Narrative interaction and the development of client autonomy in clinical practice

Data from a psychoanalytic case are used to explore the development of client autonomy in clinical treatment. The client's narratives and the talk about them in which narrative meaning is formulated and reformulated are selected as one series of interactions in which the development of client autonomy can be studied. Discourse analysis methods are adapted to document and describe specific shifts in the structure of client narratives and talk about them which reflect the development of client autonomy over the course of treatment. Implications for casework treatment are discussed.