title: On deciphering the book of nature: human communication in psychotherapy.
abstract: The tools of contemporary applied mathematics reveal important hidden regularities amidst the ongoing interactive feedback phenomena occurring in interactional or dynamical systems in nature where everything affects everything else. Badalamenti and Langs investigate each therapy session as a continuous sequential emergence of interrelated communicative events (or communicative states) which meet the criteria of a dynamical system. Applying mathematical modeling the authors demonstrate how otherwise hidden regularities occurring between patients and therapists become accessible to us that are unavailable to our unaided powers of observation, intuition, and thought. This is a systems or population investigation of clinical interaction that begins in a qualitative or domain mode, but which opens immediately toward statistical and formal modes of discussion. It can lead to statements of properties and laws that meet the criteria of scientific dialogue and validity. It provides the clinician with guidelines for making interpretations and for assessing their immediate subsequent effect. It is distinguished from the essentialist approach at the foundation of traditional clinical thought which provides no access to such feedback phenomena and their properties. Communicative Psychoanalysts have adopted the systems perspective and are evolving a clinical language and treatment based upon its principles and discoveries.
authors.affiliation: Department of Psychiatry, University of California School of Medicine, San Francisco.
authors.forename: W B
authors.initials: WB
authors.lastname: Goodheart
mesh_terms: D003142:Communication; D005260:Female; D006801:Humans; D008297:Male; D008960:Models, Psychological; D011369:Professional-Patient Relations; D011575:Psychoanalytic Therapy; D011613:Psychotherapy