Listening Closely: The Significance of the Therapist’s Voice Intensity, Rhythm, and Tone

Abstract

Though the case of “Anna” discussed in the following chapter occurred in a private practice setting, the theories, concepts, and interventions apply broadly to the field of clinical social work as a whole. Perhaps the most direct application has to do with the impact and importance of close listening. Increasingly, research suggests that words spoken are merely one part of the emotional communication of an individual’s narrative. We all engage with rapid-fire speed in a variety of unconscious processes, and a vast majority of these processes are interpersonal, that is, they occur between individuals. Listening closely therefore entails a multiply ­layered, simultaneous observation of words, vocal rhythms, and body language within self and other. This presents a greater challenge when contact with clients occurs on the telephone, which is often the case when engaging hard-to-reach ­clients or those with a history of depression (Ludman, Simon, Tutty, & Von Korff, 2007). By expanding our outreach to clients to engagement via the telephone, we provide yet one more medium through which clients may access services.