Conversation Analysis – A Powerful Tool for Psychoanalytic Practice and Psychotherapy Research

  • Michael B. Buchholz International

  • Horst
 Kächele International 


Psychoanalysis does not have an easy stand in documenting what “clinical facts” are. This paper proposes to use an established research tool such as Conversation Analysis (CA) in order to analyze how psychoanalytic conversation is performed in the consulting room. The vicinity of CA-approaches and psychoanalytic intuitions is documented by selected examples. We provide an outline of CA-research in psychoanalysis. Finally we debate whether psychoanalysis be science or hermeneutics; these positions are seen as two sides of a coin. One side is always in the dark. Metaphorically speaking, the future will have the task to bring this coin to an upright stand which can be managed only when the coin is given a thrilling turn by acknowledging that both, hermeneutics and science, in far reaching dimensions ignored the (micro-)social dimension of the psychoanalytic endeavor: conversation, talk-in-interaction. This will help to more clearly get in view what “clinical facts” are. 


Ahrens, K. (2012). Review of “Metaphor Analysis: Research Practice in Applied Linguistics, Social Sciences and the Humanities by Lynn Cameron and Robert Maslen (Eds.)”. Metaphor and Symbol, 27, 259–261.

Angus, L. E. (1996). An intensive analysis of metaphor themes in psychotherapy. In J. Mio & A. Katz (Eds.), Metaphor: Pragmatics and applications (pp. 34-51). Hillsdale, NJ: Lawrence Erlbaum.

Antaki, C. (2008). Formulations in psychotherapy. In A. Peräkylä, C. Antaki, S. Vehviläinen, & I. Leudar (Eds.), Conversation analysis and psychotherapy (pp. 26–43). Cambridge, UK: Cambridge University Press.

Aragno, A. (2009). Meaning’s vessel: A metapsychological understanding of metaphor. Psychoanalytic Inquiry, 29, 30–47.

Bachrach, H. M., Galatzer-Levy, R., Skolnikoff, A., & Waldron, S. (1991). On the efficacy of psychoanalysis. Journal of the American Psychoanalytic Association, 39, 871-916.

Benjamin, L. S. (1974). Structural analysis of social behavior (SASB). Psychological Review, 81, 392–425.

Bergmann, J. R. (1987). Klatsch. Zur Sozialform der diskreten Indiskretion. Berlin, Germany: De Gruyter.

Bergmann, J. R. (1999). Diskretion in der psychiatrischen Exploration - Beobachtungen über Moral in der Psychiatrie. Psychotherapie & Sozialwissenschaft, 1, 245–264.

Bernfeld, S. (1934). Die Gestalttheorie. Imago, 20, 32–77.

Boesky, D. (2008). Psychoanalytic disagreements in context. London, UK: Jason Aronson.

Borbely, A. F. (2008). Metaphor and psychoanalysis. In R. W. Gibbs, Jr. (Ed.), The Cambridge handbook of metaphor and thought (pp. 412–424). Cambridge, UK: Cambridge University Press.

Buchholz, M. B. (1993a). Metaphern in der ‘talking-cure’ - die Rhetorik der ‘Arbeit am Widerstand’. In M. B. Buchholz (Ed.), Metaphernanalyse (pp. 171-208). Göttingen, Germany: Vandenhoeck & Ruprecht.

Buchholz, M. B. (Ed.). (1993b). Metaphernanalyse. Göttingen, Germany: Vandenhoeck & Ruprecht.

Buchholz, M. B. (1996). Metaphern der ‘Kur’. Qualitative Studien zum therapeutischen Prozeß (2nd edition 2003). Giessen, Germany: Psychosozial-Verlag.

Buchholz, M. B. (2006). Konversation, Erzählung, Metapher. Der Beitrag qualitativer Forschung zu einer relationalen Psychoanalyse. In M. Altmeyer & H. Thomä (Eds.), Die vernetzte Seele. Die intersubjektive Wende in der Psychoanalyse (pp. 282–314). Stuttgart, Germany: Klett-Cotta.

Buchholz, M. B. (2007). Listening to words, seeing images: Metaphors of emotional movement. International Forum of Psychoanalysis, 16, 164–176.

Buchholz, M. B., Lamott, F., & Mörtl, K. (2008). Tat-Sachen. Narrative von Sexualstraftätern. Giessen, Germany: Psychosozial-Verlag.

Buchholz, M. B., Lamott, F., & Mörtl, K. (2009). Gender constructions. From a project on sex offenders. International Forum of Psychoanalysis, 18, 50–60.

Bush, M., & Meehan, W. (2011). Should supportive measures and relational variables be considered a part of psychoanalytic technique? Some empirical considerations. International Journal of Psychoanalysis, 92, 377-99.

Cacciari, C. (2008). Crossing the senses in metaphorical language. In R. W. Gibbs, Jr. (Ed.), The Cambridge handbook of metaphor and thought (pp.425–446). Cambridge, UK: Cambridge University Press.

Cameron, L., & Maslen, R. (Eds.). (2010). Metaphor analysis. Research practice in applied linguistics, social sciences and the humanities. Oakville, CT: Equinox.

Carveth, D. L. (1984). The analyst’s metaphors. A deconstructionist perspective. Psychoanalysis and Contemporary Thought, 7, 491–560.

Emde, R. N. (1988). The effect of relationships on relationships: a developmental approach to clinical intervention. In R. A. Hinde & J. Stevenson-Hinde (Eds.), Relationships within families. Mutual influences (pp. 354-364). Oxford, UK: Clarendon Press.

Feiner, K., & Kiersky, S. (1994). Empathy. A common ground. Psychoanalytic Dialogues, 4, 425–440.

Feldman, M. (1990). Common ground: The centrality of the Oedipus complex. International Journal of Psychoanalysis, 71, 37–48.
Figueira, S. A. (1990). Common (under)ground of psychoanalysis: The question of a Weltanschauung revisited. International Journal of Psychoanalysis, 71, 65–75.

Flader, D., Grodzicki, W. D., & Schröter, K. (Eds.). (1982). Psychoanalyse als Gespräch. Interaktionsanalytische Untersuchungen über Therapie und Supervision. Frankfurt, Germany: Suhrkamp.

Fleisher Feldman, C. (1995). Eliza Redux. Commentary on Gerhardt and Stinson. Psychoanalytic Dialogues, 5, 673–694.

Freud, S. (1900). The interpretation of dreams. Standard Edition 4-5.

Freud, S. (1913). On beginning the treatment (Further recommendations on the technique of psychoanalysis) Standard Edition 12 (pp. 123-144).

Freud, S. (1916-17). Introductory lectures on psycho-analysis. Standard Edition 16 (pp. 243- 463).

Gabbard, G. O. (1995). Countertransference: the emerging common ground. International Journal of Psychoanalysis, 76, 475–485.

Gardner, R. (2013). Conversation analysis in the classroom. In J. Sidnell & T. Stivers (Eds.), The handbook of conversation analysis (pp. 593–612). Chichester, UK: Wiley-Blackwell.

Garfinkel, H. (1967). Studies in ethnomethodology (Edition 1984). Cambridge, UK: Polity Press.

Gerhardt, J., & Stinson, C. (1995a). ‘I don’t know’: Resistance or groping for words? The construction of analytic subjectivity. Psychoanalytic Dialogues, 5, 619–672.

Gerhardt, J., & Stinson, C. (1995b). Three minds are better than one. Reply to Feldman and Kaplan. Psychoanalytic Dialogues, 5, 703–727.

Goffman, E. (1964). The neglected situation. In J. J. Gumperz & D. Hymes (Eds.), The ethnography of communication (pp. 133-136). Menaha, WI: American Anthropologist Association.

Goffman, E. (1983). The interaction order. American Sociological Review, 48, 1–17.

Goodwin, M. H. (2006). The hidden life of girls. Games of stance, status, and exclusion.
Malden, MA: Blackwell Pub.

Grabhorn, R., Kaufhold, J., Michal, M., & Overbeck, G. (2005). The therapeutic relationship as reflected in linguistic interaction: Work on resistance. Psychotherapy Research, 15, 470–482.

Green, A. (2005). The illusion of common ground and mythical pluralism. International Journal of Psychoanalysis, 86, 627–632.

Hakulinen, A., & Sorjonen, M.-L. (2011). Ways of agreeing with negative stance taking. In T. Stivers, L. Mondada, & J. Steensig (Eds.), The morality of knowledge in conversation (pp. 235–256). Cambridge, UK: Cambridge University Press.

Hepburn, A., & Potter, J. (2011). Designing the recipient: Managing advice resistance in institutional settings. Social Psychology Quarterly, 74, 216–241.

Heritage, J., & Clayman, S. E. (2010). Talk in action. Interactions, identities, and institutions. Chichester, UK: Wiley-Blackwell.

Jefferson, G. (1992). Harvey Sacks - Lectures on conversation. Oxford, UK: Blackwell. Jefferson, G. (1996). On the poetics of ordinary talk. Text and Performance Quarterly, 16, 1–61.

Kächele, H., Schachter, J., Thomä, H. (Eds). (2009). From psychoanalytic narrative to empirical single case research. Implications for psychoanalytic practice. New York, NY: Routledge.

Kaplan, D. M. (1995). Plea for a measure of analytic objectivity. Commentary on Gerhardt and Stinson. Psychoanalytic Dialogues, 5, 695–701.

Kidwell, M. (2011). Epistemics and embodiment in the interactions of very young children. In T. Stivers, L. Mondada, & J. Steensig (Eds.), The morality of knowledge in conversation (pp. 257–284). Cambridge, UK: Cambridge University Press.

Krause, R., & Merten, J. (1999). Affects, regulation of relationship, transference and countertransference. International Forum of Psychoanalysis, 8, 103–114.

Labov, W., & Fanshel, D. (1977). Therapeutic discourse.
New York, NY: Academic Press.

Lakoff, G. (1987). Women, fire, and dangerous things. What categories reveal about the mind. Chicago, Il: The University of Chicago Press.

Lussier, A. (1991). The search for common ground: A critique. International Journal of Psychoanalysis, 72, 57–62.

MacMartin, C. (2008). Resisting optimistic questions in narrative and solution-focused therapies. In A. Peräkylä, C. Antaki, S. Vehviläinen, & I. Leudar (Eds.), Conversation analysis and psychotherapy (pp. 80–100). Cambridge, UK: Cambridge University Press.

Madill, A., Widdicombe, S., & Barkham, M. (2001). The potential of conversation analysis for psychotherapy research. The Counseling Psychologist, 29, 413–434.

McHoul, A., Rapley, M., & Antaki, C. (2008). You gotta light? On the luxury of context for understanding talk in interaction. Journal of Pragmatics, 40, 827–839.

Miller, S. (2006). Conversation: A history of a declining art. New Haven, CT: Yale University Press.

Minolli, M. (2004). Identity and relational psychoanalysis. International Forum of Psychoanalysis, 13, 237–246.

Molder, H. T., & Potter, J. (Eds.) (2005). Conversation and cognition. Cambridge, UK: Cambridge University Press.

Morris, G. H. (2005). Aggravated resistance to problem formulations in therapy. In J. F. Duchan & D. Kovarsky (Eds.), Diagnosis as cultural practice (pp. 137–153). Berlin, Germany: Mouton de Gruyter.

Mörtl, K., Buchholz, M. B., & Lamott, F. (2010). Gender constructions of male sex offenders in Germany: Narrative analysis of group psychotherapy. Archives of Sexual Behavior, 39, 203–212.

Ogden, T. H. (1997). Reverie and metaphor. Some thoughts on how I work as a psychoanalyst. International Journal of Psychoanalysis, 78, 719–732.

Pain, J. (2009). Not just talking. Conversational analysis, Harvey Sacks’ gift to therapy. London, UK: Karnac.

Pawelczyk, J. (2011). Talk as therapy. Psychotherapy in a linguistic perspective. Boston, MA: De Gruyter Mouton.

Peräkylä, A. (2004). Two traditions of interaction research. British Journal of Social Psychology, 43, 1–20.

Peräkylä, A. (2011). After interpretation. Third position utterances in psychoanalysis. Research on Language and Social Interaction, 44, 288–316.

Peräkylä, A. (2013). Conversation analysis in psychotherapy. In J. Sidnell & T. Stivers (Eds.), The handbook of conversation analysis (pp. 551–575). Chichester, UK: Wiley-Blackwell.

Peräkylä, A., Antaki, C., Vehviläinen, S., & Leudar, I. (Eds.) (2008). Conversation analysis and psychotherapy. Cambridge, UK: Cambridge University Press.

Pfeifer, R., & Leuzinger-Bohleber, M. (1986). An application of cognitive science methods to psychoanalysis: A case study and some theory. International Review of Psychoanalysis, 13, 221–240.

Pittenger, R. E., Hockett, C. F., & Danehy, J. J. (1960). The first five minutes. A sample of microscopic interview analysis. New York, NY: Paul Martineau.

Pomerantz, A. (2012). Fragen mit Antwortangebot, soziales Handeln und moralische Ordnung. In R. Ayaß & C. Meyer (Eds.), Sozialität in Slow Motion. Theoretische und empirische Perspektiven; Festschrift für Jörg Bergmann (pp. 333–353). Wiesbaden, Germany: Springer.

Quinn, N. (2010). Metaphoric gestures and cultural analysis. In A. Cienki & C. Müller (Eds.), Gesture studies: Vol. 3. Metaphor and Gesture (pp. 253-259). Amsterdam, Netherlands: Benjamins.

Rae, J. (2008). Lexical substitution as a therapeutic ressource. In A. Peräkylä, C. Antaki, S. Vehviläinen, & I. Leudar (Eds.), Conversation analysis and psychotherapy (pp.62– 80).Cambridge, UK: Cambridge University Press.

Reddy, M. (1979). The conduit metaphor - A case of frame conflict in our language about language. In A. Ortony (Ed.), Metaphor and thought (pp. 284-324). Cambridge, UK: Cambridge University Press.

Rousillion, R. (2010). The deconstruction of primary narcissism. International Journal of Psychoanalysis, 91, 821–837.

Sacks, H. (1978). Some technical considerations of a dirty joke. In J. Schenkein (Ed.), Studies in the organization of conversational interaction (pp. 249–270). New York, NY: Academic Press.

Sacks, H. (1980). Button button who’s got the button. Sociological Inquiry, 50, 318–327. Sacks, H. (1984). Notes on methodology. In J. M. Atkinson & J. Heritage (Eds.), Structures of social action (pp. 21-28). New York, NY: Cambridge University Press.

Sandell, R. (2012). Research on outcomes of psychoanalysis and psychoanalysis-derived psychotherapies. In G. O. Gabbard, B. E. Litowitz., & P. Williams (Eds), Textbook of psychoanalysis (pp. 385-404). Washington, DC: American Psychiatric Press.

Schafer, R. (1990). The search for common ground. International Journal of Psychoanalysis, 71, 49–52.

Scheflen, A. (1972). Body language and social order. Englewood Cliffs, NY: Prentice Hall.

Schegloff, E. A. (2007a). A tutorial on membership categorization. Journal of Pragmatics, 39, 462–482.

Schegloff, E. A. (2007b). Conveying who you are: the presentation of self, strictly speaking. In N. J. Enfield & T. Stivers (Eds.), Person reference in interaction. Linguistic, cultural, and social perspectives (pp. 123–148). Cambridge, UK: Cambridge University Press.

Sidnell, J., & Stivers, T. (Eds.). (2013). The handbook of conversation analysis. Chichester, West Sussex, UK: Wiley-Blackwell.

Smith, D. L. (1991). Hidden conversations. An introduction to communicative psychoanalysis. London, UK: Tavistock/Routledge.

Spence, D. P., Mayes, L. C., & Dahl, H. (1994). Monitoring the analytic surface. Journal of American Psychoanalytic Assocociation, 42, 43–64.

Spurling, L. S. (2008). Is there still a place for the concept of ‘therapeutic regression’ in psychoanalysis? International Journal of Psychoanalysis, 89, 523–540.

Stählin, W. (1914). Zur Psychologie und Statistik der Metaphern. Archiv für die gesamte Psychologie, 31, 297–425.

Symington, N. (2006). A healing conversation - how healing happens. London, UK: Karnac.

Thomä, H., & Kächele, H. (1975). Problems of metascience and methodology in clinical psychoanalytic research. The Annual of Psychoanalysis, 3, 49-119.

Tomasello, M. (2008). Origins of human communication. Cambridge, UK: MIT-Press.

Tuckett, D. (1993). Some thoughts on the presentation and discussion of the clinical material of psychoanalysis. International Journal of Psychoanalysis, 74, 1175–1189.

Tuckett, D. (2012). Some reflections on psychoanalytic technique: In need of core concepts or an archaic ritual? Psychoanalytic Inquiry, 32, 87–108.

Tuckett, D., Basile, R., Birksted-Breen, D., Böhm, T., Denis, P., Ferro, A., et al. (Eds.). (2008). Psychoanalysis comparable & incomparable. The evolution of a method to describe and compare psychoanalytic approaches. London, UK: Routledge.

Turner, R. (1976). Einige formale Eigenschaften des therapeutischen Gesprächs. In M. Auwärter, E. Kirsch, & K. Schröter (Eds.), Seminar: Kommunikation, Interaktion, Identität (pp.140-191). Frankfurt, Germany: Suhrkamp.

Vehviläinen, S. (2003). Preparing and delivering interpretations in psychoanalytic interaction. Text, 23, 573–606.

Vehviläinen, S. (2008). Identifying and managing resistance in psychoanalytic interaction. In A. Peräkylä, C. Antaki, S. Vehviläinen, & I. Leudar (Eds.), Conversation analysis and psychotherapy (pp. 120–139). Cambridge, UK: Cambridge University Press.

Wainrib, S. (2012). Is psychoanalysis a matter of subjectivation? International Journal of Psychoanalysis, 93, 1115–1135.

Wynne, L. C. (1984). The epigenesis of relational systems: A model for understanding family development. Family Process, 23, 297–318.
How to Cite
Buchholz, M., & Kächele, H. (2013). Conversation Analysis – A Powerful Tool for Psychoanalytic Practice and Psychotherapy Research. Language and Psychoanalysis, 2(2), 4-30.
Original Articles