Therapist specific communication styles and patient resistance: An analogue study

Abstract

Two contrasting pairs of verbal therapist communication styles were covaried with three areas of communication loci and were studied in relation to subjects' choices of resistant or resonant ‘patient responses’. Thirty medical students, serving as vicarious patients, observed a videotape of a simulated psychotherapy session and made response choices in relation to 12 therapists' well-specified communications. Contrary to expectations, subjects chose fewer resistant responses following engaged styles of communication than with disengaged styles. Collaborative style of communication, as hypothesized, was followed by less resistant responses than was unidirectional style. Communications that were cast in terms of transferential relationships were generally followed by significantly lower resistant choices than were those relating to past and current relationship loci. No gender differences were observed. Rationale, findings and possible inferences were in relation to dyadic interpersonal influences. Experimental manipulation of variables within psychotherapy sessions is encouraged.