Our early attachment experiences with our primary caregiver influence the adult that we become. These experiences forge our patterns of communication, emotional experience, intimate relationships, and way of living in the world. If our early attachments are secure, we learn to access and communicate adaptive feelings, thoughts, and behaviours. In contrast, if our early attachment experiences are insecure, we may struggle with dysregulated, maladaptive emotions and have difficulties in our intimate relationships -- leading to anxiety, depression, and excessive or misdirected anger. This book presents an attachment-based approach to therapy that addresses the limiting and detrimental effects of negative early attachment experiences. Attachment-based psychotherapy has two major components: establishing a security-engendering therapeutic relationship and helping the patient to communicate more openly and thus to access more adaptive feelings, thoughts, and behaviours. Psychotherapists of various theoretical orientations will appreciate this book's richly detailed conceptualisation of common human problems, as well as clear treatment approach for addressing these problems.

This eloquent book translates attachment theory and research into an innovative framework that grounds adult psychotherapy in the facts of childhood development. Advancing a model of treatment as transformation through relationship, the author integrates attachment theory with neuroscience, trauma studies, relational psychotherapy, and the psychology of mindfulness. Vivid case material illustrates how therapists can tailor interventions to fit the attachment needs of their patients, thus helping them to generate the internalized secure base for which their early relationships provided no foundation. Demonstrating the clinical uses of a focus on nonverbal interaction, the book describes powerful techniques for working with the emotional responses and bodily experiences of patient and therapist alike.

She demonstrates how exploration of attachment histories helps patients to form a more cohesive narrative of their life experiences and develop more secure affectional bonds with others. This thoughtful and extensive work adds an interesting and valuable dimension to clinical practice, provides a new perspective for appraising and dealing with difficulties with affectional relationships, and offers guidelines for effective treatment."--BOOK JACKET.

Attachment theory is influencing how we understand interpersonal relationships and how psychotherapy can help facilitate change for those struggling in relationships. More recently, researchers and clinicians have applied attachment theory to group treatment, one of the most effective forms of psychotherapy to address interpersonal difficulties. This book highlights some of the bridges between attachment theory and contemporary approaches to group treatment. In addition to applying attachment theory to innovative treatments, each chapter addresses a specific way in which attachment impacts the members’ capacity for empathy and perspective taking; the development of cohesion in the group; the automatic fight-flight response during group interactions; members’ ability to tolerate diversity; and the leaders’ capacity to foster safety within the group. This book will help group leaders gain a richer understanding of attachment theory and attachment based techniques that will ultimately benefit their groups. This book was originally published as a special issue of the International Journal of Group Psychotherapy.

Drawing on cutting-edge research on adult attachment--and providing an innovative roadmap for clinical practice--Susan M. Johnson argues that psychotherapy is most effective when it focuses on the healing power of emotional connection. The primary developer of emotionally focused therapy (EFT) for couples, Johnson now extends her attachment-based approach to individuals and families. The volume shows how EFT aligns perfectly with attachment theory as it provides proven techniques for treating anxiety, depression, and relationship problems. Each modality (individual, couple, and family therapy) is covered in paired chapters that respectively introduce key concepts and present an in-depth case example. Special features include instructive end-of-chapter exercises and reflection questions.

The first volume to showcase science-based interventions that have been demonstrated effective in promoting attachment security, this is a vital reference and clinical guide for practitioners. With a major focus on strengthening caregiving relationships in early childhood, the Handbook also includes interventions for school-age children; at-risk adolescents; and couples, with an emphasis on father involvement in parenting. A consistent theme is working with children and parents who have been exposed to trauma and other adverse circumstances. Leading authorities describe how their respective approaches are informed by attachment theory and research, how sessions are structured and conducted, special techniques used (such as video feedback), the empirical evidence base for the approach, and training requirements. Many chapters include illustrative case material.

Over fifty years ago, John Bowlby and Mary Ainsworth’s research on the developmental psychology of children formed the basic tenets of attachment theory. And for years, following these tenets, the theory’s focus has been on how children develop vis-a-vis the attachments—whether secure or insecure—they form with their caregivers. In the therapy room, this has meant working with individuals one-on-one, with the therapist assuming the role of the attachment figure in order to provide a secure base for treating clients’ problems that arose from troubled interpersonal relationships in childhood. Here, Daniel A. Hughes, an eminent clinician and attachment specialist, is the first to expand this traditional model, applying attachment theory to a family therapy setting. Drawing on more than 20 years of clinical experience, Hughes presents his comprehensive, effective, and accessible treatment model for working with all members of a family—not simply the individual in question—to recognize, resolve, and heal personal and family problems using principles from theories of attachment and intersubjectivity. Beginning with an overview of attachment and intersubjectivity—the twin theories from which he forms his treatment plan—Hughes carefully outlines, chapter by chapter, the core principles and strategies of his family-based approach. He elaborates on the need to develop and maintain PACE (playfulness, acceptance, curiosity, and empathy)—the central therapeutic stance of attachment-focused family therapy—and supplies tips and sample dialogues for implementing this position. The importance of fostering affective/reflective (a/r) dialogue is covered in detail, as well as helping families to manage shame, understand and embrace the break-and-repair cycle of their interactions, and explore and resolve childhood trauma. Also discussed are the more procedural issues of how to incorporate parents into therapeutic conversations, when and how to question them on their own attachment histories, and how to “be” with children. Grounded in the fundamental principle of parents facilitating the healthy emotional development of their children, Attachment-Focused Family Therapy is the first book of its kind to offer therapists a complete manual for using attachment therapy with families. Extensive case studies, vignettes, and sample dialogues throughout clearly demonstrate how Hughes’s model plays out in the therapy room. By showing therapists how to create a bond of psychological safety and intersubjective discovery with parents and caregivers, Hughes reveals how they, in turn, can bring about similar experiences of safety and discovery for their children.