Professional Documents
Culture Documents
doi: 10.1002/anzf.1283
Rhetorical questions emerging spontaneously in consultations can be used as a tool for developing self-reflexivity
and exploring the therapeutic alliance in the process of therapy with couples and families. This paper presents a
technique based on the enunciation of rhetorical questions, which can point to an impasse in the process of ther-
apy and contain a key to its resolution. The technique focuses on the distinctive feature of rhetorical questions as
convening a paradoxical injunction: a question not intended as a question, while uttered as such. The technique
in four steps is illustrated by examples from therapy, supervision, consultation, and self-supervision. Its focus is the
interlink between the therapeutic relationship and the process of therapy and it is informed by a second-order
cybernetics approach, dialogical practice, and the systemic literature on emotion. The technique can help develop
curiosity in working with families, lead to unforeseen developments, and touch on prejudices not made explicit in
previous therapeutic encounters. Whether we are acting as supervisors, therapists, or clients, the creation of a ‘se-
cure enough’ context for rhetorical questions becomes critical to allow freeform exploration.
Keywords: dialectic process, emotion, metacommunication, rhetorical questions, self-reflexivity, supervision, thera-
peutic relationship
Key Points
1 Impasses in relational processes can be expressed in the form of rhetorical questions uttered during super-
vision or in therapy sessions with individuals, couples, or families.
2 The technique focuses on the distinctive feature of rhetorical questions as convening a paradoxical injunc-
tion: a question not intended as a question, while uttered as such.
3 The protocolled and simple structure of the technique allows it to be applied widely in therapy and super-
visory contexts.
4 Supervision and therapy contexts are particularly indicated for an open exploration which would disregard
the meta-communication carried by the rhetorical question.
5 The ethical implications of disregarding socially established rules are considered with attention to responsi-
bility for the process of the conversation in such settings.
“What was I thinking?,” “What are they like?,” “What is he worried about?,” “How did
that happen?,” “Who cares?,” “What does it matter?,” “What did I do that for?”
Rhetorical questions like the ones above emerge often spontaneously in consultations,
whether these take place in supervision or in the context of therapy with couples or
families.
These questions that have more the flavour of an exclamation or an assertion, are
nonetheless uttered as questions. In other words, rhetorical questions carry a seem-
ingly paradoxical metacommunication; the message itself is delivered with information
as to how to interpret the message: that the question is not to be taken as a question.
In this paper I propose that such questions alert us to a metacommunication
that may be worth exploring through a technical protocol. Such exploration may
elicit new information about the context in which those questions are uttered and
open possibilities for second-order change. Second order, because the changes would
be in the very process of therapy or the way relationships in that context are organ-
ised or understood. Thus, the technique presented here, which proposes decon-
structing and utilising rhetorical questions, fits with a historical interest in questions
as interventive tools within systemic family therapy (McGee, Vento, & Bavelas,
2005; Penn, 1982; Selvini Palazzoli, Boscolo, Cecchin, & Prata, 1980; Tomm,
1987a, 1987b, 1988).
Steps to convert a rhetorical question in a tool to identify and resolve impasses in therapy
Similarly, it is not only fine but also advisable to pass, if you prefer to leave the ques-
tion as it is, that is, rhetorical.
It is critical that the person is offered the possibility to opt out, especially if reluctance
is expressed explicitly, through doubt or asking many questions about the technique.
A possibility is to leave it for the person (supervisee or clients) to re-propose it at a
later point, only if they think it might be useful.
Step 4: Connecting back to the process of therapy in terms of further possibilities for
action
The ensuing exploration can be guided connecting the reflections with new possibili-
ties for action opened through the new understandings created in the conversation.
Thus, the technique can be implemented as a tool for both resolving and utilising
impasses in the process of therapy, possibly associated with the interweaving of emo-
tional experiences and value judgements in the context of the therapeutic relationship.
This technique can be used as well to promote greater curiosity (Cecchin, 1987),
that is, as a way to explore certainties which could preclude further development of
dialogue or hypothesising, or preventing the therapy to become a context for change.
This would entail bringing to surface the therapist’s prejudices that may organise how
she or he observes and makes sense (Cecchin, Ray, & Lane, 1994), not in a compre-
hensive or exhaustive way, but just attending to those emerging in the relationship
that unfolds between the therapist and the family. For example, in the following vign-
ette, I describe a supervision scenario where the therapist exclaimed, ‘What are they
like?!’ as a response to the clients’ behaviour in the context of therapy. This rhetorical
question could be re-proposed as a genuine question: What are they like for you? In
your encounters, what sense do you get about their values, what is most important to them,
that could help us make sense of how they come to sessions? What is your own view on
that issue?
Step 4: Connecting back to the process of therapy in terms of possible further actions
What were they like in relation to the therapist? What did the on-going disregard of
her request to attend on their own tell the therapist about how they saw her or her
role? What hypotheses did the therapist have about what was expressed through that
behaviour about the relationship they were forming? Perhaps it was a way to slow
down the process until they felt ready to move on. How would that process change if
the therapist acknowledged that she and the family were still in the process of form-
ing a secure base to explore difficulties? Coming with the children guaranteed, then,
that all would be cautious not to tread dangerous territories in their explorations. The
therapist could connect empathically with that sense of frustration and with the diffi-
culties of sharing responsibility for a decision that is yet to be made.
On this reflection, she decided not to insist on the invitation and to ask about
other areas important for the children to talk about as a family that had not been
looked at yet. The therapist then met with the family and subsequently held a few
sessions, which only the parents attended, until they agreed to end the therapy. They
decided to separate. After having persisted in her invitation, the therapist stopped ask-
ing the couple to come without the children. From that moment the couple became
ready to come without their children.2
The therapist let her ideas go in favour of attending to what may emerge in con-
versations that she was not paying attention to because she was focusing on the cou-
ple subsystem. She engaged with her own sense of curiosity about what she would
notice if she moved her attention outside the issue of the couple attending on their
own. In doing this her ‘emotional posture’ (Fredman, 2004; Griffith & Elliott Grif-
fith, 1994) changed from one in which she intended to shift the couple’s responses to
one in which she wanted to understand the couple’s responses, perhaps letting go a
prejudice (Cecchin et al., 1994), that it was her responsibility as a therapist rather
than a shared responsibility, to decide who could most usefully attend sessions and
what the focus of these would be. Correspondingly, I could not absorb the responsi-
bility for that decision by instructing her to either insist or let go the issue of who
attended sessions. As a supervisor, in encouraging her to take her own question seri-
ously, with my own sense of curiosity, I invited her to become curious about the
rhetorical question, as indeed a question to which possible answers could mobilise
resources of the therapist in her interactions with the family.
plausible for me to accept it than not, as I might be more inclined to fulfil the thera-
pist’s or the supervisor’s explicit expectations. Nonetheless, it is also possible that, while
I accept the invitation at one level , at another level I might still refuse it, by limiting
my participation (consciously or unconsciously). The technique may not be as genera-
tive or useful in resolving any given impasse than if I accepted it without reservations.
Then again, it might be important for me to have reservations so that I can engage
with a sense of responsibility about what might happen to me if I enter that territory,
rather than relying on the therapist or the supervisor to take on that responsibility uni-
laterally. It may also be that I drop my initial reluctance or, conversely, that it gets
reinforced, when I start to have a sense of what the conversation is generating.
Discussing the nuances of the distribution of responsibility in interactions is
beyond the scope of this paper. However, it is a critical point which needs to be con-
sidered for the implementation of the technique. Suffice to say that regardless of the
power differential ascribed to a supervisor or therapist, if the relationship is not secure
enough (Byng-Hall, 1995a), the kind of exploration this paper proposes cannot take
place. Ultimately, it is a question of trust rather than certainty, trust in our clients’
and supervisees’ ‘protections,’ which we need to respect.
identify was the emotion with which that question came. We explored further that
‘have to’: Did he have to continue doing something that was putting at risk this cou-
ple’s relationship? How was this couple’s relationship? What was there about it that
needed to be put at risk or questioned? If we took that ‘have to’ as denoting necessity,
what other things did he have to do in the context of the couple’s relationship? She
thought the wife was mandating him to attend couples therapy, as a way to show that
he was willing to change this behaviour which was seen as a fault; if he did not
attend, she would have broken up the relationship. The therapist could then see how
she had not wondered about how he was being invited to therapy, as she had aligned
with the wife’s reasons for the couple to attend therapy: to get him to change his
behaviour, rather than focusing on the difficulties that they were finding in their rela-
tionship. The therapist could also identify some resemblance between the dilemma
this couple was bringing to therapy and past personal experiences which she was
aware of, but that she had not explored further. She decided to become more curious
about what he was expressing in the relationship through this behaviour. She thought
this was possible to understand, symbolically, as some sort of complaint he was mak-
ing about how the power to define the terms of their relationship was negotiated
within the couple. As she made this connection she could also see how she had read-
ily aligned with the rationale to attend therapy to change one partner’s behaviour,
without paying attention to the other partner’s behaviour. Her frustration with the
persistence of that behaviour, expressed in the exclamation, ‘Does he have to continue
watching porn?!’ also conveyed something about the developing relationship between
the therapist and the couple.
The continuation of the behaviour that the therapy (or the therapist) was assigned
to change, disqualified in some way the therapist as a competent professional. Hence,
her position resembled structurally the position of the wife who felt disqualified as a
sexual partner by her husband’s use of pornography. On the other hand, like the hus-
band, she was being mandated, without negotiation, to work on a particular outcome.
Like the husband, she had not questioned this instruction further but became stuck
between wanting to comply and not being able to comply. Exploring that rhetorical
question opened a number of options for the therapist, but most importantly, it
allowed her to realise that she had conformed with a lineal understanding of the ther-
apy process. This ascribes to the therapist unilateral power to influence the other and,
hence, responsibility to shift the client’s behaviour without considering what is influ-
encing the therapist’s behaviour in that context.
also carry: the tone and volume of voice, bodily posture, gesticulations, etc. Emphati-
cally enounced, that is, with accentuated emotional expression that reflects in the
speaker’s physiognomy – for example, blushing or increased muscular tension – these
rhetorical questions are more likely to emerge in situations associated with impasses
in the therapeutic process, frustrated attempts to understand something that nonethe-
less appears important to the therapist, or holding some dissatisfaction with one’s
own certainty because, convinced as one may be, one can also see that it leads to
some sort of dead end in the process of therapy.
It is important that the supervisor or the therapist brings attention to such ques-
tions, because rhetorical questions, by the way they are formulated – not being origi-
nally intended or understood as questions – can get passed very easily in the stream
of discourse. Additionally, they tend to reflect dominant discourses (Hare-Mustin,
1994; Madigan, 1992; Markham & Chiu, 2011; White & Epston, 1990) in the
wider socio-cultural context, which makes them more unnoticeable as they do not
seem to contain ‘news of a difference’ (Bateson, 1972) or sufficient difference to put
those discourses in question.
As noted earlier it is critical to be mindful about the degree of psychological safety
within the relationship, be it therapeutic, supervisory, or consultative, since through
this exploration we are entering a zone of moral judgement (the therapist’s, the fam-
ily’s, the supervisor’s, and the communities we belong in) and open exploration can
be very difficult, if not impossible, in the face of perceived, or anticipated, or actual
negative judgement.
Step 4: Connecting back to the process of therapy in terms of further possibilities for
action
Rather than looking to educate her son to be more like she would like him to be, or
to torment herself for not loving her son unconditionally as a parent, she could accept
the child as the person who is becoming, which, perhaps, also required her to accept
herself as the person she is, and is continually becoming. Paradoxically, change would
come only when no change was sought. From that exploration, she started to enjoy
moments with her son without forcing herself to like things she did not like, and not
becoming despondent when he did not enjoy the same things she would. Moreover,
she surprised herself liking things about him that had been outside of her awareness
before.3
Step 4: Connecting back to the process under focus, in terms of further possibilities for
action
Perhaps the value of repeating is in the continuity of those ideas across different his-
toric contexts. Perhaps the value of having ideas refuted is that the refutation would
keep the ideas developing, rather than shutting them down. Perhaps this is what my
interest in paradox and dialectic processes have yet to reveal to me: that the judge-
ment feared can be taken as an invitation to both continue questioning and re-pro-
pose ideas, not as definite truths but under the guise of questions, to keep them alive
through the possibility of changing them. More than a passive acceptance or active
rejection of any particular thought, is what we are receptive to and what we struggle
with what keeps our thinking developing, so that we can re-propose ‘old’ ideas for
their validity in current contexts.
Conclusion
In line with a historic interest in questions within systemic approaches to therapy, I
have proposed a technique that draws from a notion of questions as interventive tools
to promote the continuation of change during impasses (McGee & Vento, 2005;
Penn, 1982; Selvini Palazzoli et al., 1980; Tomm, 1987a, 1987b, 1988). Its proto-
colled and simple structure allows a wide application in therapy and supervisory con-
texts, as it admits considerable adaptation. I hope to have demonstrated this point
with the practice examples and vignettes.
From the current focus on systemic understandings of emotions the technique
reconnects with a historic interest in metacommunication and analogical communica-
tion. It also highlights the interconnection between the therapist’s ethical stance
informing her value judgements and her emotional experience in the therapy process.
I have intended to highlight the value of systemic conceptualisations of the process of
change and the therapeutic and supervisory relationships, which provide a framework
to guide our efforts to understand such processes.
Notes
1
I have considered the question whether rhetorical questions are universal – featured in every language –
which would imply that this technique could also be implemented when working cross-culturally. So
far, I haven’t found a language strange to the use of rhetorical questions. Sprouse (2007) has identified
differences across languages in rhetorical questions’ syntactic structures. Nonetheless, the use of ques-
tions to assert something defines a question as rhetorical in a considerable variety of languages. If this
is a universal feature of human communication, perhaps linked to the fact the metacommunication
about the question – that it is not to be answered as ‘real’ questions are – then this technique can be
used in contexts where the culture (expressed in language and use of language) of the interlocutors is
different, yet the use and understanding of what is a rhetorical question is common. Thus, my query
was motivated not so much because of the language difference and the nuances of translation but
because of the metacommunication that indicates that the question is a rhetorical one: the idea that
certainties can be expressed as questions that, paradoxically, can be understood as assertions not to be
questioned. Indeed, analysing rhetorical questions in their relational contexts, we find that these happen
across different languages and, presumably, are also used by people of different ages, gender, sexual ori-
entation, religion, socio-economic stratification, political orientations, lifestyles, and so on. However,
confirming that these questions feature across social diversity markers does not imply that power differ-
entials based on such diversity markers can be overlooked when considering the utilisation of rhetorical
questions, as this paper proposes.
2
This notion has been proposed elsewhere, for example by the Milan associates in the positive connota-
tion as a way to address the paradox enclosed in the request of therapy, alongside ‘resistance’ to the
changes it may bring about. The paradox change-no change can be answered with the counter-paradox
no change-change (Selvini-Palazzoli et al., 1978). Similarly, within person-centred approaches, the
unconditional regard for the person of the client is seen as essential in the construction of a good
enough therapeutic alliance (Rogers, 1956).
3
This process could also be understood as an instance of what in hypnosis is known as ‘The Law of
Reversed Effort’ by which the harder one tries to do something, the less chance one has of success.
This phenomenon has also been noted in popular sayings such as ‘if you want something, let it go’ or
fairy tales like Hans Christian Andersen’s The Nightingale. Similarly, the Milan team’s positive conno-
tation to resolve the change-no change paradox mentioned in this paper, resolves the dilemma of ‘resis-
tance’ in therapy, letting go the intention to change makes change possible. The pattern common to
all of these instances is the conscious intention and effort to modify something in one’s immediate
environment, resulting only in frustrated attempts. Only when the intention to control the outcome of
our actions is dropped, the wished-for result can take place. Maturana and Varela’s concepts of autop-
oiesis and the consequent impossibility of instructional interaction could provide an explanation for
this phenomenon.
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