Clinical guidelines for suicide prevention often stress the identification of risk and protective factors as well as the evaluation of suicidal intent. However, we know very little about what psychiatrists actually do when they make these assessments. The aim was to investigate psychiatrists’ own accounts of suicide assessment consultations, with a focus on their behaviors, attitudes and emotions. Semi-structured in depth interviews were carried out with a purposive selection of 15 psychiatrists. Thematic analysis revealed three main themes: understanding the patient in a precarious situation, understanding one’s own reactions, and understanding how the doctor-patient relationship impacted on risk assessment and management decisions. Emotional contact and credibility issues were common subthemes that arose when the respondents talked about trying to understand the patient. The psychiatrists stressed the semi-intuitive nature of their assessments. Problems related to the use of risk factor assessments and rating scales were apparent. Assessment consultations could evoke physical and emotional symptoms of anxiety, and concerns about responsibility could lead to repressive management decisions. In situations of mutual trust, however, the assessment consultation could kick-start a therapeutic process. This study highlights psychiatrists’ experiences in clinical suicide assessment situations. Findings have implications for professional development as well as for service delivery.

As a result of the COVID-19 pandemic, increased number of persons have been forced to limit their interactions with friends and families to contact via video, which excludes eye-contact. The aim of this study was to examine individuals’ experiences of the difference between forced skewed visuality and the ability for eye-contact in conversations. Two custom-made units allowed 15 participants interacting in dyads to alternate between being able to make eye contact and having that ability removed through skewed visuality. Participants reported their experiences in semi-structured interviews. Data analyzed with qualitative content analysis resulted in three themes: Shared eye contact allows us to create our relationship together; With eye contact, we adjust to each other to feel more connected and less intimidated; and We get more self-conscious when the visuality is skewed or shifting. The results imply that skewed visuality as forced lack of eye-contact in video conversations effects embodied non-verbal processes related to sense of connectedness and participatory sensemaking, creating a sense of both emotional and physical distance, as well as heightening self-awareness about the need of actively regulating the other. We argue that this is one of the ways to understand the impact of moving interactions to online communication.

This paper presents a taxonomy of agents’ embodiment in physical and virtual environments. It categorizes embodiment based on five entities: the agent being embodied, the possible mediator of the embodiment, the environment in which sensing and acting take place, the degree of body, and the intertwining of body, mind, and environment. The taxonomy is applied to a wide range of embodiment of humans, artifacts, and programs, including recent technological and scientific innovations related to virtual reality, augmented reality, telepresence, the metaverse, digital twins, and large language models. The presented taxonomy is a powerful tool to analyze, clarify, and compare complex cases of embodiment. For example, it makes the choice between a dualistic and non-dualistic perspective of an agent’s embodiment explicit and clear. The taxonomy also aided us to formulate the term “embodiment by proxy” to denote how seemingly non-embodied agents may affect the world by using humans as “extended arms”. We also introduce the concept “off-line embodiment” to describe large language models’ ability to create an illusion of human perception.

We address what it means to “engage in a relationship” and suggest Social Breathing as a model of immersing ourselves in the metaphorical social air around us, which is necessary for shared intention and joint action. We emphasize how emergent properties of social systems arise, such as the shared culture of groups, which cannot be reduced to the individuals involved. We argue that the processes involved in Social Breathing are: (1) automatic, (2) implicit, (3) temporal, (4) in the form of mutual bi-directional interwoven exchanges between social partners and (5) embodied in the coordination of the brains and behaviors of social partners. We summarize cross-disciplinary evidence suggesting that these processes involve a multi-person whole-brain-body network which is critical for the development of both we-ness and relational skills. We propose that Social Breathing depends on each individual’s ability to sustain multimodal interwovenness, thus providing a theoretical link between social neuroscience and relational/multi-person psychology. We discuss how the model could guide research on autism, relationships, and psychotherapy.

Relational neuroscience struggles to capture the complex dynamics of shared interpersonal moments, leading to gaps in understanding whether and how interdependencies between interacting persons translate into something meaningful. Current neuroscientific research often focuses on motor synchronization and cognition rather than the implicit relational qualities central to psychotherapy. We argue that this disconnect stems from an over-reliance on simplified quantitative methods, a failure to centralize experiential factors, and the lack of Convergence research. Drawing on emerging frameworks such as 4E cognition (embodied, enacted, extended, and embedded) and MoBI (Mobile Brain/Body Imaging), we advocate for integrating subjective and experiential elements with neural data. We propose focusing on “qualities” in multi-brain neuroscience—moving beyond binary or linear scales—to better capture the subtleties of relational moments. Finally, we emphasize the importance of convergence research across disciplines to better understand what interpresence holds. If psychotherapeutic knowledge is used to guide neuroscientists in what to look for, this multi-disciplinary approach holds promise for advancing the study of psychotherapy’s relational processes, offering new insights into the neurobiology of meaningful moments in therapy and elsewhere. We propose ConNECT (Convergence research including Neuroscience and Experiences, Capturing meaningful dynamics with Therapists’ knowledge) as the path forward.