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Cited by 113Psychotherapy Techniques and ApplicationsAttachment and Relationship DynamicsPsychoanalysis and Psychopathology Research

Attachment and psychotherapy

Slade, Arietta, Holmes, Jeremy·2019·Current Opinion in Psychology
DOI 10.1016/j.copsyc.2018.06.008
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Abstract

Attachment theory provides a model for understanding (1) development within the context of the child's primary, and formative relationships, and (2) an adult's orientation toward lifelong intimate connections, social relationships, and autonomous exploration. Psychotherapy researchers have linked measures of patient attachment with therapeutic alliance, process, and outcomes. Studies of ruptures and discourse analysis distinguish in-session behaviors associated with different patterns of insecure attachments, and identify distinct ways of working with them. The therapist's own attachment organization and mentalizing capacity also play a significant role in therapeutic success. The key tenets of attachment-informed psychotherapy are: (1) the therapist-patient attachment relationship is central to promoting change, (2) the in vivo recognition of attachment dynamics during therapy guides formulation and intervention, and (3) therapy can reshape attachment dynamics.

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  • Processing relational patterns within therapeutic relationship allows patients to experience corrective emotional experiences that shift maladaptive interaction styles toward healthier, more reciprocal ones.

    “By processing these relational patterns, within the therapeutic relationship, patients can experience corrective emotional experiences that help shift maladaptive interaction styles toward healthier, more reciprocal ones (166–168).”

    From Psychoanalytically informed MDMA-assisted therapy for pathological narcissism: a novel theoretical approach (2025) · cites this paper as [168]

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Authors
Slade, A., & Holmes, J.
Affiliations
  • Yale University (US)
  • University of Exeter (GB)
Corresponding author
Slade, Arietta
ORCID
Venue
Current Opinion in Psychology
Publisher
Elsevier BV
Published
2019-02
Volume
25
Pages
152-156
ISSN
2352-250X (ISSN-L)
DOI
10.1016/j.copsyc.2018.06.008
OpenAlex
W2875109339
Cited by
113
References
50
Citations by year
2026: 6 · 2025: 18 · 2024: 19 · 2023: 16 · 2022: 16 · 2021: 14 · 2020: 6 · 2019: 5 · 2017: 3 · 2016: 2 · 2015: 2 · 2014: 2 · 2013: 1 · 2012: 1
FWCI
1.05
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Current Opinion in Psychology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
  • Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
  • Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
Keywords
attachment theory, therapeutic relationship, insecure attachment, attachment dynamics, therapeutic process, treatment outcomes, patient attachment
MeSH terms
Mentalization, Adult, Mental Disorders, Child, Humans, Object Attachment, Physician-Patient Relations, Psychological Theory, Psychotherapy, Social Behavior, Treatment Outcome

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