Soft Prosody and Embodied Attunement in Therapeutic Interaction: A Multimethod Case Study of a Moment of Change

Abstract

This study focused on a moment of weeping in one psychotherapy case. The overall aim was to explore the role of “soft prosody” in psychotherapy interaction—that is, the participants’ use of pauses, a lower volume, slower rhythms, and softer intonation than in the surrounding speech. A mixed-method, micro-analytic perspective was applied to investigate (a) social interaction, including its verbal and nonverbal elements; (2) the participants’ bodily responses, including autonomic nervous system (ANS) measurements; and (3) the participants’ thoughts and feelings during the therapy session, as reported in subsequent individual interviews. Soft prosody was observed to be an important conversational tool. It was used in conveying affiliation and offering therapeutic formulations, and it appeared to contribute both to emotional attunement between the participants and to the therapeutic change that occurred during the interaction under study. Two differing bodily synchronization tendencies in the arousal levels were observed among the participants: (a) a complementary tendency—that is, when the client's arousal increased, the therapist's decreased (occurring during the active therapeutic processing); and (b) a tendency to concurrent decreased arousal in all of the participants.