• Marcel NEDELCU



All aspects of our life are ruled by the concept of „fast society” - from fast food to „fast (on-line) relationships” and, in turn, to „fast therapy”. Clients and counsellors alike are in a rush to find a quick way to solve the problem.  This approach to „panic attack” problems could sometimes lead to a dead end.  What is more, this dynamic of the therapeutic process could increase the client’s confusion and let the sensation of fear unexplained.  The following paper puts forward three case studies, where the „not-knowing” position of the therapists unlocks the situation, helping the clients become aware of the elements from context that are connected to their fear.  The meanings behind the attacks are revealed in the conversational field when the therapist stops their search for explanations and becomes patient enough to be curios and invite the client to explore detailed stories of their daily life.

Author Biography


Counsellor and Psychotherapist, Family and Couple Institute, Iasi Romania


Anderson and Goolishian (1992). The client is the expert: A not-knowing approach to therapy. In S. McNamee & K.J. Gergen (Eds.), Therapy as social construction (pp. 25–39). London: Sage.

Anderson and Gehart (2007) Colaborative Therapy. Relationships and Conversations that make a Difference by Taylor & Francis Group, LLC, London, New York.

Bertrando and Lini (2021) Towards a systemic-dialogical model of therapy. In Human Systems: Therapy, Culture and Attachments, Vol. 1(1) 15–28, Sage Journals

Bonevski and Naumovska (2020) Panic Attacks and Panic Disorder. In Robert Woolfolk (Eds.) Psychopathology - An International and Interdisciplinary Perspective, IntechOpen Limited. London.

Beverly Hancock, (2002) Trent Focus for Research and developement in Primary Health Care: An introduction to Qualitative Research, Produced by Trent Focus Group.

Johnson at all (2005) Becoming an Emotionally Focused Couple Therapist, The Workbook Published by Routledge

Johnson (2004) Creating Connection – The Practice of Emotionally Focused Couple

Therapy, Second Edition, Published by Brunner Routledge

Lazarus and Folkman (1984) Stress, Appraisal and Coping, Springer Publishing Company, New York

Lazarus (1991) Emotion and Adaptation, Oxford University Press, New York.

Muntele - Hendres and Diac M. (2022) Studiu de caz în cercetarea clinică. In Soponaru (coord.) (2022) Manual de psihologie clinica. Vol 2. Polirom, Iasi.

Nedelcu, M. (2015) Using dialogical approach for improving personal practice. A dialogical based research project. Study presented at „Third International Conference on Dialogical Practices: «Listen to me!» Humanizing Human Practices, Kristiansand, Norway, 23rd to 25th of September 2015

Nichols and Schwartz (2005) Terapia de familie. Concepte și metode, Editura Asociației de terapie familială, București

Rober (2005) The Therapist’s Self in Dialogical Family Therapy: Some Ideas About Not-Knowing and the Therapist’s Inner Conversation, Family Process, Vol. 44, No. 4, 2005, p 477-495, FPI, Inc

Seikkula and Trimble (2005) Healing Elements of Therapeutic Conversation: Dialogue as an Embodiment of Love, Family Process, Vol. 44, No. 4, FPI, Inc.

Satir, V. (2010) Arta de a făuri oameni, Editura Trei, Bucuresti.

Seikkula (2008) Inner and outer voices in the present moment of family and network therapy. In Journal of Family Therapy (2008) 30: 478–491 0163-4445 (print); 1467-6427 (online)The Association for Family Therapy. Published by Blackwell Publishing, 9600 Garsington Road, Oxford OX4 2DQ, UK

Shotter and Katz (1999)” Living moments” in dialogical exchanges. In Human Systems, 9, pp.81-93, Sage Journals.

Weiten and Lloyd (2006) Psychology Applied to Modern Life. Thomson Wadsworth; Belmont California.