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Interweaving clinical phenomena and dynamics from a developmental perspective is fraught and burdened by the exact complexities one is trying to unravel and re-ravel! While acknowledging those complexities and difficulties Dr. Herzog took on in his paper, I offer an understanding of developmental tasks from relentless, emergent, bidirectional system of influence and being influenced. The focus here is not on either the adult or the child but on the dyad: the adult and child’s individual contributions toward growth and development AND the adult and child’s co-configured, co-created experiences. Brandchaft’s theory, systems of pathological accommodation, is offered an alternative means of clinically understanding the binding attachments or “tethered love.” The case Dr. Herzog shares is reconsidered from Brandchaft’s perspective and from a developmental, dyadic, bidirectional system’s clinical approach.

Struggling To Be Free: Synthesizing Developmental Theory, Clinical Theory, and a Relentless Dyadic, Bidirectional, Interactively Regulated Field