Attachment Focused Therapy

Introduction to Attachment Theory and Attachment Therapy

Attachment theory, pioneered by psychologists John Bowlby and Mary Ainsworth, focuses on our patterns of being in relationships. These patterns can include relationships between parents and children, spouses or intimate partners, friends, and larger systems or communities. It subsumes that human beings are wired to attach to their caregivers for survival, and that the quality of our early bonds with our caregivers may influence how we bond later in life and throughout life.

Table of Contents

Secure Attachment Style

If our caregivers were, for the most part, attuned, accepting, and sensitively responsive to our needs, it is more likely we’ll experience a base level of trust in our relationships, resilience during times of relational struggle, and an ability to sensitively navigate both our own needs and the needs of others. These people tend to feel comfortable with both closeness and distance in relationships; they may also feel more lasting reassurance after reconciliation of relational ruptures. An earned secure attachment style and experience in relationships, or more reliable access to it, may be one of the goals attachment therapy strives towards.

Anxious Preoccupied Attachment Style

If our caregivers were inconsistent in their responses to us, for example, if they were sometimes attuned to our needs and feelings, but at other times rejecting in a way that made it hard to anticipate what sort of response we were going to get, we might have learned to cling, stay close, demand loudly, or make ourselves unavoidable in effort to coax them into attuning to us, understanding us, or providing comfort and soothing.

Essentially, we learned that to get our needs met in relationships, we needed to work really hard. Our attachment system then wires to seek out responsiveness from inconsistently responsive people while priming us for uncertainty within those relationships. The relational experience is often typified by emotional overwhelm, sensitivity to rejection, fears of abandonment, a need to control outcomes, and when reassurance is offered, it can feel fleeting, causing stress, low relationship satisfaction, and low self esteem.

Dismissive Avoidant Attachment Style

If our caregivers were consistently invalidating of our experiences, or avoided relational closeness, we might have come to learn that the best way to meet our needs, is to meet them ourselves, and avoid relying on other people, leading to what might appear to be a hyper independence when it comes to relationships.

Our attachment system in this case wires to disown or make inaccessible our desires for connection, potentially causing panic, impulses to run from intimate relating, or to unconsciously downplay the impact of relationships, withdrawing from them when confronted with someone’s interest in getting close to us. While this impulse to flee and return to our independence or alone time can soothe us temporarily, it can also make us miss out on the very closeness we may have never truly felt allowed to seek out.

Fearful Avoidant or Disorganized Attachment Style

If we experienced a level of pronounced fear in relation to our caregivers, for example if our caregivers were frightening, frightened themselves because of external circumstances, or dissociated, then they may have served at times as a space for safety, while at times activating a threat response within us. We may have been caught in the tension of approaching our caregivers for comfort while simultaneously experiencing the need to distance from them.

In this case, our attachment responses can appear disorganized or contradictory; we may both move towards and turn from connection, distance from others while at the same time wanting to reach for them. It can often leave us feeling confused or experiencing constant emotional swings.

My Approach to Attachment Therapy

In my work, I view my clients’ attachment responses with respect and compassion, even if these responses may be making things frustrating for them in their relationships currently. After all, our attachment systems enabled us to make sense of the adults in our lives growing up, and how they ticked, so that we could get our needs met. The good news is that now we may learn to speak about and nonreactivity advocate for those needs in new ways.

If this approach to therapy sparks your interest, please feel welcome to reach out via my contact page for an initial 20-minute virtual consultation to speak more about how sessions with me could support you.

Attachment Focused Therapy FAQs

What if I Have More than One Attachment Style?

It is common that folks don’t fit perfectly into the above categories. It is more likely for people to exhibit one dominant attachment style, while experiencing facets of the other four intermingled within the ways they respond to their relationships. For example, one style may dominate in a particular kind of relationship but not another, be that an intimate relationship, friendship, in relation to one’s work and career, or with specific family members.

Can I Have Different Attachment-Based Responses to Different People?

Contemporary understandings of attachment theory hold that, while our earliest relationships in life may have set the stage for our present attachment constellation, our attachment-based responses are influenced by many factors throughout our young lives from the environments we grew up in, to the influential figures we encountered along the way. We also don’t exist in a vacuum! Because our attachment systems are constantly meeting and colliding with other peoples’ attachment systems, particularly when we’re close to them, we may notice different attachment dynamics arising with different people.

Can My Attachment Style Change?

This is probably the most hopeful part of my work with clients who want to move from attachment insecurity towards developing more reliably secure attachment-based responses in their relationships. It is possible for an attachment style to change or shift towards security, with reflection on our relationship patterns, learning to respond more adaptively in existing relationships, and by finding relationships in which we can experience safety, consistency, as well as an adequate mix of both closeness and independence.

Who Can a Focus on Attachment in Therapy Benefit?

Attachment work may be supportive for those struggling to feel connected, assured, calm, engaged, trusting, or empowered in their current relationships, or when trying to foster new relationships. It is typically longer-term and depth-based work that strives for change over time.

What Does Self-Esteem Mean?

Self-esteem refers to a person's overall sense of self-worth or personal value. In attachment theory, low self-esteem can result from inconsistent caregiving, leading to relationship anxiety, fear of rejection, and emotional struggles.

How Long Does Grief Exhaustion Last?

Grief exhaustion can vary from person to person, lasting anywhere from weeks to several months. Emotional and physical fatigue from grief is common, especially when processing attachment-related loss. Therapy and self-care can help navigate this period.

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