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Neurobiology and the Therapeutic Action of Psychoanalytic Play Therapy with Children

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Abstract

This paper presents neurobiological aspects of the therapeutic action of psychoanalytic play therapy. The author contends that play integrates diverse modes of neural processing because of its inherently enactive and verbal nature. Admixtures of new and familiar self/other configurations emerge, simultaneously shaping and fostering integration of procedural and declarative modes of experience. Complex self-other configurations develop in play therapy because of its intrinsic integration of multiple experiential modes. The paper includes an illustration of play treatment with a boy who presented with a disorganized attachment pattern, an attendant deficit in affect regulation, and who manifested frank psychotic symptomatology.

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References

  • Altman, N., Briggs, R., Frankel, J., Gensler, D., & Pantone, P. (2002). Relational child psychotherapy. New York: Other Press.

    Google Scholar 

  • Aron, L. (1996). A meeting of minds: Mutuality in psychoanalysis. Hillsdale, NJ: The Analytic Press.

    Google Scholar 

  • Banich, M. T. (2004). Cognitive neuroscience and neuropsychology. Boston: Houghton Mifflin.

    Google Scholar 

  • Barish, K. (2004a). What is therapeutic in child therapy? Psychoanalytic Psychology, 21, 385–401.

    Article  Google Scholar 

  • Barish, K. (2004b). The child therapist’s generative use of self. Journal of Infant, Child, and Adolescent Psychotherapy, 3, 270–284.

    Article  Google Scholar 

  • Bass, A. (2003). “E” enactments in psychoanalysis: Another medium, another message. Psychoanalytic Dialogues, 13, 657–673.

    Article  Google Scholar 

  • Bayles, M. (2007). Is verbal symbolization a necessary requirement of analytic change? Psychoanalytic Dialogues, 17, 455–477.

    Article  Google Scholar 

  • Beebe, B., Knoblach, S., Rustin, J., & Sorter, D. (2005). Forms of intersubjectivity in infant and adult treatment. New York: Other Press.

    Google Scholar 

  • Beebe, B., & Lachmann, F. (1988). The contribution of mother-infant mutual influence to the origins of self- and object representations. Psychoanalytic Psychology, 5, 305–337.

    Article  Google Scholar 

  • Benjamin, J. (1995). Like subjects, love objects. New Haven, CT: Yale Press.

    Google Scholar 

  • Black, M. J. (2003). Enactment: Analytic musings on energy, language, and personal growth. Psychoanalytic Dialogues, 13, 633–655.

    Article  Google Scholar 

  • Bonovitz, C. (2004). The cocreation of fantasy and the transformation of psychic structure. Psychoanalytic Dialogues, 14, 553–558.

    Article  Google Scholar 

  • Boston Change Process Study Group (BCPSG). (2002). Non-interpretative mechanisms in psychoanalytic therapy—the ‘something more’ than interpretation. International Gestalt Journal, 25, 37–71.

    Google Scholar 

  • Boston Change Process Study Group (BCPSG). (2008). Forms of relational meaning: Issues in the relations between the implicit and reflective-verbal domains. Psychoanalytic Dialogues, 18, 125–148.

    Article  Google Scholar 

  • Bromberg, P. M. (1998). Standing in the spaces: Essays on clinical process. trauma, and dissociation. Hillsdale, NJ: The Analytic Press.

    Google Scholar 

  • Bromberg, P. M. (2006). Awakening the dreamer: Clinical journeys. Hillsdale, NJ: The Analytic Press.

    Google Scholar 

  • Bronte, C. (1874). Jane Eyre. New York: Penguin Books.

    Google Scholar 

  • Bucci, W. (1999). Psychoanalysis and cognitive science. New York: Guilford.

    Google Scholar 

  • Davis, S. M. (2002). The relevance of Gerald Edelman’s theory of neuronal group selection and nonlinear dynamic systems for psychoanalysis. Psychoanalytic Inquiry, 22, 814–840.

    Article  Google Scholar 

  • Edelman, G. M. (2004). Wider than the sky: The phenomenal gift of consciousness. New Haven, CT: Yale University.

    Google Scholar 

  • Edelman, G. M. (2006). Second nature: Brain science and human knowledge. New Haven, CT: Yale University.

    Google Scholar 

  • Fonagy, P., Gergely, G., Jurist, E., & Target, M. (2004). Affect regulation, mentalization, and the development of the self. New York: Other Press.

    Google Scholar 

  • Fonagy, P., & Target, M. (1998). Mentalization and the changing aims of child psychoanalysis. Psychoanalytic Dialogues, 8, 87–114.

    Article  Google Scholar 

  • Fonagy, P., & Target, M. (2002). Psychoanalytic theories: Perspectives from developmental psychopathology. New York: Brunner-Routledge.

    Google Scholar 

  • Fosshage, J. L. (2004). The explicit and implicit dance in psychoanalytic change. Journal of Analytical Psychology, 49, 49–65.

    Article  PubMed  Google Scholar 

  • Frankel, J. (1998). The play’s the thing: How the essential processes of therapy are seen more clearly in child therapy. Psychoanalytic Dialogues, 8, 149–182.

    Article  Google Scholar 

  • Gainotti, G. (2000). Neuropsychological theories of emotion. In J. C. Borod (Ed.), The neuropsychology of emotion. New York: Oxford University.

    Google Scholar 

  • Galatzer-Levy, R. M. (2004). Chaotic possibilities: Toward a new model of development. International Journal of Psychoanalysis, 85, 419–442.

    Article  PubMed  Google Scholar 

  • Gazzaniga, M. S., Ivry, R. B., & Mangun, G. R. (2002). Cognitive neuroscience: The biology of the mind. New York: WW Norton.

    Google Scholar 

  • Gergely, G. (2007). The social construction of the subjective self: The role of affect—mirroring, markedness, and ostensive communication in self-development. In L. Mayes, P. Fonagy, & M. Target (Eds.), Developmental science and psychoanalysis. London: Karnac Books.

    Google Scholar 

  • Ghent, E. (2002). Wish, need, drive: Motive in the light of dynamic systems theory and Edelman’s selectionist theory. Psychoanalytic Dialogues, 12, 763–808.

    Article  Google Scholar 

  • Gopnik, A. (1993). How we know our minds: The illusion of first-person knowledge of intentionality. Behavioral and Brain Sciences, 16, 1–14.

    Article  Google Scholar 

  • Gordon, N. S., Burke, S., Akil, H., Panksepp, J., et al. (2003). Socially induced brain fertilization: Play promotes brain derived neurotrophic factor expression. Neuroscience Letters, 341, 17–20.

    Article  PubMed  Google Scholar 

  • Hoffman, I. Z. (1998). Ritual and spontaneity in the psychoanalytic process. Hillsdale, NJ: The Analytic Press.

    Google Scholar 

  • Iacoboni, M. (2005). Neural mechanisms of imitation. Current Opinion in Neurobiology, 15, 632–637.

    Article  PubMed  Google Scholar 

  • Kolb, B., & Wishaw, I. Q. (2003). Fundamentals of human neuropsychology. New York: Worth.

    Google Scholar 

  • Le Doux, J. (1996). The emotional brain: The mysterious underpinnings of emotional life. New York: Simon and Schuster.

    Google Scholar 

  • Levenson, E. (1985). The ambiguity of change: An inquiry into the nature of psychoanalytic reality. Northvale, New Jersey: Jason Aronson.

    Google Scholar 

  • Levy, A. J. (2007). A re-consideration of the therapeutic action of play in the psychodynamic treatment of children. Paper presented at the biannual meeting of the American Association for Psychoanalysis in Clinical Social Work, Chicago, Illinois.

  • Levy, A. J. (2008a). The therapeutic action of play in the psychodynamic treatment of children: A critical analysis. Clinical Social Work Journal, 36, 281–291.

    Article  Google Scholar 

  • Levy, A. J. (2008b). New approaches to psychodynamic psychotherapy for children with Asperger Syndrome: Reclaiming an essential element in treatment. Paper presented at the annual meeting of the American Academy of Psychoanalysis and Dynamic Psychiatry, Washington, DC.

  • Lichtenberg, J. D., Lachmann, F. M., & Fosshage, J. L. (2002). A spirit of inquiry: Communication in psychoanalysis. Hillsdale, NJ: The Analytic Press.

    Google Scholar 

  • Liotti, M., & Panksepp, J. (2004). Imaging human emotions and affective feelings: Implications for biological psychiatry. In J. Panksepp (Ed.), Textbook of biological psychiatry. New York: John Wiley and Sons.

    Google Scholar 

  • Loewald, H. W. (1980). Papers on psychoanalysis. New Haven, CT: Yale University.

    Google Scholar 

  • Lyons-Ruth, K. (1999). The two-person unconscious: Intersubjective dialogue, enactive representation, and the emergence of new forms of relational organization. Psychoanalytic Inquiry, 19, 576–617.

    Article  Google Scholar 

  • Lyons-Ruth, K., Bruschweiler-Stern, N., Harrison, A. M., Morgan, A. C., Nahum, J. P., Sander, L., et al. (1998). Implicit relational knowing: Its role in development and psychoanalytic treatment. Infant Mental Health Journal, 19, 282–289.

    Article  Google Scholar 

  • Lyons-Ruth, K., & Jacobvitz, D. (1999). Attachment disorganization, unresolved emotional loss, relational violence, and lapses in behavioral and attentional strategies. In J. Cassidy & P. R. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications (pp. 520–554). New York: Guilford.

    Google Scholar 

  • Marans, S., Mayes, L. C., & Colonna, A. B. (1993). Psychoanalytic views of children’s play. In A. J. Solnit, D. J. Cohen, & P. B. Neubauer (Eds.), The many meanings of play (pp. 9–28). New Haven: Yale University.

    Google Scholar 

  • Miller, M. L. (2004). Dynamic systems and the therapeutic action of the analyst. In J. Reppen, J. Tucker, & M. A. Schulman (Eds.), Way beyond Freud: Postmodern psychoanalysis observed. London: Open Gate Press.

    Google Scholar 

  • Mitchell, S. (1988). Relational concepts in psychoanalysis: Integration. Cambridge, MA: Harvard University.

    Google Scholar 

  • Mitchell, S. (1997). Influence and autonomy in psychoanalysis. Hillsdale, NJ: The Analytic Press.

    Google Scholar 

  • Modell, A. H. (1990). Other times, other realities. Cambridge, MA: Harvard University.

    Google Scholar 

  • Modell, A. H. (2003). Imagination and the meaningful brain. Cambridge, MA: The MIT Press.

    Google Scholar 

  • Pally, R. (1998). Emotional processing: The mind-body connection. International Journal of Psychoanalysis, 79, 349–362.

    PubMed  Google Scholar 

  • Pally, R. (2005). A neuroscience perspective on forms of intersubjectivity in infant research and adult attachment. In B. Beebe, S. Knoblach, J. Rustin, & D. Sorter (Eds.), Forms of intersubjectivity in infant and adult treatment. New York: Other Press.

    Google Scholar 

  • Palombo, S. R. (2007). Complexity theory as the parent science of psychoanalysis. In C. Piers, J. P. Muller, & J. Brent (Eds.), Self-organizing complexity in psychological systems. Lanham, MD: Jason Aronson.

    Google Scholar 

  • Panksepp, J. (1998). Affective neuroscience. New York: Oxford University.

    Google Scholar 

  • Panksepp, J. (2003). At the interface of the affective, behavioral, and cognitive neurosciences: Decoding the emotional feelings of the brain. Brain and Cognition, 52, 4–14.

    Article  PubMed  Google Scholar 

  • Panksepp, J., & Smith-Pasqualini, M. (2005). The search for the fundamental brain/mind sources of affective experience. In J. Nadel & D. Muir (Eds.), Emotional development: Recent research advances. Oxford, UK: Oxford University.

    Google Scholar 

  • Parsons, M. (1999). The logic of play in psychoanalysis. International Journal of Psychoanalysis, 80, 871–884.

    Article  PubMed  Google Scholar 

  • Piers, C. (2005). The mind’s multiplicity and continuity. Psychoanalytic Dialogues, 15, 229–254.

    Article  Google Scholar 

  • Pizer, S. A. (1998). Building bridges: The negotiation of paradox in psychoanalysis. Hillsdale, NJ: The Analytic Press.

    Google Scholar 

  • Revonsuo, A. (1999). Binding and the phenomenal unity of consciousness. Consciousness and Cognition, 8, 173–185.

    Article  PubMed  Google Scholar 

  • Rizzolati, G., & Craighero, L. (2004). The mirror-neuron system. Annual Review of Neuroscience, 27, 169–192.

    Article  Google Scholar 

  • Rosenblatt, A. (2004). Insight, working through, and practice: The role of procedural knowledge. Journal of the American Psychoanalytic Association, 52, 190–207.

    Google Scholar 

  • Schore, A. N. (2003a). Affect dysregulation and disorders of the self. New York: Norton.

    Google Scholar 

  • Schore, A. N. (2003b). Affect regulation and the repair of the self. New York: Norton.

    Google Scholar 

  • Seligman, S. (2005). Dynamic systems theories as a metaframework for psychoanalysis. Psychoanalytic Dialogues, 15, 285–319.

    Article  Google Scholar 

  • Slade, A. (1994). Making meaning and making believe: Their role in the clinical process. In A. Slade & D. Palmer Wolf (Eds.), Children at play: Clinical and developmental approaches to meaning and representation (pp. 81–107). New York: Oxford University.

    Google Scholar 

  • Spiegel, S. (1989). An interpersonal approach to child therapy. New York: Columbia University.

    Google Scholar 

  • Sutton-Smith, B. (1997). The ambiguity of play. Cambridge, MA: Harvard University.

    Google Scholar 

  • Thelen, E. (2005). Dynamic systems theory and the complexity of change. Psychoanalytic Dialogues, 15, 255–283.

    Article  Google Scholar 

  • Tronick, E. (2007). The neurobehavioral and social-emotional development of infants and children. New York: WW Norton.

    Google Scholar 

  • Tyson, P. (2002). The challenges of psychoanalytic developmental theory. Journal of the American Psychoanalytic Association, 50, 19–52.

    Article  PubMed  Google Scholar 

  • Van der Heijden, A. H. C., & Van der Velde, F. (1999). Cognition for selection. Visual Cognition, 6, 83–87.

    Article  Google Scholar 

  • Van der Velde, F., & de Kamps, M. (2006). Neural blackboard architectures of combinatorial structures in cognition. Behavioral and Brain Sciences, 29, 37–108.

    PubMed  Google Scholar 

  • Winnicott, C. (1945). Children who cannot play. In J. Kanter (Ed.), Face to face with children: The life and work of Clare Winnicott. London, UK: H. Karnac Books Ltd. (rev. 2004).

    Google Scholar 

  • Winnicott, C. (1963). Face to face with children. In J. Kanter (Ed.), Face to face with children: The life and work of Clare Winnicott. London, UK: H. Karnac Books Ltd. (rev. 2004).

    Google Scholar 

  • Winnicott, D. W. (1958). Through pediatrics to psycho-analysis. New York: Basic Books.

    Google Scholar 

  • Winnicott, D. W. (1971). Playing and reality. New York: Routledge.

    Google Scholar 

  • Wolf, N. S., Gales, M. E., Shane, E., & Shane, M. (2001). The developmental trajectory from amodal perception to empathy and communication: The role of mirror neurons in this process. Psychoanalytic Inquiry, 21, 94–112.

    Article  Google Scholar 

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  1. Loyola University Chicago, School of Social Work, 820 North Michigan Avenue, Chicago, IL, 60611, USA

    Alan J. Levy

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Levy, A.J. Neurobiology and the Therapeutic Action of Psychoanalytic Play Therapy with Children. Clin Soc Work J 39, 50–60 (2011). https://doi.org/10.1007/s10615-009-0229-x

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