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While psychoanalysis historically privileged the mutative power of spoken words and explicit interpretive understanding, we now know that all experience originates in, unfolds from and is felt through our bodies, enhancing or constraining what can be talked about explicitly. The therapist optimally expands her listening perspective to include implicit communications of bodily experience in order to deepen the empathic process and create new therapeutic opportunity. Principles from infant research, neurobiology, progressive establishment of a collaborative, contingent dialogue and sustaining an intention unfolding process inform the integrative approach illustrated in this paper. Psychoanalysis is a process of learning by doing a multimodal fitting together process through dialogue that is continuously implicit and intermittently verbal. The analyst must actively facilitate and scaffold implicit and explicit dialogue with the goal of fitting together and creating new experience.

Words and music: Creating transformative opportunities through implicit and explicit dialogue