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Conceptual framework demonstrates metaphor reception as meaningful communication in neurodivergent therapy clients, highlighting bridges between embodied experience and relational action.
Psychotherapy often privileges linear, explicit speech as the language of change, yet some neurodivergent clients first communicate lived experience through sensory image, bodily analogy, rhythm, or metaphor. Such language can appear nonlinear or unusual by clinical standards, yet carries a coherent logic of body state, sensory pressure, and relational threat. This article defines metaphor reception as the therapist’s capacity to recognize client-generated metaphor as meaningful embodied communication, preserve its form, and explore it without premature correction or translation into normative clinical speech. Distinguished from poetry therapy and therapist-generated metaphor, this practice is situated within constructivist and personal construct psychotherapy, Miller Mair’s poetics of experience, Gendlin’s focusing, and Cionini’s languages of change, and connected to neurodiversity-affirming practice, the double empathy problem, interoception, and alexithymia. Clinical examples, including a Psychobiological Approach to Couple Therapy (PACT)-informed vignette, illustrate metaphor as a bridge between embodied experience, shared meaning, and relational action.
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Hans Jorg Stahlschmidt (2026) studied this question.
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