Instability and Uncertainty Are Critical for Psychotherapy: How the Therapeutic Alliance Opens Us Up

Tschacher and Haken have recently applied a systems-based approach to modeling psychotherapy process in terms of potentially beneficial tendencies toward deterministic as well as chaotic forms of change in the client’s behavioral, cognitive and affective experience during the course of therapy. A chaotic change process refers to a greater exploration of the states that a client can be in, and it may have a potential positive role to play in their development. A distinction is made between on the one hand, specific instances of instability which are due to techniques employed by the therapist, and on the other, a more general instability which is due to the therapeutic relationship, and a key, necessary result of a successful therapeutic alliance. Drawing on Friston’s systems-based model of free energy minimization and predictive coding, it is proposed here that the increase in the instability of a client’s functioning due to therapy can be conceptualized as a reduction in the precisions (certainty) with which the client’s prior beliefs about themselves and their world, are held. It is shown how a good therapeutic alliance (characterized by successful interpersonal synchrony of the sort described by Friston and Frith) results in the emergence of a new hierarchical level in the client’s generative model of themselves and their relationship with the world. The emergence of this new level of functioning permits the reduction of the precisions of the client’s priors, which allows the client to ‘open up’: to experience thoughts, emotions and experiences they did not have before. It is proposed that this process is a necessary precursor to change due to psychotherapy. A good consilience can be found between this approach to understanding the role of the therapeutic alliance, and the role of epistemic trust in psychotherapy as described by Fonagy and Allison. It is suggested that beneficial forms of instability in clients are an underappreciated influence on psychotherapy process, and thoughts about the implications, as well as situations in which instability may not be beneficial (or potentially harmful) for therapy, are considered.

Interpersonal Physiological Synchrony for Detecting Moments of Connection in Persons With Dementia: A Pilot Study

Interpersonal physiological synchrony has been successfully used to characterize social interactions and social processes during a variety of interpersonal interactions. There are a handful of measures of interpersonal physiological synchrony, but those that exist have only been validated on able-bodied adults. Here, we present a novel information-theory based measure of interpersonal physiological synchrony—normalized Symbolic Transfer Entropy (NSTE)—and compare its performance with a popular physiological synchrony measure—physiological concordance and single session index (SSI). Using wearable sensors, we measured the electrodermal activity (EDA) of five individuals with dementia and six able-bodied individuals as they participated in a movement activity that aimed to foster connection in persons with dementia. We calculated time-resolved NSTE and SSI measures for case studies of three dyads and compared them against moments of observed interpersonal connection in video recordings of the activity. Our findings suggest that NSTE-based measures of interpersonal physiological synchrony may provide additional advantages over SSI, including resolving moments of ambiguous SSI and providing information about the direction of information flow between participants. This study also investigated the feasibility of using interpersonal synchrony to gain insight into moments of connection experienced by individuals with dementia and further encourages exploration of these measures in other populations with reduced communicative abilities.

Higher empathy is associated with stronger social bonding when moving together with music

Empathy—understanding and sharing the feelings and experiences of others—is one of our most important social capacities. Music is a social stimulus in that it involves communication of mental states, imitation of behavior, and synchronization of movements. As empathy and music are so closely linked, we investigated whether higher empathy is associated with stronger social bonding in interpersonal interactions that feature music. In two studies, participants watched videos in which we manipulated interpersonal synchrony between the movements of a virtual self and a virtual other person during walking with instrumental music or a metronome. In both studies, temporally aligned movements increased social bonding with the virtual other and higher empathy was associated with increased social bonding in movement interactions that featured music. Additionally, in Study 1, participants with lower empathy felt more connected when interacting with a metronome compared to music. In Study 2, higher trait empathy was associated with strong increases of social bonding when interacting with a temporally aligned virtual other, but only weak increases of social bonding with a temporally misaligned virtual other. These findings suggest that empathy plays a multifaceted role in how we enjoy, interpret, and use music in social situations.

Social context facilitates visuomotor synchrony and bonding in children and adults

Interpersonal synchrony is a fundamental part of human social interaction, with known effects on facilitating social bonding. Moving in time with another person facilitates prosocial behaviour, however, it is unknown if the degree of synchronisation predicts the degree of social bonding. Similarly, while people readily fall in synchrony even without being instructed to do so, we do not know whether such spontaneous synchronisation elicits similar prosocial effects as instructed synchronisation. Across two studies, we investigated how context (social vs non-social stimulus) and instruction (instructed vs uninstructed) influenced synchronisation accuracy and bonding with the interaction partner in adults and children. The results revealed improved visuomotor synchrony within a social, compared to non-social, context in adults and children. Children, but not adults, synchronised more accurately when instructed to synchronise than when uninstructed. For both children and adults, synchronisation in a social context elicited stronger social bonding towards an interaction partner as compared to synchronisation in a non-social context. Finally, children’s, but not adults’, degree of synchrony with the partner was significantly associated with their feelings of social closeness. These findings illuminate the interaction of sensorimotor coupling and joint action in social contexts and how these mechanisms facilitate synchronisation ability and social bonding.

Ensemble timing and synchronization

Timing and synchronization represent fundamental elements of ensemble playing. Empirical research has demonstrated remarkably tight synchronization in ensembles, including instrumental and classical singing formations. Nevertheless, asynchronies between co-performers during ensemble playing are inevitable and, to some extent, desirable: musicians deliberately co-vary their timing and synchronization to attain mastery in expressive ensemble performance. By reviewing published studies on ensemble synchrony, the contextual factors that may impact synchronization are presented. Considerations of ensemble timing are then broadened to better recognize variations by musical tradition. Ultimately, the chapter reflects on the relationships between intrapersonal and interpersonal synchrony in ensemble, from the lowest levels of the temporal hierarchy, including neural activity, to the higher levels comprising breathing and cardiac activities, and musicians’ body gestures. This overview provides a conceptual framework to explore aspects of context as well as the physiology and the psychology of collective music-making, suggesting a fruitful avenue for further investigations.

Similar cognitive processing synchronizes brains, hearts, and eyes

Neural, physiological and behavioral signals synchronize between human subjects in a variety of settings. Multiple hypotheses have been proposed to explain this interpersonal synchrony, but there is no clarity under which conditions it arises, for which signals, or whether there is a common underlying mechanism. We hypothesized that similar cognitive processing of a shared stimulus is the source of interpersonal synchrony, measured here as inter-subject correlation. To test this we presented informative videos to participants in an attentive and distracted condition and subsequently measured information recall. Inter-subject correlation was observed for electro-encephalography, gaze position, pupil size and heart rate, but not respiration and head movements. The strength of correlation was co-modulated in the different signals, changed with attentional state, and predicted subsequent recall of information presented in the videos. There was robust within-subject coupling between brain, heart and eyes, but not respiration or head movements. The results suggest that inter-subject correlation is the result of similar cognitive processing and thus emerges only for those signals that exhibit a robust brain-body connection. While physiological and behavioral fluctuations may be driven by multiple features of the stimulus, correlation with other individuals is co-modulated by the level of attentional engagement with the stimulus.SignificanceThe synchronization of human neural, physiological and behavioral signals happens in a variety of settings. In this work we show that physiological synchrony requires only two things, namely, effective cognitive processing of a common stimulus, and a robust coupling between brain activity and the physiological signal in question. We confirm this theory for heart rate, pupil size, gaze position and saccade rate, as positive examples, and respiration and head movements as negative examples. We show that the strength of this correlation is co-modulated, i.e. correlation is modulated in unison for all signals in which correlation is detected. We propose that this common modulation is the result of attentional engagement with the stimulus.

Behavioral and Neural Dynamics of Interpersonal Synchrony Between Performing Musicians: A Wireless EEG Hyperscanning Study

Interpersonal synchrony refers to the temporal coordination of actions between individuals and is a common feature of social behaviors, from team sport to ensemble music performance. Interpersonal synchrony of many rhythmic (periodic) behaviors displays dynamics of coupled biological oscillators. The current study addresses oscillatory dynamics on the levels of brain and behavior between music duet partners performing at spontaneous (uncued) rates. Wireless EEG was measured from N = 20 pairs of pianists as they performed a melody first in Solo performance (at their spontaneous rate of performance), and then in Duet performances at each partner’s spontaneous rate. Influences of partners’ spontaneous rates on interpersonal synchrony were assessed by correlating differences in partners’ spontaneous rates of Solo performance with Duet tone onset asynchronies. Coupling between partners’ neural oscillations was assessed by correlating amplitude envelope fluctuations of cortical oscillations at the Duet performance frequency between observed partners and between surrogate (re-paired) partners, who performed the same melody but at different times. Duet synchronization was influenced by partners’ spontaneous rates in Solo performance. The size and direction of the difference in partners’ spontaneous rates were mirrored in the size and direction of the Duet asynchronies. Moreover, observed Duet partners showed greater inter-brain correlations of oscillatory amplitude fluctuations than did surrogate partners, suggesting that performing in synchrony with a musical partner is reflected in coupled cortical dynamics at the performance frequency. The current study provides evidence that dynamics of oscillator coupling are reflected in both behavioral and neural measures of temporal coordination during musical joint action.

Hybrid Harmony: A Multi-Person Neurofeedback Application for Interpersonal Synchrony

Recent years have seen a dramatic increase in studies measuring brain activity, physiological responses, and/or movement data from multiple individuals during social interaction. For example, so-called “hyperscanning” research has demonstrated that brain activity may become synchronized across people as a function of a range of factors. Such findings not only underscore the potential of hyperscanning techniques to capture meaningful aspects of naturalistic interactions, but also raise the possibility that hyperscanning can be leveraged as a tool to help improve such naturalistic interactions. Building on our previous work showing that exposing dyads to real-time inter-brain synchrony neurofeedback may help boost their interpersonal connectedness, we describe the biofeedback application Hybrid Harmony, a Brain-Computer Interface (BCI) that supports the simultaneous recording of multiple neurophysiological datastreams and the real-time visualization and sonification of inter-subject synchrony. We report results from 236 dyads experiencing synchrony neurofeedback during naturalistic face-to-face interactions, and show that pairs' social closeness and affective personality traits can be reliably captured with the inter-brain synchrony neurofeedback protocol, which incorporates several different online inter-subject connectivity analyses that can be applied interchangeably. Hybrid Harmony can be used by researchers who wish to study the effects of synchrony biofeedback, and by biofeedback artists and serious game developers who wish to incorporate multiplayer situations into their practice.

Brief Report: Specificity of Interpersonal Synchrony Deficits to Autism Spectrum Disorder and Its Potential for Digitally Assisted Diagnostics

Reliably diagnosing autism spectrum disorders (ASD) in adulthood poses a challenge to clinicians due to the absence of specific diagnostic markers. This study investigated the potential of interpersonal synchrony (IPS), which has been found to be reduced in ASD, to augment the diagnostic process. IPS was objectively assessed in videos of diagnostic interviews in a representative referral population from two specialized autism outpatient clinics. In contrast to the current screening tools that could not reliably differentiate, we found a significant reduction of IPS in interactions with individuals later diagnosed with ASD (n = 16) as opposed to those not receiving a diagnosis (n = 23). While these findings need to be validated in larger samples, they nevertheless underline the potential of digitally-enhanced diagnostic processes for ASD.

Interpersonal Synchrony in the Context of Caregiver-Child Interactions: A Document Co-citation Analysis

Social interactions accompany individuals throughout their whole lives. When examining the underlying mechanisms of social processes, dynamics of synchrony, coordination or attunement emerge between individuals at multiple levels. To identify the impactful publications that studied such mechanisms and establishing the trends that dynamically originated the available literature, the current study adopted a scientometric approach. A sample of 543 documents dated from 1971 to 2021 was derived from Scopus. Subsequently, a document co-citation analysis was conducted on 29,183 cited references to examine the patterns of co-citation among the documents. The resulting network consisted of 1,759 documents connected to each other by 5,011 links. Within the network, five major clusters were identified. The analysis of the content of the three major clusters—namely, “Behavioral synchrony,” “Towards bio-behavioral synchrony,” and “Neural attunement”—suggests an interest in studying attunement in social interactions at multiple levels of analysis, from behavioral to neural, by passing through the level of physiological coordination. Furthermore, although initial studies on synchrony focused mostly on parent-child interactions, new hyperscanning paradigms are allowing researchers to explore the role of biobehavioral synchrony in all social processes in a real-time and ecological fashion. Future potential pathways of research were also discussed.