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The art and science behind socratic questioning and guided discovery: a research review

Journal

PSYCHOTHERAPY RESEARCH
Volume 33, Issue 7, Pages 946-956

Publisher

ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
DOI: 10.1080/10503307.2023.2183154

Keywords

Socratic questioning; socratic method; psychotherapy; psychotherapy outcome; guided discovery; cognitive therapy; cognitive behavioral therapy

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Socratic questioning is employed in psychotherapy to facilitate guided discovery. Limited research indicates that it effectively reduces depression, especially for patients with pessimistic cognitive biases. However, there is currently no research on patient improvements at the end of therapy.
Socratic questioning is used to enhance the process of guided discovery in psychotherapy sessions. Objective: Socratic questioning and guided discovery are defined, and assorted clinical examples are provided. Methods: The limited research on the impact of Socratic questioning is reviewed and integrated with 30 + years of clinical experience. Results: The scant research suggests that Socratic questioning significantly reduces depression from one session to the next, particularly for patients with a pessimistic cognitive bias, but there is no research on patient improvements at the end of psychotherapy. Conclusion: Socratic questions and guided discovery can facilitate sensitivity to issues related to diversity and can be useful in psychotherapy training. The Socratic approach relies on an integration of the research evidence, ancient philosophy, and contemporary cognitive therapy.

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