You do not currently have permission to view the full text for this document. Please sign in to an account with an active subscription or contact support.
Paul’s tale elucidates the struggles encountered by adult therapist/child patient dyads in their efforts to connect, and to co-create a safe space where growth and integration can emerge and consolidate. This is a dynamic, dyadic tale of bidirectional self and self-with-other regulation that unfolds across explicit and procedural dimensions of experience. The article highlights three pivotal clinical moments in a 7-year treatment. The ongoing clinical process and abrupt termination speaks both to the potential and to the transience of clinical process by elucidating the limits of co-creation and co-destruction.