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How Conceptual Frameworks Influence Discovery and Depictions of Emotions in Clinical Relationships

Duchan, Judith Felson

doi: 10.1097/TLD.0b013e318234ef15
Original Articles

Although emotions are often seen as key to maintaining rapport between speech–language pathologists and their clients, they are often neglected in the research and clinical literature. This neglect, it is argued here, comes in part from the inadequacies of prevailing conceptual frameworks used to govern practices. I aim to show how six such frameworks have served to blind clinicians to the positive and central role emotions play in therapeutic interactions. I will then turn to another set of frameworks that do emphasize emotions in clinical interactions. I draw from this second set of frameworks to devise criteria for what a reframed view of emotion needs to be able to depict within the context of rapport. My aim is to capture better and reveal the positive role of different emotions in clinical interactions. My hope is that a new construal of emotional interaction will keep us, as clinicians, from having to play a kind of hide-and-seek game where we are forced to look around, behind, or under our prevailing conceptual frameworks to see how emotions infuse our interactions and serve to create what we have called rapport.

State University of New York at Buffalo.

Corresponding Author: Judith Felson Duchan, State University of New York at Buffalo, 130 Jewett Pkwy, Buffalo, NY 14214 (e-mail:

The author has disclosed that she has no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

© 2011 Lippincott Williams & Wilkins