“Reading this volume will enhance your therapeutic efforts regardless of your preferred approach. Donovan, Osborn, and Rice’s collaboration resulting in this landmark work, Paraverbal Communication in Psychotherapy, offers us deep insight into the often-ignored realm of what transpires nonverbally in healing relationships. This represents a must-read for beginning and seasoned psychotherapists.” 

Jeffrey J. Magnavita, PhD, ABPP, author of Unifying Psychotherapy: Principles, Methods, and Evidence from Clinical Science

“In this creative and forward-looking volume, Donovan, Osborn, and Rice make a persuasive case for the important role of paraverbal communication in psychotherapy. Be it posture, tone, facial expression or emotions, these extra-verbal ways by which therapist and client or members of a couple relate to each other receive the theoretical, clinical, and research attention they merit. Therapists of all theoretical persuasions will learn helpful new ways to understand and relate to their clients through the fascinating, often verbatim case studies presented. I recommend this gem of a book most enthusiastically.” 

Stanley B. Messer, PhD, Rutgers University


By James M. Donovan, Kristin Osborn, & Susan Rice

Paraverbal Communication in Psychotherapy: Beyond the Words delves into the world of nonverbal cues that are ubiquitous in our lives and particularly revealing in therapeutic practice. Building upon the research of Daniel Stern, Beatrice Beebe, and others, the authors explore the specific manner in which patient and therapist interchange para-verbally in psychotherapy. The authors examine the history of and current trends in dynamic psychotherapy and discuss the tools and procedure for analyzing para-verbal communication. By reviewing engaging case studies from their own practices, the authors step through how therapists and clinicians can capture non-verbal signs like facial expression, tone of voice, or posture in their own sessions. By examining both client and therapist, practitioners can discover insights into their own techniques, how they engage with clients, and how to anticipate significant changes in treatment based on preverbal exchanges. Paraverbal Communiction in Psychotherapy navigates the web of unspoken communication to create an innovative approach to psychotherapy and a valuable tool for practitioners and those in training.

Read further excerpt from this upcoming book by James M. Donovan, Kristin Osborn & Susan Rice

James Donovan

Jim Donovan graduated from Stanford in 1965 and received his Phd from the Univ of Michigan in 1970. He is a founder and co-director of the Behavioral Health Fellowship at Atrius Health in Boston Mass. He has written two previous books and some 20 papers about psychotherapy education, short term therapy and Couple treatment. For

Kristin A.R. Osborn

Kristin A. R. Osborn, LMHC, LPCC is an internationally recognized educator, clinician, researcher, author and an Associate in Psychiatry at Harvard Medical School and appointed Clinical Instructor in the Department of Psychiatry and Biobehavioral Sciences at the UCLA David Geffen School of Medicine. Kristin is also the founder of Certified APT™-Training, a rigorous evidence-based program

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