Descriptive research has demonstrated that infants are born intentional and sociable, with abilities for both self-regulation of mental state and intimate communication in affect attunement. They are highly sensitive to non-contingent or depressed or antagonistic responses. Advances in the development of confidence and confiding in acts of meaning with known companions are regulated by expressions of self-conscious pride and shame. Rhythmic movements of ‘communicative musicality’ convey messages of changing vital state in playful sympathy with other persons. The child shares purposes and interests with expression of aesthetic and moral emotions. Before speech is mastered, talents for playfulness and sociability, and for cooperative awareness of practical tasks, grow in narratives of creative well-being that hope to build rituals of a secure proto-habitus. These findings of primary emotional consciousness can support non-verbal therapies, and bring attention to the intersubjective foundations of verbal/cognitive therapies for older clients with their more complex concerns.
Awareness of trauma to children was first codified as the “battered baby syndrome” by Henry Kempe in 1962. While Accident & Emergency Departments, paediatricians and social workers remain alert to these presentations, it seems that child sexual abuse and the range of emotional abuse particularly in disorders of Attachment, have come to the fore in psychotherapy. The sequelae of physical abuse are not always highlighted in the discussions of Complex Trauma but occur, as expected, often in association with other forms of abuse.
Evolutionary change can now be studied at extraordinary scales; and these scales involve increasing evidence of semiotic (or sign based) expansion in telodynamic systems – systems which appear oriented to goals and even to self-correction (Shapiro 2011; Deacon 2012). Here I wish to explore how the emergence of the human self can be understood as an expansion of meaning potential, in particular, as a product of a ‘strategy’ of doubling and differentiation. My argument reviews the role of semiotic behaviour from bacteria to the collective consciousness that underpins human language. I further argue that the ‘stages’ of differentiation – e.g.. head to tail; top vs. underneath; right to left symmetry; hemispheric brains – all employ a double with differentiated function.
Therapy requires the patient and therapist to be in a mutually aware relationship. An underlying characteristic of this relationship is that both parties aim towards ‘feeling felt’. The human necessity for ‘feeling felt’ is at the very beginning of the human journey. In a sensitive caregiver-infant relationship the infant and caregiver ‘take in’ the other’s inner state through giving their awareness purposefully to the other’s communicative gestures. This ‘taking in’ is confirmed moment-by-moment through the ‘giving back’ (mirroring) of these gestures. But for the relationship to be alive, in the giving back there must also be the addition of the other person’s inner state. In adulthood this intersubjectively shaped storytelling, created through gestures and words, characterises the space where trauma can be healed in relationship.
Suicide is a major risk in Australia. In 2007, 1,881 people died by suicide. People bereaved by suicide must construct personal meaning about the death, decode the intentions of the deceased and receive and process a range of attitudes and beliefs about suicide from their social networks, from the supportive to the stigmatising.
In our work as therapists we constantly seek to develop our patients’ capacity for relatedness. Spiritual seeking in its purest forms is the pursuit of levels of development beyond the aims of most psychotherapy patients, but is understandable as a profound extension of this capacity in relation to both humanity and the divine.
This presentation, "Responding to the needs of consumers with complex trauma histories a consumer perspective" focuses on the needs of adult survivors of child abuse, highlighting the frequent