'Feeling for' and 'feeling with': developmental and neuroscientific perspectives on intersubjectivity and empathy.

This paper discusses research by Beatrice Beebe, Bessel van der Kolk and others, exploring the interpersonal processes that underpin early relational trauma and how this contributes to adult psychopathology. An essential feature of early relational trauma, the infant's experience of being unable to evoke an empathic response from the caregiver and the feelings of shame this gives rise to, is discussed and its implications for psychotherapy are considered. The neuroscience that underpins two forms of empathy in the therapeutic relationship, of 'feeling for' and 'feeling with' the patient is discussed and explored in relation to the concordant and complementary countertransference.

Mirror neurons and embodied simulation in the development of archetypes and self-agency.

In this paper I explore the role of mirror neurons and motor intentionality in the development of self-agency. I suggest that this will also give us a firmer basis for an emergent view of archetypes, as key components in the development trajectory of self-agency, from its foundation in bodily action to its mature expression in mentalization and a conscious awareness of intentionality. I offer some ideas about the implications of these issues of self-agency for our clinical work with patients whose developmental trajectory of self-agency has been partially inhibited, so that their communications have a coercive effect.

When words do not mean what they say. Self-agency and the coercive use of language.

This paper explores the relationship between language and the development of self-agency. I suggest that a child discovers that he or she actually exists as a person with a mind and desires through the mirroring response he or she creates in the parent. This developmental stage of 'teleological' level of self-agency is related to Terrence Deacon's concept of indexical communication.

The fear of love: the denial of self in relationship.

This paper explores the fear of love and relationship which develops when a child has experienced parents who cannot tolerate emotional separation and so attempt to retain perfect contingency with their infant, long after the infant needs to begin to separate and individuate. The child is a 'self-object' for the parents, who depend on the responses of others, including their own child, to maintain a sense of their own identity. The impact of this demand for 'reverse parenting' on the child's development is explored and clinical work with an adult patient whose history reflects this process is described.

Sex, shame and the transcendent function: the function of fantasy in self development.

This paper explores a developmental approach to the sense of self-agency and to its influence on conscious and unconscious fantasy. I suggest that the emerging sense of self-agency offers an over-arching framework for our understanding of the nature and function of fantasy. In this context, intrusive and compulsive sexual fantasies which a person experiences as perverted and shameful, can be seen to serve differing psychic purposes, depending on the level of self-agency which is predominant.

From archetypes to reflective function.

This paper challenges the view that mental contents can be innate and offers instead a developmental model in which mental contents emerge from the interaction of genes, brain and environment. Some key steps on this developmental pathway are traced, such as the formation of image schemas. The processes by which mental contents are evaluated and organized are described, notably those of perceptual analysis, representational re-description and appraisal.

Trauma and defences: their roots in relationship. An overview.

In this paper the differing psychodynamic models of defences are outlined and compared with an attachment theory perspective in which affect regulation plays a central role. Behavioural and intrapsychic distance regulation (defensive exclusion) are seen as the main strategies for affect regulation and are the manifestations of the habitual pattern of emotional regulation in the relationship between the child and the primary caregiver. A new perspective on unconscious fantasy is offered, in which fantasies are seen to be actively created as defensive narratives to protect the development of healthy narcissism and to become integrated into a person's internal working models.