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If they have innate talent, most beginning psychotherapists can establish rapport and listen empathically to the patient’s story. Then, they begin to ask themselves two basic questions: what do I say, and what do I do? Images of the “blank screen,” silent therapist usually haunt them. Most beginners are inclined to think they are reacting too spontaneously, saying too much, and being too active in their engagement with the patient. All these things are possible, of course, but a more likely scenario is that the young therapist—fearing spontaneity, human engagement, and a naturalness of response—is overly rigid and formal.
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