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Embodied simulation, body language, and symbolization: understanding somatic symptoms in psychoanalysis
Elena Markova1, Gabriel Enache2
1Moscow Institute of Psychoanalysis, Moscow, Russia.
Psychoanalytic therapy increasingly recognizes the role of body language and embodied simulation in treating somatic symptoms, especially when verbal communication fails. This research highlights how failures in mentalization and symbolization manifest somatically, with AI lacking the embodied resonance crucial for therapeutic progress.
Area of Science:
- Psychology
- Psychotherapy
- Neuroscience
Background:
- Classical psychoanalysis emphasized verbal communication ('talking cure').
- Contemporary research highlights embodied simulation and non-verbal communication in psychotherapy.
- Somatic symptoms can arise from failures in symbolization, particularly when verbal expression is limited.
Purpose of the Study:
- To explore the interplay between early development, mentalization, language acquisition, and somatic disorders.
- To examine transference-countertransference interactions as a lens for understanding failures in symbolization.
- To investigate the role of embodied simulation and intercorporeality in therapeutic communication.
Main Methods:
- Phenomenological observation of interbody communication in psychotherapy.
- Integration of theories on intersubjectivity, embodied simulation, and interbrain synchronization.
- Analysis of clinical vignettes illustrating symbolization failure and embodied countertransference.
- Comparison of human-AI interaction with therapeutic intercorporeality.
Main Results:
- Somatic symptoms emerge when mentalization fails, leading to concrete enactments.
- Embodied countertransference in therapists may indicate pathological intersubjective resonance.
- AI, lacking bodily resonance, cannot replicate therapeutic processes reliant on embodied simulation.
- Symbolization failure manifests as bodily distress and intercorporeal communication challenges.
Conclusions:
- Therapeutic communication involves pre-verbal, intercorporeal dimensions crucial for processing somatic symptoms.
- Failures in mentalization and symbolization have neurobiological underpinnings related to intersubjective resonance.
- AI technologies cannot replace the embodied, intersubjective aspects of human therapeutic relationships.
- Understanding embodied communication is vital for psychoanalytic practice and highlights risks associated with AI in therapy.
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