Communication in Education and HealthcareCounseling, Therapy, and Family DynamicsEmpathy and Medical Education

Yuima Mizutani, P. Waalkes, Carlee Smith, Keiko Sano

2026.5.29JOURNAL OF COUNSELING AND DEVELOPMENT

DOI: 10.1002/jcad.70043

Abstract

Active empathetic listening (AEL) is a foundational skillset used by counselors. However, little is known about how AEL is used and perceived outside of Western cultures. Keicho (傾聴), the Japanese concept of AEL, is described as tilting one's head to listen to others. In this study, we examined how AEL is influenced by Japanese culture and practiced in Japan, using a cross‐cultural instrumental case study methodology at a nonprofit organization located in Japan. We used three different datasets: focus group workshop participants, self‐narrative poem activities, and individual interviews with the workshop instructor.

Citation format

MIZUTANI, Yuima, et al. A case study on keicho, japanese active empathetic listening. JOURNAL OF COUNSELING AND DEVELOPMENT, 2026, 104(3): 488–502.