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Witnessing Stories: Definitional Ceremonies in Narrative Therapy with Adults who Stutter

by: Margaret M. Leahy, Mary O’Dwyer, Fiona Ryan
Journal of Fluency Disorders (March 2012), doi:10.1016/j.jfludis.2012.03.001  Key: citeulike:10469602

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Abstract

Narrative therapy (White & Epston, 1990) was developed as an approach to counselling, as a response to the power relations that influence people's lives. Its use with people who stutter has been documented. A basic tenet of narrative therapy is that the dominant problem-saturated narrative is challenged by externalizing the problem, in due course facilitating development of an alternative narrative. Within this process, the definitional ceremony involving outsider witnesses is a key procedure used to influence change. This paper describes definitional ceremonies, and their application within a narrative approach to therapy for stuttering. The analysis of a specific definitional ceremony is presented, leading to an exploration of identity as a public and social achievement. A definitional ceremony involving a woman who stutters and family members was recorded and analysed using two methods: interpretative phenomenological analysis and Heideggerian hermeneutic phenomenological analysis. Details of the clinical application of definitional ceremonies with this client are described. Results from both methods of analysis were found to be similar. Notable results include the fact that the stuttering per se was not presented as the problem; rather, the impact of stuttering, especially the experience of bullying, was a dominant theme. This paper shows how definitional ceremonies can open opportunities for clients to present themselves in a preferred way, forming the basis for a new story and re-vised identity. Emerging themes can be identified for reflection and discussion with the client for therapeutic benefit. ⺠Brief overview of Narrative Therapy (NT) ⺠Application of NT to stuttering ⺠Description of the process of Definitional Ceremonies within NT ⺠Analysis of Definitional Ceremony for a 23 year old PWS ⺠Involvement of significant others in stuttering therapy


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