The aim of this article is to describe the development of therapeutic reciprocity using Walker and Avant’s (2011) synthesis strategies for concept formation. Data sources consisted of direct observations during the author’s clinical practice and literature from databases using combinations of the search terms “caring,” “communication,” “intersubjectivity,” “language,” “nurse-patient,” “psycholinguistics,” “relational,” “relationship sociological,” “therapeutic reciprocity,” “transformative,” and “words.” The concept synthesis generated the antecedents, attributes, consequences, and operational definition of therapeutic reciprocity. Therapeutic reciprocity is a genuine sharing of thoughts, feelings, and experiences between nurse and patient where mutual learning occurs and shared meanings develop.