The unsaid in the psychotherapy narrative: Voicing the unvoiced

Abstract

In research interviews, psychotherapy clients, from different therapeutic approaches, identified silent moments entailing processes that facilitated their therapeutic progress. A grounded theory method was used to analyse these interviews resulting in three categories of productive pauses: emotional, expressive and reflective pauses. This study examines these categories in relation to their narrative context, and, more broadly, to narrative theory. It highlights what remains unsaid in the psychotherapy narrative, describes these silent processes that transform narration into a therapeutic experience and reframes the therapeutic narrative as a method for structuring introspective silences.