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Updated: May 28, 2026

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Functional Near-Infrared Spectroscopy Hyperscanning Study in Psychological Counseling
Published on: January 17, 2025
Therapeutic alliance and behavior inhibition.
Johannes Michalak1, Melanie Wiethoff, Dietmar Schulte
1a Ruhr University Bochum.
Summary
Therapeutic alliance quality impacts client behavior. Lower alliance quality correlates with increased use of "not" and reduced verbal productivity, signaling potential issues.
Area of Science:
- Psychology
- Clinical Psychology
- Psychotherapy Research
Background:
- The therapeutic alliance is a key factor in psychotherapy outcomes.
- Behavioral inhibition can manifest in client communication patterns.
- Understanding these links can improve therapeutic practice.
Purpose of the Study:
- To investigate the association between therapeutic alliance quality and client behavior inhibition.
- To determine if specific linguistic markers indicate behavioral inhibition in therapy sessions.
Main Methods:
- Assessed therapeutic alliance quality.
- Measured client behavior inhibition through frequency of "not" usage.
- Quantified client verbal productivity (word count).
Main Results:
- Clients in low-quality therapeutic alliances used "not" more frequently.
- Lower alliance quality was associated with reduced client verbal productivity.
- These linguistic markers appear sensitive to alliance quality.
Conclusions:
- Behavioral inhibition, indicated by specific language use, may serve as a marker for therapeutic alliance quality.
- Therapists can potentially utilize these markers to identify and address alliance issues.
- This research highlights the importance of communication patterns in psychotherapy.
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