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First published online March 18, 2021

Participatory Sense-Making in Therapeutic Interventions

Abstract

Given the holistic and phenomenological character of Gestalt therapy, the body has a primordial role in enhancing the here and now experience of the client. In order to examine the role of embodiment in therapeutic interventions more closely, this article applies Merleau-Ponty’s phenomenology of corporeality and its development in the embodied and enactive cognitive sciences to the study of therapeutic interventions. Taking Merleau-Ponty’s theory of Fundierung as starting point, the article describes the enactive idea of sense-making as the movement from prereflective to reflective consciousness, a movement that is driven by the primordial valence of affectivity and e-motion. As a process of participatory sense-making, mutual regulation between therapist and client can happen at different levels of consciousness. Here, in addition to the well-known declarative (reflective level) and resonance-based (prereflective level) interventions, I will focus on interventions that operate between levels which constitute a genuine modality of embodied therapeutic interventions. I introduce the notion of cross-salience as the prefigurative participation of the therapist’s reflective consciousness in the client’s sense-making process. I will illustrate this idea by the analysis of an intervention extracted from Fritz Perls’ work Gestalt Therapy Verbatim.

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References

Beja V. (2016). Healing perception: An application of the philosophy of Merleau-Ponty to the theoretical structures of dialogic psychotherapy. https://www.jstor.org/stable/10.5325/gestaltreview.20.1.0087
Benjamin J. (1988/2013). The bonds of love: Psychoanalysis, feminism, and the problem of domination. Pantheon.
Bloom D. (2009). The phenomenological method of Gestalt therapy: Revisiting Husserl to discover the “Essence” of Gestalt therapy. Gestalt Review, 13(3), 277-295. https://doi.org/10.5325/gestaltreview.13.3.0277
Bohart A. C., Greenberg L. S. (1997). Empathy reconsidered: New directions in psychotherapy. American Psychological Association.
Candiotto L. (2016). Extended affectivity as the cognition of primary intersubjectivity. Phenomenology and Mind, 11, 232-241. https://doi.org/10.13128/Phe_Mi-20122
Colombetti G. (2014). The feeling body: Affective science meets the enactive mind. MIT press.
Crocker S. F. (2017). The phenomenological method in Husserl and in Gestalt therapy. Gestalt Review, 21(2), 123-141.
Daly A. (2016). Primary intersubjectivity: Affective reversibility, empathy and the primordial “We.” In Daly A. (Ed.), Merleau-Ponty and the ethics of intersubjectivity (pp. 223-248). Palgrave Macmillan.
Day E. (2016). Field attunement for a strong therapeutic alliance: A perspective from relational Gestalt psychotherapy. Journal of Humanistic Psychology, 56(1), 77-94. https://doi.org/10.1177/0022167815569534
de Bruin L, de Haan S. (2009). Enactivism and social cognition: In search of the whole story. Cognitive Semiotics, 4(1), 225-250. https://doi.org/10.1515/cogsem.2012.4.1.225
De Jaegher H., Di Paolo E. (2007). Participatory sense-making. Phenomenology and the Cognitive Sciences, 6(4), 485-507. https://doi.org/10.1007/s11097-007-9076-9
De Jaegher H., Di Paolo E., Gallagher S. (2010). Can social interaction constitute social cognition? Trends in Cognitive Sciences, 14(10), 441-447. https://doi.org/10.1016/j.tics.2010.06.009
De Jaegher H., Pieper B., Clénin D., Fuchs T. (2017). Grasping intersubjectivity: An invitation to embody social interaction research. Phenomenology and the Cognitive Sciences, 16(3), 491-523. https://doi.org/10.1007/s11097-016-9469-8
Di Paolo E. (2013). El enactivismo y la naturalización de la mente [Enactivism and the naturalization of the mind]. In Chico D., Bedia M. (Eds.), Nueva ciencia cognitiva: Hacia una teoría integral de la mente. Plaza Y Valdes Editores. https://ezequieldipaolo.files.wordpress.com/2011/10/enactivismo_e2.pdf
Di Paolo E. (2015). Interactive time-travel: On the intersubjective retro-modulation of intentions. Journal of Consciousness Studies, 22(1-2), 49-74.
Di Paolo E. A., Cuffari E. C., De Jaegher H. (2018). Linguistic bodies: The continuity between life and language. MIT Press.
Dreyfus H. L. (2002). Intelligence without representation—Merleau-Ponty’s critique of mental representation: The relevance of phenomenology to scientific explanation. Phenomenology and the Cognitive Sciences, 1(4), 367-383. https://doi.org/10.1023/A:1021351606209
Farrands R. (2010). A poetics of practice: Organization consulting from a Gestalt perspective. Gestalt Review, 14(3), 275-300.
Feldenkrais M. (1972). Awareness through movement (Vol. 1977). Harper & Row.
Frank R. (2013). Body of awareness: A somatic and developmental approach to psychotherapy. Gestalt Press.
Frank R., La Barre F. (2011). The first year of the rest of your life: Movement, development, and psychotherapeutic change. Routledge.
Fuchs T. (2016). Intercorporeality and interaffectivity. In Intercorporeality: Emerging socialities in interaction (pp. 194-209). Oxfor University Press. https://doi.org/10.1093/acprof:oso/9780190210465.003.0001
Fuchs T. (2017). Levels of empathy–primary, extended, and reiterated empathy. In Empathy (pp. 27-47). Palgrave Macmillan.
Fuchs T., De Jaegher H. (2009). Enactive intersubjectivity: Participatory sense-making and mutual incorporation. Phenomenology and the Cognitive Sciences, 8(4), 465-486. https://doi.org/10.1007/s11097-009-9136-4
Fuchs T., Koch S. C. (2014). Embodied affectivity: On moving and being moved. Frontiers in Psychology, 5, Article 508. https://doi.org/10.3389/fpsyg.2014.00508
Gallagher S. (2008). Direct perception in the intersubjective context. Consciousness and Cognition, 17(2), 535-543. https://doi.org/10.1016/j.concog.2008.03.003
Gallagher S., Zahavi D. (2013). The phenomenological mind. Routledge. https://doi.org/10.4324/9780203126752
Gangopadhyay N. (2014). Introduction: Embodiment and empathy, current debates in social cognition. Topoi, 33(1), 117-127. https://doi.org/10.1007/s11245-013-9199-2
Heidegger M. (1962). Being and time. Blackwell.
Herschbach M. (2008). Folk psychological and phenomenological accounts of social perception. Philosophical Explorations, 11(3), 223-235. https://doi.org/10.1080/13869790802239268
Hirose N. (2002). An ecological approach to embodiment and cognition. Cognitive Systems Research, 3(3), 289-299. https://doi.org/10.1016/S1389-0417(02)00044-X
Hölderlin F. (1998). Selected poems and fragments. Penguin. (Original work published 1804)
Hutto D. D., Myin E. (2012). Radicalizing enactivism: Basic minds without content. MIT Press.
Jensen T. W., Trasmundi S. B., Bloch M. S., Steffensen S. V. (2019). “You know it, how I feel, I mean you just did it:” The emergence of we-ness through re-enactment in psychotherapy. Cognitive Semiotics, 12(2). https://doi.org/10.1515/cogsem-2019-2017
Karpman S. (1968). Fairy tales and script drama analysis. Transactional Analysis Bulletin, 7(26), 39-43.
Kleinbub J. R. (2017). State of the art of interpersonal physiology in psychotherapy: A systematic review. Frontiers in Psychology, 8, Article 2053. https://doi.org/10.3389/fpsyg.2017.02053
Koffka K. (2013). Principles of Gestalt psychology. Routledge.
Köhler W. (1967). Gestalt psychology. Psychologische Forschung, 31(1), 18-30. https://doi.org/10.1007/BF00422382
Lyons-Ruth K., Bruschweiler-Stern N., Harrison A. M., Morgan A. C., Nahum J. P., Sander L., Stern D. N., Tronick E. Z. (1998). Implicit relational knowing: Its role in development and psychoanalytic treatment. Infant Mental Health Journal, 19(3), 282-289. https://doi.org/10.1002/(SICI)1097-0355(199823)19:3%3C282::AID-IMHJ3%3E3.0.CO;2-O
McConville M. (2014). Commentary I. Gestalt therapy, research, and phenomenology. Gestalt Review, 18(1), 23-31. https://doi.org/10.5325/gestaltreview.18.1.0023
Mehmel C.-A. (2019). Transformation through dialogue: Gadamer and the phenomenology of impaired intersubjectivity in depression. In The Bloomsbury companion to philosophy of psychiatry (pp. 155-174). https://doi.org/10.5040/9781350024090.ch-008
Merleau-Ponty M. (2012). Phenomenology of perception (Landers D. A., translator). Routledge. (Original work published 1945)
Müller-Granzotto M. J., Müller-Granzotto R. L. (2009). Fenomenología y terapía Gestalt [Gestalt phenomenology and therapy]. Cuatro Vientos.
Parlett M., Lee R. G. (2005). Contemporary gestalt therapy: Field theory. In Gestalt therapy: history, theory and practice (pp. 41-65). https://doi.org/10.4135/9781452225661.n3
Perls F. (1972). Gestalt therapy verbatim (3rd ed.). Bantam Books.
Perls F., Hefferline G., Goodman P. (1951). Gestalt therapy: Excitement and grow in the human personality. Gestalt Journal Press.
Plant N. J. (2018). Intersubjectivity, empathy and nonverbal interaction. Queen Mary University of London. http://qmro.qmul.ac.uk/xmlui/handle/123456789/39762
Rogers C. (2000). Person-centred therapy. In Nelson-Jones R. (Ed.), Six key approaches to counselling and therapy (pp. 98-141). Continuum.
Stern D. N. (2003). On the other side of the moon: The import of implicit knowledge for Gestalt therapy. In Lobb M. S., Amendt-Lyon N. (Eds.), Creative license: The art of Gestalt therapy (pp. 21-35). Springer.
Stern D. N., Bruschweiler-Stern N., Harrison A. M., Lyons-Ruth K., Morgan A. C., Nahum J. P., Sander L., Tronick E. Z. (1998). The process of therapeutic change involving implicit knowledge: Some implications of developmental observations for adult psychotherapy. Infant Mental Health Journal, 19(3), 300-308. https://doi.org/10.1002/(SICI)1097-0355(199823)19:3%3C300::AID-IMHJ5%3E3.0.CO;2-P
Thompson E. (2010). Mind in life: Biology, phenomenology, and the sciences of mind. Harvard University Press.
Tschacher W., Rees G. M., Ramseyer F. (2014). Nonverbal synchrony and affect in dyadic interactions. Frontiers in Psychology, 5, Article 1323. https://doi.org/10.3389/fpsyg.2014.01323
Vanaerschot G. (1997). Empathic resonance as a source for experiencing-promoting intervening. In Bohart A. C., Greenberg L. S. (Eds.), Empathy reconsidered: New directions in psychotherapy (pp. 141-165). American Psychological Association.
Varela F. J. (1999). The specious present: A neurophenomenology of time consciousness. In Petitot J., Varela F. J., Pachoud B., Roy J.-M. (Eds.), Writing science. Naturalizing phenomenology: Issues in contemporary phenomenology and cognitive science (pp. 266-314). Stanford University Press.
Varela F. J., Depraz N. (2005). At the source of time: Valence and the constitutional dynamics of affect. Journal of Consciousness Studies, 12(8), 61-81.
Varela F. J., Thompson E., Rosch E. (2017). The embodied mind: Cognitive science and human experience. MIT Press. (Original work published 1993)
Von Uexkull J. (2001). The new concept of Umwelt: A link between science and the humanities. Semiotica, 134(1/4), 111-123. https://doi.org/10.1515/semi.2001.018
Yontef G. M. (1979). Gestalt therapy: Clinical phenomenology. Gestalt Journal, 2(1), 27-45.
Zinker J. (1977). Creative process in Gestalt therapy. Brunner/Mazel.

Biographies

Enara García is a philosopher and cognitive scientist with background in Gestalt therapy. Currently she holds a predoctoral research possition at the IAS-Research Group, University of the Basque Country. She is also a member of the Spanish Gestalt Therapy Association (AETG).

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Article first published online: March 18, 2021

Keywords

  1. enactivism
  2. phenomenology
  3. empathy
  4. intersubjectivity
  5. Gestalt therapy

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Enara García
Department of Philosophy, University of the Basque Country, San Sebastian, Gipuzkoa, Spain

Notes

Enara García, Department of Philosophy, University of the Basque Country, Av. Tolosa 70, San Sebastián, Gipuzkoa 20018, Spain. Email: [email protected]

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