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Attachment, A Matter of Substance: The Potential of Attachment Theory in the Treatment of Addictions

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Abstract

In North America, substance abuse is a public health crisis with annual costs in the billions. Individuals suffer from substance use disorders for multiple years throughout their lifespan. This suggests that neither historical, community-based interventions, nor current, evidence-based behavioral modalities are successful in healing the causes of addiction. A growing corpus of research has established that traumatic early-childhood experiences and insecure attachments are both independent and interrelated risk factors for developing substance abuse disorders. An impressive literature is emerging exploring potential applications of attachment theory-informed intervention. There has yet to be widespread adoption of such techniques. By examining the scholarly literature, this paper synthesizes existing work on attachment theory in the treatment of substance use disorders. A clinical case application is provided to highlight the potential for attachment-informed therapy. Recommendations for using attachment-informed approaches in the treatment of substance use disorders with various groups are offered.

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Notes

  1. Names are pseudonyms and case example is a composite of multiple cases.

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The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. School of Social Work, McGill University, 3506 University St., Room 300, Montreal, QC, H3A2A7, Canada

    Kara Fletcher, Jennifer Nutton & Denise Brend

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  1. Kara Fletcher
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  2. Jennifer Nutton
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  3. Denise Brend
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Correspondence to Kara Fletcher.

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Fletcher, K., Nutton, J. & Brend, D. Attachment, A Matter of Substance: The Potential of Attachment Theory in the Treatment of Addictions. Clin Soc Work J 43, 109–117 (2015). https://doi.org/10.1007/s10615-014-0502-5

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