Nonverbal empathy and perceived therapist warmth and competence: An experimental video vignette study.
Patient Educ CounsMay 28, 2026 (epub)
Clinical ResearchPsychiatry
Ulrike Maaß, Florian Weck
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In 30 seconds
This randomized controlled trial investigated the impact of nonverbal empathy on perceptions of therapist warmth and competence among 257 participants. Results indicated that those viewing a therapist displaying high nonverbal empathy (E+) rated them as significantly warmer (d = 0.70) compared to those viewing low nonverbal empathy (E-), but no significant difference in perceived competence was found (p = 0.141).
Key findings
- Participants viewing high nonverbal empathy rated the therapist as warmer (d = 0.70).
- No significant difference in perceived competence was found between the E+ and E- groups (p = 0.141).
- Insecurely attached participants rated the E+ therapist as more competent than the E- therapist.
Why it matters
Understanding the influence of nonverbal communication on therapist perceptions can enhance the therapeutic alliance, which is crucial for effective treatment outcomes. Clinicians may benefit from focusing on their nonverbal cues to improve patient engagement.