{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T06:07:09Z","timestamp":1784786829979,"version":"3.55.0"},"reference-count":115,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T00:00:00Z","timestamp":1784764800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Child Adolesc. Psychiatry"],"abstract":"\n Introduction<\/jats:title>\n \n Retracing the theme of what can legitimately be considered \u201cevidence\u201d in psychotherapy, the present work shows the application of an\n ad hoc<\/jats:italic>\n , rule-based text mining program specifically designed to analyze therapy session transcripts. Developed within a systemic-relational framework, and grounded in Semantic Polarities Theory, the program works through a hybrid human-in-the-loop approach and provides data for subsequent descriptive and inferential analyses on meaning transformation starting from consultation sessions.\n <\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n \n The present study examines the clinical case of an adolescent girl with untreated past non-suicidal self-injury (\n N<\/jats:italic>\n SSI) and suicidal ideation. Before moving to the joint family work phase, family therapy consultation was conducted in separate sessions within an alternating parent-adolescent format.\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Overall semantic activity was compared across events with Wilcoxon rank-sum tests. In categorical comparisons\n ,<\/jats:bold>\n data were analyzed using chi-square tests, with df-scaled Cramer's\n V<\/jats:italic>\n to measure effect sizes and Monte Carlo\n p<\/jats:italic>\n -values. Initial subjects' positioning profile across Family Semantic Grids (FSGs) was described using semantic heatmaps and main polarities use. Linear Mixed-Effects (LME) models were implemented to track longitudinal changes in the subjects' positioning, specifically investigating the therapist's influence.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Results indicated that the therapist introduced a significantly lower proportion of new meanings across all comparisons during the consultation phase. LME models showed significant intensity shifts toward positive-valued meanings, supported by\n ICC<\/jats:italic>\n ,\n \n \n \n R<\/mml:mi>\n m<\/mml:mi>\n 2<\/mml:mn>\n <\/mml:msubsup>\n <\/mml:math>\n <\/jats:inline-formula>\n and\n \n \n \n R<\/mml:mi>\n c<\/mml:mi>\n 2<\/mml:mn>\n <\/mml:msubsup>\n <\/mml:math>\n <\/jats:inline-formula>\n values, and inform on the significant specific use of Narrated Semantic Polarities (NSP) and Interactive Semantic Polarities (ISP) across participants.\n <\/jats:p>\n <\/jats:sec>\n \n Discussion<\/jats:title>\n Overall, the study supports the feasibility of a semi-automated process for coding and for subsequent analyses of family semantic polarities. In fact, performed analyses demonstrate how therapist positioning and meaning management through re-expression and semantic shifts significantly influenced family members' change in positioning, an effect especially evident for the identified patient. In conclusion, rule-based text mining can yield process indicators that remain clinically legible. Read as \u201csemantography,\u201d results provide a compact, data-grounded map of coupling and early change while staying parsimonious on case disclosure. Limits and future directions of the present pilot study are discussed.<\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/frcha.2026.1800848","type":"journal-article","created":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T05:41:03Z","timestamp":1784785263000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Toward the automation of family semantic grids: a pilot exploration of text mining for evidence-informed systemic-relational psychotherapy"],"prefix":"10.3389","volume":"5","author":[{"given":"Eleonora","family":"Florio","sequence":"first","affiliation":[{"name":"Psychologist and Psychotherapist, Private Practice","place":["Bergamo, Italy"]},{"name":"Department of Human and Social Sciences, University of Bergamo","place":["Bergamo, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"Rota Biasetti","sequence":"additional","affiliation":[{"name":"Bachelor of Engineering for Health Technologies. 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