Resolving "unfinished business": Efficacy of experiential therapy using empty-chair dialogue.
Abstract
In this study, 34 clients with unresolved feelings related to a significant other were randomly assigned to either experiential therapy using a Gestalt empty-chair dialogue intervention or an attention-placebo condition. The latter was a psychoeducational group offering information about "unfinished business." Treatment outcomes were evaluated before and after the treatment period in each condition and at 4 months and 1 year after the experiential therapy. Outcome instruments targeted general symptomotology, interpersonal distress, target complaints, unfinished business resolution, and perceptions of self and other in the unfinished business relationship. Results indicated that experiential therapy achieved clinically meaningful gains for most clients and significantly greater improvement than the psychoeducational group on all outcome measures. Treatment gains for the experiential therapy group were maintained at follow-up.
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In the empty chair technique, clients typically argue with an imaginary significant other sitting across from them in an empty chair, and may eventually sit in that chair and experience and argue about the problem from the perspective of the significant other.
“In this method clients in a therapy session typically argue with an imaginary significant other sitting across from them in an empty chair. This may also involve clients eventually sitting in that chair and then experiencing and arguing about the problem from the perspective of the significant other.”
From Conversations between self and self as Sigmund Freud—A virtual body ownership paradigm for self counselling (2015) · cites this paper as [38]
A practical application of perspective taking is the 'empty chair technique' of Gestalt Therapy.
“A practical application of perspective taking is the ‘empty chair technique’ of Gestalt Therapy3738.”
From Conversations between self and self as Sigmund Freud—A virtual body ownership paradigm for self counselling (2015) · cites this paper as [38]
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“Positive results can offer what Paivio and Greenberg (1995) refer to as the link for the patient between the past trauma and understanding current perceptions.”
BackgroundEmotion-Focused Therapy’s Empty-Chair Task for Complicated Grief: An Open Trial
Gamoneda, J. M., Anchía, R. J., & Timulák, L. (2025) · Journal of Loss and Trauma · doi:10.1080/15325024.2025.2548238 · Cited by 6 · see citing works
“Several studies tested the efficacy of the Emotion-Focused Therapy’s Empty-Chair Task for Unfinished Business specifically in problems such as depression or trauma (Greenberg & Malcolm, 2002; Paivio et al., 2001, 2010; Paivio & Greenberg, 1995).”
Expressions of anger during advising on life dilemmas predict suicide risk among college students
Hu, C., Huang, J., Huang, C., Munroe, M., Xie, D., & Li, M. (2022) · PsyCh Journal · doi:10.1002/pchj.529 · Cited by 6 · see citing works
Giacomucci, S., Marquit, J., & Walsh, K. M. (2022) · Zeitschrift für Psychodrama und Soziometrie · doi:10.1007/s11620-022-00665-w · Cited by 9 · see citing works
“Little research has been published on the effectiveness of psychodrama in the treatment of PTSD (Baumgartner 1986; Lind et al. 2006; Paivio and Greenberg 1995; Ragsdale et al. 1996) or the Therapeutic Spiral Model specifically (Giacomucci and Marquit 2020; Gow and McVea 2006; Hudgins and Drucker 1998; Hudgins et al.”
MethodExperiential Financial Therapy
Klontz, B. T., Klontz, P. T., & Tharp, D. T. (2014) · Springer eBooks · doi:10.1007/978-3-319-08269-1_7 · Cited by 7 · see citing works
Healing Emotional Affective Responses to Trauma (HEART): A Christian Model of Working with Trauma
Keyes, B. B. (2018) · Frontiers in the Psychotherapy of Trauma and Dissociation · doi:10.46716/ftpd.2017.0006 · Cited by 5 · see citing works
Gabińska, A., Suszek, H., & Jankowska, W. (2023) · Journal of Constructivist Psychology · doi:10.1080/10720537.2023.2194695 · Cited by 5 · see citing works
“The empty chair technique has proven to be useful in anger reduction (Conoley et al., 1983), solving "unfinished business" (Paivio & Greenberg, 1995), and facilitating forgiveness (Greenberg et al., 2008).”
MethodThe Possibilities of Modern Client-Centered and Experiential Psychotherapy
Kocharian, O., Barinova, N. V., & Barinov, S. A. (2023) · Psychological Counseling and Psychotherapy · doi:10.26565/2410-1249-2023-20-01 · Cited by 5 · see citing works
Couple Rage and Emotional Distancing when a Partner is Dying
Yang, S., & Rosenblatt, P. C. (2007) · Journal of Loss and Trauma · doi:10.1080/15325020601138799 · Cited by 5 · see citing works
“There is a concept in the therapy literature of “unfinished business” (eg, Paivio & Greenberg, 1995 ) that may be framed in terms of equity theory.”
BackgroundAdvantageous Use of Hypnosis in a Case of Psychogenic Vomiting
Chandrashekhar, R. (2016) · American Journal of Clinical Hypnosis · doi:10.1080/00029157.2015.1046981 · Cited by 5 · see citing works
“Paivio and Greenberg (1995) found the empty chair dialogue a more efficient method to reduce symptoms and bring about resolution of unfinished business as compared to psychoeducation.”
BackgroundKönig, J., Karl, R., Rosner, R., & Butollo, W. H. (2018) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0000000000000844 · Cited by 5 · see citing works
The framework for integrating common and specific factors in therapy: A resolution
Yii-nii, L. (2016) · International Journal of Psychology and Counselling · doi:10.5897/ijpc2016.0398 · Cited by 5 · see citing works
“Third, experiential-humanistic therapy in general achieved clinically meaningful, stable gains than the psychoeducational group for most clients with significantly greater improvement (Paivio and Greenberg, 1995).”
BackgroundLa psychothérapie de l’adolescent centrée sur les émotions
Har, A. (2018) · Perspectives Psy · doi:10.1051/ppsy/2018573214 · Cited by 5 · see citing works
The resolution of anger in psychotherapy: A task analysis.
Kannan, D., Henretty, J. R., Piazza-Bonin, E., Levitt, H. M., Coleman, R. A., Bickerest-Townsend, M., & Mathews, S. S. (2011) · The Humanistic Psychologist · doi:10.1080/08873267.2011.563724 · Cited by 5 · see citing works
“Task analytic research has indicated that facilitating the experience and expression of anger within this theoretical framework leads to productive psychotherapy outcome within different emotion focused therapy (EFT) interventions (eg, self-critical two-chairing dialogues, Greenberg & Foerster, 1996 ; unfinished inter…”
BackgroundTheory Development: Chronic Sorrow and the Gestalt Construct of Closure
Roos, S. (2001) · Gestalt Review · doi:10.5325/gestaltreview.5.4.0289 · Cited by 5 · see citing works
Qualitative study on the virtual reality-based empty-chair technique in middle-aged South Korean men
Yoo, K., & Kim, E. (2025) · Frontiers in Psychology · doi:10.3389/fpsyg.2025.1559171 · Cited by 4 · see citing works
Mónaco, E., Goldman, R. N., & Montoya‐Castilla, I. (2022) · Person-Centered & Experiential Psychotherapies · doi:10.1080/14779757.2022.2096105 · Cited by 4 · see citing works
“…1997; Elliott, 1999; Goldman, 1995; Greenberg & Foerster, 1996; Greenberg & Mateu Marques, 1998; Greenberg & Paivio, 1998; Honos-Webb et al., 1998; Johnson et al., 1999; Paivio & Greenberg, 1995; Paivio, 1999; Watson & Greenberg, 1996, 2000; Watson & Rennie, 1994; Watson, 1996; Wiseman, 1998).”
- Authors
- Paivio, S. C., & Greenberg, L. S.
- Affiliations
- University of Saskatchewan (CA)
- ORCID
- Greenberg, Leslie S.
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 1995
- Volume
- 63
- Issue
- 3
- Pages
- 419-425
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W4229837551
- Cited by
- 233
- References
- 0
- Citations by year
- 2026: 8 · 2025: 11 · 2024: 7 · 2023: 7 · 2022: 10 · 2021: 8 · 2020: 14 · 2019: 5 · 2018: 15 · 2017: 9 · 2016: 8 · 2015: 9 · 2014: 13 · 2013: 13 · 2012: 5
- FWCI
- 6.95
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Counseling, Therapy, and Family Dynamics
- Social Sciences › Psychology › Social Psychology › Counseling Practices and Supervision
- Keywords
- experiential therapy, unfinished business, unresolved conflicts, treatment efficacy
- MeSH terms
- Adaptation, Psychological, Adult, Emotions, Female, Gestalt Therapy, Humans, Interpersonal Relations, Male, Middle Aged, Personality Assessment, Problem-Based Learning
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