Citation

Avdi E, Seikkula J. Br. J. Psychother. 2019; 35(2): 217-232.

Copyright

(Copyright © 2019, John Wiley and Sons)

DOI

10.1111/bjp.12444

PMID

unavailable

Abstract

This paper presents a case study that aims to further our understanding of the relational and embodied aspects of the psychotherapy process. One psychoanalytic session is examined on multiple levels, including talk, participants' physiological arousal and interactional attunement, ruptures in the therapeutic alliance, postural congruence and facial expression of affect. Implicit processes of non-verbal attunement seem to play a role in resolving ruptures and in fostering exploration and the creation of new meanings. Embodied attunement was found to be at its highest at points in the session characterized by verbal disjunction and ruptures in the therapeutic alliance. The therapeutic dyad was 'in sync' non-verbally until tension was resolved, at which point, synchrony was relaxed, and therapist and client were able to proceed with their respective 'tasks', secure in the knowledge that the other is there for them. It is argued that attempts to describe the complex and nuanced processes of psychotherapeutic change would benefit from attending to both explicit/semantic and implicit/non-verbal domains of interaction. © 2019 BPF and John Wiley & Sons Ltd

Language: en

Keywords

adult; human; social interaction; male; case report; psychotherapy; suicide attempt; treatment outcome; hopelessness; psychoanalysis; questionnaire; clinical article; body position; emotion; verbal behavior; facial expression; gesture; Article; arousal; verbal hostility; scratching; body movement; semi structured interview; social stress; implicit memory; naturalistic inquiry; physical violence; extramarital sex; therapeutic alliance; Psychoanalytic Psychotherapy; nondisjunction; Physiological Arousal; Process Research; Relational Synchrony; Therapeutic Alliance Ruptures