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Related Concept Videos

Impression Management Techniques IV: Altercasting01:14

Impression Management Techniques IV: Altercasting

Altercasting is a strategic communication technique in which an individual imposes a specific identity or social role onto another person to influence their behavior and shape the interaction. By presuming a role—such as “responsible leader” or “patient person”—altercasting encourages the target to conform to that identity, often aligning their behavior with the expectations associated with the role. The power of this tactic lies in its subtlety; once a role is assigned, it becomes socially...
Therapeutic Communication01:30

Therapeutic Communication

Communication is a lifelong learning process. Through therapeutic communication, nurses can collect relevant assessment data, provide education and counseling, and interact during nursing interventions. Sending and receiving messages occur through verbal and nonverbal communication techniques and can happen separately or simultaneously.
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing01:23

Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing

Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch01:15

Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch

The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Interpersonal Psychotherapy01:25

Interpersonal Psychotherapy

Interpersonal psychotherapy (IPT) is a structured, time-limited therapeutic approach initially developed to treat depression. It integrates key concepts from psychodynamic, humanistic, and cognitive-behavioral therapies, making it a uniquely eclectic framework. The therapy is rooted in the interpersonal theories of Adolph Meyer and Harry Stack Sullivan, as well as John Bowlby's attachment theory, and focuses on the interplay between interpersonal relationships and emotional well-being.
Impression Management Techniques III: Aligning Actions01:29

Impression Management Techniques III: Aligning Actions

Aligning actions are communicative strategies individuals employ to maintain social harmony and preserve personal identity in the face of potential disruptions to social norms. These actions are particularly important in managing social impressions when one's behavior might be seen as inappropriate, incompetent, or morally questionable.Types of Aligning ActionsThe three principal types of aligning actions are disclaimers, accounts, and apologies.DisclaimersDisclaimers are preventive; they are...

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Related Experiment Video

Updated: May 22, 2026

Virtual Agent for Real-Time Motivational Interviewing by Integrating Adaptive Nonverbal Behavior and Language Models
07:14

Virtual Agent for Real-Time Motivational Interviewing by Integrating Adaptive Nonverbal Behavior and Language Models

Published on: December 23, 2025

Clients as conversational agents.

Helen F Massfeller1, Tom Strong

  • 1Educational Studies in Counselling Psychology, University of Calgary, Calgary, Canada. hfmassfe@ucalgary.ca

Patient Education and Counseling
|April 25, 2012
PubMed
Summary
This summary is machine-generated.

Clients actively shape therapeutic dialogues through their conversational initiatives and correctives. Responsive counselors foster collaborative consultations, enhancing client influence on the session agenda.

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Area of Science:

  • * Psychology
  • * Linguistics
  • * Communication Studies

Background:

  • * Understanding client participation in therapy is crucial for effective treatment.
  • * Conversational agency, defined as clients' active role in therapeutic dialogues, remains underexplored.
  • * Previous research has not fully examined how client initiatives and correctives shape collaborative consultations.

Purpose of the Study:

  • * To examine the influence of clients' conversational correctives and initiatives on collaborative therapeutic consultations.
  • * To investigate how clients' active participation shapes the content and direction of therapy sessions.
  • * To analyze the impact of client-led conversational turns on the therapeutic alliance.

Main Methods:

  • * Analysis of 35 videotaped single-session lifestyle consultations with adult clients.
  • * Discursive microanalysis of client-initiated topic shifts and corrections of counselor misunderstandings.
  • * Examination of counselor responses to client-led conversational interventions.

Main Results:

  • * Clients actively co-managed conversational developments, demonstrating significant influence.
  • * Client correctives, interruptions, and divergent viewpoints shaped the therapeutic dialogue.
  • * Clients successfully influenced the content and trajectory of consultations through agentive contributions.

Conclusions:

  • * Clients demonstrably influence the conversational agenda in face-to-face consultations through initiatives and correctives.
  • * Counselor responsiveness to client contributions is key to enabling client influence.
  • * Clinicians should enhance sensitivity and relational responsiveness to engage clients' agentive roles in dialogue.