In earlier reflections, I explored how emotional restraint, ambivalence, shame, and even limited emotional access may reflect relational processes rather than individual deficits.
This leads to another clinical moment that can be difficult to interpret.
A client appears polite, agreeable, respond thoughtfully, often acknowledging the therapist’s perspective.
When the therapist offers an interpretation, the client nods: “Yes, that makes sense.”
When asked if something feels accurate: “I think so.”
There is little disagreement. Little challenge.
And over time, the therapist may begin to wonder:
Is the client engaging fully in the work?
Or are they holding something back?

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