Smith ScholarWorks Theses, Dissertations, and Projects 2017 "As if" : an exploration of the relationship between clincians' theoretical orientations and their conceptualizations of patient- generated metaphors in psychotherapy Joe Berlin Smith College Follow this and additional works at: https://scholarworks.smith.edu/theses Part of the Social Work Commons Recommended Citation Berlin, Joe, ""As if" : an exploration of the relationship between clincians' theoretical orientations and their conceptualizations of patient-generated metaphors in psychotherapy" (2017). Masters Thesis, Smith College, Northampton, MA. https://scholarworks.smith.edu/theses/1874 This Masters Thesis has been accepted for inclusion in Theses, Dissertations, and Projects by an authorized administrator of Smith ScholarWorks. For more information, please contact
[email protected]. Joseph Berlin “As if”: An exploration of the relationship between clinicians’ theoretical orientations and their conceptualizations of patientgenerated metaphors in psychotherapy ABSTRACT The present qualitative study explored the relationships between psychotherapists’ theoretical orientations, phenomenological understandings of their own clinical practice, and the metaphoric language used by patients in psychotherapy. This study is based upon interviews with 12 Licensed Independent Clinical Social Workers who are presently practicing psychotherapy. This sample was selected using a quota method, whereby three distinct psychotherapy theoretical orientations were represented in the sample: psychodynamic, narrative, and cognitive-behavioral therapy. The findings suggest that psychotherapists actively consider the metaphors patients use in therapeutic dialogue, and that these clinicians regularly draw upon their theoretical knowledgebase in doing so. This study finds that patient-generated metaphors are frequently elaborated upon by the therapeutic dyad across sessions. However, the conceptualization and use of patients’ metaphors differs based on clinicians’ theoretical orientations.