Abstract
Authors described four distinct conceptualizations of the construct of attachment and identified clinical implications associated with each. Three of the conceptualizations, which are influenced by the work of Bowlby and Ainsworth, seem to have some empirical support; these conceptualizations are compatible with systemic and social constructionist approaches to family therapy. The other conceptualization— Reactive Attachment Disorder (RAD)—contradicts the extensive body of literature associated with the Bowlby/Ainsworth traditions and tends to pathologize children. Therefore, family therapists interested in attachment are encouraged to maintain conceptual clarity in their clinical work and are further encouraged to rely on clinical conceptualizations and interventions that are consistent with the work of Bowlby and Ainsworth.
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REFERENCES
Ainsworth, M. D. S. (1989). Attachment beyond intimacy. American Psychologist, 44,709–716.
Ainsworth, M. D. S., Waters, E.,& Wall, S. (1978). Patterns of attachment: A psychological study of the strange situation. Hillsdale, NJ: Lawrence Erlbaum Associates.
American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental Disorders, Fourth Ed., Text Rev. Washington, DC: Author.
Booth, P. B.,& Wark, L. (2001, March). Consumer update: Children's attachment relationships. Washington, DC: American Association for Marriage and Family Therapy, Item I066.
Bowlby, J. (1958). The nature of the child's tie to his mother. International Journal of Psychoanalysis, 39, 350–373.
Bowlby, J. (1969/1982). Attachment and loss. Vol. 1. New York: Basic Books.
Bowlby, J. (1988). A secure base. New York: Basic Books.
Byng-Hall, J. (1991). An appreciation of John Bowlby: His significance for family Therapy. Journal of Family Therapy, 13, 5–16.
Byng-Hall, J. (1995). Creating a secure family base: Some implications of attachment theory for family therapy. Family Process, 34, 45–58.
Byng-Hall, J. (1999). Family therapy and couple therapy: Toward greater security. In J. Cassidy & P. R. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications (pp. 625–645). New York: Guilford Press.
Cassidy, J. (1999). The nature of the child's ties. In J. Cassidy & P. R. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications (pp.3–20). New York: Guilford Press.
George, C., Kaplan, N., & Main, M. (1984). Adult Attachment Interview Protocol. Unpublished manuscript. University of California at Berkeley.
Hanson, R. F., & Spratt, E. G. (2000). Reactive attachment disorder: What we know About the disorder and implications for treatment. Child Maltreatment: Journal of the American Professional Society on the Abuse of Children, 5(2), 132–145.
Johnson, S. M., & Greenberg, L. S. (1995). The emotionally focused approach to problems in adult attachment. In N. S. Jacobson & A. S. Gurman (Eds.), The clinical handbook of marital therapy (2nd ed., pp. 121–141). New York: Guilford Press.
Johnson, S. M., & Millikin, J. (2001). Attachment injuries in couples relationships: A new perspective on impasses in couples therapy. Journal of Marital and Family Therapy, 27, 145–156.
Johnson, S. M., & Whiffen, V. (1999). Made to measure: Attachment styles in couples therapy. Clinical Psychology: Science & Practice, 6, 366–381.
Karen, R. (1990, February). Becoming attached. The Atlantic Monthly, 35–70.
Main, M., Kaplan, N., & Cassidy, J. (1985). Security in infancy, childhood, and adulthood: A move to the level of representation. Monographs of the Society for Research in Child Development, 50, 66–104.
Main, M., & Somolon, J. (1990). Procedures for identifying infants as disorganized/ disoriented during the Ainsworth strange situation. In M. T. Greenberg, D. Cicchetti, & E.M. Cummings (Eds.), Attachment in the preschool years: Theory, research and intervention (pp. 121–160). Chicago: University of Chicago Press.
Reber, K. (1996). Children at risk for reactive attachment disorder: Assessment, diagnosis and treatment. Progress: Family Systems Research and Therapy, 5, 83–98. Encino, CA: Phillips Graduate Institute.
Rutter, M. & O'Connor, T. G. (1999). Implications of attachment theory for child care policies. In J. Cassidy & P. R. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications (pp. 823–844). New York: Guilford Press.
Simpson, J. A., & Rholes, W. S. (1998). Attachment in adulthood. In J. A. Simpson & W. S. Rholes (Eds.), Handbook of attachment: Theory, research, and clinical applications (pp. 3–21). New York: Guilford Press.
Thompson, R. A. (1999). Early attachment and later development. In J. Cassidy & P. R. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications (pp. 265–286). New York: Guilford Press.
Wells, L. E. & Marwell, G. (1976). Self-esteem. Beverly Hills, CA: Sage Publications.
Werner-Wilson, R. J., & Murphy, M. J. (1999). Distancing strategies. In C. A. Smith (Ed.), The encyclopedia of parenting theory and research (pp. 374–376). Westport, CT: Greenwood Press.
Zeanah, C. H. (1996). Beyond insecurity: A reconceptualizaton of attachment disorders of infancy. Journal of Consulting and Clinical Psychology, 64, 42–52.
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Werner-Wilson, R.J., Davenport, B.R. Distinguishing Between Conceptualizations of Attachment: Clinical Implications in Marriage and Family Therapy. Contemporary Family Therapy 25, 179–193 (2003). https://doi.org/10.1023/A:1023620117087
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DOI: https://doi.org/10.1023/A:1023620117087