Intrapersonal and Interpersonal Vocal Affect Dynamics During Psychotherapy

Adar Paz, Eshkol Rafaeli, Eran Bar-Kalifa, Eva Gilboa-Schectman, Sharon Gannot, Bracha Laufer-Goldshtein, Shrikanth Narayanan, Joseph Keshet, Dana Atzil-Slonim

Research output: Contribution to journalArticlepeer-review

20 Scopus citations


Objective: The present study implements an automatic method of assessing arousal in vocal data as well as dynamic system models to explore intrapersonal and interpersonal affect dynamics within psychotherapy and to determine whether these dynamics are associated with treatment outcomes. Method: The data of 21,133 mean vocal arousal observations were extracted from 279 therapy sessions in a sample of 30 clients treated by 24 therapists. Before and after each session, clients self-reported their well-being level, using the Outcome Rating Scale. Results: Both clients’ and therapists’ vocal arousal showed intrapersonal dampening. Specifically, although both therapists and clients departed from their baseline, their vocal arousal levels were “pulled” back to these baselines. In addition, both clients and therapists exhibited interpersonal dampening. Specifically, both the clients’ and the therapists’ levels of arousal were “pulled” toward the other party’s arousal level, and clients were “pulled” by their therapists’ vocal arousal toward their own baseline. These dynamics exhibited a linear change over the course of treatment: whereas interpersonal dampening decreased over time, there was an increase in intrapersonal dampening over time. In addition, higher levels of interpersonal dampening were associated with better session outcomes. Conclusions: These findings demonstrate the advantages of using automatic vocal measures to capture nuanced intrapersonal and interpersonal affect dynamics in psychotherapy and demonstrate how these dynamics are associated with treatment gains.

Original languageEnglish
Pages (from-to)227-239
Number of pages13
JournalJournal of Consulting and Clinical Psychology
Issue number3
StatePublished - 1 Jan 2021


  • Coregulation
  • Intrapersonal and interpersonal affect dynamics
  • Self-regulation
  • Vocal arousal
  • Voice analysis

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health


Dive into the research topics of 'Intrapersonal and Interpersonal Vocal Affect Dynamics During Psychotherapy'. Together they form a unique fingerprint.

Cite this