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Sez. generale - Studi e ricerche

N. 45 (2019)

Attaccamento e psicoterapia

Inviata
31 December 2019
Pubblicato
31-12-2019

Abstract

La teoria dell’attaccamento fornisce un modello per comprendere: 1) lo sviluppo nel contesto delle relazioni primarie e formative del bambino; 2) l’orientamento di un adulto verso legami intimi instaurati nel corso della vita, relazioni sociali ed esplorazione autonoma.
I ricercatori in psicoterapia hanno messo in relazione le modalità di attaccamento dei pazienti con l’alleanza terapeutica, il processo clinico e i risultati. Gli studi di rotture e analisi del discorso distinguono i comportamenti in seduta associati a diversi modelli di attaccamento insicuro e identificano vari modi di lavorare con essi. Anche l’organizzazione dell’attaccamento e la capacità di mentalizzazione del terapeuta svolgono un ruolo significativo nel successo terapeutico. I principi chiave della psicoterapia connessa all’attaccamento sono: 1) la relazione di attaccamento terapeuta-paziente è fondamentale per promuovere il cambiamento; 2) il riconoscimento in vivo delle dinamiche di attaccamento durante la terapia guida la formulazione e l’intervento; 3) la terapia può rimodellare le dinamiche di attaccamento.

Riferimenti bibliografici

  1. Ainsworth M.D.S., Blehar M.C., Waters E., Wall S. (1978). Patterns of attachment: A psychological study of the Strange Situation. Hillsdale, NJ: Erlbaum.
  2. Bateman A., Fonagy P. (2009). Randomized controlled trial of outpatient mentalization-based treatment versus structured clinical management for borderline personality disorder. American Journal of Psychiatry, 166: 1355-1364.
  3. Bowlby J. (1969/1982). Attachment and loss: Vol. 1. Attachment. New York: Basic Books (original work published 1969).
  4. Brennan K.A., Clark C.L., Shaver P.R. (1998). Self-report measurement of adult attachment: An integrative overview. In Simpson J.A., Rholes W.S. (eds.), Attachment theory and close relationships. New York: Guilford Press, pp. 46-76.
  5. Cologon J., Schweitzer R., King R., Nolte T. (2017). Therapist reflective functioning, therapist attachment style, and therapist effectiveness. Administration and Policy in Mental Health and Mental Health Services Research, 44: 614-625.
  6. Daly K., Mallinckrodt B. (2009). A grounded-theory model of experts’ approach to psychotherapy for clients with attachment avoidance or attachment anxiety. Journal of Counseling Psychology, 56: 549-563.
  7. Daniel S.I.F. (2006). Adult attachment patterns and individual psychotherapy: A review. Clinical Psychology Review, 26: 968-984.
  8. Daniel S.I.F. (2011). Adult attachment insecurity and narrative processes in psychotherapy: An exploratory study. Clinical Psychology and Psychotherapy, 18: 498-511.
  9. Diener M.J., Monroe J.M. (2011). The relationship between adult attachment style and therapeutic alliance in individual psychotherapy: A meta-analytic review. Psychotherapy, 48(3): 237-248.
  10. Dozier M. (1990). Attachment organization and treatment use for adults with serious
  11. psychopathological disorders. Development and Psychopathology, 2: 47-60.
  12. Dozier M., Cue K., Barnett L. (1994). Clinicians as caregivers: Role of attachment
  13. organization in treatment. Journal of Consulting and Clinical Psychology, 62: 793-800.
  14. Eames V., Roth A. (2000). Patient attachment orientation and the early working alliance: A study of patient and therapist reports of alliance quality and ruptures. Psychotherapy Research, 10: 421-434.
  15. Ensink K., Maheux J., Normandin L., Sabourin S. (2013). The impact of mentalization training on the reflective function of novice therapists: A randomized controlled trial. Psychotherapy Research, 23: 526-538.
  16. Fonagy P., Leigh T., Steele M., Steele H., Kennedy R., Mattoon G. et al. (1996). The
  17. relation of attachment status, psychiatric classification and response to psychotherapy. Journal of Consulting and Clinical Psychology, 64: 22-31.
  18. Fonagy P, Allison E. (2014). The role of mentalizing and epistemic trust in the therapeutic relationship. Psychotherapy, 51: 372-380. doi: 10.1037/a0036505
  19. Holmes J.A. (1993/2013). John Bowlby and attachment theory. London: Routledge.
  20. Holmes J.A. (2001). The search for the secure base: Attachment theory and psychotherapy. London: Routledge.
  21. Holmes J.A. Slade A. (2018). Attachment in therapeutic practice. London: Sage Publications.
  22. Janzen J., Fitzpatrick M., Drapeau M. (2008). Processes involved in clientnominated
  23. relationship building incidents: Client attachment, attachment to therapist, and session impact. Psychotherapy: Theory, Research, Practice, Training, 45: 377-390.
  24. Kanninen K., Salo J., Punamaki R.L. (2000). Attachment patterns and working alliance in trauma therapy for victims of political violence. Psychotherapy Research, 10: 435-449.
  25. Levy K.N., Ellison W.D., Scott L.N., Bernecker S.L. (2011). Attachment style. Journal of Clinical Psychology, 67(2): 193-203.
  26. Levy K.N., Meehan K., Kelly K.M., Reynoso J., Weber M., Clarkin J. et al. (2006). Changes in attachment patterns and reflective function in a randomized control trial of transference-focused psychotherapy for borderline personality disorder. Journal of Consulting and Clinical Psychology, 74: 1027-1040.
  27. Linehan M.M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford Press.
  28. Lyons-Ruth K., Jacobvitz D. (2016). Attachment disorganization: Genetic factors, parenting contexts, and developmental transformation from infancy toadulthood. In: Cassidy J., Shaver P. (eds.), Handbook of attachment: Theory,research, and clinical applications, 3rd ed. New York: Guilford Publications, pp. 667-696.
  29. Main M., Hesse E. (1990). Parents’ unresolved traumatic experiences are related to
  30. infant disorganized attachment status: Is frightened and/or frightening parental
  31. behavior the linking mechanism? In: Greenberg M.T., Cicchetti D., Cummings E.M. (eds.), Attachment in the preschool years: Theory, research, and intervention. Chicago: University of Chicago Press, pp. 161-182.
  32. Main M., Kaplan N., Cassidy J. (1985). Security in infancy, childhood, and adulthood: A move to the level of representation. In: Bretherton I., Waters E. (eds.), Growing points of attachment theory and research. Monographs of the Society for Research in Child Development, 50(1-2, Serial n. 209): 66-107.
  33. Main M., Solomon J. (1990). Procedures for identifying infants as disorganized/disoriented during the Ainsworth Strange Situation. In: Greenberg M.T.,
  34. Cicchetti D., Cummings E.M. (eds.), Attachment in the preschool years: Theory, research, and intervention. Chicago: University of Chicago Press, pp. 95-124.
  35. Mallinckrodt B., Gantt D.L., Coble H.M. (1995). Attachment patterns in the psychotherapy relationship: Development of the client attachment to therapist scale. Journal of Counseling Psychology, 42: 307-317.
  36. Mallinckrodt B., Porter M.J., Kivlighan D.M. Jr. (2005). Client attachment to therapist, depth of in-session exploration, and object relations in brief psychotherapy. Psychotherapy: Theory, Research, Practice, Training, 42: 85-100.
  37. Mikulincer M., Shaver P.R., Berant E. (2013). An attachment perspective on therapeutic processes and outcomes. Journal of Personality, 81: 606-616.
  38. Moutoussis M., Fearon P., Eel-Deredy W., Dolan R., Friston K. (2014) Baysean inferences about the self (and others): a review. Consciousness and Cognition, 25: 67-78. doi: 10.1016/j.concog.2014.01.009.
  39. Roisman G.I., Holland A., Fortuna K., Fraley R.C., Clausell E., Clarke A. (2007). The adult attachment interview and self-reports of attachment style: An empirical rapprochement. Journal of Personality and Social Psychology, 92: 678-697.
  40. Slade A. (2014). Imagining fear: Attachment, threat, and psychic experience.
  41. Psychoanalytic Dialogues, 24: 254-266.
  42. Slade A. (2016). Attachment and adult psychotherapy: Theory, research, and practice. In: Cassidy J., Shaver P. (eds.), The Handbook of Attachment: Theory, Research, and Clinical Applications, 3rd Edition. New York: Guilford Publications, pp. 759-779.
  43. Slade A., Holmes J.A. (2013). Attachment theory. London: Sage.
  44. Stovall-McClough C., Cloitre M. (2003). Reorganization of traumatic childhood memories following exposure therapy. Annals of the New York Academy of Science, 1008: 297-299.
  45. Stovall-McClough C., Dozier M. (2016). Attachment states of mind and psychopathology in adulthood. In: Cassidy J., Shaver P. (eds.), The Handbook of Attachment: Theory, Research, and Clinical Applications, 3rd Edition. New York: Guilford Publications, pp. 715-738.
  46. Talia A. et al. (2014). AAI predicts patients’ in-session interpersonal behavior and discourse: A “move to the level of the relation” for attachment-informed psychotherapy research. Attachment and Human Development, 16(2): 192-209.
  47. Tyrrell C.L., Dozier M., Teague G.B., Fallot R.D. (1999). Effective treatment relationships for persons with serious psychiatric disorders: The importance of attachment states of mind. Journal of Consulting and Clinical Psychology, 67: 725-733.
  48. Van IJzendoorn M.H., Bakermans-Kranenburg M.J. (2009). The first 10,000 Adult Attachment Interviews: Distributions of adult attachment representations in clinical and non-clinical groups. Attachment and Human Development, 11: 223-263.
  49. Wampold B. (2015). The great psychotherapy debate: Models, methods and findings, 2nd edition. Hillsdale, NJ: Jason Aronson.
  50. Westen D., Nakash O., Thomas C., Bradley R. (2007). Clinical assessment of attachment patterns and personality disorder in adolescents and adults. Journal of Consulting and Clinical Psychology, 74: 1065-1085.
  51. Winnicott D.W. (1965). Maturational processes and the facilitating environment. London: Taylor & Francis.
  52. Woodhouse S.S., Schlosser L.Z., Crook R.E., Ligiero D.P., Gelso C.J. (2003). Client
  53. attachment to therapist: Relations to transference and client recollections of parental caregiving. Journal of Counseling Psychology, 50: 395-408.

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