Attachment, Intimacy, Autonomy: Using Attachment Theory in by Jeremy Holmes

By Jeremy Holmes

Attachment idea is at the innovative of a conceptual revolution. It deals a brand new paradigm which could synthesize right into a extra coherent complete the simplest principles from psychoanalysis, cognitive technological know-how, and neurobiology. With its emphasis on relationships, attachment idea is determinedly humanistic, whereas protecting the clinical power of Darwinian ethnology. Attachment idea offers an total framework for wondering relationships, or extra effectively, approximately these elements of relationships which are formed by means of probability and the necessity for safeguard, subject matters which are vital to the paintings of psychotherapy. during this ebook Jeremy Holmes explores the contribution of attachment concept to daily psycho-therapeutic perform the place sufferers are typically obvious as soon as weekly, or much less, for not more than to 3 years.

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Additional resources for Attachment, Intimacy, Autonomy: Using Attachment Theory in Adult Psychotherapy

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The following vignettes illustrate how dismi~ive and enmeshed narratives manifest themselves in clinical practice. Each case centered around the threat to a relationship-in the first two cases because intimacy was lacking, in the third because autonomy was compromised. FROM ATIACHMENT TO INTIMACY Integration, meaning Nonattachment Chaos, meaninglessness Attachment + Intimacy + Ambivalence Detachment + + Autonomy Avoidance Clinging Fear of autonomy Isolation Fear of intimacy Figure 1-2. The triangle of attachment.

Second, attachment theory offers a picture of the therapeutic process as a microcosm of attachment and separation, with its rhythm of regular sessions punctuated by endings and breaks. This is analogous to the strange situation, in which the patient is subjected to minor stresses and their resolution and which can be examined in the "laboratory" of therapy. Third, with its emphasis on bonds-their formation, threatened rupture, and/or severance-and the affective responses that accompany these processes, attachment theory is consistent with the view, now rapidly gaining support, of an "assimilation model" of psychotherapy (Shapiro 1995).

They are there, in her inner world. She can begin to speak about herself with detachment. This point is illustrated by Raymond, a patient to whom I shall return in Chapter 3. 26 ATTACHMENT, INTIMACY, AUTONOMY Raymond: Overcoming Ambivalent Attachment Raymond, a factory manager in his mid-fifties, had a major depressive breakdown, precipitated by his factory, to which he had devoted his whole life, going into receivership. In therapy he constantly ruminated on his past mistakes and how things might have turned out differently, omnipotently blaming himself for everything that had gone wrong.

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