Therapist’s intuition. A gestalt therapy study on the aesthetics of the therapeutic situation

Journal title PSICOBIETTIVO
Author/s Margherita Spagnuolo Lobb, Febronia Riggio, Claudia Savia Guerrera, Federica Sciacca
Publishing Year 2024 Issue 2023/3
Language Italian Pages 16 P. 69-84 File size 660 KB
DOI 10.3280/PSOB2023-003005
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This article presents a series of studies on therapist intuition from a phenomenological, aesthetic and field perspective. Since the Freudian description of counter-transference, the role of psychotherapists in the process of managing the relational emotional field has been recognized as fundamental. A contemporary evolution of the concept of intersubjective sensitivity, developed within the gestalt therapeutic approach, concerns Aesthetic Relational Knowledge, defined here as “the way in which the therapist uses his or her senses to understand the patient’s current experience through embodied empathy and resonance”. Three studies on this construct are described, which developed and validated a scale to describe the therapist’s intuition from this specific perspective, the key factors of which are resonance, body awareness, and empathy. The results suggest significant implications for psychotherapist training and supervision, highlighting the importance of body process work and aesthetic relational skills in working with patients.

Keywords: Intuition, Phenomenological Perspective; Gestalt Psychotherapy; Aesthetic Relational Knowledge (ARK); Therapist Training

  1. Heimann P. (1950). Oncounter-transference. The International Journal of Psychoanalysis, 31: 81-84.
  2. Alcaro A., Isidoro S.I., Conversi D., Accoto A., Spagnuolo Lobb M. (2020). The emotional personality of psychotherapists: A pilot research with gestalt-therapy clinicians. Psychology, 11(11): 1628-1645.
  3. Ardito R.B., Rabellino D. (2011). Therapeutic alliance and outcome of psychotherapy: historical excursus, measurements, and prospects for research. Frontiers in psychology, 2, 270.
  4. Arnold K. (2006). Reik’s theory of psychoanalytic listening. Psychoanalytic Psychology, 23(4): 754-765. DOI: 10.1037/0736-9735.23.4.754
  5. Baker E.K. (2003). Caring for ourselves: A therapist’s guide to personal and professional well-being. American Psychological Association.
  6. Bloom D. (2009). The phenomenological method of Gestalt therapy: Revisiting Husserl to discover the “essence” of Gestalt therapy. Gestalt Review, 13(3): 277-295.
  7. Dahl H.S.J., Røssberg J.I., Bøgwald K.P., Gabbard G.O., Høglend P.A. (2012). Countertransference feelings in one year of individual therapy: An evaluation of the factor structure in the Feeling Word Checklist-58. Psychotherapy Research, 22(1): 12-25. DOI: 10.1080/10503307.2011.622312
  8. Dinger U., Strack M., Sachsse T., Schauenburg H. (2009). Therapists’ Attachment, Patients’ Interpersonal Problems and Alliance Development Overtime in Inpatient Psychotherapy. Psychotherapy: Theory, Research, Practice, Training, 46: 277-290.
  9. Dosamantes I. (1992). The intersubjective relationship between therapist and patient: A key to understanding denied and denigrated aspects of the patient’s self. The Arts in Psychotherapy, 19(5): 359-365. DOI: 10.1016/0197-4556(92)90031-
  10. Dosamantes­Beaudry I. (2007). Somatic transference and countertransference in psychoanalytic intersubjective dance/movement therapy. American Journal of Dance Therapy, 29(2): 73-89.
  11. Flückiger C., Del Re A.C., Wampold B.E., Horvath A.O. (2018). The alliance in adult psychotherapy: A meta-analytic synthesis. Psychotherapy, 55(4): 316-340.
  12. Freud S., Strachey J. (1910). The standard edition of the complete psychological works of Sigmund Freud, 24 voll.
  13. Freud S. (1912). Recommendations to physicians practising psycho-analysis. In: The standard edition of the complete psychological works of Sigmund Freud (vol. 12, pp. 109-120).
  14. Fromm­Reichmann F. (1939). Transference problems in schizophrenics. The Psychoanalytic Quarterly, 8(4): 412-426. DOI: 10.1080/21674086.1939.11925399
  15. Gabbard G.O. (2014). Psychodynamic psychiatry in clinical practice. Washington: American Psychiatric Association Publishing.
  16. Gallagher S. (2012). Empathy, simulation, and narrative. Science in context, 25(3): 355-381. DOI: 10.1017/S0269889712000117
  17. Goldfried M.R. (2019). Obtaining consensus in psychotherapy: What holds us back? American Psychologist, 74(4): 484-496.
  18. Greenberg J. (2001). The analyst’s participation: A new look. Journal of the American Psychoanalytic Association, 49(2): 359-381. DOI: 10.1177/00030651010490020801
  19. Heinonen E., Nissen­Lie H.A. (2020). The professional and personal characteristics of effective psychotherapists: A systematic review. Psychotherapy Research, 30(4): 417-432. DOI: 10.1080/10503307.2019.1620366
  20. Hersoug A.G., Høglend P., Monsen J.T., Havik O.E. (2001). Quality of Working Alliance in Psychotherapy: Therapist Variables and Patient/Therapist Similarity as Predictors. Journal of Psychotherapy Practice and Research, 10 (4): 205-216.
  21. Hersoug A.G., Høglend P., Havik O., von der Lippe A., Monsen J. (2009). Therapist Characteristics Influencing the Quality of Alliance in Long-Term Psychotherapy.
  22. Clinical Psychology & Psychotherapy, 16(2): 100-110.
  23. Husserl E. (1965). Philosofie als strenge Wissenschaft. Frankfurt am Main: Vittorio Klostermann.
  24. Iwakabe S., Rogan K., Stalikas A. (2000). The relationship between client emotio-
  25. nal expressions, therapist interventions, and the working alliance: An exploration of eight emotional expression events. Journal of Psychotherapy Integration, 10(4): 375-401. DOI: 10.1023/A:1009479100305
  26. Jolliffe D., Farrington D.P. (2006). Development and validation of the Basic Empathy Scale. Journal of adolescence, 29(4): 589-611.
  27. Kazdin A.E. (2009). Understanding how and why psychotherapy leads to change. Psychotherapy research, 19(4-5): 418-428. DOI: 10.1080/10503300802448899.
  28. Kinser P., Braun S., Deeb G., Carrico C., Dow A. (2016). “Awareness is the first step”: an interprofessional course on mindfulness & mindful-movement for healthcare professionals and students. Complementary therapies in clinical practice, 25, 18-25.
  29. Lingiardi V., Muzi L., Tanzilli A., Carone N. (2018). Do therapists’ subjective variables impact on psychodynamic psychotherapy outcomes? A systematic literature review. Clinical psychology & psychotherapy, 25(1): 85-101.
  30. Macaluso M.A. (2018). Intenzionalità e spontaneità nell’azione terapeutica gestaltica. Quaderni di Gestalt, XXXI(1): 33-57. DOI: 10.3280/GEST2018-001004
  31. Macaluso M.A. (2020a). Deliberateness and spontaneity in Gestalt therapy practice. British Gestalt Journal, 29: 30-36.
  32. Macaluso M.A. (2020b). Il concetto di “campo” in psicoterapia della Gestalt: sviluppi e implicazioni. Quaderni di Gestalt, 2020/1: 57-73. DOI: 10.3280/GEST2020-001005
  33. MacLean P.D. (1990). The Triune Brain in Evolution (Role in Paleocerebral Functions). New York: Plenum Press.
  34. McWilliams N., Spagnuolo Lobb M. (2017). La presenza terapeutica in psicoanalisi e nella psicoterapia della Gestalt: sviluppi contemporanei: un dialogo tra Nancy McWilliamsgherita Spagnuolo Lobb. Quaderni di Gestalt, 2017/2: 9-24. DOI: 10.3280/GEST2017-002002
  35. Mehling W.E., Price C., Daubenmier J.J., Acree M., Bartmess E., Stewart A. (2012). The multidimensional assessment of interoceptive awareness (MAIA).
  36. PloS One, 7(11): e48230.
  37. Merleau­Ponty M. (1965). Phenomenology of perception, traduzione di C. Smith. London: Routledge & Kegan.
  38. Norcross J.C., Wampold B.E. (2011). Evidence-based therapy relationships: research conclusions and clinical practices. Psychotherapy, 48(1): 98-102.
  39. Orlinsky D.E.; Rønnestad H.M., The Collaborative Research Network of the Society for Psychotherapy Research (2005). How Psychotherapists Develop: A Study of Therapeutic Work and Professional Growth. American Psychological Association.
  40. Orri M., Pingault J.B., Rouquette A., Lalanne C., Falissard B., Herba C., Côté S.M., Berthoz S. (2017). Identifying Affective Personality Profiles: A Latent Profile Analysis of the Affective Neuroscience Personality Scales. Scientific Reports, 7, article n. 4548.
  41. Parlett M. (1991). Reflections on field theory. British Gestalt Journal, 1(2): 69-81.
  42. Parlett M. (2000). Creative adjustment and the global field. British Gestalt Journal, 9(1): 15-27. DOI: 10.53667/YLYG1894
  43. Parlett M. (2003). Creative abilities and the art of living well. In: Creative license: The art of Gestalt therapy (pp. 51-62). Vienna: Springer.
  44. Parlett M., Lee R.G. (2005). Contemporary gestalt therapy: Field theory. In: Woldt A.L., Toman S.M. (eds.). Gestalt therapy: History, theory, and practice (pp. 41-63). Sage Publications.
  45. Parlett M., Spagnuolo Lobb M. (2018). Sfide terapeutiche nel mondo contemporaneo: la psicoterapia della Gestalt fuori dalla campana di vetro. Quaderni di Gestalt, 1: 9-18. DOI: 10.3280/GEST2018-001002
  46. Perls F., Hefferline R., Goodman P. (1951). Gestalt Therapy: Excitement and Growth in the Human Personality. Gestalt Journal Press; New York: Julian Press, 1994 (trad. it.: La terapia della Gestalt: eccitazione e accrescimento nella personalità umana. Roma: Astrolabio, 1997).
  47. Pintado S. (2019). Changes in body awareness and self-compassion in clinical psychology trainees through a mindfulness program. Complementary therapies in clinical practice, 34: 229-234.
  48. Polster E. (1988). Ogni vita merita un romanzo. Quando raccontarsi è terapia. Roma: Astrolabio.
  49. Porges S.W. (2017). The pocket guide to the polyvagal theory: The transformative power of feeling safe. New York: WW Norton & Co.
  50. Ratcliffe M. (2012). Phenomenology as a form of empathy. Inquiry, 55(5): 473-495. DOI: 10.1080/0020174X.2012.716196
  51. Robine J.­M. (2001). From field to situation. In: Robine J.-M. (ed.). Contact and relationship in a field perspective (pp. 95-107). Bordeaux: L’Exprimerie.
  52. Robine J.­M. (2015). Social Change Begins with Two. Siracusa: Istituto di Gestalt HCC Italy Publ. Co.
  53. Rønnestad M.H., Orlinsky D.E., Schröder T.A., Skovholt T.M., Willutzki
  54. U. (2019). The professional development of counsellors and psychotherapists: Implications of empirical studies for supervision, training and practice. Counselling and Psychotherapy Research, 19(3): 214-230.
  55. Spagnuolo Lobb M. (2011). Il now-for-next in psicoterapia. La psicoterapia della Gestalt raccontata nella società post-moderna. Milano:FrancoAngeli
  56. Spagnuolo Lobb M. (2013). The Now-for-Next in Psychotherapy. Gestalt Therapy Recounted in Post-Modern Society. Milano: Istituto di Gestalt HCC Italy.
  57. Spagnuolo Lobb M. (2014). Il dolore e la bellezza nella pratica psicoterapica. In: Francesetti G., Ammirata M., Riccamboni S., Sgadari N., Spagnuolo Lobb M.
  58. (a cura di). Il dolore e la bellezza. Atti del III Convegno della Società Italiana Psicoterapia Gestalt (pp. 86-88). Milano: FrancoAngeli.
  59. Spagnuolo Lobb M. (2018). Aesthetic relational knowledge of the field: A revised concept of awareness in Gestalt therapy and contemporary psychiatry. Gestalt Review, 22(1): 50-68.
  60. Spagnuolo Lobb M., Sciacca F., Iacono Isidoro S., Di Nuovo S. (2022). The therapist’s intuition and responsiveness: What makes the difference between expert and in training Gestalt psychotherapists. European Journal of Investigation in Health, Psychology and Education, 12(12): 1842-1851.
  61. Spagnuolo Lobb M., Sciacca F., Iacono Isidoro S., Hichy Z. (2023). A measure for psychotherapist’s intuition: Construction, development, and pilot study of the Aesthetic Relational Knowledge Scale (ARKS). The Humanistic Psychologist, 51(1): 36-55.
  62. Spagnuolo Lobb M., Cavaleri P.A. (eds.). (2023). Psychopathology of the Situation in Gestalt Therapy: A Field-oriented Approach. London: Taylor & Francis.
  63. Stern D.N. (2005). Il momento presente in psicoterapia e nella vita quotidiana. Milano: Raffaello Cortina (ed. or.: The present moment in Psychotherapy and Everyday Life. New York: Norton, 2004).
  64. Stern D.N., Bruschweiler‐Stern N., Harrison A.M., Lyons‐Ruth K., Morgan A.C., Nahum J.P., Sander L., Tronick E.Z. (1998). The process of therapeutic change involving implicit knowledge: Some implications of developmental observations for adult psychotherapy. Infant Mental Health Journal, 19(3): 300-308.
  65. Stern D.N., Boston Change Process Study Group (2003). On the other side of the moon: The import of implicit knowledge for Gestalt therapy. In: Spagnuolo Lobb M., Amendt-Lyon N. (eds.). Creative license: The art of Gestalt therapy (pp. 21-35). Vienna: Springer.
  66. Taylor M. (2016) Psicoterapia del trauma e pratica clinica. Corpo, neuroscienze e Gestalt. Milano: FrancoAngeli.
  67. Taylor M. (2021) Il trauma collettivo e il campo relazionale. Quaderni di Gestalt, XXXIV, 1: 73-82. DOI: 10.3280/GEST2021-001008
  68. Van der Kolk B. (2014). The body keeps the score: Brain, mind, and body in the healing of trauma. New York: Penguin Books.
  69. Watson J.C., Wiseman H.E. (2021). The responsive psychotherapist: Attuning to clients in the moment. American Psychological Association.
  70. Winnicott D.W. (1949). Hate in the countertransference. International journal of Psychoanalysis, 30(2): 69-74.
  71. Wollants G. (2012). Gestalt therapy: Therapy of the situation. London: Sage.
  72. Yontef G. (2001). Psychotherapy of schizoid process. Transactional Analysis Journal, 31(1): 7-23. DOI: 10.1177/036215370103100103
  73. Zahavi D. (2010). Empathy, embodiment and interpersonal understanding: From Lipps to Schutz. Inquiry, 53(3): 285-306. DOI: 10.1080/00201741003784663

Margherita Spagnuolo Lobb, Febronia Riggio, Claudia Savia Guerrera, Federica Sciacca, L’intuito del terapeuta. Uno studio gestaltico sull’estetica della situazione terapeutica in "PSICOBIETTIVO" 3/2023, pp 69-84, DOI: 10.3280/PSOB2023-003005