Dissociation, Relatedness, and ‘Cohesive Harmony’
A linguistic measure of degrees of ‘fragmentation’?
DOI:
https://doi.org/10.1558/lhs.v3i3.263Keywords:
Psychotherapy, Conversational Model, Dissociation, Mind, Discourse Analysis, Cohesion, Cohesive Harmony, Systemic Functional LinguisticsAbstract
While cohesive devices do not in themselves, or in their aggregate, correspond to the degree of coherence in a text, the measure of "cohesive harmony" developed by Hasan (1984) does constitute an index of the 'textness' of extended discourse, including interactive exchanges. A team of functional linguists and psychiatrists investigated the discourse correlates of techniques in the Conversational Model of Psychotherapy (following Meares, 1993, 2005). As one dimension of this investigation, the "fragmented" discourse of dissociating patients was analysed for cohesive harmony. This analysis provided a basis for discriminating degrees of fragmentation in the discourse of patients interacting with therapists, and results help explain the paradoxical combination of disaggregation and fusion in the way such patients construe their experience. Additionally, the method provides new forms of evidence of coherence and consensus between therapist and patient, indices of progress which might otherwise be 'lost' or argued on an intuitive basis alone. Halliday, M. A. K., & Hasan, R. (Eds.). (1985). Language, context, and text: Aspects of language in a social semiotic perspective. Deakin University: Deakin University Press. Hasan, R. (1984). Coherence and Cohesive Harmony. In J. Flood (Ed.), Understanding Reading Comprehension: Cognition, language, and the structure of prose (pp. 181-219). Newark, Delaware: International Reading Association. Meares, R. (1993). The Metaphor of Play: Disruption and Restoration in the Borderline Experience. Northvale, NJ: Aronson. Meares, R. (2005). The Metaphor of Play: Origin and Breakdown of Personal Being (3rd, revised ed.). London: Routledge.
References
Carlson, E. A. (1998) A prospective longitudinal study of attachment disorganization/ disorientation. Child Development 69(4): 1107–1128.
de Saussure, F. (1916 [1906-1911]) Cours de linguistique générale. Edited by Charles Bally and Albert Sechehaye in collaboration with Albert Riedlinger. Paris: Payot.
Fine, J. (2006) Language in Psychiatry: A Handbook for Clinical Practice. London: Equinox.
Graham, P. and van Biene, L. (2007) Hierarchy of engagement. In R. Meares and P. Nolan (eds) The Self in Conversation Vol. 6 177–196. Sydney: ANZAP Books.
Greenfield, S. (2008) ID: The Quest for Identity in the 21st Century. London: Sceptre/ Hodder and Stoughton.
Gregory, R. L. and Zangwill, O. L. (1987) Oxford Companion to the Mind. (Ninth edition.) Oxford: Oxford University Press.
Halliday, M. A. K. (1975) Learning How to Mean. London: Arnold.
Halliday, M. A. K. (1975/2007) Language as social semiotic: towards a general sociolinguistic theory. In J. J. Webster (ed.) The Collected Works of M. A. K. Halliday: Language and Society Vol. 10 169–201. London and New York: Continuum.
Halliday, M. A. K. (1978/2003) Meaning and the construction of reality in early childhood. In J. J. Webster (ed.) The Collected Works of M. A. K. Halliday: The Language of Early Childhood Vol. 4 113–143. London and New York: Continuum.
Halliday, M. A. K. (1979) One child’s protolanguage. In M. Bullowa (ed.) Before Speech: The Beginning of Interpersonal Communication 171–190. Cambridge: Cambridge University Press.
Halliday, M. A. K. (1995/2003) On language in relation to the evolution of human consciousness. In J. J. Webster (ed.) The Collected Works of M. A. K. Halliday: On Language and Linguistics Vol. 3 390–432. London and New York: Continuum.
Halliday, M. A. K. and Hasan, R. (1976) Cohesion in English. London: Longman Group Ltd.
Halliday, M. A. K. and Hasan, R. (eds) (1985) Language, Context, and Text: Aspects of Language in a Social Semiotic Perspective. Deakin University: Deakin University Press.
Hasan, R. (1984) Coherence and cohesive harmony. In J. Flood (ed.) Understanding Reading Comprehension: Cognition, Language, and the Structure of Prose 181–219. Newark, Delaware: International Reading Association.
Hasan, R. (1985) The texture of a text. In M. A. K. Halliday and R. Hasan (eds) Language, Context and Text: Aspects of Language in a Social-semiotic Perspective 70–96. Geelong, Vic: Deakin University Press.
Herman, J. L. (1992) Complex PTSD: a syndrome in survivors of prolonged and repeated trauma. Journal of Traumatic Stress 5(3): 377–391.
Hobson, R. F. (1971) Imagination and amplification in psychotherapy. Journal of Analytical Psychology 16(1): 79–105.
Hobson, R. F. (1985) Forms of Feeling: The Heart of Psychotherapy. Hove and New York: Brunner-Routledge.
Janet, P. (1889) L’automatisme psychologique. Paris: Felix Alcan.
Korner, A., Bendit, N., Ptok, U., Tuckwell, K. and Butt, D. G. (in press [accepted September 2009]) Formulation, conversation and therapeutic engagement. Australasian Psychiatry.
Liotti, G. (1995) Disorganized/disoriented attachment in the psychotherapy of the dissociative disorders. In S. Goldberg, R. Muir and J. Kerr (eds) Attachment Theory: Social, Developmental and Clinical Perspectives 343–363. Hillsdale, NJ: Analytic Press.
Liotti, G. (1999) Disorganization of attachment as a model for understanding dissociative psychotherapy. In J. Solomon and C. George (eds) Attachment Disorganization 291–317. New York: Guilford Press.
Main, M. (1996) Introduction to the special section on attachment and psychopathology: overview of the field of attachment. Journal of Consulting and Clinical Psychology 64(2): 237–243.
Meares, R. (1993) The metaphor of play: disruption and restoration in the borderline experience. Northvale, NJ: Aronson.
Meares, R. (1999) The contribution of Hughlings Jackson to an understanding of dissociation. American Journal of Psychiatry 156(December): 1850–1855.
Meares, R. (2004) The conversational model: an outline. American Journal of Psychotherapy 58(1): 51–66.
Meares, R. (2005) The Metaphor of Play: Origin and Breakdown of Personal Being. (Third, revised edition.) London: Routledge.
Meares, R. (2006) Forms of feeling. In R. Meares and P. Nolan (eds) The Self in Conversation Vol. V 10–31. Sydney: ANZAP Books.
Meares, R. and Hobson, R. F. (1977) The persecutory therapist. British Journal of Medical Psychology 50: 349–359.
Meares, R., Stevenson, J. and Gordon, E. (1999) A Jacksonian and Biopsychosocial Hypothesis Concerning Borderline and Related Phenomena. Australian and New Zealand Journal of Psychiatry 33, 831–840.
Muntigl, P. (2004) Narrative Counselling: Social and Linguistic Processes of Change. Amsterdam and Philadelphia: John Benjamins Publishing Company.
Ornstein, A. (1974) The dread to repeat and the new beginning. The Annual of Psychoanalysis 2: 231–248.
Pierce, C. S. (1932) The Icon, Index, and Symbol. In C. Hartshorne and P. Weiss (eds) Collected Papers of Charles Sanders Peirce Vol. 2 156–173. Cambridge, Mass.: Harvard University Press.
Roth, S., Newman, E., Pelcovitz, D., van der Kolk, B. and Mandel, F. S. (1997) Complex PTSD in victims exposed to sexual and physical abuse: results from the DSM-IV field trial for posttraumatic stress disorder. Journal of Traumatic Stress 10(4): 539–555.
Taylor, J. (ed.) (1931) Selected Writings of John Hughlings Jackson Vol. 1. London: Hodder.
Taylor, J. (ed.) (1932) Selected Writings of John Hughlings Jackson Vol. 2. London: Hodder.
Trevarthen, C. (1974) Conversations with a 2-month-old. New Scientist (May 2): 230–235.
Trevarthen, C. (1979) Communication and cooperation in early infancy: a description of primary intersubjectivity. In M. Bullowa (ed.) Before Speech: The Beginning of Interpersonal Communication 321–348. Cambridge: Cambridge University Press.
Tynjanov, J. and Jakobson, R. (1928/1981) Problems in the study of literature and language. In Roman Jakobson: Selected Writings Vol. 3 3–6. The Hague: Mouton.
Waller, N., Putnam, F. W. and Carlson, E. B. (1996) Types of dissociation and dissociative types: a taxometric analysis of dissociative experiences. Psychological Methods 1(3): 300–321.