Dialogue, for Anderson, is not just an exchange of lines (those are monologues taking turns). A real dialogue is a space in which something new arises that did not exist in either head before the conversation. Both interlocutors change. Dialogue requires reciprocity, openness, attention to the other's words, readiness to be changed. The opposite of dialogue is monologue: when the therapist "has in mind" in advance where the conversation is supposed to arrive. Anderson (2012) describes this as the basic mechanism of therapeutic change.
Step-by-step guide
- Enter the conversation without a foreknown "finale"
- Notice moments when the conversation has become monological (you are convincing, explaining, "leading")
- At monologuing β stop and switch to a questioning, curious position
- Move with what the client says, not with your interpretation
- Allow pauses β they too are part of the dialogue
When to use
- Always β as a deliberate practice of conversation
- Especially when there is a sense of "stuckness" or the client is not developing
- When the therapist catches themselves "working with themselves"
- On the way out of impasses in therapy
Key phrases
What do you mean by.?
This is not what I expected to hear. Tell me more.
Follow-up questions
What else? What else is coming?
I am following you. Where is this leading?
Pause. (give time)
Alternative phrasings
I notice that I have lost the thread a little. Can you say again what is the main thing here for you?
I want to make sure I am hearing you, and not only what I expected to hear.
Warnings
- β οΈ Dialogicality does not mean the therapist cannot speak up or take a position
- β οΈ In a crisis the move to directiveness is mandatory β dialogue does not replace crisis intervention
- β οΈ Do not confuse with a technique β this is not a tool but a way of being in conversation
Source: Anderson, H. & Goolishian, H. 1988; Anderson, H. 1997; Anderson, H. 2012
Materials are informational and educational and summarize publicly available scientific sources. They are not medical or psychological advice, are not intended for self-diagnosis or self-treatment, and do not replace consultation with a qualified professional.