1. Introduction
Version followed: Harlene Anderson's collaborative-dialogic practice as she describes it in Anderson (2012, Psychotherapy & Politics International 10(2)), Anderson (2001, "Ethics and uncertainty") and a 2020 interview, set against the earlier collaborative language systems (CLS) formulation of Anderson & Goolishian (1988, 1992) and Anderson (1997). The current book is Anderson & Gehart (eds.), Collaborative-Dialogic Practice (Routledge, 2022). "Collaborative language systems" is the older name. Anderson now calls it the collaborative approach, collaborative practice or collaborative-dialogic practice. [source: Warhuus 1998 review of Anderson 1997; Anderson 2012; Routledge 2022 page]
What it is. It is a postmodern, hermeneutic and social-constructionist family therapy that came out of the Galveston Family Institute (now the Houston Galveston Institute). Harold (Harry) Goolishian (1924–1991) and Harlene Anderson developed it. Its roots go back to Galveston's Multiple Impact Therapy (MacGregor et al., 1964). Lynn Hoffman is sometimes also named as a founder, but she was not a co-founder in the sources. She was an ally and chronicler who "joined" in expanding the ideas, gave the approach the "ethic of participation" (Hoffman 1992) and wrote about "withness" (Hoffman 2007). [source: Wikipedia, Collaborative language systems and Collaborative therapy; Anderson 2012 reference list; Anderson 2001] [uncertain: Hoffman's exact role. The description of her as a "founder" is not supported.]
This is a philosophical stance, not a technique-based therapy. Anderson says plainly that "the notion of techniques and steps is not part of a collaborative approach" (2012, p. 133). The inventory in Section 4 therefore lists the concrete practices through which the stance shows up in a session. It is not a protocol. [source: Anderson 2012]
How change happens. Human systems are language- and meaning-generating systems. A "problem" exists in the conversations of the people who are talking about it, a problem-organising, problem-dis-solving system. People come to therapy when they have lost a sense of self-agency in relation to the problem. When the therapist creates a space for dialogue and takes part in it, new meanings, narratives and actions emerge. The problem is then "dis-solved" in language rather than solved by expert intervention. Both client and therapist are changed, and the changes are unpredictable. They often show up after the session as "carry-over" into daily life. [source: Warhuus review summarising Anderson 1997, chs 3–4; Anderson 2012, pp. 141–142; ProQuest excerpt of Anderson on "language meaning-generating systems"]
2. Framework
No phases in the primary sources. Anderson describes no stages, session counts or criteria for moving between phases. Path, destination, format and length are "jointly created" and unpredictable (2012). A review of the 1997 book found no phases or first-session procedure in it. The working arc below is [synthesis], put together from practices the sources do describe. Use it as a map, not as a sequence of steps. [source: Anderson 2012; Warhuus review]
| Arc (synthesis) | Goal | What the sources describe |
|---|---|---|
| A. Before and around the first contact | Learn who is talking about the problem and why now | Ask the person who invites you what prompted the invitation and what has happened recently [source: Anderson interview 2020, p. 24] |
| B. Forming the conversational partnership | Create a space where the client leads and the therapist follows or walks alongside | Client as expert; therapist as "host" and also as "guest" in the client's life [source: interview 2020, pp. 21, 23; Anderson 2012] |
| C. Ongoing dialogical conversations | Shared inquiry into what matters to the client, in the client's language | Mutual inquiry, responsive listening, conversational questions, being public [source: Anderson 2012, pp. 135–139] |
| D. Re-negotiating format | Decide together who comes next, when, and how often | Participation is negotiated with the client, e.g. how a relative takes part [source: Anderson 2012, Example 1] |
| E. Ending or pausing | The client judges when the conversation has been useful enough | Outcomes are "unique and sustainable, though not permanent" (paraphrase); clients define endpoints [source: Anderson 2012, p. 142; Wikipedia CLS] |
- Format. Individuals, couples, families, larger networks (meetings with many participants), single consultation interviews in front of an audience followed by research interviews, school groups using inner and outer circles, and community conversations. [source: Anderson 2012, pp. 139–141; interview 2020, pp. 22, 25]
- Who attends. The therapy system is defined by who is in conversation about the problem, not by fixed social units such as "family" or "couple". It is renegotiated with the client. [source: Warhuus review of Anderson 1997, ch. 4]
- Session count. Not specified. A single consultation can be enough. Both 2012 examples were one-off consultations with changes reported the next day. [source: Anderson 2012] [uncertain: no typical course length given]
- When to move on (synthesis). Move on when the client says the conversation is useful, when the people involved change, or when the client describes new understanding, action or relationships. Use the client's criteria, not the therapist's. [synthesis, based on Anderson 2012, p. 141]
- Training and certification. There is no licence to deliver it. Training is offered through the Houston Galveston Institute, the Taos Institute and the International Certificate in Collaborative and Dialogic Practices (ICCP). [source: interview 2020 author notes; Donostia workshop page] [uncertain: current ICCP requirements]
3. Guiding principles
The three assumptions [source: Anderson 2012, pp. 132–134]:
- Maintain scepticism. Question inherited knowledge, dominant discourses and truth claims, including those of this approach. In practice: treat your diagnosis, theory and the referrer's description as one voice among several.
- Avoid generalisation. Categories and scripts depersonalise people. In practice: when you hear a label such as "overprotective mother", treat it as someone's description and get to know this particular person (interview 2020, p. 21).
- Privilege local knowledge. People's knowledge of their own lives, including indigenous and ancestral knowledge, is the base for solutions that fit and last. In practice: look for answers in the client's words and experience first.
- Hermeneutic circularity. Your pre-understandings shape what you hear, and what you hear can revise them. In practice: notice your pre-understandings before and during sessions, and let them be changed.
The seven features of the philosophical stance, a way of being "with" [source: Anderson 2012, pp. 135–139; also listed in Wikipedia, Collaborative therapy]:
- Mutual inquiry (conversational partnership). In practice: explore together. The client's story leads, and you leave plenty of room for both speaking and listening.
- Relational expertise. The client is the expert on their life, and the therapist's expertise is in creating a space and process for dialogue. In practice: your expertise is present but not instructive.
- Not-knowing. In practice: hold your knowledge humbly. Offer it tentatively, attending to timing, tone and fit, and drop it without judgement if it does not fit. It does not mean knowing nothing or hiding opinions.
- Being public. In practice: share your inner conversation about the client and the therapy, which is different from self-disclosure, so that you are not running a private monologue.
- Spontaneity and uncertainty. In practice: no pre-formed question lists. Respond to what was just said, and tolerate not knowing where the conversation is going.
- Mutual transformation. In practice: expect to be changed yourself. If you are not open to being influenced, you are not in dialogue.
- Orientation to everyday ordinary life. In practice: talk in ordinary language, assume resilience, and avoid pathologising vocabulary.
Further principles in the sources:
- Ethic of participation; ethics as local and relational. Every therapist action is an ethical action. Do not assume a code fits this particular therapy, or that the client silently shares your ethics. Invite the client into the conversation about what is right here. In practice: talk openly about confidentiality, who is included and what each person wants. [source: Anderson 2001, drawing on Hoffman 1992]
- Relational responsibility. Accountability is shared, even where roles are hierarchical. Locating responsibility in one person drifts toward blame, toward abdication, or toward taking over the client's responsibility. In practice: ask "what can we do here?" rather than assigning fault. [source: Anderson 2001, citing McNamee & Gergen 1999]
- "With", not "about" or "to". Move from thinking about, for or to people toward thinking and acting with them. In practice: write notes, plans and reports with the client, not about them [synthesis on notes]. [source: Anderson 2012; interview 2020, p. 21]
- Client leads, therapist follows or walks alongside. In practice: never steer the story toward what you think should be said. [source: interview 2020, p. 21; Anderson 2012]
- Do not challenge the client's reality. In practice: explore unusual experiences with curiosity instead of disputing them, to build trust. [source: interview 2020, p. 22]
- Host and guest; good manners. In practice: show respect and preserve dignity as you would with a guest, and remember you are also a guest in the client's life. [source: interview 2020, p. 23]
- Restoring self-agency. In practice: judge sessions by whether all participants feel more able to act, not by symptom checklists. [source: Warhuus review of Anderson 1997, ch. 4]
- Use of self. In Anderson's words, "Your biggest tool is yourself" (interview 2020, p. 27). Do not imitate Anderson or anyone else. In practice: develop your own authentic version of the stance. [source: interview 2020]
4. Intervention inventory
Read this first. Anderson rejects techniques and steps (2012, p. 133). Each item below is a practice through which the stance shows up, drawn from her descriptions. The "Steps" are practical scaffolding for a clinician learning the stance, and step sequences are [synthesis] unless tagged otherwise. Example language is illustrative unless it is quoted and cited. The 1997 book's practical chapters (ch. 6, dialogical conversation; ch. 8, annotated consultation transcript) are not drawn on, so detail that depends on them is marked [uncertain].
4.1 Reflective pause on your pre-understandings
- Purpose / when: Before a first meeting, before sessions with clients you feel strongly about, and whenever you notice certainty. It puts scepticism and hermeneutic circularity into practice. [source: Anderson 2012, pp. 132–134; Donostia workshop page, reflective questions]
- Steps: (1) Write down what you already "know" about the client from the referral, diagnosis, colleagues and your theory. (2) Ask yourself Anderson's reflective questions: why do I do what I do, what informs my way of working, am I contributing to polarised positions? (paraphrased). (3) Mark which ideas are the referrer's description and which come from the client. (4) Decide to hold all of them as possibilities to check, not facts. [steps: synthesis]
- Example language (inner talk, illustrative): "The referral says 'treatment-resistant'. That is the clinic's word. I do not know yet what this person calls it."
- Watch for: Hearing the client only through the referral's frame. Working: you are surprised by something in the session and let it change your view.
4.2 Hearing the invitation story (first contact)
- Purpose / when: At the first phone call or first minutes of a meeting, and at any new referral. It locates who is talking about the problem and why now. [source: interview 2020, p. 24]
- Steps: (1) Ask the person who contacted you what prompted the invitation. (2) Ask what has happened recently. (3) Ask whose idea it was to seek help and who else is concerned (synthesis, from the problem-organising-system idea in Anderson 1997, ch. 4, via Warhuus review). (4) Ask what they hope the meeting could be useful for. (5) Agree together who will come to the first meeting.
- Example language (illustrative): "What led you to call now rather than a month ago?" / "Who else has been talking about this? Whose idea was it to come?" / "If our first meeting turned out to be worthwhile, what would have happened?"
- Watch for: Treating the referrer's goal as the client's goal. Working: you can name each person in the problem-organising conversation and what each is concerned about.
4.3 Negotiating who participates, and how
- Purpose / when: Before and during sessions when relatives, carers or professionals are involved. Membership of the therapy system is defined by the conversation and decided with the client. [source: Anderson 2012, Example 1; Warhuus review of Anderson 1997, ch. 4]
- Steps (as in Anderson's Example 1): (1) Ask the client how they would like the other person to take part, for example "just listen". (2) Ask permission to speak with that person later in the session. (3) Respect the agreed role. (4) Near the end, invite the listener's thoughts. (5) Review the arrangement for the next meeting.
- Example language (illustrative): "Your mother is here today. How would you like her to be part of this, talking, listening, or something else?" / "Would it be all right if I asked her a few thoughts later on?"
- Watch for: Pressure to include or exclude people because of your theory about the family. Working: participants keep to roles they chose and say the arrangement felt respectful.
4.4 Client-led mutual inquiry (opening and sustaining the conversation)
- Purpose / when: Throughout. It turns therapy into a conversational partnership in which the client leads and the therapist follows or walks alongside. [source: Anderson 2012, pp. 135–136; interview 2020, p. 21]
- Steps: (1) Open broadly and let the client choose where to begin. (2) Aim to hear the whole story rather than collect facts (2012). (3) Follow the client's emphasis, not your agenda. (4) Make room for both speaking and listening, including pauses. (5) Let your curiosity carry the conversation, asking only what you genuinely want to understand.
- Example language: Anderson's own opening with a parent: "Tell me a little bit about your daughter?" (interview 2020, p. 21). Illustrative: "Where would you like to start?" / "Say more about that."
- Watch for: Interviewing to a template, or a story that bends toward what you want to hear. Working: the client introduces topics, corrects you, and begins wondering aloud.
4.5 Responsive listening and checking understanding
- Purpose / when: Constantly. In this approach listening, hearing and speaking are one connected activity, and understanding is always "on the way". [source: Anderson 2012]
- Steps: (1) Listen to what is said and how it is said (Wikipedia, CLS). (2) Respond to what you heard, briefly, in the client's words. (3) Check whether what you heard matches what they meant (2012). (4) Accept corrections as the conversation moving forward, not as a failure. (5) Slow the pace when you notice you are getting ahead of the client [synthesis] [uncertain: "slowing down" is attributed to Anderson 1997].
- Example language (illustrative): "Let me check I'm following. You said it's 'not sadness, more like flatness'. Have I got that right?" / "I may have jumped ahead. Is that what you meant?"
- Watch for: Paraphrasing into your own jargon. Working: the client refines what they mean and says they feel heard.
4.6 Learning and using the client's language
- Purpose / when: From the first minutes. Meaning lives in the client's words, so translating them into professional vocabulary moves the conversation into the therapist's frame. [source: Anderson 2012, everyday ordinary life and avoiding pathologising language; Wikipedia, CLS] [uncertain: "learning the client's language" as a named practice is from the 1992 and 1997 texts]
- Steps: (1) Note the client's key words and metaphors. (2) Use them as they are, and ask what they mean rather than assuming. (3) Hold back clinical labels unless the client uses them, and if they do, ask what the label means to them. (4) Notice when family members use the same word differently and explore each meaning. [synthesis]
- Example language (illustrative): "You call it 'the fog'. What's the fog like on a bad day?" / "When you say 'breakdown', what does that word mean for you?"
- Watch for: Drifting back into your own terms. Working: the client's vocabulary becomes richer and more their own.
4.7 Conversational questions
- Purpose / when: The main verbal contribution of the therapist. They are questions that come out of the conversation itself, from not-knowing, and are informed by the answer just given. They are not pre-formed or meant to steer. [source: Anderson 2012, pp. 136, 138; Warhuus review of Anderson 1997, ch. 7 (clients valued "conversational questions"); harleneanderson.org video index (talk on conversational questions)]
- Steps: (1) Let each question grow from the client's last words. (2) Ask in order to learn more, not to lead to a conclusion you already hold. (3) Prefer "how", "what" and "tell me more" questions about the client's meanings. (4) Avoid interrogating facts or testing a hypothesis. (5) If you notice a question carries your agenda, say so (see 4.9) or drop it. [steps: synthesis]
- Example language (illustrative): "You said your father 'never let go'. What does letting go look like to you?" / "How did you come to see it that way?"
- Watch for: Strategic or circular questions used to deliver a hidden intervention, which is a different school. Working: answers open new topics the client had not said before. [uncertain: the 1992 term "not-yet-said" is attributed to Anderson & Goolishian 1992]
4.8 Offering ideas from a not-knowing position
- Purpose / when: When you have a thought, piece of knowledge, experience or opinion that may be useful. Not-knowing does not mean withholding. [source: Anderson 2012, p. 136; Anderson 2001]
- Steps: (1) Consider timing: is the client ready, and is this the moment? (2) Offer it as one possibility among others, in a tentative tone. (3) Ask how it fits. (4) If it does not fit, let it go without judging the client. (5) Return to the client's thinking.
- Example language (illustrative): "Something comes to mind, and it may not fit at all. Some people in similar spots find... Does any of that ring true, or not?"
- Watch for: Disguised persuasion, where you keep coming back to the same idea, or false modesty that withholds useful information. Working: the client takes, changes or rejects ideas freely.
4.9 Being public: sharing your inner conversation
- Purpose / when: When you notice private thoughts, dilemmas, hunches or concerns about the client or the therapy. Clients often wonder what the therapist thinks, and keeping it private turns your inner talk into a monologue. In Anderson's words, "Being public does not refer to what we traditionally think of as self-disclosure" (2012, p. 137). [source: Anderson 2012]
- Steps: (1) Notice your inner talk: hypotheses, worries, reactions, institutional pressures. (2) Decide whether saying it serves the conversation. (3) Say it plainly and tentatively. (4) Invite the client's response. (5) Include professional constraints such as reports, risk duties and agency rules. [steps 2, 4 and 5: synthesis]
- Example language (illustrative): "I'm aware I've been wondering whether we're talking around something. Can I say what I've been thinking?" / "I have to write a report for the court. I'd like us to talk about what goes in it."
- Watch for: Sharing personal life stories, which is self-disclosure and a different thing, or offloading your feelings onto the client. Working: the client responds to your thoughts and the relationship feels more transparent.
4.10 Exploring within the client's reality
- Purpose / when: With unusual beliefs or experiences, such as seeing someone who is not present, and with any account the therapist doubts. [source: interview 2020, p. 22]
- Steps: (1) Do not dispute the experience. (2) Ask about it with curiosity: when, what it is like, what the client makes of it, how it affects daily life. (3) Build trust before anything else. (4) Keep risk assessment as a separate, transparent task (see 5.6). [steps 2 and 4: synthesis]
- Example language: Anderson: "I would not challenge the reality of the client" (interview 2020, p. 22). Illustrative: "When he appears, what is that like for you?"
- Watch for: Colluding with a dangerous belief versus respecting experience. Respecting experience does not mean ignoring safety. Working: the client discloses more and is willing to discuss how to live with the experience.
4.11 Meeting labels and diagnoses as someone's description
- Purpose / when: When a client arrives with a label, from a referrer, school or family (e.g. "overprotective mother"), or uses a diagnosis about themselves. [source: interview 2020, p. 21; Anderson 2012, avoid generalisation]
- Steps: (1) Notice whose description the label is. (2) Set it aside as one voice. (3) Ask questions to get to know the person: their life, family and history. (4) If the client uses the label, ask what it means to them and what it has done in their life. [step 4: synthesis]
- Example language (illustrative): "The school uses the word 'oppositional'. I'd rather hear from you. What's he like at home?"
- Watch for: The label quietly setting the agenda. Working: a fuller, more particular picture of the person emerges.
4.12 Inviting a listening participant's voice
- Purpose / when: When someone in the room has agreed to listen, such as a parent, partner or colleague. Change can happen through the listener's silent inner talk as well as through what is said. [source: Anderson 2012, Example 1 and p. 141]
- Steps: (1) Agree the listening role at the start (4.3). (2) Talk with the main client and leave the listener free. (3) Near the end, ask the listener what they were thinking as they listened. (4) Invite the main client to respond if they wish. (5) Do not interpret either person's words for the other. [steps 4 and 5: synthesis]
- Example language (illustrative): "You've been listening all this time. What was going through your mind?"
- Watch for: Turning the listener into an informant about the client. Working: the listener speaks from their own experience, and new conversations happen at home. In Example 1 the mother talked with her family the next day.
4.13 Refraining from directing next steps
- Purpose / when: At the end of sessions, and whenever you feel the pull to prescribe. It protects the client's agency. [source: Anderson 2012, Example 2: the client said this gave him "the autonomy to decide"]
- Steps: (1) Do not give homework or a recommended next move by default. (2) If the client asks what to do, explore what they are considering. (3) If you have an idea, offer it as in 4.8. (4) Leave the session open-ended. [steps 2 and 3: synthesis]
- Example language (illustrative): "I don't have a next step in mind for you. I'm curious what, if anything, you're taking away from today."
- Watch for: Abandonment, if a client who needs information or concrete help gets none, versus steering. Working: the client acts on their own initiative between sessions, as in Example 2, where he arranged dinner with his father.
4.14 The conversation about the conversation (client as co-researcher)
- Purpose / when: Regularly, especially when therapy feels stuck. The approach grew from Anderson asking former "treatment failures" what made therapy useful or not. [source: Anderson 2012, pp. 130–131; Warhuus review of Anderson 1997, ch. 7]
- Steps: (1) Ask how today's conversation is going for the client. (2) Ask what has been helpful and what has not, in this or past therapy. (3) Ask what they would like more or less of. (4) Change the format or your participation accordingly. [steps: synthesis]
- Example language (illustrative): "How is this conversation going for you so far?" / "In therapies you've had before, what helped and what got in the way?"
- Watch for: Asking only as ritual. Working: feedback leads to visible changes in how you work.
4.15 Participatory ethics conversation
- Purpose / when: At the start, and whenever confidentiality, who is told what, reports, risk or institutional demands come up. Ethics is made locally with the participants and stays open to review. [source: Anderson 2001]
- Steps: (1) Do not assume you and the client already agree about what is right. (2) Name the professional and legal constraints openly. (3) Invite the client's views on how to handle them. (4) Share responsibility for the decisions, without dropping duties that cannot be negotiated. (5) Come back to it as circumstances change. [steps 2 and 4: synthesis]
- Example language (illustrative): "There are some things I'm required to do, and I want you to know them. Within those, how would you like us to handle what your parents hear?"
- Watch for: Using "local ethics" to dodge mandatory duties; postmodernism is not "anything goes" (2001). Working: clients raise ethical concerns themselves.
4.16 Multi-voice network meetings
- Purpose / when: When many people, family and professionals, are organised around a problem. Each person's view of the problem, its cause and its solution is heard. Anderson connects this to her early work and to Open Dialogue. [source: interview 2020, p. 22] [uncertain: detailed meeting procedure]
- Steps (synthesis): (1) Invite everyone who is talking about the problem, with the client's agreement. (2) Ask each person in turn how they see the situation and what would help. (3) Do not search for the "true" view. (4) Let participants respond to each other. (5) Agree together who meets next.
- Example language (illustrative): "Each of you sees this from a different place. I'd like to hear how it looks from where you sit."
- Watch for: Professionals' voices dominating. Working: the problem description becomes more varied and less fixed.
4.17 Inner and outer circle reflecting (groups, schools)
- Purpose / when: In groups, classrooms and organisations. One group talks while another listens, then they swap and reflect on what they heard. It draws on reflecting processes (Andersen 1987, 1991). [source: interview 2020, p. 25]
- Steps: (1) Agree on a topic that matters to participants, as in Anderson's school work on bullying, homework or suicide. (2) The inner circle talks while the outer circle listens without interrupting. (3) Swap: the outer circle reflects on what they heard, tentatively, and the first group listens. (4) The first group responds to what struck them. (5) Close with a round about what each person is taking away. [steps 3–5: synthesis]
- Example language (illustrative): "When you reflect, talk about what caught your attention, not what they should do."
- Watch for: Reflections that turn into advice or judgement. With topics like suicide, follow safeguarding procedures and have support available [synthesis]. Working: participants build on each other's reflections.
4.18 Consultation interview with a follow-up research interview
- Purpose / when: In consultation or teaching, with a client and their therapist, often in front of observers. [source: Anderson 2012, pp. 139–141; Warhuus review of Anderson 1997, ch. 8, annotated consultation]
- Steps: (1) Get consent for the format, observers and recording. (2) Ask what the participants would like from the consultation [synthesis]. (3) Hold a collaborative conversation as in 4.3–4.13. (4) Make no recommendations by default. (5) The next day, someone not involved interviews the client about their experience (in 2012 this was faculty, and the interviews were recorded).
- Example language (illustrative): "What would make it worthwhile for you to have come today?"
- Watch for: The client performing for the audience. Working: follow-up interviews describe carry-over into daily life.
4.19 "As if" listening exercise [uncertain]
- Purpose / when: In consultation and training. Listeners each take the position of a person in the case and reflect from that position. [uncertain: recalled as an Anderson consultation and training format, e.g. in Anderson & Jensen (eds.) 2007, Innovations in the Reflecting Process. Not confirmed. Verify before using it under Anderson's name.]
- Steps (as recalled, unverified): (1) The presenter names the people involved. (2) Each listener chooses a person and listens "as if" they were that person. (3) Listeners speak in that voice about what they heard. (4) The presenter responds to what was new.
- Watch for: Caricaturing absent people. Working: the presenter gains new views of the people in the case.
4.20 Collaborating with other professionals
- Purpose / when: Interagency work, supervision, and referrer contact. [source: interview 2020, p. 21]
- Steps: (1) Listen to colleagues' perspectives. (2) Ask questions to understand them. (3) Offer your own views tentatively. (4) With the client's consent, bring professionals into the conversation rather than talking about the client behind closed doors [synthesis].
- Example language (illustrative): "Help me understand your worries about this family. I'm seeing some things differently and would like to compare."
- Watch for: Polarised camps among professionals. Working: fewer contradictory instructions to the client.
4.21 Community conversations
- Purpose / when: For community and social-change work, e.g. Grandesso's Community Therapy and Community-in-Conversation in Brazil, or public conversations in which participants share a meal and do not state political positions at first. [source: interview 2020, pp. 25–26; Routledge 2022, ch. 7] [uncertain: specific procedures. Consult Garcia & Grandesso, ch. 7 of Anderson & Gehart 2022.]
- Steps (synthesis): (1) Convene people around a shared concern. (2) Start with personal experience, not positions. (3) Invite listening and reflection rounds (4.17). (4) Close with what each person is taking away.
- Watch for: Facilitators steering toward a preferred outcome. Working: participants find shared ground and act locally.
4.22 Collaborative learning communities (training)
- Purpose / when: Training clinicians in the stance, where the teacher takes a collaborative position with learners. [source: harleneanderson.org video index (2012 collaborative learning communities session); Routledge 2022, ch. 10] [uncertain: format details]
- Steps (synthesis): Learners set their own learning agendas. Teachers share inner thinking (being public). Live consultations are followed by reflecting rounds.
- Watch for: Teaching the stance as a checklist.
5. Handling problems
The primary sources do not include a troubleshooting section. Anderson's 1997 reviewers note that the book has no case that "went wrong" (Warhuus review). The responses below are therefore mostly [synthesis], built from the stance features. Where a source directly supports a response, it is tagged.
5.1 Stuck conversations
- Signs: The same story repeats, the session feels flat, or you are trying harder than the client.
- Response: Be public about it (4.9): "I notice we keep coming back here, and I'm not sure I'm being useful. What do you make of that?" Then have a conversation about the conversation (4.14) and ask what would make it more useful. Check whether someone else in the problem-organising system needs to be included (4.2, 4.3). Check whether you have slipped into steering or into hypothesis-testing. [synthesis; stance basis: Anderson 2012]
5.2 "Just tell me what to do" (the client wants an expert)
- Response: Not-knowing does not mean refusing to know. Take the request seriously and ask what kind of help they are looking for. Offer what you know, tentatively, as one possibility, and ask how it fits (4.8). If they need specialist information, for example medical, legal or psychoeducational, provide it or refer. [source: Anderson 2012, p. 136 on offering knowledge humbly; rest synthesis] [uncertain: Anderson 2005, "Myths about not-knowing", which addresses this misreading directly, is not drawn on]
5.3 "Resistance"
- Response: The approach does not use the concept. Read apparent resistance as a sign that your agenda, language or format does not fit. Ask what is not working for the client, follow their lead, and drop ideas that do not fit without judging them (2012). With mandated clients, be public about the referral context and ask what they would want from meetings they did not choose. [synthesis; stance basis: Anderson 2012]
5.4 Overwhelm and emotional flooding
- Response: Slow down. Follow the client's pace, ask whether to continue or pause the topic, and share your concern openly. Give the client control over how far the conversation goes today. If the client has trauma symptoms, add grounding or stabilisation from your wider training, and be public that you are doing so. [synthesis] [uncertain: no source addresses overwhelm]
5.5 Non-attendance and drop-out
- Response: There is no homework to adhere to. If people stop coming, contact them with an open, non-blaming enquiry and ask whether the format, the people included, or the meeting times need changing. Respect a decision to end. One conversation may have been enough, as with the single consultations in 2012. [synthesis; basis: Anderson 2012]
5.6 Risk: suicide, violence, abuse
- Response: The collaborative stance does not suspend safety duties. Run standard risk assessment, safety planning and lethal-means counselling (safe storage or removal), and follow safeguarding and reporting law. Do these openly: say what you must do and why, and involve the client in how it is done as far as possible (participatory ethics, 4.15). Write the risk assessment with the client where you can, and include relevant others with consent, or without consent where the law requires it. Relational responsibility (Anderson 2001) means you do not abdicate responsibility, and "local ethics" never overrides mandatory duties. [synthesis; basis: Anderson 2001]
5.7 Ruptures
- Response: Name the rupture and invite the client's view of what went wrong. Own your part, and treat it as a chance for mutual transformation rather than a defence of your position. Ask what would need to change, and change it. [synthesis; basis: Anderson 2012, being public and mutual transformation]
5.8 Family members disagree or polarise
- Response: Do not decide who is right ("there's not one truth about anything", interview 2020, p. 26). Give each person room to speak while the others listen, using reflecting formats (4.12, 4.17). Explore each person's meaning of shared key words (4.6). If one member dominates, negotiate the format: separate conversations, turns, or a listening role. [synthesis; basis: interview 2020; Anderson 2012]
5.9 Strong therapist opinions or values (modality-specific)
- Response: Do not pretend to be neutral. Notice the opinion as part of your inner conversation, decide whether to make it public, and offer it as yours, not as the truth (4.8, 4.9). Hold it loosely. When your values are actually at stake, for example around violence, be explicit and stay in dialogue. [synthesis; basis: Anderson 2012]
5.10 Institutional demands: diagnosis, treatment plans, outcome measures (modality-specific)
- Response: Be public about these requirements. Complete forms with the client: ask how they would describe the problem and goals, and what they think of the diagnosis. Use the client's words in notes where you can, and offer to show them what you write. [synthesis; basis: "with" not "about", Anderson 2012; ethics, Anderson 2001]
5.11 Mistaking the stance for passivity (modality-specific)
- Signs: You never contribute, you stay silent, or you withhold information or relevant expertise.
- Response: In this approach the therapist is active in creating and sustaining the dialogical space (Wikipedia, CLS) and is "at risk of change" (2012). Contribute questions, reflections and ideas. Not-knowing is about how you hold your knowledge, not about not having any. [source: Anderson 2012; Wikipedia, CLS]
5.12 Unusual beliefs and psychosis (modality-specific)
- Response: Explore within the client's reality (4.10) without arguing. At the same time, coordinate with psychiatric care, monitor risk openly, and include the network (4.16). [synthesis; basis: interview 2020, p. 22]
5.13 Cultural and language differences
- Response: Privilege local and ancestral knowledge (2012). Learn the client's meanings rather than translating them into yours. Ask about the cultural meanings of the problem and of help-seeking. When working with interpreters, discuss the format with everyone present [synthesis]. In Indigenous contexts, partner with the communities' own practices, which Chaveste & Molina describe in Anderson & Gehart 2022, ch. 8. [source: Anderson 2012; rest synthesis]
Sources
Sources:
- Collaborative Practice: A Way of Being "With" — Anderson 2012, Psychotherapy & Politics International (full text)
- Collaborative Practice: A Way of Being "With" — abstract page
- Ethics and Uncertainty: Brief Unfinished Thoughts — Anderson 2001
- Interview with Harlene Anderson — PsicoFAE 2020, 9(2), 19–27
- Harlene Anderson video index (harleneanderson.org)
- Warhuus et al., review of Anderson 1997, Conversation, Language, and Possibilities (Aarhus University)
- ProQuest excerpt: Anderson on human systems as language meaning-generating systems
- Collaborative therapy — Wikipedia
- Collaborative language systems — Wikipedia
- Collaborative-Dialogic Practice (Anderson & Gehart, 2022) — Routledge
- Anderson workshop page, Donostia (reflective questions)
Further reading (not drawn on):
- Anderson, H., & Goolishian, H. (1988). Human systems as linguistic systems: Preliminary and evolving ideas about the implications for clinical theory. Family Process, 27.
- Goolishian, H., & Anderson, H. (1987). Language systems and therapy: An evolving idea. Psychotherapy, 24(3S), 529–538.
- Anderson, H., & Goolishian, H. (1992). The client is the expert: A not-knowing approach to therapy. In S. McNamee & K. Gergen (Eds.), Therapy as Social Construction. Sage.
- Anderson, H. (1997). Conversation, Language, and Possibilities: A Postmodern Approach to Therapy. Basic Books.
- Anderson, H. (2005). Myths about "not-knowing". Family Process, 44(4).
- Anderson, H., & Gehart, D. (Eds.) (2007). Collaborative Therapy: Relationships and Conversations that Make a Difference. Routledge (includes Hoffman, "The art of 'withness'").
- Anderson, H., & Gehart, D. (Eds.) (2022). Collaborative-Dialogic Practice. Routledge.
- Anderson, H., & Jensen, P. (Eds.) (2007). Innovations in the Reflecting Process. Karnac.
- Hoffman, L. (1992). A reflexive stance for family therapy. In McNamee & Gergen (Eds.), Therapy as Social Construction. Sage.
- Hoffman, L. (2002). Family Therapy: An Intimate History. Norton.
- MacGregor, R., et al. (1964). Multiple Impact Therapy with Families. McGraw-Hill.
- McNamee, S., & Gergen, K. (1999). Relational Responsibility. Sage.