Tailoring AEDP Interventions to Attachment Style (Page 6)

References

Adler, J. (2002).   Offering from the conscious body: The discipline of authentic movement.  Rochester, VT:  Inner Traditions.

Ainsworth, M., Blehar, M., Waters, E., et al. (1978).  Patterns of attachment: A psychological study of the strange situation. Hillsdale, NJ: Lawrence Erlbaum.

Ainsworth, M. (1990). ‘Epilogue’ in Attachment in the preschool Years, ed. M.T. Greenberg, D. Ciccheti, & E.M. Cummings (pp. 463-488). Chicago: Chicago University Press.

Ainsworth, M. (1991). Attachments and other affectional bonds across the life cycle.  In C. M. Parkes, J. Stevenson-Hinde, & P. Marris (Eds.), Attachment across the life cycle (pp. 33-51). London: Routledge.

Bartholomew, K., & Horowitz, L. (1991). Attachment styles among young adults. A test of a four-category model. Journal of Personality and Social Psychology, 61, 226–244.

Bartholomew, K., & Shaver, P. (1998).  Measures of assessing adult attachment: Do they converge? In J. A. Simpson & W. S. Rholes (Eds), Attachment theory and close relationships (pp. 25-45). New York: Guilford Press.

Beebe, B., & Lachman, F.M. (1998).  Co-constructing inner and relational processes: Self and mutual regulation in infant research and adult treatment.  Psychoanalytic Psychology,  15 (4), 480-516.

Bowlby, J. (1969, 1982). Attachment and loss: Vol. 1.  Attachment.  New York: Basic Books and Tavistock Institute of Human Relations.

Bowlby, J. (1973). Attachment and loss: Vol. 2.  Separation: Anxiety and anger.  New York: Basic Books.

Bowlby, J. (1980). Attachment and loss: Vol. 3.  Loss: Sadness and depression.  New York: Basic Books.

Bowlby, J. (1988). A secure base. New York: Basic Books.

Bromberg, P. (2011) The shadow of the tsunami and the growth of the relational mind.  New York: Routledge.

Cassidy, J., & Kobak, R. R. (1988). Avoidance and its relationship with other defensive processes. In J. Belsky & T. Nezworski (Eds.), Clinical implications of attachment (pp. 300-323). Hillsdale, NJ: Erlbaum.

Cassidy, J., & Shaver, P., (Eds). (1999) Handbook of attachment: Theory, research, and clinical applications. New York: Guilford Press.

Cozolino, L.  (2006).  The neuroscience of human relationships:  Attachment and the developing social brain. New York: Norton.

Dozier, M., Stovall, K., & Albus, K. (1999).  Attachment and psychopathology in adulthood. In J. Cassidy & P. Shaver (Eds.), Handbook of attachment: Theory, research and clinical applications (pp. 718-744). New York: Guilford.

Fonagy, P., & Target, M. (1997). Attachment and reflective function: Their role in self-organization. Development and Psychopathology, 9, 679-700.

Fonagy, P., Gergely, G., & Target, M. (1999). Psychoanalytic constructs and attachment theory and research. In J. Cassidy & P. Shaver (Eds.), Handbook of attachment: Theory, research and clinical application (pp. 783-810). New York: Guilford.

Fonagy, P., Leigh, T., Steele, M., Steele, H., Kennedy, R., Maltoon, G., Target, M., & Gerber, A.(1996). The relation of attachment status, psychiatric classification, and response to psychotherapy. Journal of Consulting and Clinical Psychology.  64 (1), 22-31.

Fonagy, P., Gergely, G., Jurist, E., & Target, M. (2005).  Affect regulation, mentalization, and the development of the self. New York: Other Press.

Fosha. D. (2000). The transformational power of affect. New York: Basic Books.

Fosha, D. (2003). Dyadic regulation and experiential work with emotion and relatedness in trauma and disordered attachment. In M. F. Solomon & D. J. Siegel (Eds.). Healing trauma: Attachment, mind, body, and brain (pp. 221-281). New York: Norton.

Fosha, D. (2007). Transformance, recognition of self by self, and effective action. In K. J. Schneider, (Ed.), Existential-integrative psychotherapy: Guideposts to the core of practice (pp. 290-320). New York: Routledge.

Fosha D. (2009a). Emotion and recognition at work: Energy, vitality, pleasure, truth, desire & the emergent phenomenology of transformational experience. In D. Fosha, D. J. Siegel & M. F. Solomon (Eds.), The healing power of emotion: Affective neuroscience, development, clinical practice (pp. 172-203). New York: Norton.

Fosha, D. (2009b).  Positive affects and the transformation of suffering into flourishing. In W.C. Bushell et al.,(Eds.), Longevity, regeneration and optimal health: Integrating Eastern and Western perspectives (pp. 252-261). New York: Annals of the New York Academy of Sciences.

Fosha, D. (2013a). A heaven in a wild flower: Self, dissociation, and treatment in the context of the neurobiological core self.  Psychoanalytic Inquiry, 33, 496-523.

Fosha, D. (2013b). Turbocharging the affects of healing and redressing the evolutionary tilt. In D. J. Siegel & Marion F. Solomon (Eds), Healing moments in psychotherapy (pp. 129-168). New York: Norton.

Holmes, J. (1993).  John Bowlby and attachment theory. New York: Routledge.

Holmes, J. (2001). The search for the secure base: Attachment theory and psychotherapy. London: Brunner-Routledge.

Hanson, R. (2013). Hardwiring happiness. New York: Harmony Books.

Holmes. J. (2015).  Attachment theory in clinical practice: A personal account. British Journal of Psychotherapy 31, 208–228.

Karen, R. (1998).  Becoming attached: First relationships and how they shape our capacity to love.  Oxford: Oxford University Press.

Lamagna, J. (2011). Of the self, by the self, and for the self: An intra-relational perspective on intra-psychic Attunement and psychological change. Journal of Psychotherapy Integration. 21 (3), 280–307.

Lamagna, J., & Gleiser, K. (2007). Building a secure internal attachment: An intra-relational approach to ego strengthening and emotional processing with chronically traumatized clients. Journal of Trauma and Dissociation, 8 (1), 25-52.

Lichenberg, J. D., & Lachman, F.M. (1992). Model scenes: Implications for psychoanalytic treatment. Journal of American Psychoanalytic Association, 40, 117-138.

Lichenberg, J. D., & Lachman, F.M. (2015). Model scenes and the search for clinical truth.  In J.D. Lichenberg, F.M. Lachman, & J. L. Fossage (Eds). Self and motivational systems: Towards a theory of psychoanalytic practice (pp. 21-24). New York: Psychology Press.

Lipton, B., & Fosha, D. (2011). Attachment as a transformative process in AEDP: Operationalizing the intersection of attachment theory and affective neuroscience. Journal of Psychotherapy Integration, 21 (3), 253-279.

Lyons-Ruth, K., & Jacobvitz, D. (1999). Attachment disorganization: Genetic factors, Parenting contexts, and developmental transformation from infancy to adulthood. In J. Cassidy & P. R. Shaver (Eds.), Handbook of attachment: Theory, research and clinical applications (pp. 666-697). New York: Guilford.

Main, M., & Hesse, E. (1990). Parents’ unresolved traumatic experiences are related to infant disorganized attachment status. In M. T. Greenberg, D. Ciccehetti, & E. M. Cummings (Eds.), Attachment in the preschool years: Theory, research, and intervention (pp. 161-184). Chicago: University of Chicago Press.

Main, M., & Solomon, J. (1990). Procedures for identifying infants as disorganized/disoriented during the Ainsworth strange situation. In M. T. Greenberg, D. Cicchetti, & M. Cummings (Eds.), Attachment in the preschool years: Theory, research, and intervention (pp. 121-160). Chicago: University of Chicago Press.

Main, M. (2000).  The adult attachment interview: Fear, attention, safety and discourse processes.  Also titled, The organized categories of infant, child, and adult attachment: Flexible vs. inflexible attention under attachment-related stress. Journal of American Psychoanalytic Association, 48, 1055-1095.

Main, M, with Hesse, E., & Kaplan, N. (2005). Predictability of attachment behavior and representational processes at 1, 6, and 19 years of age.  The Berkeley longitudinal study. In K E. Grossmann, K. Grossmann, & E. Waters (Eds.), Attachment from infancy to adulthood: The major longitudinal studies (pp. 245-304). New York: Guilford Press.

Manfield, P.  (2010). Dyadic resourcing: Creating a foundation for processing trauma. USA: CreateSpace, a DBA of On-Demand Publishing, LLC

Mars, D. (2011). From stuckness and reactivity to the felt experience of love. Transformance: The AEDP Journal, 1 (2).

Mikulincer, M., Shaver, P.R., Pereg, D. (2003). Attachment theory and affect regulation: The dynamics, development, and cognitive consequences of attachment-related strategies. Motivation and Emotion, 27, 77–102.

Mikulincer, M., & Shaver, P.R. (2007).  Attachment in adulthood: Structure, dynamics, and change.  New York: Guilford Press.

Mikulincer, M. (September 2015).  Adult attachment research: Intrapsychic and social relational aspects.   European Association for Cognitive and Behavioral Therapies, Jerusalem.

Pando-Mars, K. (2011).  Building attachment bonds in AEDP in the wake of neglect and abandonment: Through the lens and practice of AEDP, attachment and polyvagal theory. Transformance: The AEDP Journal, 1 (2).

Parkes, C.M., Stevenson-Hinde, J., & Marris, P. (Eds.) (1991).  Attachment across the life cycle.   New York: Routledge.

Piliero, S. (2004).  Patients reflect upon their affect-focused, experiential psychotherapy:  A retrospective study (Doctoral dissertation). New York: Adelphi University.

Porges, S. (2009). Reciprocal influences between body and brain in the perception and expression of affect: A polyvagal perspective. In D. Fosha, D. Siegel, & M. Solomon, (Eds.), The healing power of emotion: Affective neuroscience, development, and clinical practice (pp. 27-54). New York: Norton.

Porges, S.  (2010).  Polyvagal theory: Demystifying clinical features of trauma, autism and early development.  California Institute for Integral Studies, Professional Conference, San Francisco.

Prenn, N. (2011).  Mind the gap: AEDP Interventions translating attachment theory into clinical practice.  Journal of Psychotherapy Integration, 21(3), 308-329.

Russell, E. (2015).  Restoring resilience: Discovering your client’s capacity for healing. New York: Norton Books.

Satprem. (1982). The mind of the cells.  Mt. Vernon, WA: The Institute for Evolutionary Research.

Schoettle, E.  (2009). A qualitative study of the therapist’s experience practicing Accelerated experiential dynamic psychotherapy (AEDP): An exploration of the dyadic process from the clinician’s perspective (Doctoral dissertation). Berkeley, CA: Wright Institute.

Schore, A.N. (2012). The science and the art of psychotherapy.  New York: Norton.

Shaver, P.R. & Fraley, R.C. (2000). Self-report measures of adult attachment. Retrieved from https://internal.psychology.illinois.edu/-refraley/measures/measures.html.

Siegel, D. J. (1999). The developing mind: How relationships and the brain interact to shape who we are.  New York: Guilford Press.

Siegel, D. (2007).  The mindful brain. New York: Norton.

Siegel, D. J. (2010).  The mindful therapist.  New York: Norton.

Siegel, D., & Hartzell, M. (2003).  Parenting from the inside out.  New York: Tarcher/Penguin.

Tunnell, G. (2011).   An attachment perspective on the first interview.  In C. Silverstein (Ed.), The initial psychotherapy interview: A gay man seeks treatment (pp. 137-155). New York: Elsevier Insight Books.

Wallin, D. J. (2007).  Attachment in psychotherapy.  New York: Guilford Press.

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Notes

[1] At this point, I want to share a frame that is important and arises from time to time when I present this material in training programs.  Attachment style characterizes the relationship, not solely the person, because attachment status and states of mind change with relationship (Bowlby, 1988; Main, 2005). Yet, throughout this paper, for ease of expression, I may refer to avoidant patients or ambivalent patients, or I will speak of people who exhibit dismissive or preoccupied states of mind.   What I mean by these labels is “a person who habitually, though not always, tends to manifest dismissive or preoccupied behaviors in relationship, and who is doing so now in the context of the patient/therapist dyad.”  To avoid that mouthful, I may speak more simply of dismissive patients or preoccupied patients.

[2] Earned secure attachment is a pattern noted in the Adult Attachment Inventory (Main, 2000) to describe a person who grew up with the background that led to insecure attachment, who has experienced a relationship with another person that enables them to rise above their insecurity to the point that they can express themselves with the coherence and cohesiveness that characterizes secure attachment. (Siegel, 1999, 2007, 2010)

[3] The Strange Situation is a procedure in which the attachment behaviors of children and their caregivers between ages 12-24 months are observed. In abbreviated form, the mother, stranger and child are in a room. The mother leaves, and the child is left with the stranger for a short time. The observer notes how the child responds when the mother leaves and when the mother returns. The child who expresses distress when she leaves, resumes play and engages with her upon her return is classified as secure.  The child who ignores her when she leaves, plays/explores little, and ignores her upon return is classified as avoidant.  The child, who protests when she leaves, is distraught while she is gone, and unsoothable upon her return is classified as resistant or ambivalent.

[4] Diana Fosha added transformation to her original two-factor theory of affect and relatedness. (Personal communication, October 2015)

[5] State One includes defense, distress and anxiety and also incorporates transformance glimmers of health and resilience.  State Two refers to core affective experiences such as categorical emotions, coordinated relational experiences, ego state work, receptive affective capacity, authentic sharing, somatic “drop down” states. State Three refers to transformational affects of mastery pride and joy, the grief of mourning the self, healing affects: gratitude, feeling moved, the tremulous affects, clicks of recognition and the realizations affects associated with new understanding.  State Four is core state, a state where calm and the sense of truth prevail and give rise to a coherent, cohesive narrative to stabilize change.

[6] Diana Fosha first articulated this in a conversation among AEDP faculty in a meeting early 2013 when I presented my grids showing the constellations of insecure attachment styles.

[7] Fonagy (1997) makes an interesting point about how maltreatment affects self-reflective function. More accurate to the picture than underdevelopment is fractionation – that reflective skill development does not happen along a singular progressive pathway – but evolves along varied pathways, influenced and molded by many dynamic interactions.

[8]  Here, I am fascinated by the entry point that arrives through the imaginal channel, and in future works I want to explore the connection to the convergence of pretend as knowing play and the pretend mode of experience, en route to expanding the reflective capacity.

[9] There is a description of such technique called model scenes, from Lichenberg & Lachman (1992).

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