Abstract
This paper explores the concept of adult attachment. Although attachment theory is now getting a great deal of attention, there is not yet a clear picture of what it means to be attached in adulthood or what the clinical applications of the approach might be. Using Bowlby’s distinctive ethological-evolutionary framework and updating it with findings from neurobiology and attachment research, it is proposed there is an attachment behavioral system that operates throughout the lives of adults and that this changes the way we understand our clients’ distress and carry out psychotherapy.
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References
Ainsworth, M. D. S. (1991). An ethological approach to personality development. American Psychologist, 46(4), 333–341.
Ainsworth, M. D. S., Blehar, M. C., Waters, E., & Wall, S. (1978). Patterns of attachment: Assessed in the strange situation and at home. Hillsdale, NJ: Lawrence Erlbaum.
Antonucci, T. C. (1986). Social support networks: A hierarchical mapping technique. Generations, 10, 10–12.
Antonucci, T. C. (1994). Attachment in adulthood, and aging. In M. B. Sperling, & W. H. Berman (Eds.), Attachment in adults: Clinical and developmental perspectives (pp. 256–272). New York: Guilford Press.
Baylis, P. J. (2006). The neurobiology of affective interventions: A cross-theoretical model. Clinical Social Work Journal, 34(1), 61–81.
Berlin, L. J., & Cassidy, J. (1999). Relations among relationships: Contributions from attachment theory and research. In J. Cassidy, & P. R. Shaver (Eds), Handbook of attachment: Theory, research, and clinical applications (pp. 688–712). New York: Guilford Press.
Berscheid, E. (2006). Seasons of the heart. In M. Mikulincer, & G. S. Goodman (Eds.), Dynamics of romantic love (pp.404–422). New York: Guilford Press.
Bettmann, J. E. (2006). Using attachment theory to understand treatment of adult depression. Clinical Social Work Journal, 39(4), 531–542.
Bowlby, J. (1969). Attachment and loss, Vol. 1. Attachment. New York: Basic Books.
Bowlby, J. (1973). Attachment and loss, Vol. 2. Separation: Anxiety and anger. New York: Basic Books.
Bowlby, J. (1977). The making and breaking of affectional bonds. British Journal of Psychiatry, 130, 201–210, 421–431.
Bowlby, J. (1979). On knowing what you are not supposed to know and feeling what you are not supposed to feel. Canadian Journal of Psychiatry, 24, 403–408.
Bowlby, J. (1980). Attachment and loss, Vol. 3. Loss: Sadness and depression. New York: Basic Books.
Bowlby, J. (1981). Psychoanalysis as a natural science. International Review of Psycho-Analysis, 8, 243–256.
Bowlby, J. (1988). A secure base. New York: Basic Books.
Bowlby, J. (1991). Charles Darwin. New York: W.W. Norton and Co.
Bretherton, I. (1985). Attachment theory: Retrospect and Prospect. Monograph of the society for research in child development, serial number 209. In I. Bretherton & E. Waters (Eds.), Growing points of attachment theory and research (pp. 3–35).
Brisch, K. H. (2002). Treating attachment disorders. New York: Guilford Press.
Collins, N. L., Guichard, A. C., & Ford, M. B. (2006). Responding to need in intimate relationships: Normative processes, and individual differences. In M. Mikulincer, & G. S. Goodman (Eds.), Dynamics of romantic love (pp. 149–189). New York: Guilford Press.
Crowell, J. A., Fraley, R. C., & Shaver, P. R. (1999). Measurement of individual differences in adolescent, and adult attachment. In J. Cassidy, & P. R. Shaver (Eds.), Handbook of attachment: Theory, research and clinical applications (pp. 434–465). New York: Guilford Press.
Diamond, N. (2003). Attachment, trauma, and the body. In M. Cortina & M. Marrone (Eds.), Attachment theory and the psychoanalytic process (pp. 409–429). Philadelphia: Whurr.
Diamond, L. M. & Hicks, A. M. (2004). Psychological perspectives on attachment: Implications for health over the lifespan. In W. S. Rholes, & J. A. Simpson (Eds.), Adult attachment: Theory, research, and clinical implications (pp. 240–263). New York: Guilford Press.
Diamond, N. & Marrone, M. (2003). Attachment and intersubjectivity. London and Philadelphia: Whurr.
Eagle, M. (2003). Clinical implications of attachment theory. Psychoanalytic Inquiry, 23, 27–53.
Eagle, M. (2006). Attachment, psychotherapy and assessment: A commentary. Journal of Consulting and Clinical Psychology, 74, 1086–1097.
Eagle, M. & Wolitzky, D.L. (In press). The perspectives of attachment theory and psychoanalysis: Adult psychotherapy. In E. Berant & J.H. Obegi (Eds.), Clinical applications of adult attachment. New York: Guilford Press.
Fonagy, P. (2001). Attachment theory and psychoanalysis. New York: Other Press.
George, C., Kaplan, N., & Main, M. (1996). Adult attachment interview protocol (3rd ed.). Unpublished manuscript, University of California, Berkeley.
Gilbert, P. (2001). Evolutionary approaches to psychopathology: The role of natural defenses. Australian and New Zealand Journal of Psychiatry, 35, 17–27.
Grossman, K., Grossman, K. E., & Kindler, H. (2005). Early care and the roots of attachment and partnership representations: The Bielefeld and Regensburd Longitudinal Studies. In K. E. Grossman, K. Grossman, & E. Waters (Eds.), Attachment from infancy to adulthood (pp. 98–136). New York: Guilford Press.
Harlow, H. F. & Zimmerman, R. R. (1959). Affectional responses in the infant monkey. Science, 130, 421.
Harris, T. (1997). Adult attachment processes and psychotherapy: A commentary on Bartholomew and Birtchnell. British Journal of Medical Psychology, 70, 281–290.
Harris, T. (2004). Chef or chemist? Practicing psychotherapy within the attachment paradigm. Attachment and Human Development, 6, 191–207.
Hazan, C. & Shaver, P. R. (1987). Romantic love conceptualized as an attachment process. Journal of personality and social psychology, 52, 511–524.
Hazan, C. & Zeifman, D. (1999). Pair bonds as attachments: Evaluating the evidence. In J. Cassidy, & P. R. Shaver (Eds.), Handbook of attachment: Theory, research and clinical applications (pp. 336–354). New York: Guilford Press.
Hazan, C., Gur-Yaish, N., & Campa, M. (2004). What does it mean to be attached? In W.S. Rholes & J. A. Simpson (Eds.), Adult attachment: Theory, research, and clinical applications (pp. 55–85). New York: Guilford Press.
Hesse, E. (1999). The Adult Attachment Interview: Historical and current perspectives. In J. Cassidy & P. R. Shaver (Eds.), Handbook of Attachment: Theory, research and clinical applications (pp. 395–433). New York: Guilford Press.
Hofer, M. A. (1995). Hidden regulators: Implications for a new understanding of attachment, separation, and loss. In S. Goldberg, R. Muir, & J. Kerr (Eds.), Attachment theory, social, developmental, and clinical perspectives (pp. 203–230). Hillsdale, N.J.: Analytic Press.
Holmes, J. (1995). “Something there is that doesn’t love a wall:” John Bowlby, attachment theory and psychoanalysis. In S. Goldberg, R. Muir, & J. Kerr (Eds.), Attachment theory: social, developmental, and clinical perspectives (pp. 19–43). Hillsdale, N.J.: Analytic Press.
Issa, A., Rowe, W., Gauthier, S., & Meaney, M. (1991). Hypothalamic-pituitary-adrenal activity in aged, cognitively impaired and cognitively unimpaired rats. Journal of Neuroscience, 10, 3247.
Kahn, R. L., & Antonucci, T. C. (1980). Convoys over the life cycle course: Attachment roles and social support. In P. B. Baltes & O. Brim (Eds.), Lifespan development and behavior, (Vol. 3, pp 253–286). New York: Academic Press.
Karen, R. (1994). Becoming attached. New York: Warner.
Kirkpatrick, L. A. (2005). Attachment, evolution, and the psychology of religion. New York: Guilford Press.
Lashinger, B., Purnell, C., Schwartz, J., White, K., & Wingfield, R. (2004). Sexuality and attachment from a clinical point of view. Attachment and Human Development, 6(2), 151–164.
Liu, D., Diorio, J., Tannenbaum, B, Caldji, C., Francis, D., Freedman, A., Sharma, S., Pearson, D., Plotsky, P. M., & Meaney, M. J. (1997). Maternal care, hippocampal glucocorticoid receptors, and hypothalamic-pituitary-adrenal responses to stress. Science, 277, 1659–1662.
Lorenz, K. (1952). King Solomon’s Ring. London: Methuen.
Main, M. (1999). Epilogue. Attachment theory: Eighteen points with suggestions for future studies. In J. Cassidy & P. R. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications (pp. 845–887). New York: Guilford Press.
Marris, P. (1982). Attachment and society. In C. M. Parkes & J. Stevenson-Hinde (Eds.), The place of attachment in human behavior (pp. 185–201). New York: Basic Books.
Marrone, M. (1998). Attachment and interaction. Philadelphia: Jessica Kingsley.
Mikulincer, M., & Shaver, P. R. (2007). Attachment in adulthood: Structure, dynamics and change. New York: Guilford Press.
Nelson, J. K. (2005). Seeing through tears: Crying and attachment. New York: Routledge.
Ogden, P., Minton, K., & Pain, C. (2006). Trauma and the body: A sensorimotor approach to psychotherapy. New York: W.W. Norton and Co.
Orbach, S. (2004). What can we learn from the therapist’s body? Attachment and Human Development, 6, 141–150.
Park, J. (2004). Walking the tightrope: Developing an attachment-based relational curriculum for trainee psychotherapists. Attachment and Human Development, 6(2), 131–140.
Parkes, C. M. (1991). Attachment, bonding and psychiatric problems after bereavement in adult life. In C. M. Parkes, J. Stevenson-Hinde, & P. Marris (Eds.), Attachment across the life cycle (pp. 268–292). New York: Tavistock/Routledge.
Rholes, W. S., & Simpson, J. A. (2004). Attachment theory: Basic concepts and contemporary questions. In W. S. Roles, & J. A. Simpson (Eds.), Adult attachment: Theory, research, and clinical implications. (pp. 3–14). New York: Guilford Press.
Rothchild, B. (2000). The body remembers. New York: W.W. Norton and Co.
Rutter, M. (1997). Clinical implications of attachment concepts: Retrospect and prospect. In L. Atkinson, & K. J. Zucker (Eds.), Attachment and psychopathology (pp. 17–46). New York: Guilford Press.
Sable, P. (1983). Overcoming fears of attachment in an adult with a detached personality, Psychotherapy: Research and Practice, 20, 376–382.
Sable, P. (1989). Attachment, anxiety and loss of husband. American Journal of Orthopsychiatry, 59, 550–556.
Sable, P. (1995). Attachment theory and post-traumatic stress disorder. Journal of Analytic Social Work, 2, 89–109.
Sable, P. (2000). Attachment and adult psychotherapy. Northvale, N. J.: Jason Aronson.
Sapolsky, R. M. (1998). Why zebras don’t get ulcers. New York: W.H. Freeman.
Schore, A. N. (1994). Affect regulation and the origin of the self: The neurobiology of emotional development. Hillsdale, NJ: Erlbaum.
Schore, A.N. (2000). Foreword. In J. Bowlby, Attachment and loss: Vol. I. Attachment (Reissue). New York: Basic Books.
Schore, A. N. (2003a). Affect dysregulation and disorders of the self. New York: W.W. Norton and Co.
Schore, A. N. (2003b). Affect regulation and the repair of the self. New York: W.W. Norton and Co.
Schwartz, J., & Pollard, J. (2004). Introduction to the special issue: Attachment-based psychoanalytic psychotherapy. Attachment and Human Development, 6(2), 113–115.
Shilkret, C. J. (2005). Some clinical applications of attachment theory in adult psychotherapy. Clinical Social Work Journal, 33(1), 55–68.
Siegel, D. J. (1999). The developing mind: Toward a neurobiology of interpersonal experience. New York: Guilford Press.
Simpson, J. A. (1999). Attachment theory in modern evolutionary perspective. In J. Cassidy, & P. R. Shaver (Eds.), Handbook of attachment: Theory, research and clinical applications (pp. 115–140). New York: Guilford Press.
Simpson, J. A., Rholes, S. W., & Phillips, D. (1996). Conflict in close relationships: An attachment perspective. Journal of Personality and Social Psychology, 71, 899–914.
Slade, A. (1999). Attachment theory and research: Implications for the theory and practice of individual psychotherapy with adults. In J. Cassidy, & P. R. Shaver (Eds.), Handbook of attachment: Theory, research and clinical applications (pp. 575–594). New York: Guilford Press.
Stern, D. N. (1977). The first relationship: Infant and mother. Cambridge, MA.: Harvard University Press.
Stern, D. N. (1985). The interpersonal world of the infant. New York: Basic Books.
Stern, D. N. (2000). Foreword to “On the evolution of attachment-disordered behavior” by Helga Fischer-Mamblona. Attachment and Human Development, 2, 3–4.
Suomi, S. J. (1999). Attachment in rhesus monkeys. In J. Cassidy, & P. R. Shaver (Eds.), Handbook of attachment: Theory, research and clinical applications (pp. 181–197). New York: Guilford Press.
Tinbergen, N. (1951). The study of instinct. Oxford, England: Clarendon.
Tronick, E. Z. (1989). Emotions and emotional communication in infants. American Psychologist, 44, 112–119.
Tronick, E. (2007). The neurobehavioral and social - emotional development of infants and children. New York: W. W. Norton and Co.
Weiss, R. (1982). Attachment in adult life. In C. M. Parkes, & J. Stevenson-Hinde (Eds.), The place of attachment in human behavior (pp. 171–184). New York: Basic Books.
Weiss, R. (1988). Loss and recovery. Journal of Social Issues, 44, 37–52.
Weiss, R. (1991). The attachment bond in childhood and adulthood. In C. M. Parkes, J. Stevenson-Hinde, & P. Marris (Eds.), Attachment across the life cycle (pp. 66–76). New York: Tavistock/Routledge.
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Sable, P. What is Adult Attachment?. Clin Soc Work J 36, 21–30 (2008). https://doi.org/10.1007/s10615-007-0110-8
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DOI: https://doi.org/10.1007/s10615-007-0110-8