The Making and Breaking of Affectional Bonds: II. Some Principles of Psychotherapy: The Fiftieth Maudsley Lecture (expanded version)
Abstract
Summary: An account is given of how a clinician guided by attachment theory approaches the clinical conditions to which the theory is held to apply, which include states of anxiety, depression and emotional detachment. Assessment of a patient is in terms of the patterns of attachment and caregiving behaviour which he commonly shows and of the events and situations, both recent and past, which may have precipitated or exacerbated his symptoms. The problems posed by relevant information being suppressed or falsified are noted. Viewed in this perspective a psychotherapist is seen to have a number of interrelated tasks: (a) to provide the patient with a secure base from which he, the patient, can explore himself and his relationships; (b) and (c) to examine with the patient the ways in which he tends to construe current interpersonal relationships, including that with the therapist, and the resulting predictions he makes and actions he takes, and the extent to which some may be inappropriate; (d) to help him consider whether his tendencies to misconstrue, and as a result to act misguidedly, can be understood by reference to the experiences he had with attachment figures during his childhood and adolescence, and perhaps may still be having.
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- Authors
- Bowlby, J.
- Corresponding author
- Bowlby, John
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 1977-05
- Volume
- 130
- Issue
- 5
- Pages
- 421-431
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2147629601
- Cited by
- 1,373
- References
- 0
- Citations by year
- 2026: 18 · 2025: 32 · 2024: 47 · 2023: 79 · 2022: 65 · 2021: 78 · 2020: 92 · 2019: 43 · 2018: 43 · 2017: 58 · 2016: 55 · 2015: 56 · 2014: 53 · 2013: 59 · 2012: 54
- FWCI
- 9.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- attachment theory, attachment bonds, anxiety, depression, emotional detachment, secure base, therapeutic relationship, psychotherapist role, patient assessment
- MeSH terms
- Attitude to Death, Behavior Therapy, Mental Disorders, Counseling, Humans, Interpersonal Relations, Professional-Patient Relations, Psychotherapy
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