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Getting to "Yes": Overcoming Client Reluctance to Engage in Chair Work.

Peter Muntigl1, Adam O Horvath1, Lynda Chubak2

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Summary
This summary is machine-generated.

Therapists can overcome client reluctance for activities like chair work by using specific conversational strategies. These include offering alternatives and explaining the rationale, fostering collaboration and positive therapeutic relationships.

Keywords:
affiliationchair workconversation analysisdeonticsdirectivesemotion-focused therapyrecruitment

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Area of Science:

  • Psychology
  • Communication Studies
  • Therapeutic Interventions

Background:

  • Client collaboration is essential for therapeutic activities like chair work.
  • Client reluctance and anxiety can impede engagement in proposed therapeutic tasks.
  • Negotiating client participation requires balancing task effectiveness with relational affiliation.

Purpose of the Study:

  • Examine therapist proposal/client response sequences for chair work.
  • Identify conversational resources used to reject or defer chair work.
  • Analyze interactional practices for resolving client reluctance in therapy.

Main Methods:

  • Utilized Conversation Analysis (CA).
  • Analyzed a corpus of therapist proposal/client response sequences.
  • Focused on sequences targeting chair work entry in Emotion-focused Therapy.

Main Results:

  • Clients deferred or refused chair work via silence, questioning, or direct refusal.
  • Therapists facilitated engagement using "or" alternatives, extended rationales, and elaborations.
  • Therapist deontic (mitigated authority) and epistemic (deference to client knowledge) stances were crucial.

Conclusions:

  • Identified interactional sequences enabling client-therapist alignment for chair work.
  • Provided practical advice for therapists on proposing in-therapy activities.
  • Highlighted the importance of negotiation and relational factors in therapeutic engagement.