Dales Shelley, Jerry Paul
Vancouver Art Therapy Institute, Canada.
Am J Psychother. 2008;62(3):283-312. doi: 10.1176/appi.psychotherapy.2008.62.3.283.
This paper examines attachment theory in the context of the biology of affect regulation and the convergence of these in psychotherapeutic processes. Because of recent advances in understanding how the infant brain/mind/body is shaped by the infant's first social experiences, the purpose of this investigation is to extract those underlying mechanisms that expand adaptive and regulatory capacities and to review their application within the therapeutic relationship. Interdisciplinary advances are indicating that just as the infant-mother relationship is fundamentally a psychobiological dyadic system of emotional communication and affect regulation, this same system underlies the essential mechanisms that adaptively sustain subsequent relationships-including the therapeutic alliance. This review highlights the importance of right-hemisphere-to-right-hemisphere emotional and relational processes-moving away from the traditional emphasis on "left-brain" verbal and cognitive processes-thereby underscoring the necessity for therapist understanding of implicit, nonverbal communication as well as self-integration and awareness in order to help increase their client's capacity for the same. We propose a model of therapeutic communication that takes these factors into account for the therapist, the client and the relationship.
本文在情感调节生物学背景下审视依恋理论，并探讨这些理论在心理治疗过程中的融合。鉴于近期在理解婴儿的首次社会经历如何塑造其大脑/心智/身体方面取得的进展，本研究旨在提取那些能够扩展适应性和调节能力的潜在机制，并审视它们在治疗关系中的应用。跨学科研究进展表明，正如婴儿与母亲的关系本质上是一个情感沟通和情感调节的心理生物学二元系统一样，这个相同的系统也是适应性地维系后续关系（包括治疗联盟）的基本机制的基础。本综述强调了右半球与右半球之间情感和关系过程的重要性——摒弃了传统上对“左脑”言语和认知过程的强调——从而凸显了治疗师理解隐性非言语沟通以及自我整合和自我意识的必要性，以便帮助提高其来访者的同样能力。我们提出了一个治疗沟通模型，该模型为治疗师、来访者及治疗关系考虑了这些因素。
