Deep Listening/Affective Attunement

One of the core competencies of Relational psychodynamic therapy, is deep listening and attuning to affect.  Deep listening is more than just active listening to what is being said by the other– it is listening for what lies beneath the surface, and what has yet to be named.  This means listening for subtext, themes, and emotions that the other may not even realize they are feeling or carrying.  This is a hard skill to hone and master, and takes more than years of practice.  Listening with the third ear requires high-0degree of concentration and awareness– as well as a keen sense and emotional intelligence.  

The third ear also goes beyond deep listening, as it is crucial in listening to one’s own affect.  As a therapist, part of my job is to check in with myself and notice what is coming up for me, and seeing how that might have something to do with what  my patients are bringing to me in any given session.  Once I have an idea of what I am feeling, I can then attune to the affect or emotional expression and communication of my patient.  Attuneing to our patient's effects, helps us to grow closer in understanding what is going on, and to help regulate disavowed or unwanted emotions.  

To learn more about how this process works, and its importance in therapy— please read Core Competencies of Relational Psychoanalysis.  


If you wish to read more about this idea, please check out The Core Competencies of Relational Psychoanalysis by Roy Barsness.

James Nole

James Nole, MA, LMHC, Certified Hypnotherapist is a Seattle-based licensed mental health counselor specializing in trauma, Complex PTSD, Dissociative Identity Disorder (DID), depression, grief, and couples therapy. His approach is rooted in Existential and Relational Psychodynamic frameworks, drawing on psychoanalytic, humanistic, somatic, and clinical hypnosis traditions. James earned his Master's degree in Psychology from Seattle University's Existential and Phenomenological Psychology program and has completed advanced training in Relationally-Focused Psychodynamic Therapy through the Contemporary Psychodynamic Institute, Psychobiological Approach to Couples Therapy (PACT Level 2), Deep Brain Reorienting (DBR Level 3), and Clinical Hypnosis. He is a member of the International Society for the Study of Trauma and Dissociation (ISSTD). As a visually impaired therapist with lived experience of disability, grief, and recovery, James brings both professional expertise and deep personal understanding to his work. He sees clients in person at his Pioneer Square office (401 2nd Ave S., Suite 750-3, Seattle, WA 98104) and via tele-health throughout Washington State. To learn more or schedule a free 20-minute consultation, visit jamesnoletherapy.com or call (206) 488-5543.

https://www.jamesnoletherapy.com/contact
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