Psicoterapia con el hemisferio derecho

by Allan N. Schore

Un libro imprescindible dedicado a los practicantes de la ciencia del arte de la psicoterapia. La neurociencia ha experimentado un cambio de paradigma que se expresa en avances en la investigación del se ha pasado de realizar estudios previos sobre un solo cerebro a emplear tecnologías recientes que permiten la medición simultánea de dos cerebros que interactúan en tiempo real. El cambio actual desde una perspectiva teórica unipersonal hacia otra bipersonal puede establecer un modelo integrado general de las relaciones interactivas de los hemisferios cerebrales duales y de las mentes consciente e inconsciente. Este salto tecnológico es inmensamente importante. Un cerebro visto como un sistema aislado del mundo es una abstracción. Nuestros cerebros están interactuando continuamente con el entorno. Por lo tanto, el paradigma intercerebral respalda los modelos relacionales actuales que operan bajo los principios de una psicología bipersonal. Los modelos psicoanalíticos relacionales hacen hincapié en las poderosas influencias intersubjetivas que fluyen entre dos mentes que se comunican afectivamente. Estas comunicaciones se producen tanto a nivel consciente como (lo que es más importante) inconsciente. Psicoterapia con el hemisferio derecho expande el cambio de paradigma existente (desde una perspectiva unipersonal hacia otra bipersonal) en los campos científicos y clínicos. Describe los mecanismos neurobiológicos interpersonales clínicos que subyacen a la psicodinámica relacional terapéutica, las comunicaciones afectivas no verbales recíprocas, las transacciones de transferencia-contratransferencia, la sincronización empática clínica dentro de un campo intersubjetivo emocional y la regulación afectiva interactiva, así como el trabajo clínico con regresiones mutuas sincronizadas, con defensas mutuas y con creatividad mutua. Las comunicaciones psicoterapéuticas intercerebrales sincronizadas e interactivamente reguladas lateralizadas a la derecha facilitan los cambios estructurales en los sistemas reguladores del paciente, lo que a su vez permite obtener resultados óptimos en el tratamiento, tanto en la psicoterapia de reducción de síntomas como especialmente en la psicoterapia que fomenta el crecimiento. A lo largo de las tres últimas décadas, el vasto conjunto de publicaciones científicas del Dr. Allan Schore se ha dirigido a integrar los modelos psicológicos y biológicos y con ello ha contribuido significativamente a la evolución en el conocimiento de la salud mental. En esta obra maestra, meticulosamente investigada, el Dr. Schore desarrolla su paradigma neurobiológico interpersonal. Interdisciplinario y revolucionario, el autor nos conduce a una comprensión magistral de la psicoterapia basada en el cerebro y sienta las bases para el neuropsicoanálisis. «En este extraordinario volumen, Allan Schore muestra cómo la mente inconsciente lateralizada a la derecha y su relación con la mente consciente lateralizada a la izquierda ofrecen un modelo de psicoterapia psicodinámica con base neurobiológica y un modelo psicodinámico de neuropsicoanálisis. Los clínicos apreciarán especialmente cómo Schore ilustra los cambios en los hemisferios derechos inconscientes del paciente y del terapeuta en el curso del tratamiento, por debajo y más allá de las narrativas verbales, a través de la propia relación. A través de una teoría unificada del psicoanálisis como “ciencia de la mente inconsciente”, Schore muestra lo que significa ser humano. Conecta el pasado, el presente y el futuro, así como la infancia y la edad adulta, a la vez que enlaza la neurociencia, la mente individual y la interrelación humana». —Philip M. Bromberg, PhD, autor de La sombra del tsunami y el desarrollo de la mente relacional

Genres: Psychology, Neuroscience, Science, Mental Health, Parenting, Nonfiction, Social Work

390 pages, Paperback

Published November 20, 2022

About the author

Allan N. Schore (/ʃɔr/; born February 20, 1943) is a leading researcher in the field of neuropsychology, whose contributions have influenced the fields of affective neuroscience, neuropsychiatry, trauma theory, developmental psychology, attachment theory, pediatrics, infant mental health, psychoanalysis, psychotherapy, and behavioral biology.

Schore is on the clinical faculty of the Department of Psychiatry and Biobehavioral Sciences, UCLA David Geffen School of Medicine, and at the UCLA Center for Culture, Brain, and Development. He is author of the seminal volume Affect Regulation and the Origin of the Self, now in its 11th printing, and two recent books Affect Dysregulation and Disorders of the Self and Affect Regulation and the Repair of the Self, as well as numerous articles and chapters. Schore is Editor of the acclaimed Norton Series on Interpersonal Neurobiology, and a reviewer or on the editorial staff of 27 journals.

Reviews

[Morgan Blackledge · Rating 5 out of 5]

Superb.

A must read for any therpaist.

Although Schore’s work is vast, interdisciplinary and complex.

It may be summarized as such:

The right brain facilitates holistic relational affiliation.

The left brain facilitates the drive for power.

Not that there is anything wrong with all that left brain power drive stuff.

But still.

You know.

Enough already right?

Anyway…

Schore asserts that the emotionally attuned right brain oriented psychotherapist can foster enhanced right brain functions in their clients, and that all of the important healing and developmental work in psychotherapy occurs in this right brain to right brain relationship between therapist and client.

Applied more broadly.

Schore (like his bro Ian McGilcrest) asserts that that many (if not all) of the serious problems we face as a society are attributable to the increased privileging of the materialistic, reductionistic and divisive left brain functions over the relational, holistic and affiliative right brain processes.

A BIG hell yes.

More mutually beneficial attuned healing affiliation please.

Less being dicks!

👍


If it’s not entirely clear.

I LOVED THIS BOOK.

I LOVE Allan Schore.

I’m SO HAPPY that I read it.

Utterly life affirming.

I can’t recommend it enough.

Particularly for therapists.

5/5 stars.

[Nick · Rating 5 out of 5]

It took some doing…because I have a classic millennial’s attention span and there are too many books in the world yet unread…but I finally finished this one!

I tend to write my reviews for folks I imagine come to the book in question from a similar position as me - so in this case, those current or future therapists and mental health clinicians who may have spent a good portion (or all of) their graduate school years poo-pooing the psychoanalytic tradition and now are slowly but surely seeing its value.

Oops. I repent of my old ways.

In short, Schore’s book is a wonderful interdisciplinary apology for an embodied, relational, attachment-informed, client-centered approach to therapy that understands human development and behavior through the neurobiological influence of the parent-infant dyad, and seeks to provide corrective experiences through the same mechanisms as experienced between the adult client and clinician.

If you don’t know what I just said, that’s on me. If you’re interested to learn more, just read the book and you’ll be glad to not have my words mediating your experience of it!

Ps. Thanks to Morgan on GR and the hosts of The Evidence Based Therapist podcast for turning me on to this book!

[Kerri · Rating 4 out of 5]

This book is a tough and technical read in some parts, and completely lacking in the clinical examples I would expect from a book with the word “psychotherapy” in the title, but nonetheless offers really exciting and useful insights and frames which I am already bringing into my clinical work. A surprising side benefit I am enjoying is a reduction in the doubt I have been experiencing about whether the kind of work I am doing (psychodynamically-oriented therapy) is “enough” for my patients, particularly those who have experienced complex trauma. Should I get certified in EMDR? ERP? Teach meditation more explicitly in sessions more of the time? I’ve been doing therapy for over 10 years now, so I think this period of doubt is right on time. But Schore’s book is helping me understand that the naturalness I feel in my psychodynamic work—the ways in which it feels most respectful of the humanity and integrity of my patients—is reflective of a deeper level of communication and therapeutic action at play and that I can trust that process. I’ll also happily refer folks out for EMDR and other structured therapies if they wish, and incorporate the meditative practices that have so benefitted me when it feels natural and welcome to do so, but largely this book is helping me to relax and do my thing, and trust the feedback I hear and results I observe, as well as the felt sense of greater intimacy I can feel growing in each therapeutic relationship. Beautiful and important work, and I’m so glad I picked it up again after abandoning ship in 2020 when the pandemic overwhelmed my capacity for such reading.

[Ashley Chesnut · Rating 4 out of 5]

This is one I read for my doctoral research, and Schore is known as the American Bowlby in attachment literature. This book is very clinical, the first half can feel repetitive, but the last 1/3 of it is gold. Schore’s works are must reads for anyone delving into modern attachment theory.

[Cynthia Cavieres · Rating 4 out of 5]

siento que es un buen libro teorico practico

[Giulio]

Nella versione italiana edita da "Raffaello Cortina"