Reply to Commentary

In my reply to Dr. Philip Ringstrom, I acknowledge our mutual understanding of some of the impasses that we face in working with couples, particularly those whom Ringstrom describes as reflecting characteristics of “mutual inductive identification.” I reemphasize the role of the implicit domain in these and further elaborate ideas about why couples presenting in this way are so difficult to impact. These include the ways in which the brain is organized around prediction and problems in the ability to metacommunicate. I then discuss some clinical interventions to address this.