Resolving Alliance Ruptures from an Attachment-Informed Perspective.
View / Open Files
Authors
Miller-Bottome, Madeleine
Talia, Alessandro
Safran, Jeremy D
Muran, J Christopher
Publication Date
2018-04Journal Title
Psychoanal Psychol
ISSN
0736-9735
Publisher
American Psychological Association (APA)
Volume
35
Issue
2
Pages
175-183
Type
Article
This Version
AM
Physical Medium
Print-Electronic
Metadata
Show full item recordCitation
Miller-Bottome, M., Talia, A., Safran, J. D., & Muran, J. C. (2018). Resolving Alliance Ruptures from an Attachment-Informed Perspective.. Psychoanal Psychol, 35 (2), 175-183. https://doi.org/10.1037/pap0000152
Abstract
In this article, we examine how the different attachment patterns enable or hinder the resolution of ruptures in the therapeutic alliance. We try to show that secure and insecure patients alike may experience ruptures in the therapeutic alliance, but that their ability to participate in resolving 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.
Keywords
Adult Attachment Interview, Attachment patterns, Brief Relational Psychotherapy, client variables, psychodynamic psychotherapy, psychotherapy
Identifiers
External DOI: https://doi.org/10.1037/pap0000152
This record's URL: https://www.repository.cam.ac.uk/handle/1810/333615
Statistics
Total file downloads (since January 2020). For more information on metrics see the
IRUS guide.