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![Page 1: Expanding the Interventive Interviewing Framework with Contextual Questions, Meta-questions, and Enhanced Awareness Presentation at Therapeutic Conversations.](https://reader035.fdocuments.us/reader035/viewer/2022062407/56649da75503460f94a94225/html5/thumbnails/1.jpg)
Expanding the Interventive Interviewing Framework with Contextual Questions,
Meta-questions, and Enhanced Awareness
Presentation at Therapeutic Conversations #10
by Karl Tomm MD
12 May 2012
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Linear
assumptions
Circular
assumptions
Influencing
intentOrienting
intent
The original model of Interventive Interviewing (Karl Tomm 1987 & 1988)
Strategicquestions
Linealquestions
Reflexivequestions
Circularquestions
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Interventive Interviewing in transition (Carsten Hornstrup et al 2005)Considerations for introducing some changes:
1. Despite the usefulness of the original framework, when applied in organizational coaching, the differences from therapy justified some adjustments
2. Strategic questions were re-labeled “action clarifying questions” to render them more acceptable and useful in organizational practice
3. Both past and future oriented (lineal) questions could be regarded as clarifying the client’s understanding of the present situation
4. The juxtaposition of contrasting theoretical paradigms that was inherent in the original framework gradually became apparent (objectivity vs constructionism)
5. If the whole framework was placed within a constructionist perspective, all four quadrants could yield useful systemic questions (the lineal vs circular dimension was no longer necessary when interviewers were embedded in constructionist thinking)
6. Contextual and meta questions, inspired by Bateson’s theory of mind, were increasingly included (in an ad hoc manner)
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Traditional
Objectivist
Paradigm
Social
Constructionist
Paradigm
Orienting
intent
Linear assumptions
Circular assumptions
Influencing
intent
Two theoretical paradigms were inherent in the Original Model
![Page 5: Expanding the Interventive Interviewing Framework with Contextual Questions, Meta-questions, and Enhanced Awareness Presentation at Therapeutic Conversations.](https://reader035.fdocuments.us/reader035/viewer/2022062407/56649da75503460f94a94225/html5/thumbnails/5.jpg)
The transitional model abandoned the objectivist component and expanded the constructionist portion of the original model
Objectivist
Paradigm
Constructionist
Paradigm
Constructionist
ParadigmInfluencing
intentOrienting
intent
Lineal
Circular
The original model The transitional model
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Linear
assumptions
Circular
assumptions
Influencing
intent
Orienting
intent
Orienting
intent
Influencing
intent
FuturePast Present
The initial shift into a transitional model (Hornstrup et.al. 2005)
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Linear
assumptions
Circular
assumptions
Influencing
intent
Orienting
intent
Orienting
intent
Influencing
intent
FuturePast Present
Name changes in the initial shift (Hornstrup et.al. 2005)
Strategicquestions
Action clarifyingquestions
Caseclarifyingquestions
Linealquestions
![Page 8: Expanding the Interventive Interviewing Framework with Contextual Questions, Meta-questions, and Enhanced Awareness Presentation at Therapeutic Conversations.](https://reader035.fdocuments.us/reader035/viewer/2022062407/56649da75503460f94a94225/html5/thumbnails/8.jpg)
Orienting
intent
Influencing
intent
FuturePast Present
Hornstrup’s transitional model of Interventive Interviewing (Hornstrup et.al. 2005)
Action clarifyingquestions
Caseclarifyingquestions
Circularquestions
Reflexive questions
![Page 9: Expanding the Interventive Interviewing Framework with Contextual Questions, Meta-questions, and Enhanced Awareness Presentation at Therapeutic Conversations.](https://reader035.fdocuments.us/reader035/viewer/2022062407/56649da75503460f94a94225/html5/thumbnails/9.jpg)
Expanded Interventive Interviewing (Hornstrup & Tomm 2009)Further considerations for elaborating a new model:
1. Our collaboration in drawing upon experiences from two different fields (therapy and organizations) seemed mutually enriching
2. Both axes could be redefined further to clarify the model and propose an overall sequence for the questions
3. If the (past) and (future) were placed in parentheses, it could become clearer that past and future questions were contributing to an understanding of the here and now systemic process in the present
4. All four quadrants of questions could be re-named to fit more closely with their actual use in practice (instead of using names that reflected theory)
5. Contextual questions could be elaborated in all four quadrants and seemed to warrant a whole second layer of questions
6. Meta questions could also be identified in all four quadrants to raise systemic awareness and be added as a third layer of questions
![Page 10: Expanding the Interventive Interviewing Framework with Contextual Questions, Meta-questions, and Enhanced Awareness Presentation at Therapeutic Conversations.](https://reader035.fdocuments.us/reader035/viewer/2022062407/56649da75503460f94a94225/html5/thumbnails/10.jpg)
Orienting
intent
Influencing
intent
FuturePast
Present
A second shift (Hornstrup and Tomm 2009)
Systemic (circular)
co-clarifying intent
(Past) (Future)
Invitational (circular)
co-constructing intent
Present
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Co-clarifying intent
(Past) (Future)
Co-constructing intent
Present
3ARe-naming the dimensions
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Situation
clarifying
questions
Other
perspectives
questions
Initiative
clarifying
questions
Generating
possibilities
questions
Co-clarifying intent
(Past) (Future)
Co-constructing intent
Present
3ARe-naming the 4 basic categories of questions
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A summary of the re-naming process from the original model
• From lineal vs circular assumptions, to co-clarifying vs co-constructing intent
• From orienting vs influencing intent, to (past) and (future) in the present
• From linear or case clarifying questions, to situation clarifying questions
• From circular questions, to other perspectives questions
• From reflexive questions, to generating possibilities questions
• From strategic or action clarifying questions, to initiative clarifying questions
![Page 14: Expanding the Interventive Interviewing Framework with Contextual Questions, Meta-questions, and Enhanced Awareness Presentation at Therapeutic Conversations.](https://reader035.fdocuments.us/reader035/viewer/2022062407/56649da75503460f94a94225/html5/thumbnails/14.jpg)
3C
situating questions
contextual questions
meta questions
Adding 2 layers: contextual and meta questions
![Page 15: Expanding the Interventive Interviewing Framework with Contextual Questions, Meta-questions, and Enhanced Awareness Presentation at Therapeutic Conversations.](https://reader035.fdocuments.us/reader035/viewer/2022062407/56649da75503460f94a94225/html5/thumbnails/15.jpg)
Three layers of questions:
• The core layer - Situation focused questions are intended to clarify and explore the clients’ current understandings of their situation, and to generate new insights and possibilities.
• The second layer - Contextual questions are intended to enhance an awareness of the ‘bigger picture’ and how the situation is always embedded in, and influenced by, a larger context.
• The third layer - Meta questions are intended to encourage mindfulness of the process of the interview itself and to reflect on the effects of the questions, other possible questions, and what conditions, assumptions, and intentions guide the attention of both interviewer and interviewee.
![Page 16: Expanding the Interventive Interviewing Framework with Contextual Questions, Meta-questions, and Enhanced Awareness Presentation at Therapeutic Conversations.](https://reader035.fdocuments.us/reader035/viewer/2022062407/56649da75503460f94a94225/html5/thumbnails/16.jpg)
Situationclarifyingquestions
Other
perspectives
questions
Initiative
clarifying
questions
Generating
possibilities
questions
Co-clarifying intent
(Past) (Future)
Co-constructing intent
Present
Contextualsituation
Contextualinitiative
Contextualpossibilities
Contextualperspectives
MetaInitiative
Metasituation
Metapossibilities
Metaperspectives
3C
The current expanded framework of Interventive Interviewing (Hornstrup and Tomm 2010)
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Situation
clarifying
questions
Other
perspectives
questions
Initiative
clarifying
questions
Generating
possibilities
questions
Co-clarifying intent
(Past) (Future)
Co-constructing intent
Present
3AExamples of questions from the core of the revised model
![Page 18: Expanding the Interventive Interviewing Framework with Contextual Questions, Meta-questions, and Enhanced Awareness Presentation at Therapeutic Conversations.](https://reader035.fdocuments.us/reader035/viewer/2022062407/56649da75503460f94a94225/html5/thumbnails/18.jpg)
Sample Core Questions• Situation Clarifying Questions
– What is your main concern at the moment? What is your understanding about how things came to this?
• Other Perspectives Questions– How would your colleagues describe your situation? What about
your best friend’s view?
• Generating Possibilities Questions– What is the outcome that you would prefer? What are some even
better outcomes that you could imagine?
• Initiative Clarifying Questions– How could you move towards those outcomes? On the basis of what
we talked about so far, what steps would you consider taking now?
![Page 19: Expanding the Interventive Interviewing Framework with Contextual Questions, Meta-questions, and Enhanced Awareness Presentation at Therapeutic Conversations.](https://reader035.fdocuments.us/reader035/viewer/2022062407/56649da75503460f94a94225/html5/thumbnails/19.jpg)
Situationclarifyingquestions
Other
perspectives
questions
Initiative
clarifying
questions
Generating
possibilities
questions
Co-clarifying intent
(Past) (Future)
Co-constructing intent
Present
Contextualsituation
Contextualinitiative
Contextualgenerative
Contextualperspectives
3B
Examples of questions from the contextual layer
![Page 20: Expanding the Interventive Interviewing Framework with Contextual Questions, Meta-questions, and Enhanced Awareness Presentation at Therapeutic Conversations.](https://reader035.fdocuments.us/reader035/viewer/2022062407/56649da75503460f94a94225/html5/thumbnails/20.jpg)
Sample Contextual Questions
• Contextual Situation Questions– What is the historical context out of which this situation arose? What
does the institutional, community, or cultural context say?
• Contextual Perspective Questions– If your situation were placed in a different context, how would it be
seen differently? What other context could shed a different light on the situation?
• Contextual Generative Questions – What kind of institutional or community changes can you imagine
that could enable you to move forward?
• Contextual Initiative Questions– What new precedents might be established in your community if you
acted on your new hopes/plans?
![Page 21: Expanding the Interventive Interviewing Framework with Contextual Questions, Meta-questions, and Enhanced Awareness Presentation at Therapeutic Conversations.](https://reader035.fdocuments.us/reader035/viewer/2022062407/56649da75503460f94a94225/html5/thumbnails/21.jpg)
Situationclarifyingquestions
Other
perspectives
questions
Initiative
clarifying
questions
Generating
possibilities
questions
Co-clarifying intent
(Past) (Future)
Co-constructing intent
Present
Contextualsituation
Contextualinitiative
Contextualpossibilities
Contextualperspectives
MetaInitiative
Metasituation
Metapossibilities
Metaperspectives
3C
Examples of questions from the meta layer
![Page 22: Expanding the Interventive Interviewing Framework with Contextual Questions, Meta-questions, and Enhanced Awareness Presentation at Therapeutic Conversations.](https://reader035.fdocuments.us/reader035/viewer/2022062407/56649da75503460f94a94225/html5/thumbnails/22.jpg)
Sample Meta Questions• Situation meta questions
– How do you feel about the questions I have asked so far? What further questions could I ask to help understand your situation?
• Other perspective meta question – Who else could I ask you about, who might hold a significantly
different view of your situation?
• Generating possibilities meta question – What else could I ask you about, that might help you stretch
yourself, to think outside the box?
• Initiative clarifying meta question– What else should I be exploring with you to clarify the potential
effects of the actions you are considering?
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Situationclarifyingquestions
Other
perspectives
questions
Initiative
clarifying
questions
Generating
possibilities
questions
Co-clarifying intent
(Past) (Future)
Co-constructing intent
Present
Contextualsituation
Contextualinitiative
Contextualpossibilities
Contextualperspectives
3B
Differentiating questions within the contextual layer
![Page 24: Expanding the Interventive Interviewing Framework with Contextual Questions, Meta-questions, and Enhanced Awareness Presentation at Therapeutic Conversations.](https://reader035.fdocuments.us/reader035/viewer/2022062407/56649da75503460f94a94225/html5/thumbnails/24.jpg)
Contextual Questions
• Physical level – re: food, shelter, space in home, office, environment, ecology, genetics, etc
• Relationship level – re: families of origin, friends, neighbors, mentors, social networks, etc.
• Socio-cultural level – re: race, ethnicity, cultural discourses, social injustices, financial, legal, ethical, spiritual, etc.
![Page 25: Expanding the Interventive Interviewing Framework with Contextual Questions, Meta-questions, and Enhanced Awareness Presentation at Therapeutic Conversations.](https://reader035.fdocuments.us/reader035/viewer/2022062407/56649da75503460f94a94225/html5/thumbnails/25.jpg)
Contextual Situation Questions
• Physical level– What physical circumstances/limitations could be
constraining your current situation?
• Relationship level– What personal/professional/community relationships
might be contributing to your current stuckness?
• Socio-cultural level– What ideas/beliefs/assumptions/injunctions from the
culture could be oppressive or limiting your movement?
![Page 26: Expanding the Interventive Interviewing Framework with Contextual Questions, Meta-questions, and Enhanced Awareness Presentation at Therapeutic Conversations.](https://reader035.fdocuments.us/reader035/viewer/2022062407/56649da75503460f94a94225/html5/thumbnails/26.jpg)
Contextual Perspective Questions
• Physical level– What other physical circumstances could have
influenced your current situation differently?
• Relationship level– What other possible personal or professional
relationships could have influenced your current situation?
• Socio-cultural level– What other ideas/beliefs/assumptions/injunctions from
the culture could influence your current situation differently (e.g. pro-justice)?
![Page 27: Expanding the Interventive Interviewing Framework with Contextual Questions, Meta-questions, and Enhanced Awareness Presentation at Therapeutic Conversations.](https://reader035.fdocuments.us/reader035/viewer/2022062407/56649da75503460f94a94225/html5/thumbnails/27.jpg)
Contextual Generative Questions
• Physical level– What new physical circumstances might enable
constructive changes in your current situation?
• Relationship level– What new personal or professional relationships could
you imagine that would enable future possibilities?
• Socio-cultural level– What new ideas/beliefs/assumptions/injunctions could
you adopt that might liberate you and/or propel you forward into some future possibilities?
![Page 28: Expanding the Interventive Interviewing Framework with Contextual Questions, Meta-questions, and Enhanced Awareness Presentation at Therapeutic Conversations.](https://reader035.fdocuments.us/reader035/viewer/2022062407/56649da75503460f94a94225/html5/thumbnails/28.jpg)
Contextual Initiative Questions
• Physical level– What specific changes in the physical circumstances
need to be implemented to move forward?
• Relationship level– Which personal or professional relationships will you
enter into to keep your momentum going?
• Socio-cultural level– Which ideas/beliefs/assumptions/injunctions will you
privilege and/or adopt to formulate and implement the policies you need to keep moving forward?
![Page 29: Expanding the Interventive Interviewing Framework with Contextual Questions, Meta-questions, and Enhanced Awareness Presentation at Therapeutic Conversations.](https://reader035.fdocuments.us/reader035/viewer/2022062407/56649da75503460f94a94225/html5/thumbnails/29.jpg)
Situationclarifyingquestions
Other
perspectives
questions
Initiative
clarifying
questions
Generating
possibilities
questions
Co-clarifying intent
(Past) (Future)
Co-constructing intent
Present
Contextualsituation
Contextualinitiative
Contextualpossibilities
Contextualperspectives
MetaInitiative
Metasituation
Metapossibilities
Metaperspectives
3C
Differentiating questions in the meta layer
![Page 30: Expanding the Interventive Interviewing Framework with Contextual Questions, Meta-questions, and Enhanced Awareness Presentation at Therapeutic Conversations.](https://reader035.fdocuments.us/reader035/viewer/2022062407/56649da75503460f94a94225/html5/thumbnails/30.jpg)
2 general types of meta questions
• To oneself– What questions should I be asking this client?– Why am I asking this particular question?
• To the client– Are these questions meaningful or relevant to
you and your situation?– What else should I be asking you about?
![Page 31: Expanding the Interventive Interviewing Framework with Contextual Questions, Meta-questions, and Enhanced Awareness Presentation at Therapeutic Conversations.](https://reader035.fdocuments.us/reader035/viewer/2022062407/56649da75503460f94a94225/html5/thumbnails/31.jpg)
Meta Situation Questions• To oneself
– What else could I ask that could help us understand what is keeping this person stuck in this situation?
– What else could I ask to disclose further contextual factors/issues that may be oppressing and/or restraining my client(s)?
– Should I be asking additional clarifying questions here or is it time to move on?
• To the client– What else could I be asking you about that would help me
understand your situation more fully?– How do you feel about the questions I have been asking so far?– Would some questions about unfairness/injustice be helpful?– Is it OK if I move on now to other kinds of questions?
![Page 32: Expanding the Interventive Interviewing Framework with Contextual Questions, Meta-questions, and Enhanced Awareness Presentation at Therapeutic Conversations.](https://reader035.fdocuments.us/reader035/viewer/2022062407/56649da75503460f94a94225/html5/thumbnails/32.jpg)
Meta Perspective Questions• To oneself
– Who else in this situation could I ask about that might have a different perspective to offer?
– What additional contextual factors/issues could I ask about to shed new light on this situation?
– Should I be asking more alternative perspective questions here or should I move on?
• Possibly to the client– Who else could I ask you about who would have a very different
point of view?– Whose perspective could I be asking you about that would help you
see another angle on your situation?– Could some questions from a social justice perspective add some
new insights?
![Page 33: Expanding the Interventive Interviewing Framework with Contextual Questions, Meta-questions, and Enhanced Awareness Presentation at Therapeutic Conversations.](https://reader035.fdocuments.us/reader035/viewer/2022062407/56649da75503460f94a94225/html5/thumbnails/33.jpg)
Meta Possibilities Questions
• To oneself– What questions could I ask to open space for this
person to see things altogether differently and to generate new possibilities?
– What could I ask to open space for my client to potentially move forward?
– Should I be asking more possibilities questions here or should I move on?
• Possibly to the client– What else could I be enquiring about that would help
you create new understandings and possibilities?
![Page 34: Expanding the Interventive Interviewing Framework with Contextual Questions, Meta-questions, and Enhanced Awareness Presentation at Therapeutic Conversations.](https://reader035.fdocuments.us/reader035/viewer/2022062407/56649da75503460f94a94225/html5/thumbnails/34.jpg)
Meta Initiative Questions
• To oneself– What could I ask this person to help clarify the next
steps to be taken?– Should I be asking about very small steps he/she could
take or a major jump forward?– What should I ask to draw attention to some potential
consequences for such action?
• Possibly to the client– What other questions could I ask you to explore further
initiatives and/or consequences of your proposed next steps?
![Page 35: Expanding the Interventive Interviewing Framework with Contextual Questions, Meta-questions, and Enhanced Awareness Presentation at Therapeutic Conversations.](https://reader035.fdocuments.us/reader035/viewer/2022062407/56649da75503460f94a94225/html5/thumbnails/35.jpg)
A basic proposed sequence through the four quadrants
Situation clarifying questions
Other perspectives questions
Generating possibilities questions
Initiative clarifying questions
Situation
clarifying
questions
Other
perspectives
questions
Initiative
clarifying
questions
Generating
possibilities
questions
Co-clarifying intent
Co-constructing intent
3A
![Page 36: Expanding the Interventive Interviewing Framework with Contextual Questions, Meta-questions, and Enhanced Awareness Presentation at Therapeutic Conversations.](https://reader035.fdocuments.us/reader035/viewer/2022062407/56649da75503460f94a94225/html5/thumbnails/36.jpg)
Situationclarifyingquestions
Other
perspectives
questions
Initiative
clarifying
questions
Generating
possibilities
questions
Co-clarifying intent
(Past) (Future)
Co-constructing intent
Present
Contextualsituation
Contextualinitiative
Contextualpossibilities
Contextualperspectives
MetaInitiative
Metasituation
Metapossibilities
Metaperspectives
3C
A second proposed sequence: moving from the inside out
![Page 37: Expanding the Interventive Interviewing Framework with Contextual Questions, Meta-questions, and Enhanced Awareness Presentation at Therapeutic Conversations.](https://reader035.fdocuments.us/reader035/viewer/2022062407/56649da75503460f94a94225/html5/thumbnails/37.jpg)
Situationclarifyingquestions
Other
perspectives
questions
Initiative
clarifying
questions
Generating
possibilities
questions
Co-clarifying intent
(Past) (Future)
Co-constructing intent
Present
Contextualsituation
Contextualinitiative
Contextualpossibilities
Contextualperspectives
MetaInitiative
Metasituation
Metapossibilities
Metaperspectives
3C
Using the full expanded framework in a stepwise progression
![Page 38: Expanding the Interventive Interviewing Framework with Contextual Questions, Meta-questions, and Enhanced Awareness Presentation at Therapeutic Conversations.](https://reader035.fdocuments.us/reader035/viewer/2022062407/56649da75503460f94a94225/html5/thumbnails/38.jpg)
A structured demonstration interview
• A volunteer interviewee is required for the demo.
• The volunteer will experience the direct effects of the different questions (observers will be limited to vicarious effects).
• The interviewee decides on the content issue for the demonstration: it could be a personal life situation, a work situation, or simply one’s current interest in this workshop.
• The pass rule applies, i.e. the interviewee is entitled to “pass” on any question to maintain his/her privacy (no explanation required).
• The interviewer will ask questions from each category in a systematic sequence.
• There may be brief interruptions to mark a move from one category to
the next, leaving the interview somewhat stilted.
![Page 39: Expanding the Interventive Interviewing Framework with Contextual Questions, Meta-questions, and Enhanced Awareness Presentation at Therapeutic Conversations.](https://reader035.fdocuments.us/reader035/viewer/2022062407/56649da75503460f94a94225/html5/thumbnails/39.jpg)
Traditional
Paradigm
Constructionist
Paradigm
Orienting
intent
Linear assumptions
Circular assumptions
Influencing
intent
In summary, we encourage practitioners to use the Original Model to guide them towards privileging constructionist questions
![Page 40: Expanding the Interventive Interviewing Framework with Contextual Questions, Meta-questions, and Enhanced Awareness Presentation at Therapeutic Conversations.](https://reader035.fdocuments.us/reader035/viewer/2022062407/56649da75503460f94a94225/html5/thumbnails/40.jpg)
When practitioners are able to hold a constructionist stance in the original model, they are encouraged to expand into the new model
Objectivist
Paradigm
Constructionist
Paradigm
Influencing
intentOrienting
intent
Lineal
Circular
Constructionist
Paradigm(Future)(Past)
Co-constructing
intent
Co-clarifying
intent
![Page 41: Expanding the Interventive Interviewing Framework with Contextual Questions, Meta-questions, and Enhanced Awareness Presentation at Therapeutic Conversations.](https://reader035.fdocuments.us/reader035/viewer/2022062407/56649da75503460f94a94225/html5/thumbnails/41.jpg)
Yet, remain mindful of possible slips into an objectivist paradigm
Traditional
Paradigm
Constructionist
Paradigm
Traditional
Objectivist
Paradigm
Constructionist
Paradigm(Future)(Past)
Advising
intent
Actual Past
Co-constructing
intent
Actual Future
Discovering
intent
Co-clarifying
intent
Influencing
intentOrienting
intent
Lineal
Circular
![Page 42: Expanding the Interventive Interviewing Framework with Contextual Questions, Meta-questions, and Enhanced Awareness Presentation at Therapeutic Conversations.](https://reader035.fdocuments.us/reader035/viewer/2022062407/56649da75503460f94a94225/html5/thumbnails/42.jpg)
Clarifying intent
(Past) (Future)
Co-constructing intent
Present
3A
Could a third dimension strengthen one’s groundedness in co-constructive/constructionist/systemic interviewing?
Obscurity
Transparency
![Page 43: Expanding the Interventive Interviewing Framework with Contextual Questions, Meta-questions, and Enhanced Awareness Presentation at Therapeutic Conversations.](https://reader035.fdocuments.us/reader035/viewer/2022062407/56649da75503460f94a94225/html5/thumbnails/43.jpg)
Possible steps along a third dimension from ‘Obscurity to Transparency’
- Unaware of one’s own experience/perceptions/thinking
- Distinguishing one’s experience
- Questions to oneself
- Questions to oneself about one’s questions
- Questions to the other person
- Questions to the other about situations and contexts
- Questions to the other about others
- Interpersonal perception questions
- Internalized other questions
- Questions to the internalized other of an internalized other
Obscurity
Visibility/audibility
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Calgary Family Therapy CentreDepartment of Psychiatry
University of Calgary
www.familytherapy.org