Clinical Applications of the Adult Attachment Interview by Howard Steele

By Howard Steele

The grownup Attachment Interview (AAI) is either a mainstay of attachment examine and a strong scientific instrument. This special publication offers a radical advent to the AAI and its use as an accessory to a number of healing methods, together with cognitive-behavioral treatment, psychoanalytic psychotherapy, parent-infant psychotherapy, domestic traveling courses, and supportive paintings within the context of foster care and adoption. major experts supply certain descriptions of medical approaches and strategies, illustrated with brilliant case fabric. Grounded in examine, the amount highlights how utilizing the AAI can increase review and prognosis, enhance the healing alliance, and facilitate aim environment, remedy making plans, and development tracking. (20100924)

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Extra resources for Clinical Applications of the Adult Attachment Interview

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All is well” and “I don’t remember,” as well as “It was normal, just normal”), most typical of the idealizing (Ds1) subclassification. , the Ds2 subclassification) include descriptions that deride or mock significant attachment relationships, such as an interview in which a sibling is described as having “looked silly” when she cried at their father’s funeral. Some dismissing interviews, the emotionally restricted (Ds3) ones, are not notable for high indices of idealization or derogation, but are striking for the way limited difficulties are described, sometimes with limited anger but without indices of sadness, hurt, or vulnerability.

Finally, there is the secure speaker who is nonetheless resentful and conflicted in some ways but accepting of continuing involvement with attachment (F5). All these secure subgroups share a relative lack of defensiveness, moderate to high coherence, and a clear valuing of attachment. The Insecure–Dismissing AAI Pattern of Response Insecure–dismissing interviews (designated Ds) suggest a speaker with firm or even rigid defenses aimed at keeping actual childhood attachment experiences of rejection or neglect out of conscious awareness or, at least, out of the AAI conversation with the interviewer, in both cases—we presume—to prevent the speaker from becoming upset and potentially disorganized.

Indeed the AAI literature suggests that if an individual was not fortunate enough to have experienced sensitive parenting during childhood, then various compensatory pathways can be charted so that mental health comes to be achieved by way of the human capacity to seek out care, accept it, and in turn provide care in ways that were not previously familiar to the individual. , a therapist) who helps one arrive at new understandings of old troubles, so that they are much less troubling (see Jacobvitz, Afterword, this volume).

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