The current study was designed as quasi‐experimental with a pretest and post‐test evaluating the efficacy of narrative therapy on communication patterns for women experiencing low marital satisfaction. Thirty women experiencing low marital satisfaction were chosen using convenience sampling and were randomly assigned to an intervention and waiting list group. The intervention group was treated individually by narrative therapy in eight 45‐minute sessions. Results from repeated measurement ANOVA revealed significant differences between and within the groups and interaction between and within groups. Independent and paired t‐test results showed significant improvement in the intervention group in their marital satisfaction, male‐demand/female‐withdraw, and total demand/withdraw with maintenance at eight weeks follow‐up. Results included increased marital satisfaction, reduced male‐demand/female‐withdraw, and reduced total demand/withdraw. Thus, results show that narrative therapy is effective in increasing the marital satisfaction indicators of male‐demand/female‐withdraw, total demand/withdraw, and marital satisfaction.

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Intersubjectivity has priority over subjectivity because meaning is discussed and constructed in a two-way process that happens in a conversation. According to this, the research aims to show the terms of change for meaning production in psychotherapy with clients. Two cases (a child and an adult) were selected with apparent symptoms of anxiety and fear with the case study method and available sampling. They were treated by the technical integrative method. Conversations were coded by process-focused conversation analysis. Analyzing results by process-focused conversation analysis showed that in both cases, to happen changes in psychotherapy, besides terms of conversation, a particular type of psychotherapy response is essential (Khayyami's cycle), and client change is not explained by the merely particular response of the therapist; but, the therapist can, by the method used in the research, acquire the meaning hidden behind client's verbal response and symptoms on the dialogue process and show Lacani's transcendental signified and signified chain.