ATTACHMENT INJURIES IN COUPLE RELATIONSHIPS: A NEW PERSPECTIVE ON IMPASSES IN COUPLES THERAPY
Abstract
This article identifies and operationalizes the newly defined construct of attachment injury. An attachment injury occurs when one partner violates the expectation that the other will offer comfort and caring in times of danger or distress. This incident becomes therapy. An attachment injury is characterized by an abandonment or by a betrayal of trust during a critical moment of need. The injurious incident defines the relationship as insecure and maintains relationship distress because it is continually used as a standard for the dependability of the offending partner. The concept of an attachment injury is defined here in the context of emotionally focused therapy, an empirically validated, short‐term approach to modifying distress in couples. The broad theoretical underpinnings of this concept may be found in attachment theory as applied to adult romantic relationships. Through the delineation of attachment injury events and the ongoing development of a detailed model of resolution, couples therapists will be better able to identify, describe, and effectively treat such injuries and address the therapeutic impasses that are associated with them.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The harsh emotional pain experienced by victims of infidelity is comparable to the same attachment injuries as an infant separated from their mother.
“Johnson et al., compares the harsh emotional pain experienced by victims of infidelity to the same attachment injuries as an infant separated from their mother [28].”
From Love and Infidelity: Causes and Consequences (2023) · cites this paper as [28]
Attachment injury from infidelity could impose psychological and emotional dysregulation, which may emulate symptoms of depression, anxiety, and AD.
“This type of attachment injury could impose psychological and emotional dysregulation for those facing these circumstances, which may emulate symptoms of conditions such as depression, anxiety and AD [28,30,38,41,51,53].”
From Love and Infidelity: Causes and Consequences (2023) · cites this paper as [28]
Cites
Attachment and Loss. Vol. 1. Attachment
Rever, G. W. (1972) · Psychosomatic Medicine · doi:10.1097/00006842-197211000-00011 · Cited by 8,446 · see citing works
Romantic love conceptualized as an attachment process.
Hazan, C., & Shaver, P. (1987) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.52.3.511 · Cited by 6,247 · cited 2× · see citing works
“The EFT perspective on close relationships is grounded in attachment theory, arguably now the most cogent theory of romantic love (Cassidy & Shaver, 1999; Hazan & Shaver, 1987).”
BackgroundMethodPredicting marital happiness and stability from newlywed interactions
Gottman, J. M., Coan, J., Carrere, S., & Swanson, C. (1998) · Journal of Marriage and the Family · doi:10.2307/353438 · Cited by 1,121 · see citing works
Baucom, D. H., Shoham, V., Mueser, K. T., Daiuto, A. D., & Stickle, T. R. (1998) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.66.1.53 · Cited by 608 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Makinen, J. A., & Johnson, S. M. (2006) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.74.6.1055 · Cited by 264 · see citing works
Self-citationZitzman, S. T., & Butler, M. H. (2009) · Sexual Addiction & Compulsivity · doi:10.1080/10720160903202679 · Cited by 133 · see citing works
Love and Infidelity: Causes and Consequences
Rokach, A., & Chan, S. H. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20053904 · Cited by 77 · see citing works
“This type of attachment injury could impose psychological and emotional dysregulation for those facing these circumstances, which may emulate symptoms of conditions such as depression, anxiety and AD [28,30,38,41,51,53].”
BackgroundThe aftershocks of infidelity: a review of infidelity-based attachment trauma
Warach, B., & Josephs, L. (2021) · Sexual and Relationship Therapy · doi:10.1080/14681994.2019.1577961 · Cited by 73 · see citing works
Kobak, R., Zajac, K., Herres, J., & Krauthamer Ewing, E. S. (2015) · Attachment & Human Development · doi:10.1080/14616734.2015.1006388 · Cited by 65 · see citing works
The Traumatic Nature of Disclosure for Wives of Sexual Addicts
Steffens, B. A., & Rennie, R. L. (2006) · Sexual Addiction & Compulsivity · doi:10.1080/10720160600870802 · Cited by 53 · see citing works
Is romantic partner betrayal a form of traumatic experience? A qualitative study
Lonergan, M., Brunet, A., Rivest‐Beauregard, M., & Groleau, D. (2021) · Stress and Health · doi:10.1002/smi.2968 · Cited by 31 · see citing works
Butler, M. H., Seedall, R. B., & Harper, J. M. (2008) · The American Journal of Family Therapy · doi:10.1080/01926180701291253 · Cited by 14 · see citing works
Seyed Aghamiri, F., Luetz, J. M., & Hills, K. (2025) · Sexuality Research and Social Policy · doi:10.1007/s13178-024-01043-x · Cited by 3 · see citing works
“This finding is consistent with previous research by (Carnes, 2018) and Johnson et al. (2001), who reached similar conclusions.”
Dailey, J., Timulak, L., Goldman, R. S., & Greenberg, L. S. (2024) · Person-Centered & Experiential Psychotherapies · doi:10.1080/14779757.2023.2204480 · Cited by 3 · see citing works
- Authors
- Johnson, S. M., Makinen, J. A., & Millikin, J. W.
- Affiliations
- University of Ottawa (CA)
- Virginia Tech (US)
- ORCID
- Johnson, Susan M.
- Venue
- Journal of Marital and Family Therapy
- Publisher
- Wiley
- Published
- 2001-04
- Volume
- 27
- Issue
- 2
- Pages
- 145-155
- ISSN
- 0194-472X (ISSN-L)
- 1752-0606
- OpenAlex
- W2136094912
- Cited by
- 337
- References
- 4
- Citations by year
- 2026: 9 · 2025: 16 · 2024: 16 · 2023: 11 · 2022: 11 · 2021: 18 · 2020: 32 · 2019: 16 · 2018: 7 · 2017: 12 · 2016: 7 · 2015: 23 · 2014: 16 · 2013: 14 · 2012: 23
- FWCI
- 15.38
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Marital and Family Therapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Counseling, Therapy, and Family Dynamics
- Keywords
- attachment injuries, couple relationships, attachment theory, abandonment, betrayal of trust, relationship repair, insecure attachment, relationship distress, romantic relationships
- MeSH terms
- Adult, Affect, Female, Humans, Interpersonal Relations, Male, Object Attachment, Psychological Theory, Couples Therapy
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review