Attachment-Based Psychotherapy (Psychodynamic) Flashcards

Explore how early attachment experiences shape adult relationships and therapeutic dynamics within the MFT framework. (28 cards)

1
Q

Attachment-Based Psychotherapy

A

A therapeutic approach integrating attachment theory and psychodynamic principles to address relational patterns and early emotional wounds.

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2
Q

Internal Working Models

A

Mental representations of self and others formed in early attachment relationships that guide expectations in adult relationships.

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3
Q

Secure Attachment in Therapy

A

Developing a secure therapeutic relationship provides a corrective emotional experience that fosters trust and self-cohesion.

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4
Q

Insecure Attachment in Therapy

A

Clients may reenact early relational patterns—clinging, distancing, or fearing rejection—within the therapeutic relationship.

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5
Q

Transference

A

Re-experiencing feelings from early attachment figures and projecting them onto the therapist.

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6
Q

Countertransference

A

The therapist’s emotional responses to the client’s attachment needs or defenses; a tool for understanding relational dynamics.

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7
Q

Therapeutic Alliance

A

The collaborative and emotionally attuned bond that mirrors the secure base needed for exploration and healing.

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8
Q

The Secure Base Function of the Therapist

A

The therapist provides safety and attunement that allow clients to explore painful experiences and new ways of relating.

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9
Q

Rupture and Repair

A

Breakdowns in the therapeutic connection that, when repaired empathically, strengthen trust and emotional resilience.

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10
Q

Mentalization

A

The ability to reflect on one’s own and others’ mental states; often impaired in attachment trauma and restored in therapy.

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11
Q

Reflective Functioning

A

The capacity to understand behavior in terms of underlying thoughts, emotions, and intentions—key to secure attachment.

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12
Q

Affect Regulation

A

Learning to identify, tolerate, and modulate emotions through a responsive therapeutic relationship.

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13
Q

Empathic Attunement

A

The therapist’s capacity to sense and accurately respond to the client’s emotional experience.

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14
Q

Implicit Relational Knowing

A

Unconscious patterns of relating encoded through early experience and enacted in therapy rather than verbalized.

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15
Q

Corrective Emotional Experience

A

A healing interpersonal event in which old expectations of rejection or abandonment are disconfirmed.

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16
Q

Relational Patterns

A

Repetitive ways of relating to others that reflect early attachment experiences; often unconscious and self-perpetuating.

17
Q

Object Relations

A

Internalized mental representations of self and others formed in early relationships that shape adult relationships.

18
Q

Projective Identification

A

A process where the client unconsciously induces the therapist to feel aspects of the client’s internal experience.

19
Q

Holding Environment

A

A concept from Winnicott referring to the therapist’s creation of a psychological space of safety, containment, and acceptance.

20
Q

Containment

A

The therapist’s capacity to absorb and process intense emotions that the client cannot yet manage.

21
Q

Attachment Trauma

A

Emotional injury caused by chronic misattunement, neglect, or abuse from caregivers.

22
Q

Earned Secure Attachment

A

Achieving secure relational patterns in adulthood through consistent, empathic relationships—including therapy.

23
Q

Termination as Separation

A

The end of therapy as an opportunity to revisit and integrate past attachment experiences of loss and separation.

24
Q

Rupture and Repair

A

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.

25
Attachment-Based Psychotherapy Goals
1. Establish therapist as secure base and safe haven 2. Help client develop coherent narrative of attachment history 3. Increase mentalization/reflective functioning 4. Identify and modify maladaptive internal working models 5. Process unresolved attachment trauma and losses 6. Improve affect regulation capacity 7. Practice new relational patterns in therapeutic relationship 8. Develop earned secure attachment 9. Generalize secure relating to outside relationships
26
Exploring Attachment History
**Systematic exploration of client's early relationships** with caregivers to understand how internal working models formed. Not just recounting facts but examining: * how caregivers responded to distress * what happened when client needed help * patterns of attunement or misattunement * separations and losses * frightening experiences Helps client develop coherent narrative and connects past patterns to present difficulties.
27
Interpreting Attachment Patterns in Therapy
Identifying how **client's attachment style manifests in therapeutic relationship**. Examples: * Anxious client becomes clingy, seeks excessive reassurance, fears therapist's unavailability. * Avoidant client minimizes distress, cancels sessions when upset, intellectualizes. * Disorganized client oscillates between desperate need and hostile rejection. Therapist names these patterns compassionately, linking them to early experiences and their protective function. Makes unconscious relational templates conscious.
28
Working with Affect Regulation
Helping clients develop capacity to manage emotional arousal, particularly **attachment-related distress.** Therapist provides **co-regulation** through calm presence, validation, and helping name feelings. Teaches clients to: notice bodily sensations of emotions, tolerate distress without immediately acting, use self-soothing strategies, and seek support appropriately. Gradually internalizes therapist's regulating function. Essential for clients with disorganized attachment or trauma.