The Therapist as Psychobiological Regulator: Dissociation, Affect Attunement and Clinical Process
- Susan Gill
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Dissociation is defined as a protective coping mechanism employed on a broad spectrum: from day-to-day “spacing out” to psychic numbing to multiplicity. A convergence of recent insights in traumatology, neuroscience, and developmental theory is reviewed. These findings all point to the importance of affect regulation in infant and child development and in the therapeutic relationship, where attunement to implicit communication is crucial. Using such relational and intersubjective organizing principles as the concept of enactment and Beebe and Lachmann’s (Infant research and adult treatment: Co-constructing interactions 2002) “three principles of salience,” I discuss an analytic case in which dissociation is a central dynamic.
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- The Therapist as Psychobiological Regulator: Dissociation, Affect Attunement and Clinical Process
Clinical Social Work Journal
Volume 38, Issue 3 , pp 260-268
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Affect regulation
- Susan Gill (1) (2) (3)
- Author Affiliations
- 1. Psychoanalytic Institute, Postgraduate Center for Mental Health, New York, NY, USA
- 2. Psychoanalytic Psychotherapy Study Center, New York, NY, USA
- 3. 24 East 12th Street, Suite 401, New York, NY, 10003, USA