A procedural theory of therapeutic action: Commentary on the symposium,Interventions that effect change in psychotherapy

Operating largely outside of awareness, the procedural mode of processing has been neglected in psychotherapy and psychoanalysis, and yet it is critical to our understanding of therapeutic action. This group has made an outstanding contribution to a procedural theory of therapeutic action, integrating some of the most important current concepts in infant research, cognitive psychology, systems theories, and adult psychoanalysis. The procedural mode of “implicit relational knowing” is placed within the context of a moment-by-moment, mutual regulation model of co-constructed exchanges. Nonlinear dynamic systems theory has greatly influenced their theory of change. The centerpiece is Louis Sander's concept of the “moment of meeting.” Although the concept of intersubjectivity is central in all the papers, the multiple uses of the term suggests that a careful re-examination of the definitions of intersubjectivity is sorely needed. We must now integrate the work of this group with other current procedural theories of therapeutic action. © 1998 Michigan Association for Infant Mental Health     

An Expanded View of Intersubjectivity in Infancy and its Application to Psychoanalysis

We consider the relevance of forms of intersubjectivity in infancy to the nonverbal and implicit dimension of intersubjectivity in psychoanalysis. The term forms of intersubjectivity, within the adult explicit and implicit modes and the infant presymbolic implicit mode, is offered to clarify the multiple meanings of intersubjectivity. The ideas of infant intersubjectivity of Meltzoff, Trevarthen, and Stern that have particular relevance for psychoanalysis are highlighted: the dialogic origin of mind, the role of correspondences, and the idea that symbolic forms of intersubjectivity are built on presymbolic forms. We build on their work to define a fourth position: that the full range of patterns of interactive regulation provides the broadest definition of the presymbolic origins of intersubjectivity, with correspondence being only one of many critical patterns. We additionally address the place of interactive regulation, problems with the concept of matching, the role of self-regulation, the role of difference, and the “balance model” of self- and interactive regulation. We take the position that all forms of interactive regulation are relevant to the possibility of perceiving and aligning oneself with the moment-by-moment process of the other. A broadened understanding of intersubjectivity in infancy sets the stage for a more fruitful exchange between infant researchers and psychoanalysts.     

A Comparison of Meltzoff,Trevarthen, and Stern

Whereas the first paper of this series compared the work of five theorists of intersubjectivity in psychoanalysis, this paper compares three theorists of intersubjectivity in infant research, Andrew Meltzoff, Colwyn Trevarthen, and Daniel Stern. By evaluating the points at which the theorists concur and differ, we hope to clarify the meanings or “forms” of intersubjectivity in infancy. All three have addressed the question of how infants can sense the state of the other, and all have used the concept of cross-modal correspondences as a central aspect of the answer. Nevertheless each has a distinctly different theory of intersubjectivity in infancy.     

The Explicit and Implicit Domains in Psychoanalytic Change

New research findings of the development and organization of the mind, brain, and behavior bolster the ongoing relational- or intersubjective-field paradigmatic revision of psychoanalytic theory. A multisystems view of learning, memory, and knowledge provide us with a more complex picture of information processing that has fundamental implications for a psychoanalytic theory of therapeutic action.

If the implicit and explicit learning/memory systems are viewed as parallel processes, not easily translatable from one to the other, then new implicit relational experience carries considerably more power as compared to explicit/declarative processing in changing and establishing new implicit mental models. When these cognitive processing systems are viewed as more closely interconnected with a developmental emphasis on connecting them through language, then exploratory/interpretive work becomes more central. REM, dream, infant, and cognitive research evidence suggests that imagistic symbolic capacity exists at birth. Learning and remembering using imagistic symbolic processing could suggest a more easily translatable connection with later developed verbal symbolic processing and a closer, although varied, interconnection between implicit and explicit (symbolic) memory systems.

Explicit attitudes are more directly modifiable through an explicit/declarative focus. Implicit mental models, it is proposed, are variably modifiable through two different change processes: (1) accommodation or transformation of expectancies through new implicit procedural experience (not requiring explicit focus) and (2) diminished activation and increased capacity to deactivate implicit mental models through explicit/declarative processing and the establishment of contrasting implicit models through new implicit procedural experience.     

不只是“谈话疗法”：精神分析治疗中的非言语维度

精神分析治疗在很长一段时间里被视为“谈话疗法”,其治愈机制是将潜意识的内容意识化,语言解释在其中发挥关键作用。自20世纪末开始,越来越多分析师强调非言语交流在治疗中的作用。非言语交流不仅能够为咨访双方提供更丰富的交流形式,还能通过互动中的“相遇时刻”,实现对患者过去经验的重组,改变其有缺陷的内隐关系知晓。非言语交流和语言交流能够在治疗中发挥互补作用,未来的精神分析心理学要继续加强对非言语领域的研究。     

不只是“谈话疗法”：精神分析治疗中的非言语维度

精神分析治疗在很长一段时间里被视为“谈话疗法”,其治愈机制是将潜意识的内容意识化,语言解释在其中发挥关键作用。自20世纪末开始,越来越多分析师强调非言语交流在治疗中的作用。非言语交流不仅能够为咨访双方提供更丰富的交流形式,还能通过互动中的“相遇时刻”,实现对患者过去经验的重组,改变其有缺陷的内隐关系知晓。非言语交流和语言交流能够在治疗中发挥互补作用,未来的精神分析心理学要继续加强对非言语领域的研究。     

Explicit and implicit affiliation motives predict verbal and nonverbal social behavior in sports competition

ObjectivesThe present study investigated the predictive value of the explicit and implicit affiliation motive for social behavior in sport competitions. From an information processing perspective, an explicit motive is linked to verbal cues and respondent behavior. The implicit motive in turn is linked to nonverbal stimuli and operant behavior (McClelland, Koestner, & Weinberger, 1989; Schultheiss, 2008). Both respondent affiliative behavior (e.g., verbal interactions with teammates) and operant nonverbal social behavior (e.g., pleasant to opponents) can be observed in racquet sports team competitions.Design & MethodsFifty-two male racquet sportsmen completed the Personality Research Form (explicit affiliation motive) and the Operant Motive Test (implicit affiliation motive). Motive measures were used to predict social behavior during competitions using multiple regression analyses. To this aim real competitive matches were videotaped and analyzed.ResultsResults show that the explicit affiliation motive is associated with time spent in verbal team contact. The implicit affiliation motive, by contrast, is linked to pleasant nonverbal behavior shown toward opponents.ConclusionsFindings suggest that implicit and explicit affiliation motives predict different kinds of social behavior in sports competition respectively. Indirect motive measures may be of additional predictive value for different behavior in real sports settings.     

Sense of agency: Sensorimotor signals and social context are differentially weighed at implicit and explicit levels

Sense of agency (SoA) describes the experience of being the author of an action. Cue integration approaches divide SoA into an implicit level, mostly relying on prospective sensorimotor signals, and an explicit level, resulting from an integration of sensorimotor and contextual cues based on their reliability. Integration mechanisms at each level and the contribution of implicit to explicit SoA remain underspecified. In a task of movements with visual outcomes, we tested the effect of social context (contextual cue) and sensory prediction congruency (retrospective sensorimotor cue) over implicit (intentional binding) and explicit (verbal judgments) SoA. Our results suggest that prospective sensorimotor cues determine implicit SoA. At the explicit level, retrospective sensorimotor cues and contextual cues are partly integrated in an additive way, but contextual cues can also act as a heuristic if sensorimotor cues are highly unreliable. We also found no significant association between implicit and explicit SoA.     

Double dissociation between implicit and explicit affiliative motives: A closer look at socializing behavior in dyadic interactions

In the present research, we followed two objectives. First, we aimed to replicate the classic finding by McAdams, Jackson, and Kirshnit (1984) that strong implicit affiliative motives predict high levels of nonverbal socializing behavior (eye contact, laughing, smiling) in dyadic interactions with an unacquainted person. Second, we applied a dual-motives perspective and hypothesized a double dissociation between implicit and explicit motives. Whereas implicit motives were supposed to predict nonverbal socializing, the corresponding explicit motives were supposed to predict verbal socializing (i.e., self-disclosure). Using observational data from 123 university students in ostensibly casual conversations, the findings by McAdams et al. were replicated, and the double-dissociation hypothesis was confirmed. These results corroborate dual-motives theory in the domain of affiliative motivation.     

Dream actors in the theatre of memory: Their role in the psychoanalytic process2

The author notes that neuropsychological research has discovered the existence of two long‐term memory systems, namely declarative or explicit memory, which is conscious and autobiographical, and non‐declarative or implicit memory, which is neither conscious nor verbalisable. It is suggested that pre‐verbal and pre‐symbolic experience in the child's primary relations is stored in implicit memory, where it constitutes an unconscious nucleus of the self which is not repressed and which influences the person's affective, emotional, cognitive and sexual life even as an adult. In the analytic relationship this unconscious part can emerge essentially through certain modes of communication (tone of voice, rhythm and prosody of the voice, and structure and tempo of speech), which could be called the ‘musical dimension’ of the transference, and through dream representations. Besides work on the transference, the critical component of the therapeutic action of psychoanalysis is stated to consist in work on dreams as pictographic and symbolic representations of implicit pre‐symbolic and pre‐verbal experiences. A case history is presented in which dream interpretation allowed some of a patient's early unconscious, non‐repressed experiences to be emotionally reconstructed and made thinkable even though they were not actually remembered.     

Commentary on Paper by Ellen F. Fries

In Perchance to Sleep: Minding the Unworded Body in Psychoanalysis, Ellen F. Fries masterfully articulates the complexities of right-brain to right-brain, body-to-body interactions between herself and her patient. Her work highlights the dominance of the nonverbal implicit self over the verbal, explicit self and provides an excellent example of clinical work in which she thoughtfully attends to the unspoken, bodily based communication that takes place within the therapeutic dyad. In this discussion, I offer perspectives from Sensorimotor Psychotherapy on the impact of early attachment on the procedural organization of action sequences that reflect and sustain the implicit self, and embody unconscious relational expectations. The following topics are addressed: (a) Physical actions that provide avenues of exploration into the implicit self, especially actions such as reaching out, making eye contact, or maintaining an upright posture that are abandoned or distorted when they are ineffective in eliciting the desired response from attachment figures; (b) Body-oriented interventions that target the involuntary physical spasms that Fries' patient experiences, which are associated with unresolved physiological arousal originally stimulated in the face of trauma; and (c) The nonverbal manifestation and negotiation of enactments that emerge from the body-to-body dialogue between the implicit selves of patient and therapist.     

Perchance to Sleep: Minding the Unworded Body in Psychoanalysis

In contemporary relational psychoanalysis, influenced by developmental/attachment theories, infant research, and neurobiology, the effectiveness and transformational potential of “the talking cure” can be thought of as, at times, located in areas of nonverbal engagement. It has become increasingly evident that human experience is born in the body and structured in body-based memory that informs us of what we “know in our gut” and contributes to our relating as embodied beings—experiences that as psychoanalysts we cannot or need not necessarily translate directly into declarative discourse. A detailed case presentation from work with a patient suffering from a severe sleep disorder and other forms of bodily dysregulation will be offered to illustrate and explore the affectively meaningful engagement between patient and analyst of somatically encoded, presymbolic memory within the context of a symbolically rich, verbal treatment relationship.     

Implicit and explicit prejudice and interracial interaction.

The present research examined how implicit racial associations and explicit racial attitudes of Whites relate to behaviors and impressions in interracial interactions. Specifically, the authors examined how response latency and self-report measures predicted bias and perceptions of bias in verbal and nonverbal behavior exhibited by Whites while they interacted with a Black partner. As predicted, Whites' self-reported racial attitudes significantly predicted bias in their verbal behavior to Black relative to White confederates. Furthermore, these explicit attitudes predicted how much friendlier Whites felt that they behaved toward White than Black partners. In contrast, the response latency measure significantly predicted Whites' nonverbal friendliness and the extent to which the confederates and observers perceived bias in the participants' friendliness.     

Louis Sander and Contemporary Psychoanalysis: Nonlinear Dynamic Systems,Developmental Research,Clinical Process and the Search for Core Principles

ABSTRACT

Louis Sander’s cutting-edge approach drew on infant observation research; nonlinear dynamic systems theories; and current biology, physics, and other hard sciences. From this vantage point, he rethought the psychoanalytic approach to psychic structure, motivation, and therapeutic action. He opened a window for a broad and inclusive relational metapsychology of the highest order, updating Freud’s project of linking psychoanalysis with scientific paradigms. Sander emphasized the dynamic relationships between elements in systems, innovating in both method and content. This article offers an account of Sander’s broad and deep integration of psychoanalysis and developmental research.     

Stern on “Self”

ABSTRACT

Self is a notion of common-sense psychology that several schools of psychoanalysis have built into their theories. Stern explores and expands its meaning, tracing its development back to birth and even earlier, and outlining how the psychological development of the preverbal infant contributes to its evolution. In the process, Stern discusses two perspectives on preverbal infant psychology—that of the observational empiricist developmental psychologist, and that of the reconstructing psychoanalytic clinician working from the subjective experience of adult patients, and what each might contribute to the other. His thinking suggests the importance of nonverbal models of infant (and, eventually, adult) subjective experience.     

Is there a nonverbal period of development?

That the infant lives in a nonverbal sensorimotor world is widely believed. Yet this notion is being challenged by research, in a range of fields, that depicts the young infant as actively attuned to aural speech from birth and able to process and use its sounds and meanings well before the end of the first year. Following a selective review of the research on infant speech processing between birth and age twelve months, three questions are identified that highlight the theoretical and clinical implications of this research for psychoanalytic conceptualizations of infancy, the nature of language, and clinical process. The research, it is concluded, identifies the operation of linguistic and conceptual processes in early life, processes that may intersect with the experiential and emotional processes with which psychoanalysis is already concerned. Moreover, this research raises questions about the view that the nature of infancy is essentially nonverbal.     

The effects of concurrent verbal and visual tasks on category learning

Current theories of category learning posit separate verbal and nonverbal learning systems. Past research suggests that the verbal system relies on verbal working memory and executive functioning and learns rule-defined categories; the nonverbal system does not rely on verbal working memory and learns non-rule-defined categories (E. M. Waldron & F. G. Ashby, 2001; D. Zeithamova & W. T. Maddox, 2006). However, relatively little research has explored the importance of visual working memory or visual processing for either system. The authors investigated the role of working memory (Experiment 1a and 1b), visual processing (Experiment 2), and executive functioning for each system, using a concurrent task methodology. It was found that visual tasks with high executive functioning demands and verbal tasks with high or low executive demands disrupted rule-defined learning, whereas any visual task, regardless of executive functioning demand, disrupted non-rule-defined learning. Taken together, these results confirm the importance of verbal working memory and executive functioning for the verbal system and provide new evidence for the importance of visual processing for the nonverbal system. These results help to clarify understanding of the nonverbal system and have implications for multiple systems theories of category learning (F. G. Ashby, L. A. Alfonso-Reese, A. U. Turken, & E. M. Waldron, 1998).     

The Expanding World of Edward Tronick

Edward Tronick operates at the interface of empirical analysis of mother–infant communication, systems theories, and psychoanalysis. He has been a leader in the articulation of the implications of systems views for child development research. Systems views of mother–infant interaction, and of development more broadly, increasingly provide one theoretical underpinning for psychoanalysis. His work has enriched our understanding of interactive models of the dyad, of development, and of the mind. He has made a pivotal contribution to the development of a relational systems approach to infant research and its implications for adult treatment.     

Implicit learning as an ability

The ability to automatically and implicitly detect complex and noisy regularities in the environment is a fundamental aspect of human cognition. Despite considerable interest in implicit processes, few researchers have conceptualized implicit learning as an ability with meaningful individual differences. Instead, various researchers (e.g., Reber, 1993; Stanovich, 2009) have suggested that individual differences in implicit learning are minimal relative to individual differences in explicit learning. In the current study of English 16–17 year old students, we investigated the association of individual differences in implicit learning with a variety of cognitive and personality variables. Consistent with prior research and theorizing, implicit learning, as measured by a probabilistic sequence learning task, was more weakly related to psychometric intelligence than was explicit associative learning, and was unrelated to working memory. Structural equation modeling revealed that implicit learning was independently related to two components of psychometric intelligence: verbal analogical reasoning and processing speed. Implicit learning was also independently related to academic performance on two foreign language exams (French, German). Further, implicit learning was significantly associated with aspects of self-reported personality, including intuition, Openness to Experience, and impulsivity. We discuss the implications of implicit learning as an ability for dual-process theories of cognition, intelligence, personality, skill learning, complex cognition, and language acquisition.