By Howard Steele
The grownup Attachment Interview (AAI) is either a mainstay of attachment learn and a strong scientific device. This specific ebook offers a radical advent to the AAI and its use as an accessory to various 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. best specialists offer unique descriptions of scientific systems and strategies, illustrated with bright case fabric. Grounded in study, the amount highlights how utilizing the AAI can increase overview and prognosis, boost the healing alliance, and facilitate target environment, remedy making plans, and development tracking. (20100924)
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Extra resources for Clinical Applications of the Adult Attachment Interview
Identifying the Range and Extent of a Patient’s Reliance on Defensive Processes Though the notion of defense mechanisms belongs to a psychoanalytic ego psychology perspective (after A. Freud, 1936) linked to Freud’s theory of instinctual drives, and Bowlby unquestionably postulated an alternative and contrasting theory of human motivation, he did not throw out the baby with the bathwater. The “baby” for Bowlby was the notion of defensive exclusion, 18 THE AAI IN CLINICAL CONTEXT understood in terms of the fervent work we do to keep from awareness any perceptions, feelings, and thoughts that would otherwise cause unbearable 7 anxiety and psychological suffering.
This message is most successfully delivered in the context of demonstrating an understanding that patients have good reasons (rooted in childhood experiences) to have held to their firm (idealizing or derogating) but ultimately restrictive and unhelpful beliefs. In addition to these “cool” distancing strategies aimed at exclusion of implicit “hot” emotions are the opposing goals evident in some AAIs, in which strategies that seem to involve, as opposed to avoid, the interviewer are evident, as in AAIs judged insecure–preoccupied.
Whether asked by the therapist or someone else in the clinical/research team, the AAI questions signal to the client that relationships are important—those in one’s family of origin, those that comprise one’s current life experience, and those that one imagines in the future. Thus, an AAI conducted at the beginning of a therapeutic relationship may help establish an agenda for meaningful clinical work. 2. Facilitating the Therapeutic Alliance and Responsiveness to Therapy When the AAI is administered at the outset of therapy, it may be, for the patient, the first time anyone has taken the time to ask for and listen to a sus- 14 THE AAI IN CLINICAL CONTEXT tained account of his or her family experience, and current thoughts and feelings about self and relationships.
Clinical Applications of the Adult Attachment Interview by Howard Steele