A fundamental therapeutic stance of MBT — not a technique in the narrow sense, but the basic position of the therapist that runs through the whole interaction. The therapist proceeds from the fact that they do NOT know the client's inner states better than the client themselves. It is a position of sincere curiosity, humility, and interest in the client's perspective. The therapist "sits beside" the client in a joint effort to understand what is happening.
Step-by-step guide
- Consciously let go of the position of expert — you do not know what the client feels, you can only ask
- Phrase all hypotheses as suggestions: "It seems to me.", "I assume.", "Perhaps."
- Actively monitor your own assumptions and errors in understanding the client
- When you have been wrong — openly acknowledge it and inquire: "It looks as if I misunderstood you. Help me figure it out"
- Ask "what?" questions instead of "why?" — they stimulate description of the experience, not rationalization
- Stimulate the client's own insights, do not give ready interpretations
When to use
- Always — this is the stance held throughout the whole therapy
- Especially when the therapist feels they "know" the client — that is precisely when the therapist's mentalization is at risk
- When the client resists interpretations — the not-knowing stance reduces resistance
Key phrases
I am not sure I understand correctly. Tell me more.
Follow-up questions
It seems I may have been wrong. What did you actually mean?
Help me understand your perspective.
Alternative phrasings
I am at a loss right now — and that is probably good, because it means I need to listen to you more.
I do not know what you feel, but I am very curious to find out.
Warnings
- ⚠️ The not-knowing stance is not passivity and not the absence of opinion; the therapist is actively inquiring
- ⚠️ Do not turn the not-knowing stance into a manipulation ("I pretend not to know")
- ⚠️ Sincerity is mandatory — clients quickly read inauthenticity
Source: Bateman A.W. Fonagy P. (2004, 2016); Fonagy P. Luyten P. (2009)
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.