The Right Brain Implicit Self Lies at the Core of Psychoanalysis

In this contribution I expand my continuing work on the centrality of right brain structures and unconscious processes from the neuropsychoanalytic perspective of regulation theory, an overarching model of the development, psychopathogenesis, and treatment of the implicit self. In an introduction I highlight the essential role of not only implicit cognition but implicit affect, communication, and regulation in current relational psychoanalytic models. I then briefly discuss recent developmental and neurobiological studies of implicit processes in early development and psychopathogenesis. In the bulk of this work I explore the essential role of implicit affective processes in psychotherapeutic change processes. I focus particularly on the expression of right brain unconscious mechanisms in affect-laden enactments, and on the therapist's moment-to-moment navigation through these heightened affective moments by not left brain explicit secondary process cognition but right brain implicit primary process affectively driven clinical intuition. Direct access to these right brain implicit processes by both patient and therapist is central to effective treatment.