{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T11:42:53Z","timestamp":1785325373908,"version":"3.55.0"},"reference-count":54,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T00:00:00Z","timestamp":1769990400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:p>Classical psychoanalysis has traditionally focused on uncovering unconscious conflicts through language\u2014the so-called `talking cure`. However, contemporary research underscores the importance of embodied simulation, body language, and their symbolic representation in understanding and addressing patient\u2019s somatic symptoms. This occurs particularly when individuals seeking psychological help are unable to use spoken words to express their feelings, which is why communication between patient and therapist takes place at a pre-verbal level, within the space of \u201cintercorporeality.\u201d In this paper we explore the interplay between early development, mentalization, language acquisition and somatic disorders as failures of symbolization that manifest in bodily distress. In psychoanalytic psychotherapy these processes can be studied as transference-countertransference interactions. We describe the observed clinical phenomena in terms of intersubjective communication grounded in embodied simulation theory, showing how bodily symptoms emerge when mentalization fails and countertransference is enacted at a concrete, somatic level. For this, a clinical vignette illustrates how severe deficits in mentalization produce concrete somatic enactments and embodied countertransference in the therapist, suggesting a neurobiological substrate in pathological intersubjective resonance. We also compare a clinical vignette to human interaction with an AI as a vivid illustration of what happens when there is \u2018nobody\u2019 (or \u2018no body\u2019) as a human counterpart in communication. LLMs lack bodily resonance and therefore cannot substitute for the therapeutic processes that rely on embodied simulation. Thus, our paper describes phenomenological observations of interbody communication in therapy caused by symbolization failure, integrates several theoretical and experimental approaches (intersubjectivity, embodied simulation, interbrain synchronization) to explain it, points at further directions of scientific research and indicates potential dangers for therapists and patients using modern AI technologies.<\/jats:p>","DOI":"10.3389\/fpsyg.2026.1642418","type":"journal-article","created":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T05:15:48Z","timestamp":1770009348000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Embodied simulation, body language, and symbolization: understanding somatic symptoms in psychoanalysis"],"prefix":"10.3389","volume":"17","author":[{"given":"Elena","family":"Markova","sequence":"first","affiliation":[{"name":"Moscow Institute of Psychoanalysis","place":["Moscow, Russia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel","family":"Enache","sequence":"additional","affiliation":[{"name":"Bucharest Association for Counseling and Psychoanalytic Psychotherapy, The International Neuropsychoanalysis Society Association","place":["Romania"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,2,2]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1097\/00006842-194307000-00001","article-title":"The \"holy seven\" psychosomatic diseases and associated psychopathologies","volume":"5","author":"Alexander","year":"1948","journal-title":"Psychosom. Med."},{"key":"ref2","doi-asserted-by":"crossref","DOI":"10.1093\/med:psych\/9780198527664.001.0001","volume-title":"Psychotherapy for borderline personality disorder: Mentalization-based treatment","author":"Bateman","year":"2004"},{"key":"ref3","doi-asserted-by":"crossref","DOI":"10.1093\/med:psych\/9780199680375.001.0001","volume-title":"Mentalization-based treatment for personality disorders: A practical guide","author":"Bateman","year":"2016"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1037\/h0079530","article-title":"Representation and internalization in infancy: three principles of salience","volume":"11","author":"Beebe","year":"1994","journal-title":"Psychoanal. Psychol."},{"key":"ref5","doi-asserted-by":"crossref","DOI":"10.4324\/9781003180197","volume-title":"Linguistics and psychoanalysis: A new perspective on language processing and evolution","author":"Bonfiglio","year":"2023"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1345480","DOI":"10.3389\/fpsyg.2024.1345480","article-title":"Narrative as active inference: an integrative account of cognitive and social functions in adaptation","volume":"15","author":"Bouizegarene","year":"2024","journal-title":"Front. Psychol."},{"key":"ref7","doi-asserted-by":"publisher","first-page":"e78410","DOI":"10.2196\/78410","article-title":"It\u2019s not only attention we need: systematic review of large language models in mental health care","volume":"12","author":"Bucher","year":"2025","journal-title":"JMIR Ment. Health"},{"key":"ref8","volume-title":"From two to five","author":"Chukovsky","year":"1990"},{"key":"ref9","author":"D\u2019Adamo","year":"2024"},{"key":"ref10","first-page":"3","volume-title":"Handbook of mentalizing in mental health practice","author":"Fonagy","year":"2019"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1192\/bjp.2025.10380","article-title":"Warning: AI chatbots will soon dominate psychotherapy","author":"Frances","year":"2025","journal-title":"Br. J. Psychiatry"},{"key":"ref12","first-page":"205","article-title":"On the sexual theories of children","volume-title":"Standard edition","author":"Freud","year":"1908"},{"key":"ref13","first-page":"159","article-title":"The unconscious","volume-title":"Standard edition","author":"Freud","year":"1915"},{"key":"ref15","article-title":"The ego and the id","volume-title":"Standard edition","author":"Freud","year":"1923"},{"key":"ref16","first-page":"108","article-title":"The phenomenology of body, space and time in depression","volume":"15","author":"Fuchs","year":"2005","journal-title":"Comprendre"},{"key":"ref17","article-title":"Intercorporeality and interaffectivity","volume-title":"Body in interaction","author":"Fuchs","year":"2016"},{"key":"ref18","doi-asserted-by":"crossref","DOI":"10.1093\/0199271941.001.0001","volume-title":"How the body shapes the mind","author":"Gallagher","year":"2005"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1159\/000072786","article-title":"The roots of empathy: the shared manifold hypothesis and the neural basis of intersubjectivity","volume":"36","author":"Gallese","year":"2003","journal-title":"Psychopathology"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1016\/j.brainres.2006.01.054","article-title":"Intentional attunement: a neurophysiological perspective on social cognition and its disruption in autism","volume":"1079","author":"Gallese","year":"2006","journal-title":"Brain Res."},{"key":"ref21","first-page":"3","article-title":"Embodied simulation: from mirror neuron systems to interpersonal relations","volume-title":"Novartis Foundation symposium","author":"Gallese","year":"2007"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"519","DOI":"10.1080\/10481880903231910","article-title":"Mirror neurons, embodied simulation, and the neural basis of social identification","volume":"19","author":"Gallese","year":"2009","journal-title":"Psychoanal. Dial."},{"key":"ref23","first-page":"1","article-title":"The paradigmatic body: embodied simulation, intersubjectivity and the bodily self","volume-title":"Open MIND","author":"Gallese","year":"2015"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1177\/00030651070550010601","article-title":"Intentional attunement: mirror neurons and the neural underpinnings of interpersonal relations","volume":"55","author":"Gallese","year":"2007","journal-title":"J. Am. Psychoanal. Assoc."},{"key":"ref25","volume-title":"On private madness","author":"Green","year":"2005"},{"key":"ref26","volume-title":"The first idea","author":"Greenspan","year":"2004"},{"key":"ref27","doi-asserted-by":"crossref","DOI":"10.5040\/9781474212007","volume-title":"The language of early childhood","author":"Halliday","year":"2004"},{"key":"ref28","volume-title":"The psycho-analysis of children","author":"Klein","year":"1932"},{"key":"ref29","first-page":"114","article-title":"A contribution to the theory of anxiety and guilt","volume":"29","author":"Klein","year":"1948","journal-title":"Int. J. Psychoanal."},{"key":"ref30","article-title":"Children\u2019s social relatedness: an embodied brain process","author":"Korkmaz","year":"2013"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"335","DOI":"10.1080\/07351699809534196","article-title":"Prologue: a short history of psychoanalytic psychosomatics in German-speaking countries","volume":"18","author":"Kutter","year":"1998","journal-title":"Psychoanal. Inq."},{"key":"ref32","volume-title":"The language of the self: The function of language in psychoanalysis","author":"Lacan","year":"1998"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"37","DOI":"10.30820\/0075-2363-2023-1-37","article-title":"Die analytische Haltung und das k\u00f6rperliche Unbewusste","volume":"64","author":"Leikert","year":"2023","journal-title":"Jahrb. Psychoanal."},{"key":"ref34","volume-title":"Mentalisation et psychosomatique","author":"Marty","year":"1991"},{"key":"ref35","first-page":"974","article-title":"Das operative Denken","volume":"32","author":"Marty","year":"1978","journal-title":"Psyche"},{"key":"ref36","volume-title":"The master and his emissary","author":"McGilchrist","year":"2012"},{"key":"ref37","doi-asserted-by":"crossref","DOI":"10.1007\/978-1-4899-0381-5_18","article-title":"Language and psychoanalysis","volume-title":"Language and cognition","author":"Meltzer","year":"1984"},{"key":"ref38","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1080\/21674086.1990.11927281","article-title":"Centennial of an overlooked Freud paper","volume":"59","author":"Nadelman","year":"1990","journal-title":"Psychoanal. Q."},{"key":"ref39","doi-asserted-by":"publisher","first-page":"r2290","DOI":"10.1136\/bmj.r2290","article-title":"ChatGPT: more than a million users show signs of mental health distress and mania each week, internal data suggest","volume":"391","author":"O'Dowd","year":"2025","journal-title":"BMJ"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/10481889709539164","article-title":"Some thoughts on the use of language in psychoanalysis","volume":"7","author":"Ogden","year":"1997","journal-title":"Psychoanal. Dial."},{"key":"ref41","doi-asserted-by":"crossref","DOI":"10.1093\/med\/9780199206469.001.0001","volume-title":"Feelings of being: Phenomenology, psychiatry and the sense of reality","author":"Ratcliffe","year":"2008"},{"key":"ref42","article-title":"Large language models as mental health resources","volume-title":"Pract. Innov.","author":"Rousmaniere","year":"2025"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"503","DOI":"10.1007\/s11017-023-09618-2","article-title":"Somatics and phenomenological psychopathology","volume":"44","author":"S\u00e1nchez","year":"2023","journal-title":"Theor. Med. Bioeth."},{"key":"ref44","doi-asserted-by":"publisher","first-page":"649","DOI":"10.1177\/0956797610368064","article-title":"Mere visual perception of other people\u2019s disease symptoms facilitates a more aggressive immune response","volume":"21","author":"Schaller","year":"2010","journal-title":"Psychol. Sci."},{"key":"ref45","volume-title":"Mentalizing the body","author":"Schultz-Venrath","year":"2024"},{"key":"ref46","doi-asserted-by":"publisher","first-page":"955238","DOI":"10.3389\/fnhum.2022.955238","article-title":"Inter-brain plasticity as a mechanism of change in psychotherapy","volume":"16","author":"Sened","year":"2022","journal-title":"Front. Hum. Neurosci."},{"key":"ref47","volume-title":"The revised standard edition of the complete psychological works of Sigmund Freud","author":"Solms","year":"2024"},{"key":"ref49","volume-title":"When the body displaces the mind","author":"Stora","year":"2007"},{"key":"ref50","volume-title":"A new body\u2013mind approach","author":"Stora","year":"2015"},{"key":"ref51","doi-asserted-by":"crossref","DOI":"10.2307\/jj.23338226","volume-title":"The psychosomatic therapy casebook","author":"Stora","year":"2023"},{"key":"ref52","doi-asserted-by":"publisher","first-page":"1968","DOI":"10.1038\/s41593-025-02008-y","article-title":"Neural anticipation of virtual infection triggers an immune response","volume":"28","author":"Trabanelli","year":"2025","journal-title":"Nat. Neurosci."},{"key":"ref53","doi-asserted-by":"publisher","first-page":"231","DOI":"10.1177\/0003065112438767","article-title":"Is there a nonverbal period of development?","volume":"60","author":"Vivona","year":"2012","journal-title":"J. Am. Psychoanal. Assoc."},{"key":"ref54","doi-asserted-by":"publisher","DOI":"10.1056\/AIp2500785","article-title":"Faulty artificial intelligence, or the sleep of reason","author":"Wiest","year":"2025","journal-title":"New England J. Med. AI"},{"key":"ref55","volume-title":"The maturational processes and the facilitating environment","author":"Winnicott","year":"1990"},{"key":"ref57","volume-title":"Through pediatrics to psycho-analysis","author":"Winnicott","year":"1975"}],"container-title":["Frontiers in Psychology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2026.1642418\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T05:15:54Z","timestamp":1770009354000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2026.1642418\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,2]]},"references-count":54,"alternative-id":["10.3389\/fpsyg.2026.1642418"],"URL":"https:\/\/doi.org\/10.3389\/fpsyg.2026.1642418","relation":{},"ISSN":["1664-1078"],"issn-type":[{"value":"1664-1078","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,2]]},"article-number":"1642418"}}