Interactional synchrony and negative symptoms: An outcome study of body-oriented psychotherapy for schizophrenia

Galbusera, Laura; Finn, Michael T. M.; Fuchs, Thomas

doi:10.1080/10503307.2016.1216624

Cited by 49 publications

(39 citation statements)

References 59 publications

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“…This resonates with Andersen's () sensing, knowing, and acting , where great importance was placed on the sensing process. In much the same way as proposed by Galbusera and Fuchs (), change (and the increase in reflectivity) in this example of couple therapy was achieved through a focus on embodiment. Embodied reactions to psychological IPV both during and outside the therapy sessions would appear to be very important sources of information about the effects of psychological IPV at the individual and the relational level.…”

Section: Discussionmentioning

confidence: 53%

“…On the relation of embodiment to reflectivity and reflective practices, research has shown that embodiment can be understood as a predecessor of both. As Galbusera and Fuchs () point out, we can access another's mind through embodied and primary direct ways. The present results show that important information was gained by focusing on embodiment: the therapists responded to their own and their clients' embodied reactions.…”

Section: Discussionmentioning

confidence: 99%

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Embodiment and reflective practices: conjoint therapy for psychological intimate partner violence

Vall

Seikkula

Laitila

et al. 2016

Journal of Family Therapy

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The idea of meta‐dialogue has evolved over the past twenty years. The study reported here focuses on meta‐dialogue, analysing the importance of reflective practices for thoughtfulness and embodiment in couple therapy for psychological Intimate Partner Violence (IPV). The study also sought to determine whether, in a case of psychological IPV, reflective practices helped the couple to acquire a new, shared understanding of violence. The results showed that the use of both meta‐dialogue and of a reflective team was related to clients' use of the reflexive mode. Moreover, embodiment could be understood as a precursor of reflectivity and reflective practices. Finally, the results indicated that it was possible to discuss the issue of violence through the use of meta‐dialogue, and that, through the therapists' reflective dialogue, the clients were able to reflect on their own relational patterns. The importance of meta‐dialogue and embodiment for conjoint therapy in psychological IPV is discussed. Practitioner points Meta‐dialogue is present in therapy as: (a) reflective practices (therapists' strategies to promote a reflective stance); and (b) reflectivity (i.e. action of reflecting) Consider the importance of therapist sensitivity to embodiment in conjoint therapy for IPV in helping to reflect on what is happening in therapy, thus promoting use of meta‐dialogue

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Section: Discussionmentioning

confidence: 53%

Section: Discussionmentioning

confidence: 99%

Embodiment and reflective practices: conjoint therapy for psychological intimate partner violence

Vall

Seikkula

Laitila

et al. 2016

Journal of Family Therapy

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“…This study was implemented at the Clinic for General Psychiatry of the University of Heidelberg, with the approval of the ethical committee of the medical faculty. It is contextualized within a larger multicentre clinical trial on the efficacy of BPT and constitutes a qualitative complementation of the quantitative studies conducted within this framework (Martin et al, 2016;Galbusera et al, 2016).…”

Section: Methodsmentioning

confidence: 99%

“…In a comparison with other clinical trials, Röricht and Priebe (2006) have found that manualized BPT improved negative symptoms (mean reduction of 20-25%) better than atypical antipsychotic (mean reduction of 3-15%). Beyond the symptomatic improvement, a recent study has also shown that BPT improves patients' pre-reflective social relations, which were behaviourally assessed with interactional bodily synchrony measures (Galbusera, Finn & Fuchs, 2016).…”

Section: Investigating the Process Of Therapeutic Changementioning

confidence: 99%

Towards the recovery of a sense of self: An interpretative phenomenological analysis of patients’ experience of body-oriented psychotherapy for schizophrenia

Galbusera

Fellin

Fuchs

2017

Psychotherapy Research

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We discuss the clinical implications for each theme and bring the findings together by describing therapeutic change in schizophrenia as a recovery of sense of self at different but interlocked levels. Moreover, we put forward recommendations for both specific and common factors for schizophrenia therapy. Clinical or methodological significance of this article: The clinical significance of this study is twofold. On the one hand, the findings of this analysis might inform the theory and practice of BPT and might directly feedback into a further development of the manual guidelines. On the other hand, common helpful factors have been identified thatmight also be relevant for the more general clinical practice concerning patients with schizophrenia. Here, we summarize our key messages for the clinical practitioner emerging from the findings: The inclusion of bodily aspects and a focus on pre-reflective experience in psychotherapy can help persons with schizophrenia recover the sense of being a body-mind unity. Empowering persons with schizophrenia, instead of instructing them, seems to foster a sense of agency and self-confidence, which are crucial to the recovery process. A twofold therapeutic stance characterized by openness towards the other and authenticity was experienced by patients as facilitating the rapport building. This might help persons with schizophrenia engage in the relation. Social inclusion might enhance therapeutic change and recovery in schizophrenia. Group therapy might be helpful for fostering a feeling of social belonging, but the inclusion in the wider social and community context remains a critical issue. The experience of joyful moments in psychotherapy might positively contribute to therapeutic change in that it fosters a sense of hope for the future. Overall our paper contributes to the literature aiming at expanding the range of therapeutic modalities, focussing on the creation and use of mixed models of therapy within and beyond talking practices.

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“…One possibility is that the lost individual becomes abnormally entrained with the others' movements, which should be reflected in significantly increased nonverbal interpersonal synchrony. Nevertheless, the experimental consensus is that there is a notable decrease in motion synchrony, at least in individuals who are stabilized and who are typically medicated (Galbusera, Finn, & Fuchs, 2018;Kupper, Ramseyer, Hoffmann, & Tschacher, 2015). It would be interesting to investigate whether there is abnormal interpersonal synchrony at the level of brain and physiological activity.…”

Section: Lost In the Socially Extended Mindmentioning

confidence: 99%

Lost in the socially extended mind: Genuine intersubjectivity and disturbed self-other demarcation in schizophrenia

Froese¹,

Krueger²

2020

Preprint

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Much of the characteristic symptomatology of schizophrenia can be understood as resulting from a pervasive sense of disembodiment. The body is experienced as an external machine that needs to be controlled with explicit intentional commands, which in turn leads to severe difficulties in interacting with the world in a fluid and intuitive manner. In consequence, there is a characteristic dissociality: Others become problems to be solved by intellectual effort and no longer present opportunities for spontaneous interpersonal alignment. This dissociality goes hand in hand with a progressive loss of the socially extended mind, which normally affords opportunities for co-regulation of cognitive and affective processes. However, at times people with schizophrenia report that they are confronted by the opposite of this dissociality, namely an unusual fluidity of the self-other boundary as expressed in experiences of ambiguous body boundaries, intrusions, and even merging with others. Here the person has not lost access to the socially extended mind but has instead become lost in it, possibly due to a weakened sense of self. We argue that this neglected aspect of schizophrenic social dysfunction can be usefully approached via the concept of genuine intersubjectivity: We normally participate in a shared experience with another person by implicitly co-regulating how our interaction unfolds. This co-regulation integrates our respective experience’s dynamical bases into one interpersonal process and gives the interaction an ambiguous second-person character. The upshot is that reports of abnormal self-other fluidity are not indicative of hallucinations without any basis in reality, but of a heightened sensitivity and vulnerability to processes of interpersonal alignment and mutual incorporation that form the normal basis of social life. We conclude by discussing implications of this view for both the science of consciousness as well as approaches to intervention and therapy.

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Interactional synchrony and negative symptoms: An outcome study of body-oriented psychotherapy for schizophrenia

Cited by 49 publications

References 59 publications

Embodiment and reflective practices: conjoint therapy for psychological intimate partner violence

Embodiment and reflective practices: conjoint therapy for psychological intimate partner violence

Towards the recovery of a sense of self: An interpretative phenomenological analysis of patients’ experience of body-oriented psychotherapy for schizophrenia

Lost in the socially extended mind: Genuine intersubjectivity and disturbed self-other demarcation in schizophrenia

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