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Reflecting and Paraphrasing

Part of the ‘art of listening’ is making sure that the client knows their story is being listened to.

This is achieved by the helper/counsellor repeating back to the client parts of their story. This known as paraphrasing .

Reflecting is showing the client that you have ‘heard’ not only what is being said, but also what feelings and emotions the client is experiencing when sharing their story with you .

This is sometimes known in counselling ‘speak ‘as the music behind the words .

The counselling skill of paraphrasing is repeating back to the client parts of their story

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It is like holding up a mirror to the client; repeating what they have said shows the client they have your full attention. It also allows the client to make sure you fully understood them; if not, they can correct you.

Reflecting and paraphrasing should not only contain what is being said but what emotion or feeling the client is expressing.

Let’s look at an example:

Client (Mohammed): My ex-wife phoned me yesterday; she told me that our daughter Nafiza (who is only 9) is very ill after a car accident. I am feeling very scared for her. They live in France, so I am going to have to travel to see her, and now I have been made redundant, I don’t know how I can afford to go.

Reflecting skill in counselling is showing you understand what the client said as well as the emotions it brings up for the client

Counsellor: So, Mohammed, you have had some bad news about your little girl, who has been involved in an accident. You are frightened for her and also have worries over money now you have lost your job.

Client: Yes, yes ... that’s right.

Notice that the counsellor does not offer advice or start asking how long Mohammed and his wife have been separated, but reflects the emotion of what is said : ‘frightened' and 'worries'.

Reflecting and paraphrasing are the first skills we learn as helpers, and they remain the most useful.

To build a trusting relationship with a helper, the client needs not only to be ‘listened to' but also to be heard and valued as a person.

"Reflecting and paraphrasing should not only contain what is being said but what emotion or feeling the client is expressing."

Definition of Reflection in Counselling

Reflection in counselling is like holding up a mirror: repeating the client’s words back to them exactly as they said them.

You might reflect back the whole sentence, or you might select a few words – or even one single word – from what the client has brought.

I often refer to reflection as ‘the lost skill’ because when I watch counselling students doing simulated skill sessions, or listen to their recordings from placement (where clients have consented to this), I seldom see reflection being used as a skill. This is a pity, as reflection can be very powerful.

When we use the skill of reflection, we are looking to match the tone, the feeling of the words, and the client’s facial expression or body language as they spoke .

For example, they might have hunched their shoulders as they said, ‘I was so scared; I didn’t know what to do.’

We might reflect that back by hunching our own shoulders, mirroring their body language while also saying ‘I felt so scared; I didn’t know what to do.’

Using Reflection to Clarify Our Understanding

We can also use reflection to clarify our understanding, instead of using a question.

For example, suppose the client says:

‘My husband and my father are fighting. I’m really angry with him.’

For me to be in the client’s frame of reference, I need to know whether ‘him’ refers to the husband or the father. So I might reflect back the word ‘ him ’  with a quizzical look.

The client might then respond:

‘Yeah, my dad. He really gets to me when he is non-accepting.’

So you can get clarification in this way. You can adjust where you are to make sure that the empathic bond is strong and that you are truly within the client’s frame of reference.

"When we use the skill of reflection, we are looking to match the tone, the feeling of the words, and the client’s facial expression or body language as they spoke".

Definition of Paraphrasing in Counselling

Paraphrasing is repeating back your understanding of the material that has been brought by the client, using 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 listen and make notes: you’re paraphrasing as you distill this down to what you feel is important.

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.

And if you do that accurately and correctly, and it matches where the client is, the client is going to recognise that and to feel heard: ‘ Finally, somebody is there 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 .

..."Empathy [is] 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." Carl Rogers (1959, pp. 210–211)

In other words, we walk in somebody’s shoes as if their reality is our reality – 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 – that is, it’s not enough for us to be 100% in the client’s frame of reference , 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.

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Thrive Talk

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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Encouragers, Paraphrasing and Summarising

A counsellor can encourage a client to continue to talk, open up more freely and explore issues in greater depth by providing accurate responses through encouraging, paraphrasing and summarising. Responding in this way informs the client that the counsellor has accurately heard what they have been saying. Encouragers, paraphrases and summaries are basic to helping a client feel understood.

Encouragers, also known as intentional listening , involve fully attending to the client, thus allowing them to explore their feelings and thoughts more completely. Paraphrasing and summarising are more active ways of communicating to the client that they have been listened to. Summarising is particularly useful to help clients organise their thinking.

The diagram below shows how encouragers, paraphrases and summaries are on different points of a continuum, each building on more of the information provided by the client to accurately assess issues and events.

Encouragers – Encouragers are a variety of verbal and non-verbal ways of prompting clients to continue talking.

Types of encouragers include:

  • Non-verbal minimal responses such as a nod of the head or positive facial expressions
  • Verbal minimal responses such as “Uh-huh” and “I hear what you’re saying”
  • Brief invitations to continue such as “Tell me more”

Encouragers simply encourage the client to keep talking. For a counsellor to have more influence on the direction of client progress they would need to make use of other techniques.

Paraphrases – To paraphrase, the counsellor chooses the most important details of what the client has just said and reflects them back to the client. Paraphrases can be just a few words or one or two brief sentences.

Paraphrasing is not a matter of simply repeating or parroting what the client has stated. Rather it is capturing the essence of what the client is saying, through rephrasing. When the counsellor has captured what the client is saying, often the client will say, “That’s right” or offer some other form of confirmation.

Example: I have just broken up with Jason. The way he was treating me was just too much to bear. Every time I tried to touch on the subject with him he would just clam up. I feel so much better now. Paraphrase: You feel much better after breaking up with Jason.

Summaries – Summaries are brief statements of longer excerpts from the counselling session. In summarising, the counsellor attends to verbal and non-verbal comments from the client over a period of time, and then pulls together key parts of the extended communication, restating them for the client as accurately as possible.

A check-out, phrased at the end of the summary, is an important component of the statement, enabling a check of the accuracy of the counsellor’s response. Summaries are similar to paraphrasing, except they are used less frequently and encompass more information.

  • July 21, 2009
  • Communication , Counselling Process , Encouraging , Microskills , Paraphrasing
  • Counselling Theory & Process

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Comments: 23

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Yeah,must say i like the simple way these basic counselling skills are explained in this article. More of same would be most welcome as it helps give a better understanding of the counselling process and the methods and techniques used within the counselling arena

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I really find this information helpful as a refresher in my studies and work. Please keep up the excellent work of ‘educating’ us on being a better counsellor. Thank you!

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Wonderfully helpful posting. Many thanks!

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Thankyou so much. I am doing a assignment at uni about scitzophrenia and needed to clarify what paraphrasing truly meant. Cheers

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So helpful to me as a counselor.

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Thankx so much for these post. I’m doing Counselling and Community Services and I need to clarify what summarising and paraphrasing really meant. Once again thank you, this information it’s really helpful

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Hello Antoinette friend and doing guidance and counselling need uo help about this question With relevent examples explain the following concepts as used in communicating to clients. (I;listening to verbal messages and using encouraged minimal prompts. 2)making use of non verbal communication and exhibiting attending behaviours using Gerald Eganis macro skill SOLER/ROLES. 3.paraphrasing 4.identifying and reflecting feelings and emotions from the clients story 5.summarizing 6.confrotation 7.counsellor self disclosure 8.asking open and close open ended concept 9.answering questions 10.clarifying

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thanks I am doing a counselling community services at careers Australia

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Really love the explanations given to the active listening techniques it was really useful and helpful good work done.

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Helpful. Thanks!

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I really like hw u explain everything in to simple terms for my understanding.

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Hai ,thanks for being here .Am a student social worker,i need help an an able to listen to get the implied massages from the client.and to bring questions to explore with them .I love to do this work .What shall I do.how do i train my self in listening.

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really appreciate.

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You explanation of these three basic intentional listening are very helpful. Thank you for remained us.

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very helpful indeed in making the client more open and exploring the issues more deeply

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Very important cues.thanks

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the article was helpful .thank you for explaining it in more clear and simple words.appreciate it alot .

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I need to write about what counselling words mean ie I understand summarising and paraphrasing any more would be useful as I’m near the end of my course

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I have a role play exam tomorrow on counselling and find above explanation very useful. thanks for sharing.

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This explanation is clear and precise. Very easy to understanding than the expensive textbook. Please keep posting as this helps a lot. Thanks and God bless.

Pingback: Summarising In Counseling (a Comprehensive Overview) | OptimistMinds

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One of the simple and memorable descriptions of this I’ve read, thanks so much!

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Reflecting Skills

Ensuring that you understand your clients, and that your clients feel understood by you is foundational to the counseling relationship. The skills on this page are particularly useful for building the counseling relationship by helping your clients to know that you are hearing and understanding what they are saying.

Summarizing, Paraphrasing, & Reflecting

Summarizing, paraphrasing, and reflecting are probably the three most important & most commonly used microskills. These skills can be used by counselors to demonstrate their empathy to clients, make the counseling session go "deeper", & increase clients' awareness of their emotions, cognitions, & behaviors. All three methods involve repeating back, in your own words, what the client has said. Counselors often go beyond simple repetition and include their own interpretations of the client's emotions or existential meaning to increase the "depth" of the session. These techniques can often be used in place of questions, as, like questions, they prompt the client to reflect or talk more. However, these techniques often have additional benefits of questions as they also demonstrate that the counselor empathizes with and understands each client. Summaries, paraphrases, and reflections can be described as:

  • Broadest of the three methods for repeating information.
  • Useful at the end or beginning of session. For example, summarizing the session to the client or reorienting the client to the previous session.
  • Summaries can include condensed paraphrases & reflections.
  • Not as broad as a summary, yet more broad than a reflection.
  • Useful for pacing counseling sessions and for demonstrating empathy to clients.
  • Paraphrases can contain condensed reflections.
  • There are three broad types of reflection: Reflections of content, reflections of feeling, & reflections of meaning.
  • Counselors can strengthen their reflections by constructing a reflection that integrates content, process, affect, and meaning. For example, "While talking about the loss of your dog (content) I experience you as alternating between anger and sadness (affect). That makes a lot of sense to me (self-disclosure), since you told me that seeing your dog at the end of a stressful day kept you grounded (meaning)".

Types of Reflections

Counselors can reflect a wide range of information, but reflections typically include one or more of the following:

  • Reflecting content involves repeating back to clients a version of what they just told you. Reflecting content shows the client you understand and are listening to them. Typically, reflecting content alone is not as powerful as reflecting content with emotions and/or meaning.
  • Reflecting a client's emotions is often useful for heightening the client's awareness of and ability to label their own emotions. It is important that counselors have a wide emotional vocabulary, so they can tailor their word choice to match a level of emotional intensity that is congruent with a client's experience. Feeling word charts are useful for reviewing a wide range of feeling words.
  • As existential theorists observe, humans are meaning making creatures. Reflecting a client's meaning can increase the client's self-awareness while encouraging emotional depth in the session.

Emotional Heightening

Counselors can intentionally use language to increase or decrease the emotional intensity of their reflections, thereby altering a client's emotional arousal. Using evocative language and metaphors (e.g., "walking on eggshells") encourages clients to go deeper into a particular experience or emotion, which can heighten awareness and understanding. Conversely, a counselor might support a client in containing their emotions toward the end of the session, so the client is prepared to leave the session.

It is important that counselors attempt to match their reflections to the emotional intensity of the client's experience. Thus, intentionality is important when counselors reflect more or less emotion than the client expresses, as doing so can result in the client feeling misunderstood and not listened to.

An example of emotional heightening is:

  • Client: "My wife and I can't stop fighting with each other, and things are really escalating."
  • Counselor: "Your fights are becoming more explosive and hostile."

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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.

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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 .

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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].

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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.

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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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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

If only a preview is showing, please click here to access the full video.

20 Basic Counseling Skills to Become an Effective Therapist

Counseling Skills

When combined, such competencies support clients through treatment and help them reach their goal of overcoming the pressures of modern life and leading a more fulfilling existence (Tan, Leong, Tan, & Tan, 2015).

Various counseling skills can be learned and developed to foster and maintain the psychological process, including good communication, problem solving, and goal setting, and introduce coping techniques such as self-talk and visualization (Nelson-Jones, 2014; Sommers-Flanagan & Sommers-Flanagan, 2015).

This article introduces and examines counseling skills and techniques for supporting the psychological process underpinning therapy and setting and achieving counseling goals.

Before you continue, we thought you might like to download our three Strengths Exercises for free . These detailed, science-based exercises will help your clients realize their unique potential and create a life that feels energizing and authentic.

This Article Contains:

What are counseling skills, 3 real examples of good counseling skills, 20 basic counseling skills: a checklist, counseling microskills explained, effective techniques used by counselors, how to improve your counseling skills, assessing counseling skills: a scale, 3 books to foster your counseling skills, tools from positivepsychology.com, a take-home message.

Most therapists and counselors would agree that a good counseling relationship is fundamental to being effective with clients. Such alliances build on several counselor-offered qualities, core conditions , and skills , including “empathic understanding, respect and acceptance for clients’ current states of being, and congruence or genuineness” (Nelson-Jones, 2014, p. 9).

While psychological practitioners recognize the importance of the counseling relationship , they also agree on the need for interventions using skills directed by their theoretical orientation.

When viewed as a relationship with core conditions and a selection of interventions , counseling is recognized as a psychological process, usually with the goal of “altering how people feel, think and act so that they may live their lives more effectively” (Nelson-Jones, 2014, p. 10).

Various counseling skills underpin the psychological process and are required to become an effective therapist. They have five different goals (Nelson-Jones, 2014):

  • Supportive listening Clients feel heard, understood, and affirmed.
  • Managing a problem situation Clients often need help tackling a specific, problematic situation.
  • Problem management The individual requires support in overcoming more general problems, such as feeling depressed.
  • Strengthening insufficiently strong skills Clients can develop or replace the weak and deficient skills that cause them to face the same problems repeatedly, such as broken relationships or challenges at work.
  • Enhancing skill strength goals Clients do not always seek help in resolving specific problems; sometimes, they simply require the skills to function better.

The therapist’s skills help the client achieve one or more of the goals above, overcome the problems they face, and acquire techniques to support new ways of thinking and behaving.

Good counseling skills

While there are various skills, the following are practical examples requiring positive and specific counseling skills.

Creating visual images

Visual images can be powerful tools for entering and understanding a client’s frame of reference (Nelson-Jones, 2014).

When a client explains their situation and the challenges they face, it can be helpful to form a mental representation of what life may be like for them. Visualization can provide insight into how they interpret events problematically, using their personal experiences and beliefs to shape their internal representation (Nelson-Jones, 2014).

Creating self-talk

Self-talk is a valuable intervention for clients learning to cope with stress and anger (Nelson-Jones, 2014). Skilled therapists help clients with self-talk in the following ways:

  • Highlight negative self-talk Clients often rely on damaging, negative self-talk. Skilled therapists can show clients how to explore their statements in problematic situations, such as presenting at work or forming relationships.
  • Educate clients about coping self-talk Clients can learn positive self-talk as a helpful coping strategy, supporting an internal dialogue that calms nerves and focuses on the task at hand.
  • Capture helpful self-talk Clients can discover how to capture positive self-talk and use it at the correct time.

Crisis counseling

Therapists may occasionally counsel clients in potential or immediate danger. While their influence may feel limited, “counselors’ primary source of influence to keep clients safe through situations of imminent danger is the therapeutic relationship they form with each client” (Cochran & Cochran, 2015, p. 201).

Strong therapeutic relationship skills, such as the following, help manage client crises:

  • Acceptance While tempting to see only the dilemma faced, it is crucial to know the person and accept them. It is imperative to connect with the client and make your understanding visible.
  • Empathy Empathy is essential within any therapeutic relationship yet may need to be increased during times of crisis. It must be communicated clearly to the client so that they are aware of the connection formed.
  • Explain what is going on If the therapist is distracted, perhaps listening for and assessing danger signals, they must tell the client. Otherwise, if the client senses anything less than the therapist’s full attention, they may assume judgmental and critical thoughts or even boredom.
  • Carefully state feeling Clients may not always be aware that the therapist cares for them. Stating that they want the clients to be safe, well, and happy and sharing concern for their wellbeing can help justify a request to plan, complete an assessment, or follow a course of treatment.
  • Therapeutic listening and reflection Therapeutic listening and reflection throughout each session show caring and connection.
  • Making plans Planning for a client’s wellbeing and safety requires agreeing with the client what steps they will take and actions they are willing to put in place.

The following checklists contain skills that a therapist or counselor would typically possess or be working toward to help their clients reach their therapeutic goals effectively.

Listening and communication skills

While “good therapeutic listening is extremely rare,” effective therapists should develop the following skills (Cochran & Cochran, 2015, p. 25):

  • Focus on what a client is telling them for at least several minutes with total concentration.
  • Summarize the core content of what is said (without their own belief bias) while avoiding missing key details or adding judgments or opinions.
  • Recognize when they are adding in their own, uncommunicated thoughts.
  • Be aware of their body language as a listener and recognize feelings physically and emotionally.
  • Remain comfortable with silences and encourage the client to own them.

Good verbal communication is a valuable skill in therapy. Statements such as “I understand what you are saying” or “I can see you are in pain” can significantly affect the client’s confidence in the therapeutic process and the therapist.

Skilled therapists should ask themselves (Nelson-Jones, 2014):

  • Is the language appropriate to the situation and the client? The client may have little or no therapy experience or may have limited vocabulary skills.
  • What does the content of what is being said refer to? The therapist must tune in to what is being said and about whom; for example, “I just don’t seem to care anymore.”
  • How much is being said? Too little speech may indicate client shyness or difficulty talking about a sensitive subject; too much may be a tactic to avoid sharing what is really wrong. Similarly, there is a problem if the therapist is talking more than the client or regularly interrupting.
  • Ownership of speech The pronoun ‘you’ can sound judgmental. Using “I” to talk about how the speaker feels can be less confrontational and more engaging.

Reflection skills

Reflection is complex, requiring considerable therapist skills to communicate with clients that they are striving to understand (Cochran & Cochran, 2015).

An effective therapist must become skillful in the art of reflection and able to demonstrate the following (modified from Cochran & Cochran, 2015):

  • Reflect their version of what the client has communicated.
  • Use declarative statements when they believe they understand what has been said.
  • Keep reflections concise.
  • Focus on the main point of what has been shared, particularly the most emotionally laden statements.
  • Accept corrections to what they have said.
  • Interrupt a client with a reflection only when it assists clarity or to avoid being overwhelmed.
  • Use reflections to encourage the client’s communication without damaging the conversation flow.

Helping skills

Helping skills typically include specific verbal skills taught to students who are training to become mental healthcare professionals, including (Hill & Lent, 2006):

  • Open questions Helping clients elaborate on their internal frames of reference (such as, ‘Tell me about that’ ).
  • Reflections of feelings Being aware of more profound emotional messages and showing that the therapist is attuned to the client.
  • Interpretations Uncovering the meaning behind what is said.
  • Direct guidance Setting realistic and achievable expectations for goals and appropriate behavior.

Helping skills can be learned through instruction or by modeling experts .

Counseling microskills

Attending refers to how the therapist presents to the client physically, psychologically, and emotionally. The therapist must be present, available to the client, and, rather than turning up with a fixed agenda, flexible and prepared to put themselves in the client’s situation.

Therapists should maintain an open and relaxed posture, including uncrossed arms and legs, and eye contact while following the conversation closely.

Listening relates to the importance of understanding the client’s narrative. Empathy is key to good listening. Being capable of seeing the world from the client’s perspective can create a growth-promoting therapeutic environment.

Together, microskills combine to form an effective counseling conversation (Tan et al., 2015).

Basic skills of a counselor – Mometrix Academy

Counselors combine several techniques to be effective with clients, including challenging and reflecting feelings.

Challenging skills

Challenging clients’ existing perceptions can help offer new perspectives, reframing how they see problems or previous events (Nelson-Jones, 2014).

The following guidelines can help develop the skills of challenging without confronting (modified from Nelson-Jones, 2014):

  • Reflecting thoughts Begin by showing the client that they have been heard and understood.
  • Helping clients challenge themselves Sending mixed messages or asking clients to back up their arguments encourages clients to question their internal frame of reference.
  • Challenges should not be put-downs Avoid messages that begin with “you” that can be taken negatively.
  • Avoiding strong challenges Challenging too hard can create resistance.
  • Avoiding threats Avoid verbal or nonverbal threats, such as pointing or a raised voice.
  • Leaving the client responsible Let the client choose if they move forward with the challenge.
  • Neither overdoing nor avoiding challenges Challenging can be valuable, pushing toward client change. Too much can create the perception of an unsafe emotional climate.

Reflecting feelings

“Reflecting feelings, rather than reflecting thoughts alone, can establish a climate for initial and subsequent sessions where clients share rather than bury feelings” (Nelson-Jones, 2014, p. 102).

Unlike paraphrasing, reflecting feelings involves picking up both verbal and nonverbal messages and requires skills as both a receiver and a sender (modified from Nelson-Jones, 2014).

Receiver skills include:

  • Understanding the client’s face, body, vocal, and verbal messages.
  • Being in tune with their own emotional reactions.
  • Considering the context of the message sent.
  • Being aware of both the surface and deeper messages from the client.

Sender skills include:

  • Responding to the client, showing awareness and understanding of feelings.
  • Using expressive responses rather than wooden replies.
  • Confirming the accuracy of understanding.

Mental health professionals need to become their own best counselors; if therapists truly believe in their approach when applied to clients, it should also help them “lead happier and more fulfilled lives” (Nelson-Jones, 2014, p. 483).

Trainees may find it helpful to consider undergoing therapy themselves. The experience will benefit their personal growth, empathic understanding, and knowledge of the psychological process and therapeutic relationship (Nelson-Jones, 2014).

Once trained, mental health professionals should assume responsibility for their continuing professional development. Such training will keep therapists up to date with new developments in their field and advances in technology that support them professionally (Nelson-Jones, 2014).

Other ways to improve your counseling skills include being supervised, presenting at and attending conferences, and reading professional counseling books and articles.

In addition, for more guidance on your discussions with clients, we share 40 counseling interview questions to make the onboarding process and ongoing conversations easier.

Therapists, particularly students and trainees, should regularly reflect on their skill set and recognize opportunities for development and growth.

While there are limited instruments to assess the skills of mental health professionals directly, the following resources are helpful for therapists or supervisors:

  • Skill Evaluation Form – Kent State University has produced a Counseling Skills and Techniques measure that while developed for students, can be relevant for trainees and more experienced therapists.
  • American Counseling Association Code of Ethics – This Code of Ethics includes details of the competencies required for a counselor along with ethical considerations and standards for the counseling relationship.
  • Psychotherapy Process Q-Set – This 100-item questionnaire is used to score therapy sessions and classify the overall therapy process.

While there are many books available on counseling skills, the following are three of our favorites.

1. The Heart of Counseling: Counseling Skills Through Therapeutic Relationships – Jeff Cochran and Nancy Cochran

The Heart of Counseling

This valuable and detailed guide helps students and trainees build on their existing knowledge and develop the qualities and skills required to form effective therapeutic relationships and deliver on treatment outcomes.

The book includes case studies, clear guidance on applying theoretical concepts in therapy, and supporting videos.

Find the book on Amazon .

2. Practical Counselling and Helping Skills – Richard Nelson-Jones

Practical Counseling and Helping Skills

Now in its sixth edition, this book by Richard Nelson-Jones provides a detailed, step-by-step guide to applying his three-stage model (relating, understanding, and changing) to counseling.

This thorough and practical book helps the reader develop the skills to become an effective counselor and deliver treatment goals.

3. Counseling and Psychotherapy Theories in Context and Practice: Skills, Strategies, and Techniques – John Sommers-Flanagan and Rita Sommers-Flanagan

Counseling and Psychotherapy Theories

This comprehensive guide presents all the key counseling and psychotherapy theories and how to apply them in clinical practice.

Including chapter outlines, graphics, tests, charts, and links to videos, this is a valuable resource for students and teachers.

We have many tools that support the counseling and therapy process, including worksheets that help improve communication and empathy.

Why not try out the following free worksheets?

  • From My Way – No, My Way to OUR Way This worksheet helps pairs explore their conflicting approaches or points of view and co-create a shared norm or solution to a problem.
  • Listening Accurately Worksheet This handout presents five simple steps to facilitate accurate listening and can be used to help establish communication norms at the beginning of a therapeutic relationship.
  • TRAPS to Avoid and TIPS for Success This handout puts forward a range of suggestions to facilitate better conflict resolution.
  • Levels of Validation This short self-assessment helps therapists and counselors consider the level at which they typically validate the feelings and experiences of their clients, ranging from mindfully listening to radical genuineness.
  • 17 Strength-Finding Exercises If you’re looking for more science-based ways to help others develop their strengths, check out this collection of 17 strength-finding tools for practitioners . Use them to help others better understand and harness their strengths in life-enhancing ways.

Becoming and persisting as an effective counselor requires expertise and a rich and diverse set of skills (Hill, Spiegel, Hoffman, Kivlighan, & Gelso, 2017). These skills can be developed through education, training, practice, experience, and supervision.

Good counseling skills are vital to building robust and positive therapeutic alliances, delivering on agreed goals, and achieving successful outcomes as part of the psychological process.

By investing time and energy, it is possible for counselors to grow new and develop existing skill sets and help people move closer to how they wish to live by changing how they think, feel, and act.

While open communication and showing empathy are vital, so too are sharing the tools needed by the client to solve their problems. Once empowered, they can overcome new and existing difficulties.

Explore the skills discussed within this article and identify the support you need to develop them further. It is ultimately beneficial to you and your clients that you become the most skilled counselor possible.

We hope you enjoyed reading this article. Don’t forget to download our three Strengths Exercises for free .

  • Cochran, J. L., & Cochran, N. H. (2015). The heart of counseling: Counseling skills through therapeutic relationships . Routledge.
  • Hill, C. E., & Lent, R. W. (2006). A narrative and meta-analytic review of helping skills training: Time to revive a dormant area of inquiry. Psychotherapy: Theory, Research, Practice, Training , 43 (2), 154–172.
  • Hill, C. E., Spiegel, S. B., Hoffman, M. A., Kivlighan, D. M., & Gelso, C. J. (2017). Therapist expertise in psychotherapy revisited. The Counseling Psychologist , 45 (1), 7–53.
  • Nelson-Jones, R. (2014). Practical counselling and helping skills (6th ed.). Sage.
  • Sommers-Flanagan, J., & Sommers-Flanagan, R. (2015). Counseling and psychotherapy theories in context and practice: Skills, strategies, and technique s. Wiley.
  • Tan, C. T., Leong, J., Tan, A., & Tan, D. (2015). Essentials of counselling competencies: A practical guide . Write Editions.

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I am an RMN (Registered Mental Nurse) who served in the UK Armed Forces. My last tour of duty placed me in an environment where I had a caseload of clients presenting with a plethora of mental health challenges and emotional issues. For the most part, I functioned as a counsellor without any specific training in counselling techniques. I retired from the Armed Forces many years ago and it is only recently that I embarked upon a counselling course which is nearing completion. Reading the content of this page has reinforced my learning experience and allowed me to identify those areas which need further focus. Thank you.

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pretty use ful tends to repeats information but really helps if you want to improve as a theropist

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This information will be very helpful as I re-evaluate the skills I require to secure a good-paying job, as well as mover towards my future. Being a counselor runs in my blood as I have numerous relatives across several generations who are counselors and/or a professional in the Mental Health field.

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Table of Contents

What Are Basic Counselling Skills? (9 In-depth Guides)

paraphrasing counselling skills

As a BetterHelp affiliate, we may receive compensation from BetterHelp if you purchase products or services through the links provided.

The Optimistminds editorial team is made up of psychologists, psychiatrists and mental health professionals. Each article is written by a team member with exposure to and experience in the subject matter.  The article then gets reviewed by a more senior editorial member. This is someone with extensive knowledge of the subject matter and highly cited published material.

This blog post will explore basic counselling skills. We will go into the details of important skills and frequently asked questions.

A list of basic counselling skills (+ a handout)

Below is a list of a few basic counselling skills:

Building rapport

Probing/questioning, reflection and paraphrasing, unconditional positive regard.

  • Summarising

What is counselling?

Counselling is a therapeutic process between psychologists and clients seeking help in regards to mental health. Psychologists assist clients in identifying goals and alternative solutions to emotional difficulties, improving communication and coping skills, boosting self-esteem, and promoting behaviour change and ideal mental health.

Basic Counselling Skills (In-depth)

Counselling skills are employed to understand and provide more effective help to clients.

Let’s get into the skills.

The listener speaks very little when this skill is used. There are verbal and non verbal components to listening. It is not just about hearing with your ears and also observing, understanding and listening as a whole.

The key components of listening are:

Verbal listening: It is the audible demonstration that you are listening to the concerns or problems of your client. Using verbal cues or affirmations like, “I understand”, “Go on”, or repeating important points that your client said is a great way to make the client comfortable and show that you are listening to them.

Active listening: Active listening is when you focus completely on what the client is speaking, understand their message, comprehend information and cues. Active listening occurs when one listens to beyond the word of the client. It may involve noticing the tone of the voice, what words are used to express the client’s emotions, are they a lot of hesitations whilst talking, etc.

Non-verbal listening:

The SOLER method is employed in non-verbal listening.

  • Squarely facing the client
  • Open posture without crossing one’s arms or legs
  • Leaning slightly forward towards the client to express interest and active listening
  • Eye contact with the client helps the client to understand that the psychologist is actively listening

Creating a connection and developing a trusting relationship with a client is one of the most important and valuable skills in the counselling journey.  When a client feels comfortable and safe within the counselling or psychotherapy session space, it may make it easier for them to open up to their counsellor.

We must create rapport with a client in order to operate effectively with them. Whatever form of counselling the therapist is using, rapport is crucial. 

Rapport is defined as a feeling of being connected to another person. How the counsellor controls their own feelings toward the client, as well as how they conduct with the client, will help and foster rapport.

Clients are unlikely to be able to work productively with a counsellor unless they establish a sense of rapport.

Being able to understand the client’s problem from their perspective is an essential skill. Empathy helps build trust with a client because they do not feel judged. One can show empathy by being open-minded, imaginative, committed, knowing and accepting of yourself.

It means being in the company of someone else and giving that person your full attention, to what they are saying or doing, valuing them as worthy individuals. orienting oneself physically to the patient to indicate one is aware of the patient, and, in fact, that the client has your full, undivided attention and that you care. 

Methods include eye contact; nods; not moving around, being distracted, eye contact, encouraging verbalizations; mirroring body postures and language; leaning forward, etc. Researchers estimate that about 80 percent of communication takes place non-verbally.

A counsellor indicates they value what the client has to say by maintaining eye contact with them. During their time with the client, a counsellor should be aware of the tone of their voice. The client will feel more relaxed and less rushed if you speak slowly. It will communicate that the counsellor has enough time to listen to the client’s issues and worries.

To understand your client, you need to ask relevant questions. A counsellor should utilise both open-ended and closed-ended questions to interpret what a client is saying. Usually, open-ended questions can help you gather complex and detailed information, whereas closed-ended questions help you get specific answers. Open ended questions will help your client to clarify or explore thoughts, and feelings. When asking open ended questions, you don’t want to request a specific bit of information or limit the question to a brief answer, or yes or no.

Some examples of open ended questions are:

  • What was your experience during high school?
  • How does that make you feel?
  • What makes you feel frightened?

Examples of close ended questions are:

  • Do you have a healthy sleep pattern?
  • What have you studied?
  • Were you bullied in school?

Reflecting in counselling is part of the ‘art of listening’. It is making sure that the client knows their story is being listened to. Importance of reflection – Relationship building, clarification, information gathering and verification.

There are four different reflecting skills which can be used at any point during a counselling session. They are reflecting feelings, restating/reframing, affirmation and summarising.

During paraphrasing, you want to focus on the keywords and main ideas that the client has communicated and communicate them back to your patient in a rephrased, and shortened form. This not only communicates to your client that you heard what they are saying, but also that you are trying to really understand them more deeply.

An expression of acceptance conveying non-judgmental or noncritical verbal & nonverbal reactions. Psychologists may disagree, or see flaws in their reasoning, but your job is not to argue them to your side, but to gently encourage them to see things through the scope of reality. Affirming the patient in their hurt, happiness, or confusion is a good way to convey to your patient that it is okay to be experiencing these emotions.

Summarizing

They condense or crystallise the essence of what the client is saying and feeling. The summary ‘sums up’ the main themes that are emerging. Essentially, summarising can be interpreted as extended paraphrasing.

Summarising could be used to:

  • Compile important points
  • Reviewing the previous session
  • To show the client that the psychologist is actively listening
  • When the counsellor is stuck during a session
  • Termination of session or therapy

According to Feltham and Dryden (1993), “Immediacy is ‘the key skill of focusing attention on the here and now relationship of counsellor and client with helpful timing, in order to challenge defensiveness and/or heighten awareness.”

Immediacy is a counselling skill that is associated with interpersonal process therapy (IPT). Immediacy is useful for strengthening the therapeutic relationship, bringing the counselling session into the here-and-now, increasing client awareness, and addressing maladaptive relationship patterns that are occurring between the counsellor and client (Teyber, 2006).

Following are some guidelines for the therapists / counsellors for using immediacy:

  • Be direct and honest about your response
  • Choose your words carefully so that the client does not feel threatened or attacked
  • Be sensitive towards the client’s feeling
  • Know why you are using the immediacy. Be clear about the purpose behind using immediacy
  • Be prepared for crisis intervention in case the immediacy backflows and has a negative impact.

Conclusion:

Counselling is about empowering clients to help themselves in a safe space. The skills that are outlined above are used in every counselling session. Counselling skills are interpersonal and technical characteristics that a therapist use in order to better understand and listen to their clients. These abilities aid in the development of rapport, the establishment of trust, and the assurance that your clients are heard and understood.

Frequently Asked Questions (FAQs) about Basic Counselling Skills

Who uses counselling skills.

These skills are practised by any number of people in any number of work roles, not just in counselling. They could be nurses, social workers, psychologists, psychiatrists, school counsellors, guidance counsellors, etc.

What are the goals of counselling?

  • Facilitating behaviour change.
  • Improving the client’s ability to establish and maintain relationships.
  • Enhancing the client’s effectiveness and ability to cope.
  • Promoting the decision-making process and facilitating client potential.
  • Development.

What are the core values of counselling?

The core values of counselling are:

  • Compassion.
  • Collaboration.
  • Respect for Autonomy.
  • Sensitivity to Difference.
  • Confidentiality.

References:

Basic Counselling Skills: A Guide for Health Workers in Maternal Care. (2010). Retrieved from www.mhinnovation.net/sites/default/files/downloads/innovation/tools/PMHP-Basic-Counselling-Skills.pdf

https://Basic Counselling Skills explained [PDF Download] • Counselling Tutor. (2021). Retrieved from https://counsellingtutor.com/basic-counselling-skills/

Geldard, D., Foo, R., & Geldard, D. (2021). Basic Personal Counselling . Cengage.

McLeod, J. (2011). Counselling Skills: A Practical Guide For Counsellors And Helping Professionals: A practical guide for counsellors and helping professionals (2nd ed.). Open University Press.

Smaby, M. and Maddux, C. (2011). Basic and advanced counseling skills . Belmont, CA:Brooks/Cole, Cengage Learning.

Teyber, E. (2006). Interpersonal process in therapy: An integrative model . Belmont, CA:Brooks/Cole, Cengage Learning.

What are the Basic Skills of a Counselor? | Overview [Video]. (2021). Retrieved from https://www.mometrix.com/academy/basic-skills-of-a-counselor/

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  • How to Paraphrase | Step-by-Step Guide & Examples

How to Paraphrase | Step-by-Step Guide & Examples

Published on April 8, 2022 by Courtney Gahan and Jack Caulfield. Revised on June 1, 2023.

Paraphrasing means putting someone else’s ideas into your own words. Paraphrasing a source involves changing the wording while preserving the original meaning.

Paraphrasing is an alternative to  quoting (copying someone’s exact words and putting them in quotation marks ). In academic writing, it’s usually better to integrate sources by paraphrasing instead of quoting. It shows that you have understood the source, reads more smoothly, and keeps your own voice front and center.

Every time you paraphrase, it’s important to cite the source . Also take care not to use wording that is too similar to the original. Otherwise, you could be at risk of committing plagiarism .

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Table of contents

How to paraphrase in five easy steps, how to paraphrase correctly, examples of paraphrasing, how to cite a paraphrase, paraphrasing vs. quoting, paraphrasing vs. summarizing, avoiding plagiarism when you paraphrase, other interesting articles, frequently asked questions about paraphrasing.

If you’re struggling to get to grips with the process of paraphrasing, check out our easy step-by-step guide in the video below.

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paraphrasing counselling skills

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Putting an idea into your own words can be easier said than done. Let’s say you want to paraphrase the text below, about population decline in a particular species of sea snails.

Incorrect paraphrasing

You might make a first attempt to paraphrase it by swapping out a few words for  synonyms .

Like other sea creatures inhabiting the vicinity of highly populated coasts, horse conchs have lost substantial territory to advancement and contamination , including preferred breeding grounds along mud flats and seagrass beds. Their Gulf home is also heating up due to global warming , which scientists think further puts pressure on the creatures , predicated upon the harmful effects extra warmth has on other large mollusks (Barnett, 2022).

This attempt at paraphrasing doesn’t change the sentence structure or order of information, only some of the word choices. And the synonyms chosen are poor:

  • “Advancement and contamination” doesn’t really convey the same meaning as “development and pollution.”
  • Sometimes the changes make the tone less academic: “home” for “habitat” and “sea creatures” for “marine animals.”
  • Adding phrases like “inhabiting the vicinity of” and “puts pressure on” makes the text needlessly long-winded.
  • Global warming is related to climate change, but they don’t mean exactly the same thing.

Because of this, the text reads awkwardly, is longer than it needs to be, and remains too close to the original phrasing. This means you risk being accused of plagiarism .

Correct paraphrasing

Let’s look at a more effective way of paraphrasing the same text.

Here, we’ve:

  • Only included the information that’s relevant to our argument (note that the paraphrase is shorter than the original)
  • Introduced the information with the signal phrase “Scientists believe that …”
  • Retained key terms like “development and pollution,” since changing them could alter the meaning
  • Structured sentences in our own way instead of copying the structure of the original
  • Started from a different point, presenting information in a different order

Because of this, we’re able to clearly convey the relevant information from the source without sticking too close to the original phrasing.

Explore the tabs below to see examples of paraphrasing in action.

  • Journal article
  • Newspaper article
  • Magazine article

Once you have your perfectly paraphrased text, you need to ensure you credit the original author. You’ll always paraphrase sources in the same way, but you’ll have to use a different type of in-text citation depending on what citation style you follow.

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It’s a good idea to paraphrase instead of quoting in most cases because:

  • Paraphrasing shows that you fully understand the meaning of a text
  • Your own voice remains dominant throughout your paper
  • Quotes reduce the readability of your text

But that doesn’t mean you should never quote. Quotes are appropriate when:

  • Giving a precise definition
  • Saying something about the author’s language or style (e.g., in a literary analysis paper)
  • Providing evidence in support of an argument
  • Critiquing or analyzing a specific claim

A paraphrase puts a specific passage into your own words. It’s typically a similar length to the original text, or slightly shorter.

When you boil a longer piece of writing down to the key points, so that the result is a lot shorter than the original, this is called summarizing .

Paraphrasing and quoting are important tools for presenting specific information from sources. But if the information you want to include is more general (e.g., the overarching argument of a whole article), summarizing is more appropriate.

When paraphrasing, you have to be careful to avoid accidental plagiarism .

This can happen if the paraphrase is too similar to the original quote, with phrases or whole sentences that are identical (and should therefore be in quotation marks). It can also happen if you fail to properly cite the source.

Paraphrasing tools are widely used by students, and can be especially useful for non-native speakers who may find academic writing particularly challenging. While these can be helpful for a bit of extra inspiration, use these tools sparingly, keeping academic integrity in mind.

To make sure you’ve properly paraphrased and cited all your sources, you could elect to run a plagiarism check before submitting your paper. And of course, always be sure to read your source material yourself and take the first stab at paraphrasing on your own.

If you want to know more about ChatGPT, AI tools , citation , and plagiarism , make sure to check out some of our other articles with explanations and examples.

  • ChatGPT vs human editor
  • ChatGPT citations
  • Is ChatGPT trustworthy?
  • Using ChatGPT for your studies
  • What is ChatGPT?
  • Chicago style
  • Critical thinking

 Plagiarism

  • Types of plagiarism
  • Self-plagiarism
  • Avoiding plagiarism
  • Academic integrity
  • Consequences of plagiarism
  • Common knowledge

To paraphrase effectively, don’t just take the original sentence and swap out some of the words for synonyms. Instead, try:

  • Reformulating the sentence (e.g., change active to passive , or start from a different point)
  • Combining information from multiple sentences into one
  • Leaving out information from the original that isn’t relevant to your point
  • Using synonyms where they don’t distort the meaning

The main point is to ensure you don’t just copy the structure of the original text, but instead reformulate the idea in your own words.

Paraphrasing without crediting the original author is a form of plagiarism , because you’re presenting someone else’s ideas as if they were your own.

However, paraphrasing is not plagiarism if you correctly cite the source . This means including an in-text citation and a full reference, formatted according to your required citation style .

As well as citing, make sure that any paraphrased text is completely rewritten in your own words.

Plagiarism means using someone else’s words or ideas and passing them off as your own. Paraphrasing means putting someone else’s ideas in your own words.

So when does paraphrasing count as plagiarism?

  • Paraphrasing is plagiarism if you don’t properly credit the original author.
  • Paraphrasing is plagiarism if your text is too close to the original wording (even if you cite the source). If you directly copy a sentence or phrase, you should quote it instead.
  • Paraphrasing  is not plagiarism if you put the author’s ideas completely in your own words and properly cite the source .

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To present information from other sources in academic writing , it’s best to paraphrase in most cases. This shows that you’ve understood the ideas you’re discussing and incorporates them into your text smoothly.

It’s appropriate to quote when:

  • Changing the phrasing would distort the meaning of the original text
  • You want to discuss the author’s language choices (e.g., in literary analysis )
  • You’re presenting a precise definition
  • You’re looking in depth at a specific claim

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Gahan, C. & Caulfield, J. (2023, June 01). How to Paraphrase | Step-by-Step Guide & Examples. Scribbr. Retrieved April 4, 2024, from https://www.scribbr.com/working-with-sources/how-to-paraphrase/

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Using Evidence: Effective Paraphrasing Strategies

Effective paraphrasing strategies.

If you are having trouble paraphrasing a text effectively, try following these steps:

  • Reread the original passage you wish to paraphrase, looking up any words you do not recognize, until you think you understand the full meaning of and intention behind the author's words.
  • Next, cover or hide the passage. Once the passage is hidden from view, write out the author's idea, in your own words, as if you were explaining it to your instructor or classmates.
Have I accurately addressed the author's ideas in a new way that is unique to my writing style and scholarly voice? Have I tried to replicate the author's idea or have I simply changed words around in his/her original sentence(s)?
  • Last, include a citation, which should contain the author's name, the year, and the page or paragraph number (if available), directly following your paraphrase.

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Counseling Reviews

Basic skills for counselling (paraphrasing).

3 comments:

paraphrasing counselling skills

When you are rephrasing so you need to think like a paraphrase helper who is always there to help and creativity not for just checking purposes.

Hi, I just wanted some clarification on #4 of Why we paraphrase. I am a little confused with the sentence that states, "With this skill to emphasize content is also useful if attention to affect is premature or counter-productive."

Counselling skills are the tools that counsellors use to help clients. They can be divided into three main categories: communication skills, intervention skills, and assessment skills. Communication skills involve active listening, empathy, and rapport building. Intervention skills involve providing support, guidance, and encouragement. Assessment skills involve identifying client goals and objectives, assessing progress, and making referrals. Counselling skills are important because they provide a framework for helping people achieve their goals. When used effectively, counselling skills can help people overcome challenges, make progress, and improve their lives. Read another amazing blog: https://lead-academy.org/blog/what-is-counselling-skills/

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Week 5 - Counselling Skills Practice 1 - Paraphrasing

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COMMENTS

  1. Reflecting and Paraphrasing • Counselling Tutor

    Part of the 'art of listening' is making sure that the client knows their story is being listened to. This is achieved by the helper/counsellor repeating back to the client parts of their story. This known as paraphrasing. Reflecting is showing the client that you have 'heard' not only what is being said, but also what feelings and ...

  2. Paraphrasing in Counselling

    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 ...

  3. How Can Paraphrasing Be Used in Counseling? (3+ Main Indications)

    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.

  4. Encouragers, Paraphrasing and Summarising

    Encouragers, Paraphrasing and Summarising. A counsellor can encourage a client to continue to talk, open up more freely and explore issues in greater depth by providing accurate responses through encouraging, paraphrasing and summarising. Responding in this way informs the client that the counsellor has accurately heard what they have been ...

  5. Improve Your Counselling Skills in 60 Seconds: Paraphrasing ...

    In this short but effective video we explore how the use of Paraphrasing & Summarizing in therapy can help clients feel understood.Narrated by Senior BACP Co...

  6. PDF Reflecting Skills: Paraphrasing

    Paraphrasing Paraphrasing is a ski! used to address the first level (cognitive level) In the beginning of the counseling relationship a client can feel more comfortable if you are able to reflect content. In most cases you cannot rea!y understand the deeper layers until later on. How to create a Paraphrase 1.Choose a sentence stem. •It ...

  7. Reflecting & Listening Skills

    Summarizing, Paraphrasing, & Reflecting. Summarizing, paraphrasing, and reflecting are probably the three most important & most commonly used microskills. These skills can be used by counselors to demonstrate their empathy to clients, make the counseling session go "deeper", & increase clients' awareness of their emotions, cognitions, & behaviors.

  8. Effects of Empathic Paraphrasing

    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 ...

  9. PDF Reflecting Skills Paraphrase and Reflection of Feeling

    Paraphrasing is a skill used to address the first level (cognitive level) In the beginning of the counseling relationship a client can feel more comfortable if you are able to reflect content. In most cases you cannot really understand the deeper layers until later on. Paraphrasing Basic formula for a paraphrase:

  10. Paraphrasing/Tone

    Paraphrasing (link to Integrative Counselling Skills in action by Sue Culley, Tim Bond) is when you, the listener, restate succinctly and tentatively what the speaker said - conveying empathy, acceptance and genuineness. Since we cannot read our client's mind and we've been given a lot of extraneous material, it's good to learn how to rephrase briefly and acknowledge that this is what we ...

  11. Microskills: Paraphrasing vs. Summarizing in Counseling Practice

    Hi from hot and sunny Florida. Today we're talking about the differences between paraphrasing and summarizing two very important counseling skills that you will probably need for the exam. You'll be tested on a variety of skills and these two are often confused because they share some similarities. Stacy: 0:40

  12. Counselling Skills in Action

    Help. If only a preview is showing, please click here to access the full video. 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)

  13. Basic Counseling Skills: Paraphrase, Reflection of Feeling ...

    Paraphrase, reflection of feeling, and summarization are basic counseling skills. What are they and how are they used? Watch Drs. Jim Cook and Laura Harrawoo...

  14. Basic Counseling Skills Practice 1: Paraphrasing, Summarizing ...

    Join Dr. Moon as she practices paraphrasing, summarizing, probing, reflection of feeling, using silence, pacing, & interruption.

  15. 20 Basic Counseling Skills to Become an Effective Therapist

    Attending and listening are vital skills for forming a helpful ongoing dialogue between the therapist and client and are often referred to as microskills (Tan et al., 2015).. Attending. Attending refers to how the therapist presents to the client physically, psychologically, and emotionally. The therapist must be present, available to the client, and, rather than turning up with a fixed agenda ...

  16. What Are Basic Counselling Skills? (9 In-depth Guides)

    A list of basic counselling skills (+ a handout) Below is a list of a few basic counselling skills: Listening. Building rapport. Empathy. Attending. Probing/Questioning. Reflection and Paraphrasing. Unconditional positive regard.

  17. How to Paraphrase

    Paraphrasing means putting someone else's ideas into your own words. Paraphrasing a source involves changing the wording while preserving the original meaning. Paraphrasing is an alternative to quoting (copying someone's exact words and putting them in quotation marks ). In academic writing, it's usually better to integrate sources by ...

  18. Counselling Skills Lecture 4 Paraphrasing

    In this video I talk about two more counselling skills: paraphrasing and reflecting feelings. Initially students are unsure about using these skills and thin...

  19. Academic Guides: Using Evidence: Effective Paraphrasing Strategies

    Effective Paraphrasing Strategies. If you are having trouble paraphrasing a text effectively, try following these steps: Reread the original passage you wish to paraphrase, looking up any words you do not recognize, until you think you understand the full meaning of and intention behind the author's words. Next, cover or hide the passage.

  20. Counseling Reviews: Basic Skills for Counselling (Paraphrasing)

    Paraphrasing requires selective attention to the content part of the message and translating the client's key ideas into your own words. ... Counselling skills are the tools that counsellors use to help clients. They can be divided into three main categories: communication skills, intervention skills, and assessment skills. ...

  21. Week 5

    Exercise #1. Read the dialogue between the worker and client (Stacy) below. Then return to think. critically and answer the following questions about using paraphrasing within a Person-Centred. Approach. Tip: Use slides from the lecture of Week 3 and the lecture and seminar of Week 5 to help you. 1) Read the client's story provided on the ...