Barkhamn, M., Hardy, G., & Shapiro, D. A. (en prensa). Relationships between mental states in depression: The...
  • Piaget, J. (1962). Play, dreams and imitation in childhood. Nueva York: Norton.
  • Piaget, J. (1970). Piaget's theory. En P. H. Mussen (comp.), Carmichael's manual of child psychology. (3rd ed.) (pp. 703-732). Nueva...
  • Pennebaker, J., Kiecolt-Glaser, J. & Glaser, R. (1988). Disclosure of traumas and inmune function: health implications for psychoterapy....
  • Pennebaker, J. W., Colder, M., & Sharp, L. K. (1990). Accelerating the coping process. Journal of Personality and Social Psychology, 58,...
  • Pennebaker, J. W. (1997). Writing about emotional experiences as a therapeutic process. Psychological Science, 8, 162-166. doi:10.1111/j.1467-9280.1997.tb00403.x
  • Pennebaker, J. W., Mayne, T. J., & Francis, M. E., (1997). Linguistic predictors of adaptative bereavement. Journal of Personality and...
  • Polkinghorne, D. E. (1988). Narrative knowing and the human sciences. Albany: State University of New York Press.
  • Ricoeur, P. (1979). Introducción. [Introduction]. A. A. V. V. El tiempo y las filosofías (pp.11-35) Salamanca: Sígueme.
  • Ricoeur, P. (1997). Autobiografía intelectual [Intelectual self-biography]. Bue-nos Aires: Nueva Visión.
  • Rogers, C. (1959). A theory of therapy, personality and interpersonal rela-tionships as developed by the client-centered framework. En S....
  • Sarbin, T. R. (1986). The narrative as root metaphor for psychology. En T. R. Sarbin (Ed.), Narrative psychology: The storied nature of human...
  • Schielke, H. J., Fishman, J.L, Osatuke K., & Stiles W. B. (2009). Creative consensus on interpretations of qualitative data: The Ward...
  • Spence, D. P. (1982). Narrative truth and historical truth: memory and interpretation in psychoanalysis. Nueva York: W.W. Norton and Company.
  • Stiles, W. B. (1993). Quality control in qualitative research. Clinical Psychology Review, 13, 593-618.
  • Stiles, W. B. (2002). Assimilation of problematic experiences. En J. C. Nor-cross (Ed.), Psychotherapy relationships that work: Therapist...
  • Stiles, W. B. (2003). When is a case study scientific research? Psychotherapy Bulletin, 38, 6-11.
  • Stiles, W. B. (2005). Extending the Assimilation of Problematic Experiences Scale: Commentary on the Special Issue. Counselling Psychology...
  • Stiles, W. B. (2007). Theory-building case studies of counselling and psychotherapy. Counseling and Psychotherapy Research. 7, 122-127. doi:...
  • Stiles, W. B. (2011). Coming to terms. Psychotherapy Research, 21, 367-384. doi: 10.1080/ 10503307.2011.582186.
  • Stiles, W. B., Elliott R., Llewelyn S., Firth-Cozens J., Margison F. R., Shapiro D. A., & Hardy, G. (1990). Assimilation of problematic...
  • Stiles & Glick Brinegar, (2007). Insight as a stage of assimilation: A theoretical perspective. En L.G. Castonguay y C.E. Hill (Eds.),...
  • Stiles, W. B., Honos-Webb, L., & Lani, J. A. (1999). Some functions of narrative in the assimilation of problematic experiences. Journal...
  • Stiles, W. B., Meshot, C. M., Anderson, T. M., & Sloan, W. W. (1992). As-similation of problematic experiences: The case of John Jones....
  • Stiles, W. B., Morrison, L. A., Haw, S. K., Harper, H., Shapiro, D. A., & Firth-Cozens, J. (1991). Longitudinal study of assimilation...
  • Varvin, S., & Stiles, W. B. (1999). Emergence of severe traumatic experiences: An assimilation analysis of psychoanalytic therapy with...
  • Vogel, D. (1995). Perspectivas narrativas en la teoría y en la práctica. [Narra-tive perspectivas in theory and practice]. Revista de Psicoterapia,...
  • Watson, M., Law, M., Dos Santos, M., Greer, S., Baruch, J., & Bliss, J. (1994). The MiniMac: Further development of the Mental Adjustment...
  • Zigmond, A. S., & Snaith, R. P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67, 361-370. doi: 10.1111/j.1600-0447.1983.tb09716.x