Attachment theory and research and the psychoanalytic process.

Attachment theory, along with relevant research, is reviewed in terms of its usefulness as a developmental theory for conceptualizing aspects of the psychoanalytic process. Because of its emphasis on the development of relationships through the process of dyadic interaction, attachment theory offers an alternative conceptualization for understanding the relationship aspects of the clinical psychoanalytic process. Manifestations of early attachment behavior can be understood as being recreated in the course of psychoanalysis and can contribute to a developmental understanding of the process. Because many psychiatric problems can be attributed to difficulties in the development of an attachment relationship, it is also possible that attachment theory may be helpful in providing further understanding of the etiology of deviations in development. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Understanding attachment security in family context.

Attachment theory (J.. Bowlby, 1969) is not just about how internalized models of relationships affect interpersonal outcomes; it is primarily a theory about how interpersonal processes affect social and cognitive development. This study tested 3 hypotheses about the interpersonal sources of adult attachment security: (a) attachment security is relationship specific, (b) characteristics of partners affect attachment security, and (c) security of attachment is reciprocated. Measures of attachment security were obtained from 2 parents and 2 children (adolescent or older) in 208 middle-class families. Results of social relations model analysis (D. A. Kenny & L. La Voie, 1984) supported all 3 hypotheses. The author concludes that internal working models of relationships may not be so "internal" after all and that greater emphasis on the interpersonal sources of adult attachment security is warranted. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Dynamic processes underlying adult attachment organization: Toward an attachment theoretical perspective on the healthy and effective self.

Contemporary attachment theory is inspiring a burgeoning literature on adult attachment. This literature offers counseling psychology a compelling framework for understanding the healthy and effective self. In this article, the authors review studies probing the cognitive processes, affect self-regulatory dynamics, and relationship behaviors associated with secure (primary) and insecure (secondary) adult attachment strategies. They then offer a portrait of the healthy, effective personality that is consistent with theory and research on adult attachment. Finally, in an effort to understand key characteristics of successful movement toward the healthy and effective self, the authors review empirical extensions of attachment theory to the therapeutic context. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Where is the infant in infant intervention? A review of the literature on changing troubled mother-infant relationships.

Four intervention models that aim to reduce problematic caregiver–infant relationships are reviewed within the context of attachment theory. These models include support, guidance, psychotherapy, and infant-led psychotherapy. All of the models are consistent with attachment theory in that they aim to enhance maternal sensitivity and responsiveness. Only infant-led psychotherapy focuses primarily on the mother–infant relationship and directly includes the infant in treatment instead of focusing and working primarily with the more verbal partner, the caregiver. Thus, of the 4 interventions, infant-led psychotherapy is most consistent with the current empirical and theoretical understanding of infants as active contributors to their relationships and development. However, there is little empirical research on this intervention; the bulk of studies evaluate support and guidance. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attachment perspectives on the counseling relationship: Comment on Mallinckrodt, Gantt, and Coble (1995).

B. Mallinckrodt, D. L. Gantt, and H. M. Coble (see record 1995-42468-001) highlight the role of attachment theory for explaining critical elements of the client–counseling relationship and the counseling process. The use of the Client Attachment to Therapist Scale as a typological vs continuous measure and the relationship between attachment style and therapeutic relationship constructs are discussed. A cautionary note on the internal validity of this scale is raised before underscoring the rich research possibilities gained by it. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Attachment in psychotherapy.

Reviews the book, Attachment in psychotherapy by David J. Wallin (see record 2007-05421-000). This intellectual and clinical tour-de-force is what we have been waiting for: a book that is on the one hand a coherent, creative, thoughtful, and remarkably integrated view of contemporary psychoanalysis, with attachment, and attachment processes, at its core, and on the other a reflection on our daily, complex, work with patients. The book has three broad aims: first, to ground the reader in attachment theory and research, second, to broaden the reach of attachment theory by building bridges to other aspects of contemporary psychoanalytic theory and science, and third to apply this broader, deeply psychoanalytic, clinical attachment theory to understanding the dynamics of an individual patient and the dynamics of clinical work. This book should be essential reading for anyone interested in contemporary psychoanalysis. Few writers have the ability to write so directly and clearly about complex science and theory; his scholarship and reach are extraordinary. This book is also a book for therapists at all levels of experience. Throughout every section of the book, Wallin writes about his work with patients, about the therapeutic process, about the therapeutic situation, and about the therapeutic relationship, in all its complexity. In the end, he creates a truly contemporary vision of human development, affect regulation, and relational processes, grounded in the body and in the brain, and in the fundamental relationships that make us who we are, as therapists, as patients, and as human beings. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Development of chicken embryos exposed to an intermittent horizontal sinusoidal 50 Hz magnetic field

Attachment theory provides a rich theoretical framework for research and intervention in child abuse. This paper examines the central role of internal working models in the development of child-parent relationships. Mental representations of child attachment (in infancy and middle childhood), adult attachment and parental caregiving are discussed in light of the adaptational deficits that researchers have found to be associated with attachment insecurity. A reconceptualization of the link between insecurity and child abuse is described, highlighting disorganized attachment. Implications for child abuse intervention are discussed.     

Dissociation and Internal Models of Protection: Psychotherapy With Child Abuse Survivors.

This article presents strategies for treating child abuse survivors based on a theory of interpersonal protection that integrates research in attachment, developmental psychopathology, trauma, dissociation, and experiential psychotherapy. The theory proposes that abused children do not form internal working models of an effective protector, with the result that they have difficulty defending themselves against interpersonal aggression and internal self-criticism; thus, a core psychotherapy task is to help survivors develop adequate representations of protection. The article provides case examples and describes interventions targeting the client-therapist relationship, other client relationships, client self-criticism, and traumatic memories. The author discusses dissociation as an intervention marker; client verbal and nonverbal feedback to therapist interventions; subselves and internal roles; the "inner critic"; guided imagery, role-plays, and dramatic enactment methods; and directions for future research. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The generalization of attachment representations to new social situations: Predicting behavior during initial interactions with strangers.

The idea that attachment representations are generalized to new social situations and guide behavior with unfamiliar others is central to attachment theory. However, research regarding this important theoretical postulate has been lacking in adolescence and adulthood, as most research has focused on establishing the influence of attachment representations on close relationship dynamics. Thus, the goal of this investigation was to examine the extent to which attachment representations are predictive of adolescents' initial behavior when meeting and interacting with new peers. High school adolescents (N = 135) participated with unfamiliar peers from another school in 2 social support interactions that were videotaped and coded by independent observers. Results indicated that attachment representations (assessed through interview and self-report measures) were predictive of behaviors exhibited during the discussions. Theoretical implications of the results and contributions to the existing literature are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attachment and reflective function: their role in self-organization

The paper traces the relationship between attachment processes and the development of the capacity to envision mental states in self and others. We suggest that the ability to mentalize, to represent behavior in terms of mental states, or to have "a theory of mind" is a key determinant of self-organization which is acquired in the context of the child's early social relationships. Evidence for an association between the quality of attachment relationship and reflective function in the parent and the child is reviewed and interpreted in the context of current models of theory of mind development. A model of the development of self-organization is proposed which has at its core the caregiver's ability to communicate understanding of the child's intentional stance. The implications of the model for pathological self-development are explored, with specific reference to the consequences of maltreatment.     

Introduction to the special section on attachment and psychopathology: Part 1.

Research derived from attachment theory has generated a rich and rapidly growing body of findings on the importance of early caregiving experience in the development of psychopathology and in the promotion of adaptation. This special section presents research and scholarship on the relation of attachment status to psychiatric classifications and diagnosis in child, adolescent, and adult populations. Included as well are articles that explore the cross-generational transmission of attachment patterns and investigate the relation of attachment status to response to psychotherapy. These articles are representative of the notable impact that attachment theory and research are making in the field of developmental psychopathology. The special section is intended to help bridge the gap between thinking about attachment and clinical research and intervention. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The dynamics of attachment and systems-centered group psychotherapy.

In this article, links are made between 2 theoretical paradigms, 1 that primarily describes the dynamics of dyads (attachment theory) and another that primarily although not exclusively describes the dynamics of groups (the theory of living human systems). The ideas presented are based on research into empathic attunement in adult psychotherapy, clinical material from a group psychotherapy session, and research in the field of attachment. It is suggested that systems-centered group psychotherapy provides the environment for changing members' attachment status through its attention to emotional resonance, authentic affect, and empathic attunement. These ideas are presented with a view toward encouraging research into the links between attachment theory, affect attunement, and group psychotherapy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Prorelationship maintenance behaviors: The joint roles of attachment and commitment.

The present research uses a behavioral observation methodology to examine emotional and behavioral reactions to threatening interpersonal situations in married couples. The research shows that although anxious attachment can hinder people’s tendencies to react constructively to threatening events, greater relationship commitment may serve as a buffer against the negative effects associated with attachment insecurities, diminishing feelings of rejection, enhancing feelings of acceptance, and promoting more constructive accommodation behaviors. The research also reveals that wives’ degree of relationship commitment has stronger effects on emotional outcomes for both partners than does husbands’ degree of commitment. Moreover, husbands’ and wives’ emotional reactions affect their own accommodative behaviors as well as their spouses’ behaviors. These dyadic findings are discussed in terms of attachment theory and interdependence theory. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Searching for secure bases in attachment-focused group therapy: Reaction to Kilmann et al. (1999).

The appropriateness of P. R. Kilmann et al.'s (see record 1999-13879-006) treatment intervention is reviewed in light of attachment theory. As is widely known, J. Bowlby wrote extensively about childhood antecedents of later psychopathology. Not so widely known are Bowlby's insights regarding an attachment–theoretical understanding of therapy and therapeutic change. Bowlby's therapeutic perspective is described, beginning with the notion of the "secure base" and its special relevance for therapy, followed by a discussion of general and specific goals for successful therapy. Kilmann et al.'s treatment is then analyzed with respect to Bowlby's ideas, with suggestions for future research on attachment-focused intervention with individuals experiencing relationship difficulties. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attachment Disorganization: The Reunion of Attachment Theory and Psychoanalysis.

The author investigates the psychoanalytic implications of recent attachment research on the disorganized attachment category in infants and the unresolved for trauma and loss adult attachment classification with which it has been associated. The author first reviews empirical findings on attachment disorganization and then explores the ways in which they are consistent with and illuminated by psychoanalytic concepts. The focus is on linkages between disorganized attachment and Freud's theory of strain trauma and traumatic anxiety, Klein's theory of projective identification and the interplay between paranoidschizoid and depressive anxieties in development, and Blatt's theory of psychological development as resulting from the interplay of anaclitic and introjective developmental lines. In so doing, this article contributes to the reunion between attachment theory and psychoanalysis. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Protection, Dissociation, and Internal Roles: Modeling and Treating the Effects of Child Abuse.

This article presents a theory of the long-term effects of child abuse that emphasizes the development of internal working models of protection. The theory proposes that abused children do not receive adequate caregiver protection and do not form internal representations of an effective protector. As a result, they have ongoing difficulty defending themselves against interpersonal aggression and internal self-criticism. The model integrates current research and theory in attachment behavior, developmental psychopathology, trauma, dissociation, and experiential psychotherapy. It accounts for many of the clinical symptoms presented by adult survivors of child abuse and suggests specific strategies for treatment. The author provides 3 examples of psychotherapy interventions derived from the model, distinguishes protection and "rescuing", and suggests directions for future research. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

In search of shared and nonshared environmental factors in security of attachment: A behavior-genetic study of the association between sensitivity and attachment security.

The current article presents results from a twin study of genetic and environmental components of maternal sensitivity and infant attachment and their association. The sample consisted of 136 twin pairs from 2 sites: Leiden, the Netherlands, and London, UK. Maternal sensitivity was assessed in the home at 9-10 months, and infant attachment security was observed in the laboratory at 12 months. The study yielded little evidence that genetic factors are involved in variations between twins in maternal sensitivity ratings but did find that shared variance in maternal sensitivity was able to account for some of the similarity between twins in attachment security. Weak nonshared associations between sensitivity and attachment appeared to suppress the magnitude of the correlation between attachment and sensitivity in twin children. The results could indicate that the attachment security of one twin may depend on the relationship the parent has with the other twin. The results are brought to bear on the validity of attachment theory as a theory of primarily shared environmental effects in children's development and the continuing challenge posed to attachment theory by within-family differences in socioemotional processes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The development of the client-therapist bond through the lens of attachment theory.

The bond between client and therapist, a component of the global alliance, is widely believed to play a crucial role in supporting the work of therapy. However, we know little about how the client-therapist bond becomes established and have few theoretical tools to conceptualize its development. Attachment theory, with its focus on the development and dynamics of intimate relationships, is a lens through which we can expand our understanding of the client-therapist bond. I argue that the therapeutic bond may be usefully viewed as an in-progress attachment to therapists. Using Bowlby (1969/1982) and Ainsworth's (Ainsworth et al., 1978) ideas about normative attachment development, I present a phase model of attachment to the therapist and include behavioral, cognitive, emotional, and physiological markers of each phase. I draw empirical support from the psychotherapy process and alliance literatures and discuss research considerations and clinical implications of the model. (PsycINFO Database Record (c) 2010 APA, all rights reserved)