The essential role that emotions play in social interaction has become a recent focus of investigation (Peräkylä & Sorjonen, 2012; Robles & Weatherall, 2021) and, more specifically, distress displays through emotional laden conduct such as crying have been receiving increasing attention in both everyday and institutional contexts (e.g., Antaki et al., 2015; Hepburn & Potter, 2012; Weatherall, 2021; Wootton, 2012). In this paper, we examine the sequential organization of distress displays within Emotion-focused Therapy (EFT; Greenberg, 2002), an institutional context in which upset is commonly and relevantly produced. We focus on how therapist's attentiveness to crying and co-occurring features of distress shifts the unfolding troubles telling towards the mutual attention of the in-the-moment emotion as an action to be modulated and more deeply explored. Drawing from a corpus of video-recorded EFT sessions, this article examines interactional sequences of client distress displays followed by therapist responses to the distress. We extend understanding of embodied actions clients display as both a collection of 'distress features' and as interactional resources therapists draw upon to facilitate therapeutic intervention. We report on two main findings. First, it was found that clients regularly drew from a number of vocal and non-vocal resources to display distress and that certain distress features tended to cluster together on a continuum of lower or higher intensities of upset displays. Second, we identified three therapist response types that oriented explicitly to clients' in-the-moment distress: Noticings; Emotional Immediacy Questions and Modulating Directives. Whereas the first two action types were found to draw attention to or topicalize the client's emotional display, the third type, by contrast, had a regulatory function, either sustaining or abating the intensity of the upset. Our findings are discussed in light of other studies that have examined distress displays in sequences of talk.
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