Clinical Applications of the Adult Attachment Interview by Howard Steele

By Howard Steele

The grownup Attachment Interview (AAI) is either a mainstay of attachment learn and a strong scientific software. This specified booklet offers an intensive creation to the AAI and its use as an accessory to a number healing ways, together with cognitive-behavioral treatment, psychoanalytic psychotherapy, parent-infant psychotherapy, domestic traveling courses, and supportive paintings within the context of foster care and adoption. prime experts supply designated descriptions of medical methods and strategies, illustrated with bright case fabric. Grounded in study, the quantity highlights how utilizing the AAI can increase overview and prognosis, increase the healing alliance, and facilitate objective surroundings, therapy making plans, and growth tracking. (20100924)

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Extra resources for Clinical Applications of the Adult Attachment Interview

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When a second person conducts the AAI), and the tasks of therapy may be tackled more quickly. However, there are at least two reasons that a therapist may not desire to be the interviewer. First, when the AAI is to be used as a measure of outcome in a test–retest design, it is desirable for the therapist not to be influenced by the initial AAI, or knowledge of it, because he or she may be seen to “coach” the client toward a more secure response. Second, some clinicians may prefer to wait for personal details or “secrets” of the client’s life to present themselves in the natural course of the therapeutic process, not in response to the demand characteristics of the AAI experience.

The mainstream, obviously “continuously secure” subtype (F3a) is distinguished from the “earned secure” subtype (F3b). Approaching the border with insecure–preoccupied attachment, some secure speakers show a mild preoccupation with attachment against a largely supportive background (F4a) or an unfortunate (loss) or traumatic background (F4b). Finally, there is the secure speaker who is nonetheless resentful and conflicted in some ways but accepting of continuing involvement with attachment (F5).

Here we are, of course, discussing the two main forms of insecure–preoccupied interviews presented earlier: passively preoccupied (E1) and angrily preoccupied (E2). A third subtype of preoccupied interview, most notable among adult survivors of serious abuse during childhood, as mentioned earlier, is termed fearfully preoccupied (E3). In these interviews, the operative theme appears to be failure of defensive exclusion insofar as memories of past trauma frequently intrude into the narrative. To be coded as fearfully preoccupied, these intrusions must, of course, be inappropriate, such as when the subject is not being queried about abusive or otherwise frightening events, but about some more benign topic not obviously linked to trauma.

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