Instability and Uncertainty Are Critical for Psychotherapy: How the Therapeutic Alliance Opens Us Up

@article{Connolly2021InstabilityAU,
  title={Instability and Uncertainty Are Critical for Psychotherapy: How the Therapeutic Alliance Opens Us Up},
  author={Patrick Connolly},
  journal={Frontiers in Psychology},
  year={2021},
  volume={12}
}
  • P. Connolly
  • Published 7 January 2022
  • Psychology
  • Frontiers in Psychology
Tschacher and Haken have recently applied a systems-based approach to modeling psychotherapy process in terms of potentially beneficial tendencies toward deterministic as well as chaotic forms of change in the client’s behavioral, cognitive and affective experience during the course of therapy. A chaotic change process refers to a greater exploration of the states that a client can be in, and it may have a potential positive role to play in their development. A distinction is made between on… 

Figures from this paper

Psychoanalytic psychotherapies and the free energy principle

In this paper I propose a model of the fundamental components of psychoanalytic psychotherapies that I try to explicate with contemporary theories of the Bayesian brain and the Free Energy Principle

Osteopathic Care as (En)active Inference: A Theoretical Framework for Developing an Integrative Hypothesis in Osteopathy

TLDR
It is argued that from an active inference standpoint, the dyadic shared ecological niche underwrites a robust therapeutic alliance, which is crucial to the effectiveness of osteopathic care.

References

SHOWING 1-10 OF 89 REFERENCES

The generalizability of the psychoanalytic concept of the working alliance.

The psychoanalytic concept of the working alliance is reviewed and elaborated. It is argued that various modes of psychotherapy can be meaningfully differentiated in terms of the kinds of working

Synchrony in Psychotherapy: A Review and an Integrative Framework for the Therapeutic Alliance

TLDR
How this pervasive phenomenon may shed new light on the therapeutic relationship– or alliance– and its role within psychotherapy is considered and the broader implications of viewing psychotherapy as the product of two interacting brains are considered.

The Vanderbilt psychotherapy studies: synopsis.

  • H. Strupp
  • Psychology
    Journal of consulting and clinical psychology
  • 1993
TLDR
The psychotherapy studies completed at Vanderbilt University had their antecedents in research begun by Strupp in the 1950s, and Vanderbilt I focused on the relative contribution of specific and nonspecific factors in therapy, whereas Vanderbilt II sought to study the effects of training in time-limited dynamic psychotherapy on process and outcome.

Synergetics in Psychology: Patterns and Pattern Transitions in Human Change Processes

Synergetics has arrived in psychology. More than this – it has proven to be an inspiring research paradigm for investigating and modelling complexity and dynamics of mental, behavioural, and social

Process–outcome studies.

If the effectiveness of psychotherapy is to increase, we need to understand exactly what processes lead to better client outcomes. This is the core challenge and potential contribution of

The Technique and Practice of Psychoanalysis

TLDR
Dr. Greenson's book is based primarily on the theory of dammed-up libido, correct in itself but not expanded and enriched by the last 40 years of study which have seen such revolutionary progress in every other clinical and scientific study.

Focusing-Oriented Psychotherapy: A Manual of the Experiential Method

Introduction. Focusing and Listening. Dead Ends. Eight Characteristics of and Experiential Process Step. What the Individual Does to Enable an Experiential Step to Come. What a Therapist Can Do to

Resonating minds: A school-independent theoretical conception and its empirical application to psychotherapeutic processes

  • E. Mergenthaler
  • Psychology
    Psychotherapy research : journal of the Society for Psychotherapy Research
  • 2008
TLDR
The resonating minds theory will be introduced as a means to describe psychotherapeutic processes and change, based on computer assisted analysis of verbatim transcripts using emotional tone, abstraction and narrative style as language measures.

The synchronization of plan activations and emotion-abstraction patterns in the psychotherapeutic process: A single-case study

TLDR
The hypothesis that the dynamic complexity of plan activation time series of the patient increases during intensified phases of the EA pattern connecting was examined and confirmed and can be considered an indicator for the occurrence of critical instabilities in the environment of order transitions in the direction of more strongly integrated states of processing.

Embodiment and Schizophrenia: A Review of Implications and Applications.

TLDR
The embodiment perspective suggests novel treatment strategies through psychotherapy and body-oriented interventions, and may ultimately provide biomarkers for diagnosis of schizophrenia.
...