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The primal silence

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[image omitted]The case of Stephen, a man in his mid-forties with cerebral palsy underlines the significance of non-verbal analytic work as an essential vehicle for therapeutic action when the patient's dramatic birth history is enacted within the therapeutic relationship. The work with Stephen highlights the reciprocal processes of mutual influence and mutual regulation within the therapeutic dyad when altered and primitive states of consciousness cannot be formulated or communicated verbally.
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Keywords: Mutual regulation; birth experience; birth trauma; cerebral palsy; enactment; impasse; non-verbal; presymbolic; silence

Document Type: Research Article

Affiliations: Psychoanalytic Psychotherapist and Integrative Psychotherapist, London

Publication date: March 1, 2007

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