Human beings develop in connected relationships, commencing with the touch, gaze, voice and affective tone of the proto-conversation and the sequencing of activities that tend to care, safety, comfort and play, extending to the therapeutic context where psychotherapy is the base for a healing relationship that fosters post-traumatic transformation, often mutual. Connectivity is constructed at every level of the individual and interpersonal systems: neurons fire and wire together, autonomic nervous systems are in conversation and the “soft wiring” and intrapersonal connections slowly unfold.
Languages of words and music and gesture develop and weave through our relational life, becoming connected with our inner voice and musings, tracking the trajectory of our development: the joy of companionship, the pride of achievement and the vicissitudes of trauma and loss. Parent-infant and attachment research has something to offer in operationalizing the individual and dyadic state and their change over time in our psychotherapeutic conversations.
This talk aims to illustrate the utility of the CARE-Index, examining the music and dance of dyads, and the Adult Attachment Interview, scored via linguistic markers to reveal attachment states of mind and markers of reflective functioning, in assessing the therapeutic interchange and the resolution of trauma in our ongoing process of formulation, reformulation and reformation. These approaches will be outlined and then applied to an adult psychotherapy context, taking examples from earlier and later sessional material (used with permission) to demonstrate change. These ways of evaluating the music and the dance of self and dyad are helpful to the therapist seeking to reflectively track process and change and foster transformation.