paraphrasing and reflection in counseling

Paraphrasing in Counselling

Table of Contents

In essence, paraphrasing is a micro skill that allows counselors to create an authentic bond with their clients  Together with encouraging and summarizing, paraphrasing plays a crucial role in therapeutic communication, making the client feel understood and listened to.  In other words, paraphrasing in counseling is what makes the client say, “ Finally, someone who understands what I’m going through.” Without this essential ingredient, counseling sessions would be nothing more than dull and impersonal exchanges of ideas.

What is the difference between reflecting and paraphrasing in Counseling?

Paraphrasing and reflecting are close synonyms for most people, both playing a crucial role in any form of communication.

Although paraphrasing and reflecting are fundamental counseling communication skills [1], these two processes can have slightly different connotations in a therapeutic context.

In essence, reflecting is like putting a mirror in front of your clients, helping them gain a better sense of the thoughts, emotions, and behaviors they experienced in a situation that has meaning for them.

Of course, this does not mean you have to parrot their message; simply highlight the link between different ideas and emotions and how one influences the other.

When reflecting, it is vital to match the client’s tone and even body language so that he/she knows that you’ve received the message and the feelings that accompany his/her story.

On the other hand, paraphrasing is about capturing the essence of their story with a brief statement that emphasizes the underlying emotional vibe.

This technique is particularly useful when clients know how ideas and emotions can merge to create a subjective experience, but you want them to feel understood and listened to.

In a way, we could argue that paraphrasing is a brief version of reflecting.

Let’s look at a brief example of paraphrasing in counseling:

Client: I had a huge fight with Andrew last night. At some point, he stormed out and didn’t come back ‘til morning. I tried calling him all night, but his phone was switched off. I was worried sick and thought he did something stupid. This whole thing was like a nightmare that I could not wake up from.

Therapist : It seems this unpleasant event has put you through a lot of fear and anxiety.

Now let’s take a look at reflecting:

Therapist : I can only imagine how terrifying it must have felt to see your partner storm out after a huge fight without telling you where he is going or when he’ll be back.

As you can see, both processes require active listening. But while paraphrasing is a short statement that highlights the emotional tone of the situation, a reflective response captures “the vibe” of the story, along with other essential details.

How do you paraphrase?

• Start by listening

Whether the purpose is to paraphrase or reflect, listening is always the first step.

Through active listening, counselors gain a better sense of what their clients have experienced in a particular situation. Active listening means looking beyond the surface and trying to connect with the client on an emotional level.

To achieve this level of emotional depth, counselors listen with both their ears and their hearts. That means putting themselves in their clients’ shoes and zeroing in on the emotional aspect of the experience.

• Focus on feelings and thoughts rather than circumstances

When we listen to another person’s story, the most visible aspects are related to the actual events that he or she has gone through.

But details like names, dates, locations, or other circumstantial issues are less relevant than how the person interpreted and consequently felt in a particular situation.

When it comes to paraphrasing, counselors are trained to look beyond circumstances and identify why a client has chosen to talk about a particular event.

In almost every case, the reason is a set of emotional experiences.

• Capture the essence of the message

Although people can experience a wide range of emotions in a given situation or context, there’s always an underlying feeling that defines how they react.

That underlying emotional vibe is the “golden nugget” that counselors are looking to capture and express through paraphrasing.

If done right, paraphrasing in counseling creates an emotional bridge that sets the foundation for authentic and meaningful interactions. This will encourage clients to open up and share their struggles.

• Offer a brief version of what has been said

The last step is providing a concise version that highlights the emotional tone of the story.

Once this message reaches the client, it creates a sense of understanding that builds trust and authentic connection.

Long story short, paraphrasing is a valuable tool for cultivating empathy and facilitating therapeutic change.

How does paraphrasing help in communication?

Cultivating clarity (on both sides).

Any form of communication, whether it’s a therapeutic process, a negotiation, or a casual chat between friends, involves exchanging ideas.

And when people exchange ideas and opinions, there’s always the risk of confusion and misunderstanding.

By paraphrasing what the other person has shared, not only that you cultivate empathy, but you also let him/her know that the message has been received and understood correctly.

Research indicates that paraphrasing in counseling helps clients clarify their issues. [2] The more clients understand the inner-workings of their problems, the better they can adjust their coping strategies.

In a nutshell, paraphrasing eliminates ambiguity and paves the way for clarity.

Facilitating emotional regulation

One of the main functions of paraphrasing is to build empathy between two or more people engaged in conversation.

But the effects of paraphrasing on emotions extend way beyond empathy and understanding.

One study revealed that empathic paraphrasing facilitates extrinsic emotional regulation. [3] People who receive empathy through paraphrasing feel understood, and that prompts them to engage in a more intense emotional regulation process.

What starts as extrinsic emotional regulation slowly becomes intrinsic emotional regulation. This is the reason why someone who’s going through a rough patch can feel better by merely talking to a person who listens in an empathic manner and doesn’t necessarily hand out solutions or practical advice.

Paraphrasing can be a vital skill in heated arguments where two people have opposing views that result in emotional turmoil.

If one of them manages to exercise restraint over their intense emotional reactions and tries to paraphrase what the other shares, it could change the whole dynamic of the conversation.

What is the role of paraphrasing in listening?

As we discussed throughout this article, paraphrasing is one of the critical aspects of active listening.

It’s what turns a passive individual who listens only to have something to say when it’s his/her turn to speak into an active listener who understands and resonates on an emotional level.

Furthermore, paraphrasing is a means by which we provide valuable feedback on the topic of discussion, keeping the conversation alive.

It is also the tool that allows therapists to build safe spaces where clients feel comfortable enough to unburden their souls by sharing painful experiences and gaining clarity.

To sum up, paraphrasing in counseling is a vital micro skill that creates an authentic connection, providing clients with the opportunity to experience a sense of understanding.

Knowing there is someone who resonates with your emotional struggles makes your problems seem less burdensome.

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Paraphrasing

What is Paraphrasing?

Paraphrasing is repeating back your understanding of the material that has been brought by the client in your own words. A paraphrase reflects the essence of what has been said.

We all use paraphrasing in our everyday lives. If you look at your studies to become a counsellor or psychotherapist, you paraphrase in class. Maybe your lecturer brings a body of work, and you list and make notes: you’re paraphrasing as you distil this down to what you feel is important.

The Power of Paraphrasing:

• The speaker feels heard.
• Helps the listener to adjust frame of reference.
• Highlights areas of high importance.
• Acts as an invite to explore deeper.
• Can indicate an end to the current discussion.

How Paraphrasing Builds Empathy

How does paraphrasing affect the client-counsellor relationship? First of all, it helps the client to feel both heard and understood. The client brings their material, daring to share that with you, and you show that you’re listening by giving them a little portion of that back – the part that feels the most important. You paraphrase it down. If you do that accurately and correctly, and it matches where the client is, the client is going to recognise that and feel heard: ‘Finally, somebody is really listening, really understanding what it is that I am bringing.’

This keys right into empathy, because it’s about building that empathic relationship with the client – and empathy is not a one-way transaction. Carl Rogers (1959, pp. 210-211) defines ‘empathy’ as the ability to ‘perceive the internal frame of reference of another with accuracy and with the emotional components and meanings which pertain thereto as if one were the person, but without ever losing the “as if” conditions’. In other words, we walk in somebody’s shoes as if their reality is our own – but of course it’s not our reality, and that’s where the ‘as if’ comes in. I’ve heard this rather aptly described as ‘walking in the client’s shoes, but keeping our socks on’!

Empathy is a two-way transaction – it’s not enough for us to be 100% in the client’s frame of reference and understanding their true feelings; the client must also perceive that we understand. When the client feels at some level that they have been understood, then the empathy circle is complete.

For example, if you watch a TV programme in which somebody achieves something that is really spectacular, you may find yourself moved for this person. You’re almost there with them on this journey, and as they’re receiving their award or their adulation, and the audience is clapping for what they’ve done, you may even be moved to tears. But the person on the TV cannot perceive your reaction – the empathy is empty, because it’s one-way.

So empathy is effective only if your client feels heard and understood – i.e. they sense that empathic connection. Using paraphrasing is a way of completing the empathy circle – a way of letting them know that we see and hear them.

Other Benefits of Paraphrasing

Paraphrasing also highlights issues by stating them more concisely. This is focusing down: it invites the client to go and delve deeper into part of what they have said. We can also use paraphrasing to check out the accuracy of our perception as a counsellor.

Below is an example of my use of paraphrasing to clarify my understanding of what was brought. This shows how paraphrasing affects the therapeutic relationship; because the paraphrase fits well for the client, she feels heard and understood. As this happens, the material deepens.

I really have a battle with doing things for the impression that others will have of me, or the approval that I will get from other people for what it is that I do. So much so that I will very often override myself, my family, so that I can gain the acceptance, I guess, of other people, whether friends, family or clients in a work situation. I will always favour what the action would be that would gain that acceptance, that would not bring up any sort of confrontation or maybe have a conflict situation arise from it.

So, I guess, I’m eager to please, wanting to make sure that all things are well and smooth – and that I’m liked and accepted with whatever the transaction or situation may be.

Counsellor:

As you’re saying that, it really feels like a lot of hard work. A lot of hard work, pre-empting whatever it is that they would have expected of you, and then ‘sacrificing’, I guess, is a word that came up for me – sacrificing your own wants/needs to be able to meet what you perceive is expected of you. Have I understood that correctly?

Yeah, the word ‘sacrifice’ really captures the feeling that comes up for me when I sort of reflect and look over that kind of situation. So often, I will sacrifice my own wants and my own desires…

In this example, the client really resonated with the word ‘sacrifice’, which the counsellor introduced as a paraphrase; she really felt understood. And it’s interesting to note that throughout the rest of this stimulated session, the word ‘sacrifice’ became almost a theme.

Another paraphrase in this example was ‘hard work’. Although the client hadn’t used this phrase herself, she was presenting visually as weighed down. Her shoulders looked heavy as she was bringing the material. So the counsellor was paraphrasing, not only the words of the narrative, but digging deeper, looking for the feelings and paraphrasing the whole presence of that client within that relationship.

Listening for ‘the Music behind the Words’

Here is another example of paraphrasing, from the same skills session. Try to see if you can hear, as Rogers would put it, ‘the music behind the words’, where the counsellor looks deeper than just the words the client is bringing, paraphrasing back their whole being.

Out of my own will or my own free choice, I would put that aside and favour what would be accepted – or what I think someone else would rather I do. And sometimes it’s hard. It leaves me with a situation of not knowing if they actually really realise what it is that I sacrificed, that I’ve given up, so that it can fall into what I think they would prefer in that situation.

It feels confusing to you in that situation of whether they even perceive what it is that you are sacrificing, what you’re giving up. That it almost feels like you’re giving up part of yourself to match what you think they may want or need from you. And I kind of got the feeling, as you were saying that you wonder if they even see that.

Yeah. As I was sort of verbalizing and talking through that, I actually realised that even within that sacrifice, it’s all my perception of what I think they might want me to do. And just saying that is actually a bit ridiculous. Because how am I to know what it is that they want or need to do? So here I am – disregarding my own desires, for lack of a better word – to do something I assume someone else would want me to do instead.

I thought it was really interesting that this client started off in what felt to me like an external locus of evaluation. She was confused, and wondering whether the people she refers to understood what she was giving up to meet their perceived expectations. Immediately after the counsellor’s paraphrase, this client experienced a moment of movement from an external to an internal locus of evaluation, where she realised it was all about her own perceptions and responsibility. In this way, she went from being powerless to having the power to change this situation.

Next Steps in Paraphrasing

Paraphrasing is so much more than just repeating the client’s words back to them using your own words. Although it might feel very simplistic – and there’s often a tendency to paraphrase the narrative/story that the client brings, rather than their feelings/process – there’s so much more to it than that and so much deeper that we can go. There’s real power in paraphrasing.

I suggest that you:

• Practice active listening and paraphrasing in your day-to-day life.
• Practice paraphrasing in your own stimulated skills sessions.
• Try to look for the full person when paraphrasing, e.g. not just the client’s words, but also their body language, facial expressions, and way of being within the counselling relationship.
• Record these sessions (with your peer’s consent) and listen back to them.
• Speak to your peers about paraphrasing.
• Evaluate each other’s skills and explore how you might paraphrase more effectively.
• Look whether you’re getting empathic connection within your paraphrasing.
• Search out moments of movement when you paraphrase.
• Ask how paraphrasing affects both the client and you, as a counsellor.

Paraphrasing is definitely something that should be debated. I hope that this chapter will encourage you to go out there with a new passion for – and a new way of looking at – paraphrasing!

Alternatives to Questions

What else can we use when we’re not sure what exactly a client means? For example, if a client was speaking about his brother and father, he might say: ‘I really struggle with my brother and my father. They don’t get on, and at times he makes me so angry.’ Who does the client mean by ‘he’: the brother or the father? Not knowing who makes him angry means I cannot be fully within the client’s frame of reference.

I could ask: ‘Sorry, just so I can understand, who it is that you’re angry at – your father or your brother?’ This risks ripping the client out of that emotion (the anger). Instead, we could use reflection: ‘He makes you so angry.’ This invites the client to expand on what he has said. He might say: ‘Yes, ever since I was a young boy, my dad was always…’ In this case, I didn’t need to ask a question – we’re still in the feelings, and I’ve got what I needed in order to be fully in the client’s frame of reference.

Of course, the client might not reveal the information I need in his answer – for example, if he responded to my reflection: ‘He does. He makes me really angry – in fact, so angry that I don’t know what to do about it anymore.’ In that case, I would still need to put in a question: ‘Is this your dad or your brother that you’re referring to?’

Rogers, C, 1959. ‘A Theory of Therapy, Personallity, and Interpersonal Relations, as Developed in the Client-Centered Framework’, in S Koch (ed.),  Psychology: A Study of a Science  (Vol.3), New York: McGraw-Hill, 184-256.

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Paraphrasing in counseling

Paraphrasing refers to one of the counseling skills which holds paramount importance in the process of counseling. It is that skill which the counselor uses to repeat what the client has said at the present moment using fewer words and without any intention of changing the meaning of what the client conveyed through his words. 

Though paraphrasing looks quite simple and quick, it demands a sufficient amount of concentration and articulation skills from the side of the counselor. It is more difficult than it appears to be. While paraphrasing the words of the client, they should not end up feeling interrupted or misunderstood, in the process. The paraphrase should be kept, short, precise, and simple. There must be no unwanted complications or assumptions involved in it.

Although, if the paraphrase is kept too short, it would make the client feel confused and sometimes, dejected for being interrupted in between. Hence, paraphrasing must be initiated and put into action in a non-complex and understanding manner. It is very important to practice paraphrases that come in various lengths, variations of content, or emphasis of the wording. This will help you to understand what works best for your intentions and goals, as a counselor.

Emphasis on essence

The intention of a counselor, when using paraphrases must be to reveal the essence of the client’s words. The client should get clarity, in terms of the paraphrases you use to communicate with them and must not feel confused or at loss for words once they’ve heard you out. They must be able to smoothly continue with their communication and not be intimidated or taken aback by your choice of words. 

Growth of empathy

A form of acknowledgment .

Paraphrasing is a form of acknowledgment that is provided by the counselor. This is done by mindfully restating the words of the client, conveying empathy, acceptance, and genuineness. A therapist’s role does not comprise of reading the minds of the clients or assuming their emotional states. Hence, it is very essential to learn the art of rephrasing the client’s words briefly and acknowledge them with honesty. 

The important thing to be kept in mind is not to make judgemental statements or use biased terms in the form of paraphrases. This puts off the client and makes him/her trust the therapist less. You must allow the client to come to conclusions on their own and not put words in their mouth. 

Tone of voice

Alternatives that do not define paraphrasing, faqs: paraphrasing in counseling, why do counselors use paraphrasing.

Paraphrasing is one of the most important skills that is required, in the process of counseling. Paraphrasing in counseling is a way of responding, which informs the client that the counselor has precisely heard what the client has conveyed. These kinds of paraphrases, encouragers, and summaries are important and helpful for the client to feel understood in the process of counseling. They make the client feel more comfortable and less vulnerable in the relationship with their therapist. Paraphrasing and summarising are active and efficient ways of communicating to the client that they have been heard. 

What is the difference between paraphrasing and reflecting in counseling?

How do you reflect in counseling, how is paraphrasing helpful.

Paraphrasing is important for the mutual understanding of both the client’s and the therapist’s understanding of the client’s situation. It helps the client in revealing the source of his thoughts and emotions in many instances and it acts as a breakthrough for the client in the process of counseling. The therapist also makes good use of the paraphrasing skill to confirm and reaffirm the meaning and tone of emotion used to convey anything that is said by the client, to clear the air of doubts or confusions and make the process of counseling smooth and hassle-free. It provides a good deal of understanding between the client and the therapist.

What are some counseling skills?

What is the primary goal of counseling.

http://www.csun.edu/~hcpsy002/Psy460_GrpTask05_Paraphra.pdf

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Reflection (Therapeutic Behavior)

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• Kathryn N. Schrantz 3 &
• Alicia Lyon-Limke McLean 4  

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Active listening techniques ; Affirmation statements ; Directive techniques ; Feelings interpretation ; Feelings validation ; Nondirective techniques ; Psychotherapy ; Reflective statements

Therapeutic reflections are statements used by psychotherapists to restate, paraphrase, or uncover therapy clients’ emotional reactions to situations, thoughts, behaviors, or interpersonal interactions.

Introduction

Verbal and nonverbal reflections are a major component of psychotherapy. Considered as an active listening technique, reflections serve as an important therapeutic tool. Often, reflections paraphrase or restate clients’ feelings and emotions. Therapists also use reflections to help clients examine previously undiscovered or misunderstood emotional reactions. There are various types of reflections that are used to elicit different reactions from clients. Reflections impact the therapeutic relationship and play a significant role in many therapeutic approaches.

Types of...

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Arnold, K. (2014). Behind the mirror: Reflective listening and its Tain in the work of Carl Rogers. The Humanistic Psychologist, 42 (4), 354–369. https://doi.org/10.1080/08873267.2014.913247 .

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Schrantz, K.N., McLean, A.LL. (2020). Reflection (Therapeutic Behavior). In: Zeigler-Hill, V., Shackelford, T.K. (eds) Encyclopedia of Personality and Individual Differences. Springer, Cham. https://doi.org/10.1007/978-3-319-24612-3_841

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Counselling Skills in Action

Student resources, video 3.3 reflecting, paraphrasing, summarizing.

These resources support you in exploring the core skills of therapeutic work and integrated frameworks for ‘active listening’.

Mick Cooper describes and gives examples of the skills of reflecting, paraphrasing and summarizing (07:05)

Discussion question

• What are the important things to bear in mind when using different skills of reflecting back?t

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003 – Counselling ‘Volume’ – Transference & Countertransference – Paraphrasing – UPR

In this third episode of the Counselling Tutor Podcast, Ken Kelly and Rory Lees-Oakes explore how to turn down our counselling ‘volume’. ‘Theory with Rory’ looks at  transference and countertransference;  and in the skills section, Ken examines paraphrasing. In a new slot, ‘Ask Ken and Rory’, the presenters look at the challenge of showing unconditional positive regard (UPR).

Turning Down Our Counselling ‘Volume’

Following a question in the Facebook group about how not to be drawn into counselling family and friends, Rory and Ken use a range of personal experiences and anecdotes to illustrate how they ‘turn down the volume’ on their counselling skills in everyday life.

Carl Rogers  held that the person-centred approach to counselling is not so much a way of doing as a way of being. Counselling training can change us as people, but we need to know when to turn down our counselling volume. It would not be healthy or developmental for us to spend all our time in other people’s frames of reference; nor would it be ethical to counsel people who had not asked for counselling and with whom we had not contracted.

Transference and Countertransference

In transference – a concept first introduced by  Sigmund Freud  – people become ‘biological time-machines’, transferring their feelings about a past relationship to a new relationship in the present.  Transference :

• is subconscious – so those experiencing it may not be aware of it
• transfers the relationship, not the person
• is at least partly inappropriate to the present situation
• transfers only one aspect of the relationship, rather than the whole thing.

While transference is a central concept in psychodynamic work, it is considered less important to the therapy itself in humanistic counselling. However, we must be aware of the possible dangers of the client experiencing transference towards us, as this can affect the counselling relationship, the client’s journey and our perceptions of the client.

If transference is the redirection of the client’s feelings about a past relationship towards their present relationship with their therapist, countertransference is the reverse: the redirection of the counsellor’s feelings from the past towards the client.

Rory identifies that our particular concern as counsellors is with unchecked transference leading to countertransference within the counselling relationship. This muddies the relationship, as the therapist may inadvertently treat the client as if they were someone else. He provides an example of tutor–student transference from his own experience, illustrating how a potential problem could occur, and how he resolved this in a person-centred way.

Ways to identify and deal with transference and countertransference include being aware of danger signs in clients, monitoring self, and taking relevant material to supervision. Support from your supervisor can enable you to:

• better understand the therapist–client relationship
• be more effective in working with the client’s process
• anticipate potential traps and potholes
• improve boundary maintenance.

Self-awareness and willingness to work on personal development are key. So the next time you have a strong reaction to a person you have just met, ask yourself: ‘What aspects of the person’s behaviour are linked with a relationship in my past?’

The Skill of Paraphrasing

Paraphrasing  involves reflecting your understanding of the client material – the ‘essence’ of what has been said – back to them in your own words. It is similar to the skill you would use when writing notes in class.

Using a simulated skills session, Ken illustrates the importance of cutting through the story, observing body language, and focusing on the underlying emotions that the client is bringing – in Rogers’ words, noticing ‘the music behind the words’.

Good paraphrasing:

• helps the client feel heard and understood
• builds and deepens the  empathic  relationship between counsellor and client
• can invite the client to focus on a specific part of their material
• allows us, as counsellors, to check our understanding of what the client is bringing.

Free Handout Download

What is Transference and Countertransference?

UPR and Judgement

Showing UPR towards clients does not mean we must approve of all their behaviour: in Rory’s words, ‘we must separate the sin from the sinner’. It is also important to remember that our truth – which is a product of our own self-concept – is not necessarily our client’s truth. The Roman playwright Terence said: ‘I am human; I consider nothing human alien to me.’

Links and Resources

Handout on transference and countertransference

Breaking Taboos: Acknowledging Therapist Arousal and Disgust  by Catherine Butler (2011)

‘Therapists’ Anger, Hate, Fear, and Sexual Feelings’ by Kenneth Pope and Barbara Tabachnick ( Professional Psychology: Research and Practice , volume 24, issue 2, pages 142–152, 2015)

Transference and Countertransference  by Dr Dot (2008)

Counselling Tutor Facebook group

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Effects of Empathic Paraphrasing – Extrinsic Emotion Regulation in Social Conflict

Maria seehausen.

1 Cluster of Excellence “Languages of Emotion,” Freie Universität, Berlin, Germany

2 Dahlem Institute for Neuroimaging of Emotion, Freie Universität, Berlin, Germany

3 Department of Psychiatry, Charité University Medicine Berlin, Campus Benjamin Franklin, Berlin, Germany

Philipp Kazzer

Malek bajbouj, kristin prehn.

In the present study, we investigated the effects of empathic paraphrasing as an extrinsic emotion regulation technique in social conflict. We hypothesized that negative emotions elicited by social conflict can be regulated extrinsically in a conversation by a listener following the narrator’s perspective and verbally expressing cognitive empathy. Twenty participants were interviewed on an ongoing or recently self-experienced social conflict. The interviewer utilized 10 standardized open questions inviting participants to describe their perception of the conflict. After each of the 10 descriptions, the interviewer responded by either paraphrasing or taking notes (control condition). Valence ratings pertaining to the current emotional state were assessed during the interview along with psychophysiological and voice recordings. Participants reported feeling less negative after hearing the interviewer paraphrase what they had said. In addition, we found a lower sound intensity of participants’ voices when answering to questions following a paraphrase. At the physiological level, skin conductance response, as well as heart rate, were higher during paraphrasing than during taking notes, while blood volume pulse amplitude was lower during paraphrasing, indicating higher autonomic arousal. The results show that demonstrating cognitive empathy through paraphrasing can extrinsically regulate negative emotion on a short-term basis. Paraphrasing led to enhanced autonomic activation in recipients, while at the same time influencing emotional valence in the direction of feeling better. A possible explanation for these results is that being treated in an empathic manner may stimulate a more intense emotion processing helping to transform and resolve the conflict.

Introduction

Emotion regulation research to date has mainly focused on an individualistic point of view emphasizing control mechanisms in the individual, such as attention deployment, cognitive reappraisal, or the willful suppression of emotional expressions (Gross and Thompson, 2007 ; Butler and Gross, 2009 ; Rime, 2009 ). Compared to the abundance and sophistication of the research pertaining to classification schemes on such intrinsic regulation, systematic analysis of extrinsic emotion regulation and especially of controlled interpersonal affect regulation (i.e., the process of deliberately influencing the emotional state of another person, as opposed to non-conscious affect spreading) is still relatively sparse. Rime ( 2009 ), however, points out that an emotional experience is virtually indivisible of a social response, which in turn is bound to shape and modify the original emotion, so that emotion has to be regarded as a fundamentally interdependent process.

Niven et al. ( 2009 ) propose a classification system for controlled interpersonal affect regulation strategies, derived from Totterdell and Parkinson’s ( 1999 ) classification of strategies to deliberately improve one’s affect. Their final classification distinguishes between strategies used to improve versus strategies used to worsen others’ affect, and between strategies that engage the target in a situation or affective state versus relationship-oriented strategies. The technique of empathic paraphrasing, which is investigated in the present study, can be categorized as aiming at affect improvement and engagement within this classification framework. However, it also contains a relationship-oriented component, as empathic paraphrasing communicates interest and commitment in understanding the other’s perspective, thereby implying that their feelings are valid and worth listening to.

Empathy has been conceptualized in many different ways, usually involving a cognitive and an emotional component (Preston and de Waal, 2002 ; Lamm et al., 2007 ; Decety and Meyer, 2008 ). Cognitive empathy means the ability to take the perspective of another person and infer their mental state, while emotional empathy refers to the observer’s affective response to another person’s emotional state (Dziobek et al., 2008 ).

Paraphrasing or active listening (coined by Carl R. Rogers in Client-Centered-Therapy) is a form of responding empathically to the emotions of another person by repeating in other words what this person said while focusing on the essence of what they feel and what is important to them. In this way, the listener actively demonstrates that he or she can understand the speaker’s perspective (cognitive empathy). Rogers described empathy as the ability to sense the client’s private world as if it were one’s own, but without losing the “as if” quality (Rogers, 1951 ). Empathy is communicated through active listening, which in the Client-Centered approach aspires to evoke personal growth and transformation through providing a space of unconditional acceptance for the client. Rogers considered empathy, positive regard, and congruence both necessary and sufficient conditions for therapeutic change (Rogers, 1942 , 1951 ).

This early notion on the importance of empathy for facilitating therapeutic change has gained ample empirical support over the last decades of research. How empathic a therapist is perceived to be has been identified as a critical factor for positive therapy outcome for both psychodynamically oriented and cognitive-behavioral psychotherapies (Bohart et al., 2002 ; Duan and Kivlighan, 2002 ; Orlinsky et al., 2004 ; Marci et al., 2007 ; Elliott et al., 2011 ; Norcross and Wampold, 2011 ). Based on a review of several studies Marci et al. ( 2007 ) describe a significant influence of perceived empathy on mood and general clinical improvement, even when controlling for other factors. Along this line, a meta-analysis conducted by Bohart et al. ( 2002 ) confirms a modest but consistent importance of empathy during psychotherapy. Zuroff et al. ( 2010 ) specifically examined the relationship between patient-reported measures of the three Rogerian conditions (positive regard, empathy, and genuineness) and therapeutic outcome, and found that patients whose therapists provided high average levels of the Rogerian conditions across all patients in their caseloads experienced more rapid reductions in both overall maladjustment and depressive vulnerability (self-critical perfectionism). Farber and Doolin ( 2011 ) conducted a meta-analysis on 18 studies also focusing on the effects of positive regard as defined by Rogers on treatment outcome, and found an aggregate effect size of 0.26, confirming a moderate influence of this factor.

The effectiveness of showing empathy on treatment success has also been assured within the field of medical care. Medical researchers have coined the term clinical empathy , which Mercer and Reynolds ( 2002 ) define as (1) understanding the patient’s situation, perspective and feelings (and their attached meanings), (2) communicating that understanding and checking its accuracy, and (3) acting on that understanding with the patient in a helpful (therapeutic) way. Hence, within the clinical setting empathy entails not only cognitive and affective components but also a behavioral component to communicate understanding to the patient, i.e., through active listening (Davis, 2009 ). Accordingly, the active demonstration of empathy has already been recognized as a crucial component of promoting cooperation in challenging situations within the field of clinical care. Halpern ( 2007 ) stresses that physicians who learn to empathize with patients during emotionally charged interactions can thereby increase their therapeutic impact. By the same token, a growing body of evidence demonstrates that empathic communication effectively helps patients through challenging and fearful situations, ranging from painful dental treatments over psychological problems to pandemic crisis (Cape, 2000 ; Reynolds and Quinn Crouse, 2008 ; Bernson et al., 2011 ). Neumann et al. ( 2009 ) reviewed prior empirical studies on clinical empathy and conclude that clinical empathy is a fundamental determinant of successful medical care, because “ it enables the clinician to fulfill key medical tasks more accurately, thereby achieving enhanced health outcomes ” (Neumann et al., 2009 , p. 344).

In sum, the effectiveness of empathic communication as an extrinsic emotion regulation technique has already gained solid empirical support from psychotherapy and medical research. For the present study, social conflict was chosen as the context to examine the effects of empathic paraphrasing on emotion, for two reasons. Firstly, social conflict is often accompanied by intense emotions such as anger and hurt, and therefore lends itself easily to the investigation of extrinsic emotion regulation, without requiring artificial emotion induction in the laboratory. The setting of real-life social conflict renders it possible to work with “real” emotion, while at the same time concentrating on a non-clinical population. Secondly, empathic paraphrasing is used with vast prevalence within the field of conflict resolution. Paraphrasing is generally applied as one of the most important constitutional elements across all domains of conflict mediation (business mediation, family mediation, community mediation, victim-offender mediation, etc.). Hence, it seems expedient to take a closer look at the emotional effects of a technique so widely used within the context of its most common application.

Social psychology research offers evidence for a connection between dispositional affective empathy as well as dispositional perspective taking and adaptive social conflict behavior (Steins, 2000 ; Gehlbach, 2004 ; de Wied et al., 2007 ). However, there is hardly any research on the effects of being treated in an empathic manner (as opposed to feeling empathy oneself) on conflict behavior. Moran and Diamond ( 2008 ) report positive effects of therapist empathy on parent’s negative attitudes toward their depressed adolescent children. Being treated in an empathic way seems to help parents to also empathize with their children going through a rough time. This is an interesting finding, which contains parallels to social conflict situations and stimulates the question which emotional effects are triggered by being treated empathically, and how these emotional processes aid own empathic reactions toward others.

An interesting train of evidence regarding the socio-cognitive effects of being treated empathically is provided by research on interpersonal mimicry and language matching in social interaction. Numerous studies confirm that non-verbal interpersonal mimicry increases affiliation and positive social judgment as well as pro-social behavior not only toward the mimicker but also toward people not involved in the mimicry situation, indicating that being mimicked not only leads to an increased liking toward the interaction partner, but to an increased pro-social orientation in general (van Baaren et al., 2004 ; Ashton–James et al., 2007 ; Fischer-Lokou et al., 2011 .; Guéguen et al., 2011 ; Stel and Harinck, 2011 ). This is true for the mimickee as well as the mimicker (Stel et al., 2008 ). Maddux et al. ( 2008 ) also report that strategic mimicry in negotiation abets more favorable negotiation outcomes, facilitating both individual and joint gains. This effect was mediated by higher levels of trust toward the mimicker. Ashton–James et al. ( 2007 ) tested several hypotheses on why mimicry promotes pro-social behavior and found that being mimicked during social interaction shifts self-construal toward becoming more interdependent and “other-oriented.” Additionally, mimicry strengthens one’s perception of interpersonal closeness with other people in general.

Correspondingly, language style matching, i.e., similarity in use of function words, has been found to predict relationship initiation and stability (Ireland et al., 2011 ). On a similar vein, according to the interactive-alignment account of dialog, the success of any given conversation depends on the extent of the conversation partners arriving at a common understanding of the relevant aspects of what they are talking about, i.e., a common situation model (Pickering and Garrod, 2004 ). Interlocutors tend to automatically align at different levels of linguistic representation, e.g., through repeating each other’s words and grammar (Garrod and Pickering, 2004 ). This alignment at low-level structure positively affects alignment of interlocutors’ situation models – the hallmark of successful communication – as people who describe a situation in the same way tend to think about it in the same way as well (Markman and Makin, 1998 ; Menenti et al., 2012 ). These findings strongly support the hypothesis that paraphrasing, which involves a certain degree of language matching and bears parallels to mimicry on a verbal level, administrates emotional and socio-cognitive effects on the person being paraphrased.

Regardless the impressive amount of research reviewed above, the specific dynamics of emotional response to empathic paraphrasing are yet largely unclear. Rime ( 2009 ) suggests that socio-affective responses such as comfort and empathy temporarily alleviate a narrator’s negative emotions and generate a deep feeling of relief. However, if no cognitive reframing and re-adjustment of goals, motives, models, and schemas occur, the alleviating effects of socio-affective responses can be expected to be only temporary, because the cognitive sources of the emotional unsettledness have not been transformed. Following this reasoning, the emotional effects of empathic paraphrasing should be expected to be short-lived. On the other hand, Rogers argued that receiving empathy and positive regard are necessary conditions for being able to revise overly rigid structures of the self and assimilate dissonant information and experiences (Rogers, 1942 , 1951 ). Hence, empathic paraphrasing may initiate a cognitive-emotional process progressing in several stages, with emotional alleviation and an increased mental openness and disposition for cognitive restructuring possibly being the first one. In this respect, the present research makes a valuable contribution by moving beyond correlational designs to presenting the first experimental study assessing in detail the emotional effects of empathic paraphrasing in the context of social conflict, hopefully providing a useful basis for further analysis in future studies.

To investigate whether and how empathic paraphrasing in the context of a real-life social conflict extrinsically regulates emotion, we invited participants to an interview in which they were asked to talk about an ongoing or recently self-experienced social conflict with a partner, friend, roommate, neighbor, or family member. The interviewer responded to participants’ descriptions by either paraphrasing (experimental condition following half of the interview questions) or taking notes (control condition). We assessed valence ratings pertaining to participants’ current emotional state as well as skin conductance response (SCR), blood volume pulse (BVP), blood volume pulse amplitude (BVPamp), and heart rate (HR) as indicators of autonomous nervous system (ANS) activity during the interviews. We also recorded the interviews for documentation and analysis.

Psychophysiological and voice parameters have been proven to be reliable indicators for emotional responses (Scherer, 2003 ; Kushki et al., 2011 ). HR is regulated by sympathetic (increase) as well as parasympathetic (decrease) pathways of the ANS (Li and Chen, 2006 ; Kushki et al., 2011 ), and reflects autonomic arousal (Critchley, 2002 ) as well as emotional valence (Palomba et al., 1997 ). BVP is a measure of changes in the volume of blood in vessels and has been associated with affective and cognitive processing (Kushki et al., 2011 ). BVP amplitude has been found to be lower during episodes of increased sympathetic activity (Shelley, 2007 ) and has also been shown to decrease when feeling fear or sadness in several studies (Kreibig et al., 2007 ). SCR depicts changes in the skin’s ability to conduct electricity and is considered a sensitive psychophysiological index of changes in autonomic sympathetic arousal that are integrated with emotional and cognitive states. In addition, SCR reflects vicarious emotional responses to another’s affective state (pain), and is therefore also connected to empathy (Hein et al., 2011 ).

Based on the literature reviewed above, we hypothesized that empathic paraphrasing would lead to a reduction of negative emotion in the situation of talking about the conflict. Specifically, we expected valence ratings to be more positive after paraphrasing. Furthermore, we hypothesized that empathic paraphrasing would lead to lower autonomic arousal, reflected in psychophysiological measures and voice analysis.

Materials and Methods

Participants.

Twenty healthy subjects [10 female; age: mean (M) = 27, standard deviation (SD) = 7.9] participated in this study. All participants were native German speakers, and had recently experienced a potentially ongoing social conflict with a partner, friend, roommate, neighbor, or family member. No conflicts involving physical or psychological violence were included in the study. Due to technical problems, SCR and voice data of four participants as well as BVP data of three participants were lost. Therefore, 20 participants entered the analysis of self-report data, 16 entered voice data analysis and analysis of SCR, and 17 entered analysis of HR and BVP.

The study was carried out in accordance with the Declaration of Helsinki and was approved by the ethical committee of the Charité University Medicine Berlin. All participants gave written informed consent prior to investigation and received payment for participation.

Interview design and procedure

Participants were told that the study investigates emotion in social conflict, especially how emotions develop while speaking about a social conflict. The interviewer further informed participants that she would try to understand their perspective, and sometimes summarize what she understood so far, while at other times take notes to help her memorize certain things and have them present over the course of the interview.

Interviews consisted of 10 standardized open questions (e.g., “What exactly bothers you about the other person’s behavior?”). After the participant answered each question, the interviewer either paraphrased what had been said, or silently took notes (control condition). Following these paraphrasing interventions or control conditions, respectively, participants were asked to rate their current emotional state. In order to avoid confounding effects resulting from the content of the questions, as well as distortions due to emotional processing over the course of the interview, interventions, and control condition were given alternately during the interview. Half of all participants received an intervention (empathic paraphrasing) after the first question, a control intervention after the second question, and so forth; the other half received a control intervention first. All interviews were conducted by the same female interviewer, who had previously received 190 h of training in conflict resolution and has worked on cases in community mediation, business mediation, and family mediation over several years, applying empathic paraphrasing as one of the core techniques of conflict resolution.

Paraphrasing in the present study was implemented in such a way that after each narration the interviewer briefly summarized the facts of the narration and described her understanding of how the narrator felt, and why, and what she understood was important to the narrator regarding the situation described. To confirm the accuracy of her paraphrasing, the interviewer asked if her understanding was correct at the end of each paraphrase. An example of a paraphrase is given in the Appendix.

All interviews were audiotaped. Interview length was 30.16 min on average (SD = 11.03), depending on how extensively participants answered to the questions. Figure ​ Figure1 1 depicts the interview questions as well as a schematic overview of the interview procedure and measurements.

Interview guideline and procedure .

Data acquisition and analyses

Participants were asked to indicate their current emotional state (valence rating) on an eight-point Likert scale ranging from −4 to 4 (“How positive or negative do you feel right now?”) 10 times during the interview, following the interventions and control condition, respectively. Ratings were analyzed with two-tailed t -tests for repeated measures in IBM SPSS Statistics 20.

Skin conductance response and BVP were recorded continuously with a sampling frequency of 40 Hz using a commercial sampling device ( Biofeedback 2000 X-pert , Schuhfried GmbH, Austria) during the entire interview. Both interviewer’s and participant’s voices were recorded using Audacity 1.2.6 with a highly directional microphone (Shure, WH20 Dynamic Headset Microphone, IL, USA).

Skin conductance data was analyzed in LedaLab V3.3.1. Time frame of analysis was 25 s after the onset of the intervention or control condition. Within this interval, SCR was decomposed by continuous decomposition analysis (CDA; Benedek and Kaernbach, 2010 ). For each participant and interval, the maximum phasic activity was computed (with a minimum amplitude of 0.001 μS) and averaged for each participant across all intervals of both conditions).

Blood volume pulse and BVPamp were analyzed for intervals of 23 s after the onset of intervention or control condition using Matlab 7.1 (The Math-Works, Inc., MA, USA). Data were smoothed using a six point Gaussian filter. BVP was further used for extracting HR data through computing the inverse of the distance between successive peaks of the BVP signal in intervals larger than 0.4 s (Kushki et al., 2011 ). Mean SCR between both conditions (paraphrasing interventions and control conditions), BVP, BVPamp (in%), and HR (in beats per minute) were also analyzed with two-tailed t -tests for repeated measures in IBM SPSS Statistics 20. In addition, we compared BVP, BVPamp, and HR during the paraphrasing intervention and the interview question directly following the paraphrase, with a standard time frame of 4 s for the question phase.

Analysis of voice recordings was done with seewave in R statistics (Sueur et al., 2008 ). Using Audacity 1.2.6., intervals of speech for voice analysis were selected manually by listening to the recorded interviews and cutting out participants’ responses to each question – following an intervention or control intervention, respectively.

Behavioral data

Valence ratings following paraphrasing revealed less negative feelings than ratings following the control condition [ t (19) = 3.395, p  = 0.003]. Effect size is d  = 0.76 (Cohen’s d for repeated measures, calculated with pooled means and standard deviations).

Differences in valence ratings over the conditions are shown in Figure ​ Figure2 2 .

Mean valence ratings (with standard error of the mean) after the empathic paraphrasing and control conditions .

Time series plots over the entire course of the interview show a U-shaped trend in valence ratings over time, which is mainly due to ratings following the control condition (see Figure ​ Figure3). 3 ). However, a repeated measures ANOVA including sequence of intervention over time as an additional factor demonstrates that the effect of the intervention remains untouched by sequence [main effect of sequence F (4, 72) = 1.768; p  = 0.145; main effect of intervention: F (1,18) = 11.400; p  = 0.003 interaction intervention × sequence F (4, 72) = 1.489; p  = 0.215].

Mean valence ratings over the course of the interview, averaged over both conditions (A) and split up into paraphrasing and control condition (B) . At each of the 10 trials, 10 subjects received an intervention and 10 received a control intervention.

Psychophysiological data

Two-tailed t -tests for repeated measures show that participants had a higher SCR during paraphrasing than during the control condition [ t (15) = 2.589; p  = 0.021]. Effect size is d  = 0.65 (Cohen’s d ). Complementary results were found in participants’ HR, which was also higher during paraphrasing than during the control condition [ t (16) = 6.491; p  = 0.000; effect size d  = 1.57]. No significant differences between the conditions for BVP were found [ t (16) = 0.22; p  = 0.812]. However, there was a strong trend for mean BVPamp [ t (16) = −2.119; p  = 0.050; effect size d  = 0.51], which was lower during paraphrasing than during taking notes. Comparing BVPamp during paraphrasing with the interview question directly following the paraphrase, we also found that BVPamp is lower during paraphrasing than during the following interview question [ t (13) = 2.381; p  = 0.033; effect size d  = 0.64]. For HR and BVP, no such difference between paraphrase and subsequent interview question was found. Figure ​ Figure4 4 illustrates differences in psychophysiological measures and voice intensity over the two conditions.

Measures of sympathetic activation (mean values with standard error of the mean) . (A) Skin conductance response (SCR; in μS), (B) Heart rate (in beats/minute), (C) Blood volume pulse amplitude (BVPamp in%), and (D) Voice volume (in dB) during empathic paraphrasing and control condition.

Voice analysis data

Mean intensity/volume of participants’ voices was lower when they replied to an interview question following a paraphrase [ t (15) = −2,466; p  = 0.026; effect size d  = 0.62]. There was no difference in mean fundamental voice frequency (F0) between the conditions [ t (15) = 0.583; p  = 0.568]. F0 range and F0 standard deviation did not differ between the conditions, either (see Table ​ Table1). 1 ). However, speech rate and articulation rate showed trends for slower speech following paraphrasing [speech rate t (15) = −1.86; p  = 0.082; articulation rate t (15) = −2.05; p  = 0.059]. Cohen’s d yielded effect sizes of d  = 0.47 for speech rate and d  = 0.51 for articulation rate.

Means (M), standard deviations (SD), t -, p -, and d -values of all parameters in intervention and control condition .

* and ** indicate significant findings .

Table ​ Table1 1 gives an overview of means and standard deviations of all psychophysiological, voice, and self-report parameters over the two conditions.

The aim of our study was to investigate the short-term emotional effects of empathic paraphrasing in social conflict. To achieve this, we conducted interviews on real-life social conflicts currently experienced by our participants. During the interview, paraphrasing was alternated with a control condition (taking notes). Emotional valence ratings were obtained after each intervention and control intervention and psychophysiological and voice recordings were executed continuously during the interviews. Our hypothesis was that paraphrasing would lead to more positive emotional valence and lower autonomic arousal. Viewing the results of our study as a whole suggests that empathic paraphrasing has a regulating effect on a narrator’s emotions, however, this effect seems to be more complex than originally expected. In sum, we found that participants felt better when the interviewer paraphrased their emotions and perceptions of the conflict. At the same time, and contrary to our expectations, SCR, HR, and BVP amplitude indicate higher autonomic activation during paraphrasing. Voice intensity as well as speech and articulation rate of participants on the other hand was lower when answering to a question following a paraphrase.

Effects of paraphrasing on valence

The self-report ratings demonstrate that participants felt better after the interviewer had paraphrased what they had said. Also, the relatively high effect size suggests that this effect is strong and practically relevant. The interview itself also induced valence effects over time, insofar that participants experienced a decline in emotional valence in the middle of the interview, which recuperated toward the end of the interview. However, due to the alternation of intervention and control intervention, which was again alternated in sequence over participants, this trend does not affect the intervention effect.

This self-reported valence effect is consistent with participants’ lower voice intensity after paraphrasing compared to the control condition. Banse and Scherer ( 1996 ) have linked high voice intensity with negative affects or aggressive speaker attitudes, thereby suggesting a conjunction between high voice intensity and negative emotional valence. Conversely, speech and articulation rate are also slightly lower following an intervention, even though these effects are not statistically significant. Speech rate is defined as the number of spoken units (e.g., words/syllables) per unit of time (minute/second). It is calculated across continuous speech segments, which may include pauses, disruptions, or dysfluency. Articulation rate is an analogical measure based only on fluent utterances, excluding pauses, and dysfluency (Howell et al., 1999 ). Speech rate has been demonstrated to increase when experiencing anger or fear compared to neutral emotional states (Scherer, 1995 ; Rochman et al., 2008 ). Hence, the lower speech and articulation rates following paraphrasing also suggest that participants experienced less negative emotion after paraphrasing.

By the same token, HR was higher during paraphrasing than during the control condition, which according to Palomba et al. ( 1997 ) can also be interpreted as a valence effect. HR deceleration has been associated with negative emotional valence during presentation of unpleasant visual stimuli. In social tasks, HR acceleration has been measured in accordance with intensity of emotion, and to a lesser degree, with emotional valence (Palomba et al., 1997 ). Palomba et al. ( 1997 ) found significant differences in HR deceleration between positive, negative, and neutral visual stimuli, with positive stimuli producing the highest and negative stimuli the lowest HR. Hence, self-report data, voice data, and HR analysis all support the conclusion that emotional valence was positively influenced by offering cognitive empathy through paraphrasing. This effect of paraphrasing on valence bolsters Rime’s ( 2009 ) supposition that being treated empathically while socially sharing negative emotion produces a short-term alleviation of these negative emotions.

Interestingly, the positive impact of mimicry on social judgment mentioned in the introduction (i.e., promoting liking toward the mimicker) suggests the generation of positive emotion as a result of mimicry. This was not the case for paraphrasing in our study: valence ratings in the intervention condition center around the neutral. Nevertheless, it is still possible that paraphrasing led to an increased liking toward the interviewer, while overall affect was neutral. Social judgment was not assessed in the present study, hence, no direct comparison with mimicry is possible. However, it would be interesting to compare the effects of mimicry and paraphrasing on emotion in future studies, as well as to study verbal mimicry or matching more extensively in the context of distressing conversations such as social conflict discussions.

Effects of paraphrasing on arousal

Skin conductance response, HR and BVP amplitude indicate a period of higher autonomic arousal while the interviewer paraphrased what participants had said, compared to taking notes on what they had said. Again, effects sizes of physiological measures suggest medium and in the case of HR, very strong, effects. This is surprising, as we presumed that the lower intensity of negative emotion induced by paraphrasing would be accompanied by lower arousal. Instead, paraphrasing apparently enhanced autonomic arousal. Quite conversely to psychophysiological data, the lower voice intensity following the intervention on the other hand suggests a calming effect of paraphrasing on autonomic arousal, as several studies on emotion and voice quality have associated high voice intensity with high sympathetic autonomic arousal emotions (Scherer, 2003 ). This apparent contradiction between voice data and psychophysiological data appears initially confusing, as vocal changes and changes in SCR both originate in mediated variation of HR, blood flow, and muscular tension caused by an arousing event (Duffy, 1932 ; Laver, 1968 ; Schirmer and Kotz, 2006 ).

However, this discrepancy can be explained by the fact that BVP and SCR were recorded while participants listened to the interviewer paraphrasing, whereas voice analysis was done on recordings of participants’ answers to the interviewer’s next question, following the paraphrase. Thus, the autonomic arousal induced by paraphrasing may already have subsided and passed into a calmer state at the time participants answered the next question. This possibility is difficult to double-check for SCR as this parameter is reactive to speech and will thus be higher while participants are talking, even though autonomic sympathetic arousal induced by the intervention might have diminished already. However, we reassessed this hypothesis using BVP, BVPamp, and HR data, comparing the paraphrasing phase with the subsequent question phase and found a confirming result for BVPamp, although not for the other two measures. Participant had a lower BVP amplitude while listening to the paraphrase compared to listening to the interview question asked in direct succession. This indicates a specific effect of paraphrasing on autonomic arousal, which is not induced by speech in general. It should also be noted that voice intensity following paraphrasing is significantly lower than voice intensity following the control condition. Hence, given the assumption made above is correct, participants’ autonomic arousal is first heightened by listening to the paraphrasing, and after a short period of time lowered to a level below the control state. This is a very interesting finding, for which two possible explanations should be considered.

Firstly, it is possible that empathic paraphrasing not only leads to a reduction of negative emotion in participants, but even induces positive emotions, such as happiness and relief about being listened to and validated. This would explain the initial higher autonomic arousal, which would in this case be due to a short-term experience of positive emotions, in accordance with Rime ( 2009 ) dissipating quickly. However, the behavioral data does not support this notion, as the valence ratings remain in the negative range of the scale even after paraphrasing, only approximating the neutral zero-point. Also, it should be noted that empathic paraphrasing is distinctly different from everyday forms of volunteering empathy or forms of social sharing of emotion as referred to by Rime. Paraphrasing does not offer sympathy or emotional empathy, but instead takes a purely cognitive road by demonstrating that the listener can understand the narrator’s perspective. It does not seem likely that this technique should have the same emotional effects as common social sharing responses such as offering sympathy.

Therefore, as an alternative explanation of our results, it is more conceivable that demonstrating cognitive empathy through paraphrasing temporarily leads to a heightened focus on and increased processing of negative emotion, which might eventually have a resolving effect on these emotions. This explanation seems probable considering the nature of paraphrasing, which entails repeating emotional narrations in a pointed way, thereby sharpening and clarifying the emotional experience. In a study on the relationship between therapist pre-session mood, therapist empathy, and session evaluation, Duan and Kivlighan ( 2002 ) found that intellectual empathy (demonstrating an understanding of the client’s perspective, i.e., empathic paraphrasing) was positively correlated with client-perceived session depth (power and value of the session), but not correlated with perceived session smoothness (comfort and pleasantness of the session). In a way, paraphrasing confronts people with what they are feeling, and thus can stimulate a deeper processing of negative emotion (depth), which temporarily involves higher autonomic arousal and may even be perceived as trying and hard work (smoothness), but eventually abets resolution of the emotional conflict. It however seems unlikely that this process advances automatically without fueling cognitive work such as reappraisal and re-adjustment of goals and schemas. Yet, the clarifying focus on one’s own emotion, accompanied by the non-judgmental stance of empathic paraphrasing might strongly push this process forward. This notion is in line with Rogers’ original claim to evoke personal growth and transformation in the client through empathic paraphrasing, thereby achieving therapeutic change (Rogers, 1942 , 1951 ).

Also, considering the findings from mimicry and language matching research, which have demonstrated that being treated empathically on basal levels such as facial expression and language style promotes attitude and behavior change, it seems plausible that empathic paraphrasing may foster socio-cognitive processes in a similar direction. As paraphrasing contains a deliberate effort to verbally align with the narrator, it may generate a shared situation model and in this way promote successful communication. It would be interesting to consider if empathic paraphrasing, as it bears a certain resemblance to mimicry on a verbal level, can also stimulate pro-social behavior in the person being paraphrased; for instance a greater willingness to open up for the other party’s perspective on the conflict. This would strongly support the idea of paraphrasing stimulating a clearance of negative emotion.

There seems to be wide consensus between psychotherapists of different disciplines that psychotherapy benefits from an optimal level of arousal in the client, similar to the Yerkes–Dodson law, which posits an inverse U-shaped correlation between arousal and performance in complex tasks (Bridges, 2006 ). Markowitz and Milrod ( 2011 ) argue that emotional arousal is central for engaging the client in psychotherapy and making the therapeutic experience meaningful. They claim that the therapist’s ability to understand and respond empathically to negative emotional arousal should be considered the most important one of the common factors of psychotherapy. The therapist provides support and at the same time acts as a model, teaching the client to tolerate, verbalize, and integrate their feelings. Thus, negative feelings diminish and lose toxicity. In a similar vein, the traditional concept of the “corrective emotional experience” by Alexander and French ( 1946 ) describes the transformation of painful emotional conflicts as re-experiencing the old, unsettled conflict but with a new ending. This notion, which has gained ample empirical support, holds that processing emotional conflicts within a safe and empathic environment is necessary for therapeutic change (Bridges, 2006 ).

A resembling road is also pursued by acceptance and mindfulness-based interventions. Research on acceptance-based and mindfulness-based therapy has shown that accepting and mindfully observing negative emotions (instead of trying to suppress them) leads to the dissolution of these emotions (Eifert and Heffner, 2003 ; Arch and Craske, 2006 ; Hayes-Skelton et al., 2011 ). Czech et al. ( 2011 ) cite several experimental studies which have demonstrated that acceptance of negative emotion decreases distress and increases willingness to engage in challenging tasks. Empathic paraphrasing may have similar effects, as it essentially applies the principles of mindfulness and acceptance from the outside – through a listener who takes on an accepting role, thereby prompting the narrator in the same direction. Offering cognitive empathy through paraphrasing draws attention to emotions, non-judgmentally describes and accepts them, and is thus very similar to acceptance-based and mindfulness-based therapy. The central difference might be the locus of initiation of these processes, which in the case of empathic paraphrasing comes from somebody else. Comparing the effects of mindfulness and empathic paraphrasing and investigating the potential consequences of this difference on emotion processing and emotion regulation could be an interesting research focus for future studies.

Limitations of the present study

A potential short-coming of the present study pertains to the nature of the control condition, which consisted of taking notes silently. It could be argued that, as only the experimental condition involved speech, the differences found might be due to a general effect of being spoken to, rather than to an isolated effect of empathic paraphrasing. However, it should be noted that within a social conflict situation, the content of a reply to emotional descriptions can never be perceived as completely neutral, and any control condition involving speech will induce emotional effects of its own, e.g., irritation or even anger caused by inapplicable verbal comments of the interviewer following participants’ emotional disclosure. The present control condition was deliberately chosen for providing a neutral baseline against which the effects of empathic paraphrasing can be tested before moving on to other modes of comparison.

An aligned point of concern might be that it cannot be ascertained how the control condition was perceived by participants. For instance, even though they were informed that the note-taking simply served the purpose of bolstering the interviewer’s memory during the conversation, some participants may still have worried about the notes containing subjective judgment. This would most likely induce stress and add an emotional bias to the control condition. In this case, however, one would expect an increase in autonomic responses during the control condition, which did not occur. Still, considering these shortcomings of the control condition, the results need to be reproduced with varying kinds of control conditions involving speech before they can be viewed as definite.

It should also be mentioned that this study focused exclusively on short-term emotional reactions to paraphrasing, in order to obtain a constitutional data base illustrating the regulatory effect of this communicational technique. Our results suggest that in addition to influencing immediate emotional valence, paraphrasing sets in motion an initially arousing process of coping with negative emotions associated with the social conflict, which eventually may lead to resolving these emotions. However, as we did not assess longitudinal measures pertaining to the emotions associated with the social conflicts in question, this conclusion has to remain speculative until backed up by further research.

Finally, the relatively small sample size of the study makes it prone to distortions from individual variations and gender differences, e.g., in emotion expression. Again, replication of the results based on larger groups of study participants is called for.

Conclusion and directions for future research

The present study provides first experimental evidence that offering cognitive empathy through paraphrasing extrinsically regulates emotion in social conflict. Paraphrasing led to less negative feelings in study participants, while at the same time inducing higher autonomic arousal, which subsided after a short period of time. A possible explanation for these findings is that empathic paraphrasing stimulates an increased and focused processing of negative emotion in social conflict, and thus may contribute to resolving these emotions.

Future studies investigating the emotional effects of demonstrating cognitive empathy may further scrutinize the short- and long-term effects empathic paraphrasing has on arousal, and test the hypothesis that paraphrasing induces a cognitive-emotional process which facilitates the resolution of negative emotion in social conflict. Also, it would be interesting to investigate the dynamics of this process more closely and identify factors necessary for its successful development. Presently, we are working on a neuroimaging paradigm designed to overcome some of the above mentioned shortcomings and further explore the effects of empathic paraphrasing on the disposition to consider other people’s perspective in social conflict.

Conflict of Interest Statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Acknowledgments

This study was financially supported by the Cluster of Excellence “Languages of Emotion” at Freie Universität Berlin which is funded by the DFG (German Research Foundation), and by the Open-Access publication fund of the DFG and the Freie Universität Berlin.

Example of a paraphrasing sequence

Interviewer: “What is worst for you about this situation?”

Narrator: “The worst thing is not knowing what happens now, well, this uncertainty. I mean, there is a problem, I have to make sure the rent is being paid, because in the end I am responsible, because I am in the rental agreement…and then – not being able to deal with that situation, not being able to act, because I just don’t know what is going to happen. The worst…now I am not so sure anymore, what was worst about it – well, also interpersonally it was very disappointing, because after all I took care of everything, voluntarily, and…I mean, when she is acting this way now, that is also a lack of recognition for what I do, what I accomplish. For my whole courtesy. What aggravates things is that is was clear from the beginning that she does not do so well financially, but urgently needed an apartment, and I let her move in with me to help her. And that is something that is…not being trampled under her feet…but you notice that there is a lack of recognition. Well, I think this second issue is worse than the first one.”

Interviewer: “So it is a combination, is it? For one, this thing, that in some way your existence is on stake here, that you are saying, this uncertainty is hard to bear – that you do not know how the rent is going to come around in the future. And then also the interpersonal issue, that you are saying you are disappointed of her, because you helped her, and in return you get this now, right? Especially the lack of recognition, the interpersonal treatment is what is worst – did I understand that correctly?”

Narrator: “Yes.”

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A Summary of Eight Counselling Microskills

In this post we summarise the following eight fundamental skills that alone or together can help a client to access their deepest thoughts or clarify their future dreams:

Attending Behaviour

Questioning

Noting and Reflecting

Client Observation

Confrontation

Influencing

Attending behaviours encourage clients to talk and show that the counsellor is interested in what’s being said.

When it’s used : Throughout the entire counselling interview. Particularly important in the initial stages of establishing rapport. Examples : Attentive body language (eye contact, leaning forward slightly, encouraging gestures).

Effective questioning helps guide the counselling conversation and may assist in enriching the client’s story.

When it’s used : Questioning is useful in the information gathering stage of the interview. It can however be an important skill to use throughout the entire process. Examples : “What brings you to mediation today?” “How does that make you feel?”

Accurate Responding allows the counsellor to confirm with the client that they are being heard correctly.

When it’s used: Responding is useful throughout all stages of a counselling interview. It helps the counsellor to clarify and encourage clients’ stories. This is also a great skill to teach clients when responding to each other in mediation. Examples: “Let me see if I’ve got this right. You want to go back to full time study but are worried about your financial commitments?”

Noting and reflecting is used to bring out underlying feelings.

When it’s used: Noting and reflecting can assist in adding the emotional dimension to the client’s story, so is often used in the interview stages of gathering information and exploring alternatives. Another great skill to teach clients in the process. Examples: “You feel disappointed because your mother didn’t call you on your birthday.”

Skilled client observation allows the counsellor to identify discrepancies or incongruities in the client’s or their own communication.

When it’s used: Observation is a skill that is utilised throughout the entire counselling interviews. Examples: Observing body language, tone of voice and facial expressions.

Confrontation is a skill that can assist clients to increase their self-awareness. It can be used to highlight discrepancies that clients have previously been unaware of.

When it’s used: Confrontation is often used when the counsellor observes mixed messages or incongruities in the client’s words, behaviours, feelings or thoughts. Confrontation should only be used after rapport has been developed between client and counsellor. Examples: “You say you would like to do further study but you haven’t contacted the training institution.”

Focusing enables a counsellor to direct client’s conversational flow into certain areas.

When it’s used: Focusing is a skill that is relevant to all stages of a counselling interview. This skill however should be used sparingly. Examples: After noticing that a client has mentioned very little about his family, the counsellor, (believing the family is relevant) directs the conversation toward the client’s family.

Influencing may facilitate change in the way a client chooses to think or act.

When it’s used: Influencing is generally used when the client is exploring alternative ways of thinking or behaving. Examples: A counsellor notices the conflict between two parties that have children together. The counsellor discusses the possible long and short term consequences of their conflict on their children.

• August 9, 2012
• Communication , Confronting , Counselling , Influencing , Microskills , Questioning , Responding
• Counselling Theory & Process

Comments: 7

re Attending Behaviour

But I’ve known people who do not care if I behave attentitively. And they don’t attend to me either. Yet they’re still listening. And, they can’t listen properly if they do put on attending behaviour. They tell me so.

It’s very counter-intuitive to me. But it seems to show that either I’m deceived or else this isn’t such an important skill after all?

Rick, Im sure some people dont mind if you dont act like your interested but its part of a good interviewing process. Personally, It is just part of my interviewing role I always use. I look at it like this it may hurt to leave it out but it never hurts to always put it to use in every interview.

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who is the author of this article?

Rick you have the answer within you if you able to notice all that then it means that skill is effective

How do I construct biopsychosocial assessment of the individual case work?

Very good, We think you should check out our article, I am a psychotherapist in London

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Why Are Rephrasing And Summarizing Crucial In Counseling

Table of Contents

Why are rephrasing and summarizing crucial in counseling?

By giving accurate responses through encouraging, paraphrasing, and summarizing, a counsellor can encourage a client to keep talking, open up more freely, and explore issues in more detail. Informing the client that the counsellor has correctly understood what they have been saying by responding in this manner. Clarifying emotions for the counselor and the client is the goal of summarizing in counseling.Counseling is a type of talk therapy. It is a process where a person, a couple, or a family meets with a qualified professional counselor to discuss problems and issues in their lives. Professional counseling is discreet and nonjudgmental.

In counseling, what benefit does summarizing have?

When summarizing, the therapist reflects back the main ideas discussed during the session to give the client a chance to review and correct the therapist if any details seem off. In order to help both the client and the counselor better understand their feelings, summaries are helpful. Summarizing entails expressing an idea succinctly, whereas paraphrasing entails expressing an idea in full using the majority of the data from the original source while maintaining the original meaning.The first and most important step in summarizing is to recognize the key points in the text that are being presented.Both your reading and writing skills will benefit from summarizing. To paraphrase, you must carefully read a passage, identifying the main ideas and ancillary ideas. Then, in a few sentences or a paragraph, you must sum up those ideas. Understanding the distinction between a summary and a paraphrase is crucial.A summary gives the reader all of the pertinent facts, concepts, or arguments from the original source. While written in your own words, a summary still only serves to explain the ideas of another author. It does not serve as a judgment, commentary, or analysis.Therefore, summaries serve three main purposes: (1) they make an article’s content clear so that readers can decide whether or not they want to read it; (2) they help readers organize their thoughts about what will come next; and (3) they help readers remember key details from the article.

What does summarizing mean at the end of counseling?

Each session should conclude with a summary to help the counselor create a better progress note and facilitate the development of counseling interventions. Additionally, it demonstrates to the client that you two are on the same page in terms of the tasks the client is completing and the objectives the client is achieving. By combining two or more of the client’s thoughts, feelings, or behaviors into a single general theme, the counselor creates a summary. When a counselor wants to make connections between two or more topics during choice points of a counseling interview, they typically use summarization as a skill.Key Qualities of a Summary A lead, which includes the title, author, and text type, appears at the start of a summary. In the same way that the text itself develops, summaries are written in chronological order. There are no opinions or conclusions in summaries.Students learn how to identify the most crucial ideas in a text, how to filter out unimportant information, and how to coherently combine the key ideas through summarizing. It helps students remember what they read when they are taught how to summarize. Nearly all content areas allow for the use of summarization techniques.The objective of a summary—of a piece of writing, a chapter, or a whole book—is to restate the key points of the original piece in as few words and in the most concise manner possible.An accurate, understandable, and condensed summary is preferred. Represents the original text truthfully – A summary must always do this. Clear – A summary should be simple to understand for the reader. This entails condensing long or complex texts into writing that is brief and (relatively) easy to understand.

What is the counseling process’s synopsis?

The five fundamental phases of counseling are: 1) Establishing the client-clinician relationship; 2) Clarifying and assessing the situation or problem; 3) Determining and setting counseling or treatment goals; 4) Creating and putting into practice interventions; and 5) Planning, concluding, and following up. Counseling skills are both hard (technical) and soft (interpersonal) abilities that a counselor uses to help their clients work through their personal problems and get past obstacles that are currently keeping them from living a full and happy life.

What are the key components of summarizing?

Compelling summaries are those that are thorough, succinct, coherent, and independent. These characteristics are described below: A summary must be thorough: You should identify all of the crucial ideas from the original passage and list them. The three elements that all summarization techniques have in common are the selection of key concepts, the elimination of irrelevant details, and the replacement of lengthy passages in the original work with a single, well-written sentence. Summarization is the retention, erasure, and replacement of information.Instead of outlining the text by condensing an idea, it is more helpful for the students to group the text’s main points together. Summarizing is an important tactic that helps readers remember text quickly.When: When you want to provide background information or an overview of a subject. You want to discuss information about a subject that you’ve learned from various sources. You want to ascertain a single source’s key points.The two types of summarization are extractive and abstractive. In order to create a summary, extractive summarization chooses a subset of the text’s sentences; abstractive summarization rearranges the language in the text and, if necessary, adds new words or phrases.Finding the main ideas and important details in each paragraph is made easier by summarizing. This is similar to panning for gold. Understanding the main ideas and important details is the key to effective learning.

What portion of summarizing *is most crucial?

Make sure to use your original language and sentence structure while condensing your sentences. Keep the original text’s logical order in mind. Make sure your own point of view is strictly objective (reporting only the text’s content). A summary should not include opinions. A summary should present a concise representation of main points, ideas, concepts, facts, or text in your own words. Summarizing calls for critical reading, thinking, and writing abilities that are essential for success in any course level.A longer passage, ranging from a few sentences to several paragraphs or even more, is summarized by restating the key points in your own words. Compared to the original source, your summary will contain a lot fewer words.Write down the text’s main points and then restate them in your own words and writing style as a summary. A third of the original length or less should be taken up by the summary.The original source of a paraphrase must also be mentioned. The material that has been paraphrased is typically shorter than the original passage because it has been condensed. In order to summarize, you must rephrase the main idea(s) and only mention the main idea(s).A summary should explain the main points of the text to readers who have not read the full piece or watched the presentation. It gives a brief explanation of the main idea or purpose of the essay and summarizes the arguments that support it.

What is the significance of summarizing?

Students learn how to identify the most crucial ideas in a text, how to filter out unimportant information, and how to coherently combine the main ideas through summarizing. Students’ reading retention is improved when they are taught how to summarize. In almost every subject area, summarization techniques are applicable. When you need to offer a quick summary of a longer text, choose to summarize rather than paraphrase. With summaries, you can cut out irrelevant or unimportant details, highlight key points, and make the author’s argument more clear.Summarizing aids in understanding and significantly increases the retention of information in long-term memory in students. One metacognitive strategy that increases remembering and understanding is summarizing. It promotes effective use of mental abilities.Outlines, abstracts, and synopses are the three main categories of informative summaries. Outlines show the structure or skeleton of a piece of writing. Using an outline, you can see how the various parts of the text relate to one another. A chapter’s synopsis is provided here.Summarizing functions similarly to outlining a play’s plot. For instance, if asked to sum up Shakespeare’s Hamlet, you might say: It is the tale of a young prince of Denmark who learns that his mother and uncle have murdered his father, the former king.Outlines, abstracts, and synopses comprise the three primary categories of informative summaries. Outlines display the structure or skeleton of a piece of writing. Outlines display the relationship and order of the various parts of the text. An outline for a chapter on summarization.

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Paraphrasing & Reflecting Feelings, self-disclosing.

Posted on May 31, 2022 June 7, 2022 Author Dr. Balaji Niwlikar Leave a comment

Paraphrasing & Reflecting Feelings-

A paraphrasing restates another’s idea (or your own previously published idea) in your own words . Paraphrasing allows you to summarize and synthesize information from one or more sources, focus on significant information, and compare and contrast relevant details.

Reflecting feelings is a statement made by a therapist or counselor that is intended to highlight the feelings or attitudes implicitly expressed in a client’s communication and to draw them out so that they can be clarified . Also called reflection response.

• Reflecting is like mirror.
• Giving back what just communicated.
• So the next person will understand you understand.

It is also used to make a client feel understood, encourage them to express themselves and open up more, and help them be aware of their own emotions and feelings.

Importance of reflecting.

• It helps in building relationships – in communicating trust, acceptance and understanding.
• Its gives clarification of problems & feelings.
• By reflecting you get the Information- about the person and the situation.
• Verification- check the perception
• It heightens the client’s awareness of and ability to label their own emotions.

Four different reflecting skills.

Reflecting feelings- .

• Focus on feeling not details – the act of identifying and acknowledging someone’s feeling and repeating it back to them.
• This reflection of feelings include both verbal and non verbal.
• Read body language even if feeling not expressed verbally.

Paraphrasing /Restating / reframing-

• Saying what you understand – restates another’s idea in your own words.
• So client will know you understand , if you don’t you are willing to be corrected
• Use your own words
• Slightly different word with same meaning 
• Rephrase both content and feelings 
• Convey empathy, acceptance and genuineness.

Affirmations (self talk)

• Positive statements about who we are and what our potential is.
• These help us feel good about ourselves, and focus on what we want.
• When children (or teens or adults) hear words of encouragement, they learn to respect themselves.

Summaring  or summarizing

• At the end of a session, After listening to the statements of the client , the counsellor summarizes the content presented by the client. 
• Through summarizing, the counsellor tries to find out if s/he has properly understood the frame of reference of the client 
• Helps the client to place his/her problem in perspective.
• It refers to the counsellor disclosing feelings about the client or the therapeutic interaction at that moment as it happens.
• In other words, using immediacy means that the therapist reveals how they themselves are feeling in response to the client. 
• For example, after listening to a student who suffered sexual abuse, the counsellor may share his/her feeling towards the student:

Counsellor: “ I appreciate you trusted me with one of the most traumatic experiences of your life. And I respect your courage for confronting the problem ”

Self-disclosure.

• This refers to the counsellor stating feelings about a similar situation as the client is presently in.
• For example, the counsellor disclosing to a student seeking help for dealing with public speaking phobia:
• Counsellor: “When I had to speak before the class, I used to stammer”
• The skills of self-disclosure as well as immediacy are closely associated.
• Self-disclosure promotes immediacy in your relationship with the client. 
• Self-disclosure intervention should be used in appropriate context and time only.
• According to Kottler and Kottler (2007),  “Self-disclosures are best employed when you wish 

(a) demonstrate that the student is not alone, 

(b) bridge perceived distance between you, and 

Features  of self-disclosures should have the following. 

• It should be concise .
• It must be devoid of self-indulgence .
• Usage should be conservative.

Plan for problem solving:

• Once the counselor has determined that all relevant information regarding the client’s concern is available and understood,
• Once the client has accepted the need for doing something about a specific problem, 
• The time is ripe for developing a plan to solve or remediate the concern of the client. 
• Here, however effective goal setting becomes the vital part of the counseling activity. 
• Correspondingly mistakes in goal setting can lead to nonproductive counseling procedures and clients loss of confidence in the counseling process. 
• Additionally, in this stage there are some sequential steps in viewing the processes involved. 

1) Define the problem 

2) Identify and list all possible solutions 

3) Explore the consequences of the suggested solutions. 

4) Prioritize the solutions on the basis of priority needs. 

• In the further development of this plan, the counselor recognizes that the client will frequently not arrive at basic insights, implications, or probabilities as fast as the counselor will. 
• However, most counselors will agree that it is better to guide the client toward realizing these understandings by himself or herself, rather than just telling the client outright. 
• To facilitate the clients understanding, the counselor may use techniques of repetition, mild confrontation, interpretation, information and obviously encouragement.

To check your knowledge about the topic, take the test given below,

MCQ test- Paraphrasing and reflecting feelings

Gladding, S. T. (2018). Counselling: A Comprehensive profession (9 th  Edn). Pearson

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