- Hardcover: 366 pages
- Publisher: The Guilford Press; 1 edition (March 6, 2007)
- Language: English
- ISBN-10: 1593854560
- ISBN-13: 978-1593854560
- Product Dimensions: 6 x 1 x 9 inches
- Shipping Weight: 1.4 pounds (View shipping rates and policies)
- Average Customer Review: 110 customer reviews
- Amazon Best Sellers Rank: #445,322 in Books (See Top 100 in Books)
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Attachment in Psychotherapy 1st Edition
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"Despite widespread interest, how to really think about attachment in the clinical situation has remained--for all intents and purposes--fairly obscure. All of this has changed with the publication of David Wallin's extraordinary book, Attachment in Psychotherapy. This intellectual and clinical tour de force is what we have been waiting for." Arietta Slade in Psychotherapy, June 2009
"Wallin's understanding of attachment work and his integration of attachment theory with other modern relational perspectives are quite impressive. People are always asking me what they can read about the clinical implications of attachment work, and now I know what to tell them. This book is an amazing accomplishment. It is definitely my favorite book on this topic."--L. Alan Sroufe, PhD, William Harris Professor of Child Development, University of Minnesota"John Bowlby would have been delighted with this book, which links the biological imperatives of attachment to the dialogues that define the self and the nature of key relationships. He would also have been delighted to see his theory articulated as a guide to psychotherapy in such an eminently readable manner. The use of attachment as this kind of guide is a rich vein that has just begun to be tapped. This book is a therapist's journey into that richness."--Susan M. Johnson, EdD, Professor Emeritus of Clinical Psychology, University of Ottawa, Canada; Distinguished Research Professor, Marital and Family Therapy Program, Alliant International University
"What a delight! Wallin has written an extremely insightful, broadly integrative, clinically applicable, and highly engaging book. Keeping his personal and clinical experiences coherently in mind and using them as examples, he synthesizes recent literatures on attachment theory and research, mindfulness, mentalization, metacognition, nonverbal communication, intersubjectivity, and mechanisms of therapeutic change. The book moves deftly from clear analyses of contemporary theoretical issues to specific, well-described clinical techniques that can be used with particular clients; for example, those with a particular adult attachment pattern. The book identifies diverse theoretical and empirical advances that, in Wallin’s skillful hands, fit together beautifully, deepening our understanding of the human mind, its relational context, and its transformation in psychotherapy."--Phillip R. Shaver, PhD, Distinguished Professor Emeritus of Psychology, University of California, Davis
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Crittenden, who studied under Ainsworth as Main did, adds a number of new elements to attachment theory, expanding both an understanding of childhood and adult attachment and the associated issues. Like others Wallin reviews, she uses Ainsworth's ABC model, and relies on the AAI (as well as other measures). For Crittenden, attachment relationship does not lead to "styles", but rather more flexible "self protective strategies." People are not a "type A", but rather use A strategies, although people can also use C and combined strategies, so people are not simply lumped into one rigid category, as personality theorists tend to do. These strategies are expressed as "dispositional representations" where behaviors, feelings, thoughts and the like depend on the situation. She focuses attachment not around safety but around protection and comfort from danger. She brings in numerous other theories to fill out a robust DMM theory, including memory and information processing. Crittenden also argues that research evidence does not support a "disorganized" category, but rather an organized set of strategies that involve either combined or alternating A and C strategies.
Crittenden also identifies a much finer parsing of attachment strategies (styles) as they develop in infancy and then throughout childhood and adolescence. See for example her circumplex at patcrittenden.com. These finer distinctions may help significantly with attachment assessments and counseling approaches. See for example: Shah, P., Fonagy, P., Strathearn, L. (2010). Is attachment transmitted across generations? The plot thickens. Clinical Child Psychology and Psychiatry, 15, 329-345.
In some ways, the differences between Crittenden and Main's work can be difficult to parse out. It may be the differences are not as great as some think... or perhaps they are. Bowlby and Ainsworth seemed to have difficulty parsing out their respective views. See for example, S. Landa, R. Duschinsky (2013), Letters from Ainsworth: Contesting the `Organization' of Attachment, J Can Acad Child Adolesc Psychiatry, 22(2): 172-177 (also at [...]).
Wallin does an excellent job of summarizing a complex topic and there is no other resource like his. My wish is that he applies his clear thinking and storytelling skills to include Crittenden's thought so we can bring her work more into the public debate. Attachment theory, from my perspective, is still nascent, holds incredible promise, and needs to continue moving forward. Crittenden's work holds the promise of offering a huge leap forward.
Especially useful are the chapters in which Dr. Wallin breaks down clinical work along the lines of attachment style. In these chapters Wallin points out the adaptations that therapists need to make in response to the vicissitudes of the particular attachment style. For those who are inclined to look at the clinical situation intersubjectively these chapters offer a refreshing perspective on the ways in which the therapist's use of countertransfrence reactions play a central role in the the therapeutic encounter.
I highly recommend this book.
Zev Ganz, MSW
Not only is he a great storyteller in giving us the background for attachment theory and therapy, his own practice evidences the deeper places that patients are able to open up within us, should we be humble enough, if we are open and available to the continuation of our own journey. As we are willing to progress in our own non-verbal, pre-verbal set of attachment issues in the room, work our own counter-transference as completely as we ask them to do their work, so our patients have space to grow.
We have known since Freud of the significance of the relationship in therapy. What Wallin does is take us to deeper places on a moment-to-moment basis. We are not the handler of the patient: we are the fellow traveler. Wallin inspires us to stay on the same road with the patient, not only in each clinical moment but in our other, less enlightened moments. It is a forever practice and not an event. Without this element of practice in psychotherapy, the inevitable challenges for all of us, would continue to erase the good work we do.
An invaluable contribution to the study of Self, for which I am grateful.
Valerie Johns, MA, MFT
Hermosa Beach, CA
The beauty of this book is that it combines attachment theory as well as physiology and neurology. Then he uses this to expand on effective treatment modalities that include the therapist using their own attachment issues to track their reactions to patients so as to be diagnostic..