ABSTRACT
Allan Schore stresses the fact that the relational mechanism of enactments is especially prominent during stressful ruptures of the therapeutic alliance. Indeed, long-term psychotherapy can positively alter the developmental trajectory of the right brain as the growth-facilitating expansion of interconnectivity within the unconscious system also promotes an increased complexity of defenses and right brain strategies for regulating stressful affects that are more flexible and adaptive than pathological dissociation. Schore proposes that the therapist’s moment-to-moment navigation through these heightened affective moments occurs by implicit nonverbal primary process clinical intuition. Schore suggests that the intuitive psychobiological attuned therapist, on a moment-to-moment basis, implicitly tracks and resonates with the patterns of rhythmic crescendos/decrescendos of the patient’s regulated and dysregulated states of affective arousal. Schore points out that the work of psychotherapy is not defined by what the therapist explicitly, objectively does for the patient, or says to the patient.
