Work

Resolving alliance ruptures from an attachment-informed perspective.

Year: 2017

Type: article

Abstract: such ruptures differ markedly. Recent findings with the Patient Attachment Coding System (PACS) show that attachment classifications manifest in psychotherapy as distinct ways of communicating about present internal experience. Secure patients disclose their present experience openly and invite attunement from the therapist, while insecure patients either minimize their contributions to the dialogue (avoidant) or the contributions of the therapist (preoccupied). Using examples from session transcripts, we demonstrate how secure patients are particularly responsive to resolution strategies that focus on here-and-now experience, while insecure patients' characteristic ways of communicating pose significant challenges to the resolution process.

Source: Psychoanalytic Psychology

DOI: 10.1037/pap0000152

Authors: Madeleine Miller-Bottome, Alessandro Talia, Jeremy D. Safran, J. Christopher Muran

Institutions: The New School, Mount Sinai Beth Israel, Heidelberg University, Adelphi University

Language: English

Topic: Psychoanalysis and Psychopathology Research

Subfield: Clinical Psychology

Field: Psychology

Domain: Social Sciences

SDG: Good health and well-being

Open Access status: hybrid

Funder: National Institute of Mental Health