Transformations: A Blueprint for Narrative Changes in Therapy

Abstract

When problematic-symptomatic behaviors are conceived as embedded, retained, and maintained in collective stories, therapy can be described as the transformative process by which patients, families, and therapists co-generate qualitative changes in those stories. An emphasis on narratives allows one to specify further how those transformations unfold at the more "micro" level of the exchanges that take place throughout the consultation. To that specification is devoted the core of this essay, which closes with a discussion of the clinical, training, and, especially, research potentials of this systematization.