L Voutilainen
Biographic Data
| ID | 51754 |
|---|---|
| NAME | L Voutilainen |
| GIVEN NAMES | L |
| FAMILY NAME | Voutilainen |
| SIGNATURE | VOUTILAINEN L |
| AFFILIATIONS | University of Helsinki |
| ORCID | 0000-0002-1021-7647 |
| VERIFIED | Yes |
| TOTAL WORKS | 21 |
| TOTAL CITATIONS | 90 |
| AUTHOR COUNT | 21 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2010 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 5 |
Interactional straightforwardness in guidance counselling
A common dilemma of counsellors is to deal with various institutional tasks and demands while being in the service of the client. In this paper, the authors are interested in how this dilemma shows in the Finnish school context, in the work of guidance counsellors who help the pupils to manage their studies and plans for further education. Video-recorded social interaction between guidance counsellors and pupils was studied, using conversation an…
Praising the client in career guidance
In this article, we explore how praises directed at clients are used in Finnish career guidance encounters. More specifically, we examine how praise works as a tool for attending to the institutional agenda of career guidance. Our data set is a compilation of career and study guidance encounters within schools and universities, including 16 video-recorded and one audio-recorded career guidance sessions with 15 student-clients and 9 professionals.…
Accounting for experiences of inattention: The case of narcissism
This paper explores how a self-proclaimed narcissist narrates experiences of inattention – moments when others appear indifferent toward him. Drawing on narrative discourse analysis, we examine three segments from a collection of narratives that concern social encounters categorized as complete ignorance, blunt disregard, and uneven recognition. The narrator describes the experiences by utilizing the interpretative repertoires of downplaying and …
Responding to the client’s self-deprecations in career guidance
The paper describes how the client’s self-deprecations are treated in career guidance. While in everyday talk, a preferred response to a self-deprecation is disagreement, the case can be more complex in institutional encounters, considering, for example, epistemic rights to assess the client. Through conversation analysis of video-recorded data, we will show two ways in which career counsellors respond to their client’s self-deprecations: reframi…
When and how patients' self-claims are challenged in psychotherapy
The article describes the practices through which patients' self-presentations are challenged in psychotherapy. Based on the analysis of thirty-eight instances from psychodynamic psychotherapy and psychoanalysis, analyzed with methods of conversation analysis, narrative analysis, and coding, this article reports on how therapists challenge patients' self-conceptualizations in response to patients' self-presentations. Challenges mostly follow pati…
What to take up from the patient’s talk? The clinician’s responses to the patient’s self-disclosure of their subjective experience in the psychiatric intake interview
During psychiatric diagnostic interviews, the clinician's question usually targets specific symptom descriptions based on diagnostic categories for ICD-10/DSM-5 (2, 3). While some patients merely answer questions, others go beyond to describe their subjective experiences in a manner that highlights the intensity and urgency of those experiences. By adopting conversation analysis as a method, this study examines diagnostic interviews conducted in …
Anticipation and Delivery of a Personality Disorder Diagnosis in Psychiatry
A personality disorder (PD) diagnosis can be considered by a patient to be stigmatizing. This presents interactional challenges for the clinician who makes the diagnosis and communicates it to the patient.Through an analysis of video-recorded clinical interviews of PD patients, we explore the anticipation and delivery of the diagnosis in psychiatry. The method of the study is conversation analysis (CA). The diagnostic evaluation process of each p…
Is it in your basic personality?' Negotiations about traits and context in diagnostic interviews for personality disorders
What does it mean to claim that somebody's personality is disordered? The aim in this paper is to examine how the process of diagnosing personality disorders (PD) unfolds on a practical level. We take an in-depth look at PD interviews, paying close attention to the occasional discrepancies in the clinicians' and the patients' approaches to generalising the behaviour of patients to describe their personality. Clinicians are guided by the medical m…
Delayed response’ in psychodynamic psychotherapy
A recurrent theme that is addressed in psychotherapies is the client’s conflicting emotions. This article discusses discursive practices of working on conflicting emotions during psychodynamic psychotherapy. We focus on a phenomenon that we refer to as a ‘delayed response’ and analyze the client’s uses of interactional means, such as a display of negative experience, to invite affiliation or empathy from the therapist. The therapist, however, doe…
From Engagement to Disengagement in a Psychiatric Assessment Process
In a longitudinal conversation analytical (CA) case study, we examined patient engagement in a psychiatric assessment process (nine clinical interviews) with a young woman who eventually received the diagnosis of personality disorder. Based on Goffman, we consider engagement in interaction as consisting of three facets: engagement in the action at hand, bodily engagement with the co-participant, and engagement with the local moral order of the en…
Nods, vocal continuers, and the perception of empathy in storytelling
In her influential paper on stance, alignment, and affiliation in conversational storytelling, Tanya Stivers argued that two basic conversational means of receiving a story, nods and vocal continuers, differ in their function: whereas vocal continuers display alignment with the telling activity, nods, during the mid-telling, convey affiliation with the storytellers’ affective stance. In this paper, we elaborate these insights on the basis of a qu…
Conversation Analysis and Psychotherapeutic Change
Psychotherapy is geared to facilitate change. Many types of psychotherapy aim to increase the clients’ contact with their problematic experiences that have been previously vaguely known or avoided. The chapter discusses how conversation analysis (CA) can be used to describe such psychotherapeutic process. Based on the authors’ research on cognitive therapy, systemic therapy and psychoanalysis, it is shown that implicit and explicit orientation to…
Empathy, Challenge, and Psychophysiological Activation in Therapist-Client Interaction
Two central dimensions in psychotherapeutic work are a therapist's empathy with clients and challenging their judgments. We investigated how they influence psychophysiological responses in the participants. Data were from psychodynamic therapy sessions, 24 sessions from 5 dyads, from which 694 therapist's interventions were coded. Heart rate and electrodermal activity (EDA) of the participants were used to index emotional arousal. Facial muscle a…
Normalizing in student counseling: Counselors’ responses to students’ problem descriptions
University students seek counseling to discuss concerns about their academic skills, motivation, time management and well-being. This article examines the conversational activity of normalizing recurrently used by counselors to manage students’ negative emotions and troubles-telling. Normalizing refers to an activity in which something in the interaction is made normal by labeling it ‘normal’ or ‘commonplace’ or by interpreting it in an ordinary …
Responding to What Is Left Implicit: Psychotherapists’ Formulations and Understanding Checks After Clients’ Turn-Final Että (“That/So”)
This article examines a specific linguistic practice in psychotherapy in Finnish: ending a turn at talk with että (“that” or “so”). Making että the final item leaves some aspect of the turn implicit and invites the recipient somehow to deal with that implication. This happens in everyday interactions generally. However, whereas in everyday conversation the recipient usually does not explicate the implicit content of the turn, in psychotherapy the…
Epistemic asymmetries in psychotherapy interaction: Therapists' Practices for Displaying Access to Clients' Inner Experiences
The relationship between a psychotherapist and a client involves a specific kind of epistemic asymmetry: in therapy sessions the talk mainly concerns the client's experience, which is unavailable, as such, to the therapist. This epistemic asymmetry is understood in different ways within different psychotherapeutic traditions. Drawing on a corpus of 70 audio-recorded sessions of cognitive psychotherapy and psychoanalysis and using the method of co…
Sharing the Emotional Load: Recipient Affiliation Calms Down the Storyteller
In conversational storytelling, the recipients are expected to show affiliation with the emotional stance displayed by the storytellers. We investigated emotional arousal-related autonomic nervous system responses in tellers and recipients of conversational stories. The data consist of 20 recordings of 45- to 60-minute dyadic conversations between female university and polytechnic students. Conversations were videotaped and analyzed by means of c…
Affective stance, ambivalence, and psychophysiological responses during conversational storytelling
Misalignment as a Therapeutic Resource
The article reports conversation analysis of a single cognitive psychotherapy session in which an interactional misalignment between the therapist and the patient emerges, culminates, and is mitigated. Through this case study, the interactional practices leading to a rupture in therapeutic alliance and the practices leading to its mending are explored. In the session the therapist pursues investigative orientation in relation to the patient's exp…
Recognition and Interpretation: Responding to Emotional Experience in Psychotherapy
Based on conversation analysis (CA) of audio-recorded therapy sessions, the article explicates practices of responding to the patient's emotional experience in cognitive-constructivist psychotherapy. First, the article describes two types of therapist's actions after the patient's descriptions of an emotional experience: recognition and interpretation. In recognition, the therapist displays that she understands the patient's experience and sees i…
Professional non-neutrality: Criticising the Third Party in Psychotherapy
Using audio-recorded data from cognitive-constructivist psychotherapy, the article shows a particular institutional context in which successful professional action does not adhere to the pattern of affective neutrality which Parsons saw as an inherent component of medicine and psychotherapy. In our data, the professional's non-neutrality functions as a tool for achieving institutional goals. The analysis focuses on the psychotherapist's actions t…
Recognition and Interpretation: Responding to Emotional Experience in Psychotherapy
Based on conversation analysis (CA) of audio-recorded therapy sessions, the article explicates practices of responding to the patient's emotional experience in cognitive-constructivist psychotherapy. First, the article describes two types of therapist's actions after the patient's descriptions of an emotional experience: recognition and interpretation. In recognition, the therapist displays that she understands the patient's experience and sees i…
Epistemic asymmetries in psychotherapy interaction: Therapists' Practices for Displaying Access to Clients' Inner Experiences
The relationship between a psychotherapist and a client involves a specific kind of epistemic asymmetry: in therapy sessions the talk mainly concerns the client's experience, which is unavailable, as such, to the therapist. This epistemic asymmetry is understood in different ways within different psychotherapeutic traditions. Drawing on a corpus of 70 audio-recorded sessions of cognitive psychotherapy and psychoanalysis and using the method of co…
Affective stance, ambivalence, and psychophysiological responses during conversational storytelling
Nods, vocal continuers, and the perception of empathy in storytelling
In her influential paper on stance, alignment, and affiliation in conversational storytelling, Tanya Stivers argued that two basic conversational means of receiving a story, nods and vocal continuers, differ in their function: whereas vocal continuers display alignment with the telling activity, nods, during the mid-telling, convey affiliation with the storytellers’ affective stance. In this paper, we elaborate these insights on the basis of a qu…
Sharing the Emotional Load: Recipient Affiliation Calms Down the Storyteller
In conversational storytelling, the recipients are expected to show affiliation with the emotional stance displayed by the storytellers. We investigated emotional arousal-related autonomic nervous system responses in tellers and recipients of conversational stories. The data consist of 20 recordings of 45- to 60-minute dyadic conversations between female university and polytechnic students. Conversations were videotaped and analyzed by means of c…
Empathy, Challenge, and Psychophysiological Activation in Therapist-Client Interaction
Two central dimensions in psychotherapeutic work are a therapist's empathy with clients and challenging their judgments. We investigated how they influence psychophysiological responses in the participants. Data were from psychodynamic therapy sessions, 24 sessions from 5 dyads, from which 694 therapist's interventions were coded. Heart rate and electrodermal activity (EDA) of the participants were used to index emotional arousal. Facial muscle a…
Professional non-neutrality: Criticising the Third Party in Psychotherapy
Using audio-recorded data from cognitive-constructivist psychotherapy, the article shows a particular institutional context in which successful professional action does not adhere to the pattern of affective neutrality which Parsons saw as an inherent component of medicine and psychotherapy. In our data, the professional's non-neutrality functions as a tool for achieving institutional goals. The analysis focuses on the psychotherapist's actions t…
Normalizing in student counseling: Counselors’ responses to students’ problem descriptions
University students seek counseling to discuss concerns about their academic skills, motivation, time management and well-being. This article examines the conversational activity of normalizing recurrently used by counselors to manage students’ negative emotions and troubles-telling. Normalizing refers to an activity in which something in the interaction is made normal by labeling it ‘normal’ or ‘commonplace’ or by interpreting it in an ordinary …
When and how patients' self-claims are challenged in psychotherapy
The article describes the practices through which patients' self-presentations are challenged in psychotherapy. Based on the analysis of thirty-eight instances from psychodynamic psychotherapy and psychoanalysis, analyzed with methods of conversation analysis, narrative analysis, and coding, this article reports on how therapists challenge patients' self-conceptualizations in response to patients' self-presentations. Challenges mostly follow pati…
Responding to What Is Left Implicit: Psychotherapists’ Formulations and Understanding Checks After Clients’ Turn-Final Että (“That/So”)
This article examines a specific linguistic practice in psychotherapy in Finnish: ending a turn at talk with että (“that” or “so”). Making että the final item leaves some aspect of the turn implicit and invites the recipient somehow to deal with that implication. This happens in everyday interactions generally. However, whereas in everyday conversation the recipient usually does not explicate the implicit content of the turn, in psychotherapy the…
Misalignment as a Therapeutic Resource
The article reports conversation analysis of a single cognitive psychotherapy session in which an interactional misalignment between the therapist and the patient emerges, culminates, and is mitigated. Through this case study, the interactional practices leading to a rupture in therapeutic alliance and the practices leading to its mending are explored. In the session the therapist pursues investigative orientation in relation to the patient's exp…
Anticipation and Delivery of a Personality Disorder Diagnosis in Psychiatry
A personality disorder (PD) diagnosis can be considered by a patient to be stigmatizing. This presents interactional challenges for the clinician who makes the diagnosis and communicates it to the patient.Through an analysis of video-recorded clinical interviews of PD patients, we explore the anticipation and delivery of the diagnosis in psychiatry. The method of the study is conversation analysis (CA). The diagnostic evaluation process of each p…
Delayed response’ in psychodynamic psychotherapy
A recurrent theme that is addressed in psychotherapies is the client’s conflicting emotions. This article discusses discursive practices of working on conflicting emotions during psychodynamic psychotherapy. We focus on a phenomenon that we refer to as a ‘delayed response’ and analyze the client’s uses of interactional means, such as a display of negative experience, to invite affiliation or empathy from the therapist. The therapist, however, doe…
Misalignment as a Therapeutic Resource
The article reports conversation analysis of a single cognitive psychotherapy session in which an interactional misalignment between the therapist and the patient emerges, culminates, and is mitigated. Through this case study, the interactional practices leading to a rupture in therapeutic alliance and the practices leading to its mending are explored. In the session the therapist pursues investigative orientation in relation to the patient's exp…
Recognition and Interpretation: Responding to Emotional Experience in Psychotherapy
Based on conversation analysis (CA) of audio-recorded therapy sessions, the article explicates practices of responding to the patient's emotional experience in cognitive-constructivist psychotherapy. First, the article describes two types of therapist's actions after the patient's descriptions of an emotional experience: recognition and interpretation. In recognition, the therapist displays that she understands the patient's experience and sees i…
Professional non-neutrality: Criticising the Third Party in Psychotherapy
Using audio-recorded data from cognitive-constructivist psychotherapy, the article shows a particular institutional context in which successful professional action does not adhere to the pattern of affective neutrality which Parsons saw as an inherent component of medicine and psychotherapy. In our data, the professional's non-neutrality functions as a tool for achieving institutional goals. The analysis focuses on the psychotherapist's actions t…
Affective stance, ambivalence, and psychophysiological responses during conversational storytelling
Sharing the Emotional Load: Recipient Affiliation Calms Down the Storyteller
In conversational storytelling, the recipients are expected to show affiliation with the emotional stance displayed by the storytellers. We investigated emotional arousal-related autonomic nervous system responses in tellers and recipients of conversational stories. The data consist of 20 recordings of 45- to 60-minute dyadic conversations between female university and polytechnic students. Conversations were videotaped and analyzed by means of c…
Responding to What Is Left Implicit: Psychotherapists’ Formulations and Understanding Checks After Clients’ Turn-Final Että (“That/So”)
This article examines a specific linguistic practice in psychotherapy in Finnish: ending a turn at talk with että (“that” or “so”). Making että the final item leaves some aspect of the turn implicit and invites the recipient somehow to deal with that implication. This happens in everyday interactions generally. However, whereas in everyday conversation the recipient usually does not explicate the implicit content of the turn, in psychotherapy the…
Epistemic asymmetries in psychotherapy interaction: Therapists' Practices for Displaying Access to Clients' Inner Experiences
The relationship between a psychotherapist and a client involves a specific kind of epistemic asymmetry: in therapy sessions the talk mainly concerns the client's experience, which is unavailable, as such, to the therapist. This epistemic asymmetry is understood in different ways within different psychotherapeutic traditions. Drawing on a corpus of 70 audio-recorded sessions of cognitive psychotherapy and psychoanalysis and using the method of co…
Normalizing in student counseling: Counselors’ responses to students’ problem descriptions
University students seek counseling to discuss concerns about their academic skills, motivation, time management and well-being. This article examines the conversational activity of normalizing recurrently used by counselors to manage students’ negative emotions and troubles-telling. Normalizing refers to an activity in which something in the interaction is made normal by labeling it ‘normal’ or ‘commonplace’ or by interpreting it in an ordinary …
Conversation Analysis and Psychotherapeutic Change
Psychotherapy is geared to facilitate change. Many types of psychotherapy aim to increase the clients’ contact with their problematic experiences that have been previously vaguely known or avoided. The chapter discusses how conversation analysis (CA) can be used to describe such psychotherapeutic process. Based on the authors’ research on cognitive therapy, systemic therapy and psychoanalysis, it is shown that implicit and explicit orientation to…
Empathy, Challenge, and Psychophysiological Activation in Therapist-Client Interaction
Two central dimensions in psychotherapeutic work are a therapist's empathy with clients and challenging their judgments. We investigated how they influence psychophysiological responses in the participants. Data were from psychodynamic therapy sessions, 24 sessions from 5 dyads, from which 694 therapist's interventions were coded. Heart rate and electrodermal activity (EDA) of the participants were used to index emotional arousal. Facial muscle a…
Nods, vocal continuers, and the perception of empathy in storytelling
In her influential paper on stance, alignment, and affiliation in conversational storytelling, Tanya Stivers argued that two basic conversational means of receiving a story, nods and vocal continuers, differ in their function: whereas vocal continuers display alignment with the telling activity, nods, during the mid-telling, convey affiliation with the storytellers’ affective stance. In this paper, we elaborate these insights on the basis of a qu…
Delayed response’ in psychodynamic psychotherapy
A recurrent theme that is addressed in psychotherapies is the client’s conflicting emotions. This article discusses discursive practices of working on conflicting emotions during psychodynamic psychotherapy. We focus on a phenomenon that we refer to as a ‘delayed response’ and analyze the client’s uses of interactional means, such as a display of negative experience, to invite affiliation or empathy from the therapist. The therapist, however, doe…
From Engagement to Disengagement in a Psychiatric Assessment Process
In a longitudinal conversation analytical (CA) case study, we examined patient engagement in a psychiatric assessment process (nine clinical interviews) with a young woman who eventually received the diagnosis of personality disorder. Based on Goffman, we consider engagement in interaction as consisting of three facets: engagement in the action at hand, bodily engagement with the co-participant, and engagement with the local moral order of the en…
Anticipation and Delivery of a Personality Disorder Diagnosis in Psychiatry
A personality disorder (PD) diagnosis can be considered by a patient to be stigmatizing. This presents interactional challenges for the clinician who makes the diagnosis and communicates it to the patient.Through an analysis of video-recorded clinical interviews of PD patients, we explore the anticipation and delivery of the diagnosis in psychiatry. The method of the study is conversation analysis (CA). The diagnostic evaluation process of each p…
Is it in your basic personality?' Negotiations about traits and context in diagnostic interviews for personality disorders
What does it mean to claim that somebody's personality is disordered? The aim in this paper is to examine how the process of diagnosing personality disorders (PD) unfolds on a practical level. We take an in-depth look at PD interviews, paying close attention to the occasional discrepancies in the clinicians' and the patients' approaches to generalising the behaviour of patients to describe their personality. Clinicians are guided by the medical m…
What to take up from the patient’s talk? The clinician’s responses to the patient’s self-disclosure of their subjective experience in the psychiatric intake interview
During psychiatric diagnostic interviews, the clinician's question usually targets specific symptom descriptions based on diagnostic categories for ICD-10/DSM-5 (2, 3). While some patients merely answer questions, others go beyond to describe their subjective experiences in a manner that highlights the intensity and urgency of those experiences. By adopting conversation analysis as a method, this study examines diagnostic interviews conducted in …
Interactional straightforwardness in guidance counselling
A common dilemma of counsellors is to deal with various institutional tasks and demands while being in the service of the client. In this paper, the authors are interested in how this dilemma shows in the Finnish school context, in the work of guidance counsellors who help the pupils to manage their studies and plans for further education. Video-recorded social interaction between guidance counsellors and pupils was studied, using conversation an…
Praising the client in career guidance
In this article, we explore how praises directed at clients are used in Finnish career guidance encounters. More specifically, we examine how praise works as a tool for attending to the institutional agenda of career guidance. Our data set is a compilation of career and study guidance encounters within schools and universities, including 16 video-recorded and one audio-recorded career guidance sessions with 15 student-clients and 9 professionals.…
Accounting for experiences of inattention: The case of narcissism
This paper explores how a self-proclaimed narcissist narrates experiences of inattention – moments when others appear indifferent toward him. Drawing on narrative discourse analysis, we examine three segments from a collection of narratives that concern social encounters categorized as complete ignorance, blunt disregard, and uneven recognition. The narrator describes the experiences by utilizing the interpretative repertoires of downplaying and …
Responding to the client’s self-deprecations in career guidance
The paper describes how the client’s self-deprecations are treated in career guidance. While in everyday talk, a preferred response to a self-deprecation is disagreement, the case can be more complex in institutional encounters, considering, for example, epistemic rights to assess the client. Through conversation analysis of video-recorded data, we will show two ways in which career counsellors respond to their client’s self-deprecations: reframi…
When and how patients' self-claims are challenged in psychotherapy
The article describes the practices through which patients' self-presentations are challenged in psychotherapy. Based on the analysis of thirty-eight instances from psychodynamic psychotherapy and psychoanalysis, analyzed with methods of conversation analysis, narrative analysis, and coding, this article reports on how therapists challenge patients' self-conceptualizations in response to patients' self-presentations. Challenges mostly follow pati…
Psychology (17 works) · Social Psychology (12 works) · Conversation (11 works) · Language, Discourse, Communication Strategies (11 works) · Communication (9 works) · Conversation analysis (9 works) · Psychotherapist (9 works) · Counseling, Therapy, and Family Dynamics (8 works) · Social Psychology (7 works) · Communication (6 works)