Attachment-Based Psychotherapy
A therapeutic approach integrating attachment theory and psychodynamic principles to address relational patterns and early emotional wounds.
Internal Working Models
Mental representations of self and others formed in early attachment relationships that guide expectations in adult relationships.
Secure Attachment in Therapy
Developing a secure therapeutic relationship provides a corrective emotional experience that fosters trust and self-cohesion.
Insecure Attachment in Therapy
Clients may reenact early relational patterns—clinging, distancing, or fearing rejection—within the therapeutic relationship.
Transference
Re-experiencing feelings from early attachment figures and projecting them onto the therapist.
Countertransference
The therapist’s emotional responses to the client’s attachment needs or defenses; a tool for understanding relational dynamics.
Therapeutic Alliance
The collaborative and emotionally attuned bond that mirrors the secure base needed for exploration and healing.
The Secure Base Function of the Therapist
The therapist provides safety and attunement that allow clients to explore painful experiences and new ways of relating.
Rupture and Repair
Breakdowns in the therapeutic connection that, when repaired empathically, strengthen trust and emotional resilience.
Mentalization
The ability to reflect on one’s own and others’ mental states; often impaired in attachment trauma and restored in therapy.
Reflective Functioning
The capacity to understand behavior in terms of underlying thoughts, emotions, and intentions—key to secure attachment.
Affect Regulation
Learning to identify, tolerate, and modulate emotions through a responsive therapeutic relationship.
Empathic Attunement
The therapist’s capacity to sense and accurately respond to the client’s emotional experience.
Implicit Relational Knowing
Unconscious patterns of relating encoded through early experience and enacted in therapy rather than verbalized.
Corrective Emotional Experience
A healing interpersonal event in which old expectations of rejection or abandonment are disconfirmed.
Relational Patterns
Repetitive ways of relating to others that reflect early attachment experiences; often unconscious and self-perpetuating.
Object Relations
Internalized mental representations of self and others formed in early relationships that shape adult relationships.
Projective Identification
A process where the client unconsciously induces the therapist to feel aspects of the client’s internal experience.
Holding Environment
A concept from Winnicott referring to the therapist’s creation of a psychological space of safety, containment, and acceptance.
Containment
The therapist’s capacity to absorb and process intense emotions that the client cannot yet manage.
Attachment Trauma
Emotional injury caused by chronic misattunement, neglect, or abuse from caregivers.
Earned Secure Attachment
Achieving secure relational patterns in adulthood through consistent, empathic relationships—including therapy.
Termination as Separation
The end of therapy as an opportunity to revisit and integrate past attachment experiences of loss and separation.
Rupture and Repair
Pattern where attachment figure sometimes fails to meet child’s needs (rupture) but then attunes and reconnects (repair).
Normal part of good-enough parenting that teaches child relationships survive conflict and mistakes can be corrected. Builds resilience and trust.
In therapy: therapist’s authentic repair of empathic failures strengthens therapeutic alliance and provides corrective emotional experience. Avoidance of rupture or failure to repair is problematic.