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This article offers an essay on the influence of advances in developmental neuroscience and neuropsychoanalysis for our understanding of the interpersonal neurobiological change mechanisms embedded in the mother–infant and client–therapist relationship. Regulation theory and affect regulation therapy are reviewed, along with attachment, affect regulation, and the development of the right brain. Right-brain communications within the therapeutic alliance are described, leading to the conclusion that the right brain is dominant in psychotherapy. Changes in not only the client’s but also the clinician’s brain over long-term clinical experiences are discussed. [ABSTRACT FROM AUTHOR]

Psychoanalysis, the science of unconscious processes, has recently undergone a significant transformation. Self psychology, derived from the work of Heinz Kohut, represents perhaps the most important revision of Freud's theory as it has shifted its basic core concepts from an intrapsychic to a relational unconscious and from a cognitive ego to an emotion-processing self. As a result of a common interest in the essential, rapid, bodily based, affective processes that lie beneath conscious awareness, a productive dialogue is now occurring between psychoanalysis and neuroscience. Here I apply this interdisciplinary perspective to a deeper understanding of the nonconscious brain/mind/body mechanisms that lie at the core of self psychology. I offer a neuropsychoanalytic conception of the development and structuralization of the self, focusing on the experience-dependent maturation of the emotion-processing right brain in infancy. I then articulate an interdisciplinary model of attachment trauma and pathological dissociation, an early forming defense against overwhelming affect that is a cardinal feature of self-psychopathologies. I end with some thoughts on the mechanism of the psychotherapeutic change process and suggest that self psychology is, in essence, a psychology of the unique functions of the right brain and that a rapprochement between psychoanalysis and neuroscience is now at hand. [ABSTRACT FROM AUTHOR]

The article introduces the January 1, 2001 issue of "Infant Mental Health Journal." This special issue is devoted to the integration of current findings in neuroscience into the field of infant mental health. In this collection of articles each contributor speaks to the application and meaning of the rapidly expanding knowledge base of theoretical neuroscience for the applied sciences of infant and child psychiatry, pediatrics, and, particularly infant mental health.

It has been three decades since John Bowlby first presented an over-arching model of early human development in his groundbreaking volume, Attachment. In the present paper I refer back to Bowlby’s original charting of the attachment landscape in order to suggest that current research and clinical models need to return to the integration of the psychological and biological underpinnings of the theory. Towards that end, recent contributions from neuroscience are offered to support Bowlby’s assertions that attachment is instinctive behavior with a biological function, that emotional processes lie at the foundation of a model of instinctive behavior, and that a biological control system in the brain regulates affectively driven instinctive behavior. This control system can now be identified as the orbitofrontal system and its cortical and subcortical connections. This ‘senior executive of the emotional brain’ acts as a regulatory system, and is expanded in the right hemisphere, which is dominant in human infancy and centrally involved in inhibitory control. Attachment theory is essentially a regulatory theory, and attachment can be defined as the interactive regulation of biological synchronicity between organisms. This model suggests that future directions of attachment research should focus upon the early-forming psychoneurobiological mechanisms that mediate both adaptive and maladaptive regulatory processes. Such studies will have direct applications to the creation of more effective preventive and treatment methodologies. [ABSTRACT FROM AUTHOR]

Lewis describes the developmental core of dynamic systems theory. I offer recent data from developmental neuroscience on the sequential experience-dependent maturation of components of the limbic system over the stages of infancy. Increasing interconnectivity within the vertically integrated limbic system allows for more complex appraisals of emotional value. The earliest organization of limbic structures has an en- during impact on all later emotional processing. [ABSTRACT FROM AUTHOR]