{"id":"https://openalex.org/W2073750436","doi":"https://doi.org/10.1002/(sici)1097-0355(199823)19:3<290::aid-imhj4>3.0.co;2-q","title":"Dyadically expanded states of consciousness and the process of therapeutic change","display_name":"Dyadically expanded states of consciousness and the process of therapeutic change","publication_year":1998,"publication_date":"1998-01-01","ids":{"openalex":"https://openalex.org/W2073750436","doi":"https://doi.org/10.1002/(sici)1097-0355(199823)19:3<290::aid-imhj4>3.0.co;2-q","mag":"2073750436"},"language":"en","primary_location":{"id":"doi:10.1002/(sici)1097-0355(199823)19:3<290::aid-imhj4>3.0.co;2-q","doi":"https://doi.org/10.1002/(sici)1097-0355(199823)19:3<290::aid-imhj4>3.0.co;2-q","is_oa":false,"landing_page_url":"https://doi.org/10.1002/(sici)1097-0355(199823)19:3<290::aid-imhj4>3.0.co;2-q","pdf_url":null,"source":{"id":"https://openalex.org/S4210187777","display_name":"Infant Mental Health Journal","issn_l":"0163-9641","issn":["0163-9641","1097-0355"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","erih-plus","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Infant Mental Health Journal","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5052619962","display_name":"Edward Z. Tronick","orcid":"https://orcid.org/0000-0001-7158-5593","observed_orcids":["https://orcid.org/0000-0001-7158-5593"]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Edward Z. Tronick","raw_affiliation_strings":["Child Development Unit, Children's Hospital, Harvard Medical School, Boston, Massachusetts","Process of Change Study Group, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Child Development Unit, Children's Hospital, Harvard Medical School, Boston, Massachusetts","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"Process of Change Study Group, Boston, Massachusetts","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5046560771","display_name":"Nadia Bruschweiler\u2010Stern","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Nadia Bruschweiler-Stern","raw_affiliation_strings":["Process of Change Study Group, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Process of Change Study Group, Boston, Massachusetts","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5102750537","display_name":"Alexandra Murray Harrison","orcid":"https://orcid.org/0000-0002-0458-490X","observed_orcids":["https://orcid.org/0000-0002-0458-490X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Alexandra M. Harrison","raw_affiliation_strings":["Process of Change Study Group, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Process of Change Study Group, Boston, Massachusetts","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5044438813","display_name":"Karlen Lyons\u2010Ruth","orcid":"https://orcid.org/0000-0001-9799-976X","observed_orcids":["https://orcid.org/0000-0001-9799-976X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Karlen Lyons-Ruth","raw_affiliation_strings":["Process of Change Study Group, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Process of Change Study Group, Boston, Massachusetts","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5004598604","display_name":"Alexander C. Morgan","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Alexander C. Morgan","raw_affiliation_strings":["Process of Change Study Group, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Process of Change Study Group, Boston, Massachusetts","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5009299653","display_name":"Jeremy P. Nahum","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jeremy P. Nahum","raw_affiliation_strings":["Process of Change Study Group, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Process of Change Study Group, Boston, Massachusetts","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5032104717","display_name":"Louis W. Sander","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Louis Sander","raw_affiliation_strings":["Process of Change Study Group, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Process of Change Study Group, Boston, Massachusetts","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5110231889","display_name":"Daniel N. Stern","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Daniel N. Stern","raw_affiliation_strings":["Process of Change Study Group, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Process of Change Study Group, Boston, Massachusetts","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5052619962"],"corresponding_institution_ids":["https://openalex.org/I136199984"],"apc_list":{"value":3090,"currency":"USD","value_usd":3090},"apc_paid":null,"fwci":6.9345,"has_fulltext":false,"cited_by_count":403,"citation_normalized_percentile":{"value":0.96786031,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":99,"max":100},"biblio":{"volume":"19","issue":"3","first_page":"290","last_page":"299"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11132","display_name":"Psychoanalysis and Psychopathology Research","score":0.9599999785423279,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11132","display_name":"Psychoanalysis and Psychopathology Research","score":0.9599999785423279,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10214","display_name":"Psychotherapy Techniques and Applications","score":0.02370000071823597,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10677","display_name":"Attachment and Relationship Dynamics","score":0.003700000001117587,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/therapeutic-change","display_name":"therapeutic change","score":0.8140000104904175},{"id":"https://openalex.org/keywords/intersubjectivity","display_name":"intersubjectivity","score":0.8500000238418579},{"id":"https://openalex.org/keywords/shared-consciousness","display_name":"shared consciousness","score":0.7020000219345093},{"id":"https://openalex.org/keywords/adult-infant-interaction","display_name":"adult-infant interaction","score":0.8870000243186951},{"id":"https://openalex.org/keywords/self-organizing-systems","display_name":"self-organizing systems","score":0.7649999856948853},{"id":"https://openalex.org/keywords/emotional-connection","display_name":"emotional connection","score":0.6909999847412109},{"id":"https://openalex.org/keywords/infant-mental-health","display_name":"infant mental health","score":0.7839999794960022},{"id":"https://openalex.org/keywords/mother-infant-relationship","display_name":"mother-infant relationship","score":0.7390000224113464},{"id":"https://openalex.org/keywords/therapeutic-relationship","display_name":"therapeutic relationship","score":0.8209999799728394}],"concepts":[{"id":"https://openalex.org/C186720457","wikidata":"https://www.wikidata.org/wiki/Q7087","display_name":"Consciousness","level":2,"score":0.6543377637863159},{"id":"https://openalex.org/C98045186","wikidata":"https://www.wikidata.org/wiki/Q205663","display_name":"Process (computing)","level":2,"score":0.49921202659606934},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.37838709354400635},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.2222776710987091},{"id":"https://openalex.org/C169760540","wikidata":"https://www.wikidata.org/wiki/Q207011","display_name":"Neuroscience","level":1,"score":0.17141687870025635},{"id":"https://openalex.org/C111919701","wikidata":"https://www.wikidata.org/wiki/Q9135","display_name":"Operating system","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1002/(sici)1097-0355(199823)19:3<290::aid-imhj4>3.0.co;2-q","doi":"https://doi.org/10.1002/(sici)1097-0355(199823)19:3<290::aid-imhj4>3.0.co;2-q","is_oa":false,"landing_page_url":"https://doi.org/10.1002/(sici)1097-0355(199823)19:3<290::aid-imhj4>3.0.co;2-q","pdf_url":null,"source":{"id":"https://openalex.org/S4210187777","display_name":"Infant Mental Health Journal","issn_l":"0163-9641","issn":["0163-9641","1097-0355"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","erih-plus","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Infant Mental Health Journal","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.8560000061988831}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":9,"referenced_works":["https://openalex.org/W2016131103","https://openalex.org/W2025356503","https://openalex.org/W2136609494","https://openalex.org/W2166996472","https://openalex.org/W2726712879","https://openalex.org/W2992436549","https://openalex.org/W4205225999","https://openalex.org/W4234505895","https://openalex.org/W4236038590"],"related_works":["https://openalex.org/W2553578666","https://openalex.org/W2013451785","https://openalex.org/W1598630300","https://openalex.org/W2076255064","https://openalex.org/W7154446337","https://openalex.org/W2159891382","https://openalex.org/W7052261056","https://openalex.org/W3002895907","https://openalex.org/W2247645065","https://openalex.org/W1983370165"],"abstract_inverted_index":{"This":[0,62],"paper":[1],"addresses":[2],"an":[3,56],"intersubjective":[4,91],"issue":[5],"that":[6,84,103,125],"arises":[7],"out":[8],"of":[9,12,22,44,53,72,82,93,132,135,160,167],"our":[10],"model":[11],"therapeutic":[13,179],"change:":[14],"Why":[15],"do":[16],"humans":[17],"so":[18],"strongly":[19],"seek":[20],"states":[21,92,131,147,166],"emotional":[23],"connectedness":[24,34],"and":[25,27,111,118,145],"intersubjectivity":[26],"why":[28],"does":[29],"the":[30,41,45,67,78,98,109,116,119,157,178],"failure":[31],"to":[32,58,88,163],"achieve":[33],"have":[35],"such":[36],"a":[37,122],"damaging":[38],"effect":[39],"on":[40,66],"mental":[42],"health":[43],"infant?":[46],"A":[47],"hypothesis":[48,63,101],"is":[49,64,121],"offered\u2014the":[50],"Dyadic":[51,99],"Expansion":[52],"Consciousness":[54,100],"Hypothesis\u2014as":[55],"attempt":[57],"explain":[59],"these":[60],"phenomena.":[61],"based":[65],"Mutual":[68],"Regulation":[69],"Model":[70],"(MRM)":[71],"infant\u2013adult":[73],"interaction.":[74],"The":[75],"MRM":[76],"describes":[77],"microregulatory":[79],"social-emotional":[80],"process":[81],"communication":[83],"generates":[85],"(or":[86],"fails":[87],"generate)":[89],"dyadic":[90,165],"shared":[94],"consciousness.":[95],"In":[96],"particular,":[97],"argues":[102],"each":[104],"individual,":[105],"in":[106,114,148,177],"one":[107],"case":[108],"infant":[110],"mother":[112],"or":[113,128],"another":[115,151],"patient":[117],"therapist,":[120],"self-organizing":[123,152],"system":[124],"creates":[126],"his":[127],"her":[129],"own":[130],"consciousness":[133,168],"(states":[134],"brain":[136],"organization),":[137],"which":[138],"can":[139,170],"be":[140],"expanded":[141],"into":[142],"more":[143],"coherent":[144],"complex":[146],"collaboration":[149],"with":[150],"system.":[153],"Critically":[154],"understanding":[155],"how":[156],"mutual":[158],"regulation":[159],"affect":[161],"functions":[162],"create":[164],"also":[169],"help":[171],"us":[172],"understand":[173],"what":[174],"produces":[175],"change":[176],"process.":[180],"\u00a9":[181],"1998":[182],"Michigan":[183],"Association":[184],"for":[185],"Infant":[186],"Mental":[187],"Health":[188]},"counts_by_year":[{"year":2026,"cited_by_count":10},{"year":2025,"cited_by_count":7},{"year":2024,"cited_by_count":8},{"year":2023,"cited_by_count":13},{"year":2022,"cited_by_count":19},{"year":2021,"cited_by_count":17},{"year":2020,"cited_by_count":13},{"year":2019,"cited_by_count":15},{"year":2018,"cited_by_count":13},{"year":2017,"cited_by_count":21},{"year":2016,"cited_by_count":17},{"year":2015,"cited_by_count":23},{"year":2014,"cited_by_count":15},{"year":2013,"cited_by_count":18},{"year":2012,"cited_by_count":30}],"updated_date":"2026-10-27T15:51:10.671819","created_date":"2016-06-24T00:00:00"}