They definitely think about it. In general, I think interpreting how a T handles tissues is definitely very subjective and may not have anything to do with their overall attitude and style. For example, some might say not putting them on display is playing it more gently. I never cried in therapy sessions and did not even notice or thought about kleenex in that setting until one day when I had a very bad cold and forgot to carry enough tissues, so asked the T if he had some. He pulled the box out from under a small table sitting between his chair and the couch. Then I suddenly started wondering why he kept it there instead of on the table or somewhere visible and asked him. He said that some clients, especially new ones, may not like to feel that they come to a place where they are supposed to suffer. That makes some sense to me but I personally don't think it is necessary to complicate it that much, it is also just one possible interpretation and obviously some people feel differently.