Research shows how an understanding of adult attachment applies to clinical treatment, such as outpatient therapy, but no literature explores the application of adult attachment to wilderness therapy, a distinct type of residential treatment. This paper explores how an understanding of adult attachment applies to wilderness therapy clients, as the nature of wilderness therapy involves losses, separations, and reunions, all of which evoke attachment needs. Adult wilderness treatment exemplifies an effective method of treatment that provides a secure base and supports healthy attachment relationships.
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Asher, S. J., Huffaker, G. Q., & McNally, M. (1994). Therapeutic considerations of wilderness experiences for incest and rape survivors. Women & Therapy, 15(3), 161–174.
Bowlby, J. (1969). Attachment and loss, Vol. 1. Attachment. London: Hogarth Press.
Bowlby, J. (1973). Attachment and loss, Vol. 2. Separation. London: Hogarth Press.
Bowlby, J. (1988). A secure base: Parent-child attachment and healthy human development. New York: Basic Books.
Cassidy, J., & Kobak, R. R. (1988). Avoidance and its relation to other defensive processes. In J. Belsky & T. Nezworski (Eds.), Clinical implications of attachment (pp. 300–323). Hillsdale, NJ: Lawrence Erlbaum Associates, Inc.
Cassidy, J., & Mohr, J. J. (2001). Unsolvable fear, trauma, and psychopathology: Theory, research, and clinical considerations related to disorganized attachment across the life span. Clinical Psychology: Science and Practice, 8(3), 275–298.
Cunningham, P., & Page, T. F. (2001). A case study of a maltreated 13-year-old boy: Using attachment theory to inform treatment in a residential program. Child & Adolescent Social Work Journal, 18(5), 335–352.
Daniel, S. I. F. (2006). Adult attachment patterns and individual psychotherapy: A review. Clinical Psychology Review, 26(8), 968–984.
Dozier, M. (1990). Attachment organization and treatment use for adults with serious psychopathological disorders. Development and Psychopathology, 2(1), 47–60.
Eagle, M. N. (2006). Attachment, psychotherapy, and assessment: A commentary. Journal of Consulting and Clinical Psychology, 74(6), 1086–1097.
Fish, B., & Dudas, K. (1999). The relevance of attachment research for adult narratives told in psychotherapy. Clinical Social Work Journal, 27(1), 27–40.
Fonagy, P., Leigh, T., Steele, M., Steele, H., Kennedy, R., Mattoon, G., et al. (1996). The relation of attachment status, psychiatric classification, and response to psychotherapy. Journal of Consulting and Clinical Psychology, 64(1), 22–31.
Fraiberg, S., Adelson, E., & Shapiro, V. (2003). Ghosts in the nursery: A psychoanalytic approach to the problems of impaired infant-mother relationships. In J. Raphael-Leff (Ed.), Parent-infant psychodynamics: Wild things, mirrors and ghosts (pp. 87–117). London: Whurr Publishers.
Fraley, R. C., & Bonanno, G. A. (2004). Attachment and loss: A test of three competing models on the association between attachment-related avoidance and adaptation to bereavement. Personality and Social Psychology Bulletin, 30(7), 878–890.
Goldenberg, M., McAvoy, L., & Klenosky, D. B. (2005). Outcomes from the components of an outward bound experience. Journal of Experiential Education, 28(2), 123–146.
Hamilton, C. E. (2000). Continuity and discontinuity of attachment from infancy through adolescence. Child Development, 71(3), 690–694.
Hyer, L., Boyd, S., Scurfield, R., Smith, D., & Burke, J. (1996). Effects of outward bound experience as an adjunct to inpatient PTSD treatment of war veterans. Journal of Clinical Psychology, 52(3), 263–278.
Kelly, V. A. (2006). Women of courage: A personal account of a wilderness-based experiential group for survivors of abuse. Journal for Specialists in Group Work, 31(2), 99–111.
Lieberman, A. F., Zeanah, C. H., Cassidy, J., & Shaver, P. R. (1999). Contributions of attachment theory to infant-parent psychotherapy and other interventions with infants and young children. In Handbook of attachment: Theory, research, and clinical applications (pp. 555–574). New York: Guilford Press.
Liotti, G. (2004). Trauma, dissociation, and disorganized attachment: Three strands of a single braid. Psychotherapy: Theory, Research, Practice, Training, 41(4), 472–486.
Main, M. (1996). Introduction to the special section on attachment and psychopathology: 2. Overview of the field of attachment. Journal of Consulting and Clinical Psychology, 64(2), 237–243.
Main, M. (2000). The organized categories of infant, child, and adult attachment: Flexible vs. inflexible attention under attachment-related stress. Journal of the American Psychoanalytic Association, 48(4), 1055–1096.
Main, M., & Hesse, E. (1990). Parents’ unresolved traumatic experiences are related to infant disorganized attachment status: Is frightened and/or frightening parental behavior the linking mechanism? In M. T. Greenberg, D. Cicchetti, & E. M. Cummings (Eds.), Attachment in preschool years: Theory, research, and intervention (pp. 161–182). Chicago, IL, US: University of Chicago Press.
Main, M., & Solomon, J. (1986). Discovery of an insecure-disorganized/disoriented attachment pattern. In T. B. Brazelton &M. W. Yogman (Eds.), Affective development in infancy (pp. 95–124). Norwood: Ablex Publishing.
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(3), 307–317.
Meyer, B., & Pilkonis, P. A. (2002). Attachment style. In J. C. Norcross (Ed.), Psychotherapy relationships that work (pp. 367–382). New York: Oxford University Press.
Meyer, B., Pilkonis, P. A., Proietti, J. M., Heape, C. L., & Egan, M. (2001). Attachment styles and personality disorders as predictors of symptom course. Journal of Personality Disorders, 15(5), 371–389.
Mickelson, K. D., Kessler, R. C., & Shaver, P. R. (1997). Adult attachment in a nationally representative sample. Journal of Personality and Social Psychology, 73(5), 1092–1106.
Mikulincer, M., & Sheffi, E. (2000). Adult attachment style and cognitive reactions to positive affect: A test of mental categorization and creative problem solving. Motivation and Emotion, 24(3), 149–174.
Mikulincer, M., Shaver, P. R., & Pereg, D. (2003). Attachment theory and affect regulation: The dynamics, development, and cognitive consequences of attachment-related strategies. Motivation and Emotion, 27(2), 77–102.
Moore, K., Moretti, M. M., & Holland, R. (1998). A new perspective on youth care programs: Using attachment theory to guide interventions for troubled youth. Residential Treatment for Children & Youth, 15(3), 1–24.
Moses, T. (2000). Attachment theory and residential treatment: A study of staff-client relationships. American Journal of Orthopsychiatry, 70(4), 474–490.
Paley, B., Cox, M. J., Burchinal, M. R., & Payne, C. C. (1999). Attachment and marital functioning: Comparison of spouses with continuous-secure, earned-secure, dismissing, and preoccupied attachment stances. Journal of Family Psychology, 13(4), 580–597.
Paxton, T., & McAvoy, L. (2000). Social psychological benefits of a wilderness adventure program [Electronic version]. USDA forest service proceedings RMRS-P-15, 3, 202–206.
Phelps, J. L., Belsky, J., & Crnic, K. (1998). Earned security, daily stress, and parenting: A comparison of five alternative models. Development and Psychopathology, 10(1), 21–38.
Roisman, G. I., Padrón, E., Sroufe, L. A., & Egeland, B. (2002). Earned-secure attachment status in retrospect and prospect. Child Development, 73(4), 1204–1219.
Rothbard, J. C., & Shaver, P. R. (1994). Continuity of attachment across the life span. In M. B. Sperling, & W. H. Berman (Eds.), Attachment in adults: Clinical and developmental perspectives (pp. 31–71). New York: Guilford Press.
Russell, K. C. (2001). What is wilderness therapy? Journal of Experiential Education, 24(2), 70–79.
Russell, K. C. (2003). Definitions, models, and assessing outcomes in outdoor behavioral healthcare. In R. Meltzer (Chair), Wilderness therapy training and symposium. Boulder, CO: Symposium conducted at Naropa University.
Sable, P. (1992). Attachment theory: Application to clinical practice with adults. Clinical Social Work Journal, 20(3), 271–283.
Schofield, G., & Brown, K. (1999). Being there: A family centre worker’s role as a secure base for adolescent girls in crisis. Child & Family Social Work, 4(1), 21–31.
Schuengel, C., & van Ijzendoorn, M. H. (2001). Attachment in mental health institutions: A critical review of assumptions, clinical implications, and research strategies. Attachment & Human Development, 3(3), 304–323.
Shaver, P. R., & Mikulincer, M. (2002). Attachment-related psychodynamics. Attachment & Human Development, 4(2), 133–161.
Shear, K., & Shair, H. (2005). Attachment, loss, and complicated grief. Developmental Psychobiology, 47(3), 253–267.
Shilkret, C. J. (2005). Some clinical applications of attachment theory in adult psychotherapy. Clinical Social Work Journal, 33(1), 55–68.
Shorey, H. S., & Snyder, C. R. (2006). The role of adult attachment styles in psychopathology and psychotherapy outcomes. Review of General Psychology, 10(1), 1–20.
Simpson, J. A., & Rholes, W. S. (2004). Anxious attachment and depressive symptoms: An interpersonal perspective. In W. S. Rholes & J. A. Simpson (Eds.), Adult attachment: Theory, research, and clinical implications (pp. 408–437). New York: Guilford Publications.
Slade, A. (1999). Attachment theory and research. In J. Cassidy & P. R. Shaver (Eds.), Handbook of attachment: Theory, research and clinical applications (pp. 575–594). New York: The Guilford Press.
Solomon, J., & George, C. (1999). The place of disorganization in attachment theory: Linking classic observations with contemporary findings. In J. Solomon & C. George (Eds.), Attachment disorganization (pp. 3–32). New York, NY: Guilford Press.
Tolmacz, R. (2003). The secure-base function in a therapeutic community for adolescents. Residential Treatment for Children & Youth, 20(3), 1–18.
Wallis, P., & Steele, H. (2001). Attachment representations in adolescence: Further evidence from psychiatric residential settings. Attachment & Human Development, 3(3), 259–268.
Wayment, H. A., & Vierthaler, J. (2002). Attachment style and bereavement reactions. Journal of Loss & Trauma, 7(2), 129–149.
Westen, D., Nakash, O., Thomas, C., & Bradley, R. (2006). Clinical assessment of attachment patterns and personality disorder in adolescents and adults. Journal of Consulting and Clinical Psychology, 74(6), 1065–1085.
Zegers, M. A. M., Schuengel, C., van Ijzendoorn, M. H., & Janssens, J. M. A. M. (2006). Attachment representations of institutionalized adolescents and their professional caregivers: Predicting the development of therapeutic relationships. American Journal of Orthopsychiatry, 76(3), 325–334.
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Bettmann, J.E., Jasperson, R.A. Adults in Wilderness Treatment: A Unique Application of Attachment Theory and Research. Clin Soc Work J 36, 51–61 (2008). https://doi.org/10.1007/s10615-007-0134-0