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Drawing on polyvagal, attachment, and interpersonal neurobiology theories, we examined physiological linkages in therapy triads. Thirty\u2010three heterosexual married couples participated in a 50\u2010min session, during which respiratory sinus arrhythmia (RSA), electrodermal activity (EDA), and pre\u2010ejection period (PEP) were recorded from both partners and their therapist. Using dynamic structural equation modeling within an actor\u2013partner interdependence framework, analyses focused on lagged effects across the session's beginning, middle, and end. Results showed clients exhibited strong physiological inertia across all measures, suggesting autonomic rigidity in early therapy. Therapist EDA predicted husbands' EDA early in the session, while wives' EDA predicted husbands' EDA later in the session. No directional effects were found for RSA or PEP. Clinical implications of these subtle therapist and spousal influences on physiological arousal are discussed.<\/jats:p>","DOI":"10.1111\/jmft.70125","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T20:47:33Z","timestamp":1773002853000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["I Feel You \u2026 or Do I? An Investigation of Therapist Presence and Partner Effects Via Physiological Synchrony in Couple Therapy"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8385-7824","authenticated-orcid":false,"given":"Angela B.","family":"Bradford","sequence":"first","affiliation":[{"name":"School of Family Life Brigham Young University Provo Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexis G.","family":"Werner","sequence":"additional","affiliation":[{"name":"School of Family Life Brigham Young University Provo Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4958-6917","authenticated-orcid":false,"given":"Lee N.","family":"Johnson","sequence":"additional","affiliation":[{"name":"School of Family Life Brigham Young University Provo Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,25]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/e24040517"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1037\/ccp0000811"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/cou0000358"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0014405"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/1089-2680.5.4.323"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0954579401002012"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511546396.008"},{"key":"e_1_2_7_9_1","volume-title":"Attachment and Loss, Vol. 2: Separation","author":"Bowlby J.","year":"1973"},{"key":"e_1_2_7_10_1","volume-title":"The Making and Breaking of Affectional Bonds","author":"Bowlby J.","year":"1979"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jmft.12619"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/10503307.2023.2294886"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2011.01.009"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511546396.007"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1037\/cou0000391"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2017.08.007"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-0606.2003.tb01198.x"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1037\/0893-3200.21.4.572"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0037511"},{"key":"e_1_2_7_20_1","first-page":"576","volume-title":"The Handbook of Structural Equation Modeling","author":"Hamaker E. 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