Change in narrative therapy : a pragmatic hermeneutic case study

Abstract

The client of this case study was a twenty two year old female in her first year at university. The client had come into therapy because she had felt depressed, lonely and riddled with selfdoubt. The author used a Narrative Therapy approach with the client and was focussed on helping the client generate new meanings and stories that were more useful and empowering for the client. In this case study, the author was interested in exploring the process of change that the client underwent during the therapy process and he would rely on identifying innovative moments to track these changes. This interest informed the research question; what is the process of change in narrative therapy as tracked through the therapeutic dialogue? How does the change process in this case study track with the heuristic model of change put forward by Gonçalves and his colleagues? The author chose to use a pragmatic hermeneutic case study method in order to analyse the data and the results were organised into a coherent narrative. The data was collected from twenty two therapy sessions and these were grouped together into themes, namely a quick start, the beginning of change, thickening the innovative moments and lighting the fire. The results of this study reveal that despite being considered a good outcome case by the author, the process of change differed somewhat to that proposed by the heuristic model of change.