How change can happen in complex systems. Discussion of Caprilli’s case description

ABSTRACT This article discusses the report on a therapy with an 8-year-old boy provided by Simona Caprilli. A complex systems theory perspective is adopted to explore certain developments and characteristics of this case history. The therapist’s impact on the patient’s social system of reference is examined, with particular attention to her mode of procedure, attitudes, and commitments. This paper identifies Caprilli´s consistent contextualization as a key aspect of her empathic approach. In addition, special attention is paid to the feelings that arise in the intersubjective field and to the structure of the therapeutic relationship. The discussion of the case study illustrates that the emergence of new organizational patterns in the system opens up new possibilities and expands the scope in the therapeutic relationship. This emphasizes the interconnectedness of systemic and individual levels and highlights the significance of shared emotions for this change process. The clinical example is used to demonstrate how psychoanalytic change processes can also be understood as systemic changes, not just personal developments.