George Devereux was among the first to explore the therapeutic function of confrontation as it relates to
psychoanalysis. He described it as a form of "induc[ing] or forc[ing] the patient to pay attention to something he has just said or done." As Carlson and Slavik continue, this is for the purpose of revealing "new avenues for examination" and to "increase awareness". Devereux saw confrontation as a therapeutic application of "calling a spade a spade" by restating information already provided. As
Jurgen Ruesch wrote, this incorporates an "element of aggression" in order to demonstrate "discrepancies between intent and effect, between word and action". This may be especially useful in cases when the patient is being deceptive, pretend to be ignorant, or is oblivious to their own inconsistencies. Such a confrontation is not necessarily loud, abrasive, or argumentative, nor does it necessarily require antipathy between the parties. A person can confront another quietly, and as an act of friendship. At the extreme,
attack therapy (sometimes known as confrontation therapy) involves highly confrontational interaction between the patient and a therapist, or between the patient and fellow patients during
group therapy, in which the patient may be verbally abused, denounced, or humiliated by the therapist or other members of the group.{{cite web ==See also==