This eloquent book translates attachment theory and research into an innovative framework that grounds adult psychotherapy in the facts of childhood development. Advancing a model of treatment as transformation through relationship, the author integrates attachment theory with neuroscience, trauma studies, relational psychotherapy, and the psychology of mindfulness. Vivid case material illustrates how therapists can tailor interventions to fit the attachment needs of their patients, thus helping them to generate the internalized secure base for which their early relationships provided no foundation. Demonstrating the clinical uses of a focus on nonverbal interaction, the book describes powerful techniques for working with the emotional responses and bodily experiences of patient and therapist alike.
Attachment and Change. Part I: Bowlby and Beyond. The Foundations of Attachment Theory. Mary Main: Mental Representations, Metacognition, and the Adult Attachment Interview. Fonagy and Forward. Part II: Attachment Relationships and the Development of the Self. The Multiple Dimensions of the Self. The Varieties of Attachment Experience. How Attachment Relationships Shape the Self. Part III: From Attachment Theory to Clinical Practice. Nonverbal Experience and the "Unthought Known": Accessing the Emotional Core of the Self. The Stance of the Self toward Experience: Embeddedness, Mentalizing, and Mindfulness. Deepening the Clinical Dimension of Attachment Theory: Intersubjectivity and the Relational Perspective. Part IV: Attachment Patterns in Psychotherapy. Constructing the Developmental Crucible. The Dismissing Patient: From Isolation to Intimacy. The Preoccupied Patient: Making Room for a Mind of One's Own. The Unresolved Patient: Healing the Wounds of Trauma and Loss. Part V: Sharpening the Clinical Focus. The Nonverbal Realm I: Working with the Evoked and the Enacted. The Nonverbal Realm II: Working with the Body. Mentalizing and Mindfulness: The Double Helix of Psychological Liberation.
'This timely book provides an important advance in the examination of the implications of attachment theory for psychotherapy. Synthesizing theory and research on attachment theory and affect regulation with recent developments in psychoanalysis, Wallin provides a rich conceptual scaffolding for understanding the role that the therapeutic relationship plays in the change process. He also provides an intriguing perspective on the potential contributions of mindfulness practice to the cultivation of a therapeutic stance. Theoretically sophisticated and clinically enlightening, this book will be of interest to clinicians of all persuasions.' -" Jeremy D. Safran, PhD, Department of Psychology, New School for Social Research, USA" 'John Bowlby would have been delighted with this book, which links the biological imperatives of attachment to the dialogues that define the self and the nature of key relationships. He would also have been delighted to see his theory articulated as a guide to psychotherapy in such an eminently readable manner. The use of attachment as this kind of guide is a rich vein that has just begun to be tapped. This book is a therapist's journey into that richness.' - "Susan M. Johnson, EdD, School of Psychology, University of Ottawa, Ontario, Canada" 'Simply the best integration of key advances in attachment theory and research and their applications to psychotherapy. Complex concepts are carefully elucidated and brilliantly illustrated with clinical examples. This book is an important reference for all clinicians and students. It is a vital resource for those who are interested in how progress in our understanding of attachment processes may be applied in a clinical context.' "Peter Fonagy, PhD, Sub-Department of Clinical Health Psychology, University College London, UK"" " 'This book is a remarkable achievement/m-/a very clear yet scholarly synthesis of the latest developments in attachment theory, intersubjectivity, social neuroscience, and mindfulness. The author layers these 'maps' onto the therapy experience, and then takes the reader through the territory to emerge with a new vision of therapy. Wallin is a trustworthy guide through the complexities of clinical work where the therapy relationship itself is the intervention. A 'must read' for psychotherapists who wish to remain on top of their field, and a rich resource for clinicians in training.' - "Christopher K. Germer, PhD, private practice, Cambridge, Massachusetts, USA " "'Attachment in Psychotherapy" advances psychotherapeutic method and theory through an innovative integration of new work in affect regulation and models of relationship. David Wallin offers a brilliant leap in realizing the clinical promise of attachment theory, a synthesis that should be required - and will be rewarding - reading for every psychotherapist.' - "Daniel Goleman, PhD, author of Social Intelligence" 'What a delight! Wallin has written an extremely insightful, broadly integrative, clinically applicable, and highly engaging book. Keeping his personal and clinical experiences coherently in mind and using them as examples, he synthesizes recent literatures on attachment theory and research, mindfulness, mentalization, metacognition, nonverbal communication, intersubjectivity, and mechanisms of therapeutic change. The book moves deftly from clear analyses of contemporary theoretical issues to specific, well-described clinical techniques that can be used with particular clients; for example, those with a particular adult attachment pattern. The book identifies diverse theoretical and empirical advances that, in Wallin's skillful hands, fit together beautifully, deepening our understanding of the human mind, its relational context, and its transformation in psychotherapy.' - "Phillip R. Shaver, PhD, Department of Psychology, University of California, USA"