Basically, a therapist tries to get at the patient’s viewpoint. The professional listener says: “I am totally listening to everything that you say. You are not totally committed, nor do you need to be, to listen to everything that I say. You might hear many things that I say, that you say, or you might hear little of both. But we are each engaged in arranging different things. You are in a process of rearranging and integrating your new perceptions and calling attention to new ones for you to arrange and integrate.

You ask yourself: What is the underlying plot in my client’s story? What is the main emotion? Where is she trying to take me in understanding her? What is her preoccupation? The questions you ask yourself grow darker. How does she unconsciously interfere with the therapy? Is she leaving out important parts of the story? What is her bias? These questions make your listening suitably complex and sophisticated. A good listener is not just someone who hears everything but someone who hears what is not spoken or what has been suppressed or mangled. The therapist is a detective sometimes, knowing that the client, although wanting to be open and honest, won’t tell you the whole story. You don’t let this situation make you cynical. You can still love and admire your client. You simply know that human nature is complicated and the deep stories are slow to emerge. Resistance is not usually intentional but rather an expression of the neurosis.

The therapist is seeing the situation differently, and that itself may be helpful. When therapist and client are not in the same narrative, there is space for change.

“In some ways therapy is an artificial conversation. I don’t mean that in a negative way. I mean that you talk as though you were in a drama, where every word counts. You must understand that as therapist you have considerable power. The words you use are not the usual ones. They may be the same dictionary words, but in context they have an elevated standing. You must take care with them, because they can have more force than you intend and can either help or harm.

I don’t veer off in my own preferred direction but rather stay observantly with the rambling and listen closely for any quiet indications of what the person is really trying to say. I have come to understand that rambling rhetoric is valid. It is the best way my client has to express her experiences. Here and there I interject an insightful remark based on what I am hearing, which comes through like a peal of thunder. Occasionally a client, breathless from the meaningless narration, will say, “I wish you would say something enlightening.