Power and Authority in Clinical Practice: A Discourse Analysis Approach to Narrative Process

Issues of power and authority in the treatment relationship are explored using concepts from discourse analysis. Negotiative and heuristic processes of narrative co-construction are described. These concepts, which highlight issues of power and vulnerability in narrative co-construction in ordinary conversation, are then applied to a clinical case. Implications for clinical social work treatment are developed based on an expanded understanding of, and sensitivity to, the sharing of narrative power in the treatment relationship.