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Attachment Theory: A Biological Basis for Psychotherapy?

Published online by Cambridge University Press:  02 January 2018

Jeremy Holmes
Jeremy Holmes*
Affiliation:
North Devon District Hospital, Barnstaple, Devon EX31 4JB
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Abstract

John Bowlby bemoaned the separation between the biological and psychological approaches in psychiatry, and hoped that attachment theory, which brings together psychoanalysis and the science of ethology, would help bridge the rift between them. Recent findings in developmental psychology have delineated features of parent–infant interaction, especially responsiveness, attunement, and modulation of affect, which lead to either secure or insecure attachment. Similar principles can be applied to the relationship between psychotherapist and patient - the provision of a secure base, the emergence of a shared narrative (‘autobiographical competence’), the processing of affect, coping with loss - these are common to most effective psychotherapies and provide the basis for a new interpersonal paradigm within psychotherapy. Attachment theory suggests they rest on a sound ethological and hence biological foundation.

Type
Review Articles
Information
The British Journal of Psychiatry , Volume 163 , Issue 4 , October 1993 , pp. 430 - 438
Copyright
Copyright © Royal College of Psychiatrists, 1993 

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References

Ainsworth, M. (1969) Object relations, dependency and attachment: a theoretical review of the mother-infant relationship. Child Development, 40, 969–1025.Google Scholar
Ainsworth, M. (1982) Attachment: retrospect and prospect. In The Place of Attachment in Human Behaviour (eds Parkes, C. M. & Stevenson-Hinde, J.). London: Tavistock.Google Scholar
Ainsworth, M. (1989) Attachments beyond infancy. American Psychologist, 44, 709–716.CrossRefGoogle ScholarPubMed
Alvarez, A. (1992) Live Company. London: Routledge.Google Scholar
Anderson, J. (1972) Attachment out of doors. In Ethological Studies of Child Behaviour (ed. Burton-Jones, N.). Cambridge: Cambridge University Press.Google Scholar
Balint, M. (1964) Primary Love and Psychoanalytic Technique. London: Tavistock.Google Scholar
Bateman, A. (1991) Borderline personality disorder. In A Textbook of Psychotherapy in Psychiatry Practice (ed. Holmes, J.). Edinburgh and London: Churchill Livingstone.Google Scholar
Beck, A., Rush, A., Shaw, B., et al (1979) Cognitive Therapy of Depression. New York: Guilford Press.Google Scholar
Bion, W. (1978) Second Thoughts. London: Heinemann.Google Scholar
Birtchnell, J. (1993) Does recollection of exposure to poor maternal care in childhood affect later ability to relate? British Journal of Psychiatry, 62, 335–344.Google Scholar
Bowlby, J. (1944) Forty-four juvenile thieves: their character and home life. International Journal of Psychoanalysis, 21, 154–178.Google Scholar
Bowlby, J. (1951) Maternal Care and Mental Health. WHO, Monograph Series No. 2. Geneva: WHO.Google Scholar
Bowlby, J. (1958) The nature of the child's tie to his mother. International Journal of Psychoanalysis, 39, 350–373.Google Scholar
Bowlby, J. (1960) Separation anxiety. International Journal of Psychoanalysis, 41, 313–317.Google Scholar
Bowlby, J. (1961) Processes of mourning. International Journal of Psychoanalysis, 42, 317–340.Google Scholar
Bowlby, J. (1969) Attachment. London: Penguin Books.Google Scholar
Bowlby, J. (1973) Separation. London: Penguin Books.Google Scholar
Bowlby, J. (1980) Loss. London: Penguin Books.Google Scholar
Bowlby, J. (1987) Attachment. In The Oxford Companion to the Mind (ed. Gregory, R.). Oxford: Oxford University Press.Google Scholar
Bowlby, J. (1988a) Developmental psychiatry comes of age. American Journal of Psychiatry, 145, 1–10.Google Scholar
Bowlby, J. (1988b) A Secure Base: Clinical Applications of Attachment Theory. London: Routledge.Google Scholar
Bowlby, J. (1990) Charles Darwin: A New Biography. London: Hutchinson.Google Scholar
Bowlby, J., Young, R. & Figlio, K. (1986) An interview with John Bowlby. Free Associations, 6, 36–64.Google Scholar
Brazelton, T. & Cramer, B. (1991) The Earliest Relationship. London: Karnac.Google Scholar
Bretherton, I. (1991) Roots and growing points of attachment theory. In Attachment Across the Life Cycle (eds Parkes, C. M., Stevenson-Hinde, J. & Marris, P.). London: Routledge.Google Scholar
Brown, G. & Harris, T. (1978) The Social Origins of Depression. London: Tavistock.Google Scholar
Byng-Hall, J. (1980) Symptom bearer as marital distance regulator. Family Process, 19, 335–365.Google Scholar
Byng-Hall, J. (1985) The family script: a useful bridge between theory and practice. Journal of Family Therapy, 7, 301–305.Google Scholar
Cassidy, J. (1988) The self as related to child-mother attachment at six. Child Development, 59, 121–134.Google Scholar
Craik, K. (1943) The Nature of Explanation. Cambridge: Cambridge University Press.Google Scholar
Eagle, M. (1984) Recent Developments in Psychoanalysis. New York: McGraw Hill.Google Scholar
Erickson, M. (1993) Rethinking Oedipus: An evolutionary perspective on incest avoidance. American Journal of Psychiatry, 150, 411–416.Google Scholar
Fairbairn, R. (1952) Psychoanalytic Studies of the Personality. London: Tavistock.Google Scholar
Fonagy, P. (1991) Thinking about thinking: some clinical and theoretical considerations in the treatment of a borderline patient. International Journal of Psychoanalysis, 72, 639–656.Google Scholar
Fonagy, P., Steele, M. & Steele, H. (1993) Maternal representations of attachment during pregnancy predict the organisation of infant-mother attachment at one year of age. Child Development (in press).Google Scholar
Frank, J. (1986) Psychotherapy: the transformation of meanings. Journal of the Royal Society of Medicine, 79, 639–656.Google Scholar
Freud, S. (1923) The Ego and the Id (Standard edition, vol. 19). London: Hogarth.Google Scholar
Freud, S. (1985) A project for a scientific psychology (Standard edition, vol. 1.) London: Hogarth.Google Scholar
Greenberg, J. & Mitchell, S. (1983) Object Relations in Psychoanalytic Theory. London: Harvard University Press.Google Scholar
Grosskurth, P. (1986) Melanie Klein: Her World and Her Work. Cambridge, Mass.: Harvard University Press.Google Scholar
Grossman, K. & Grossman, K. (1991) Attachment quality as an organiser of emotional and behavioural responses in a longitudinal perspective. In Attachment Across the Life Cycle (eds Parkes, C. M., Stevenson-Hinde, J. & Marris, P.). London: Routledge.Google Scholar
Grunbaum, A. (1982) Can psychoanalytic theory be cogently tested ‘on the couch’? Psychoanalysis and Contemporary Thought, 5, 155–255; 311—436.Google Scholar
Hamilton, V. (1985) John Bowlby: an ethological basis for psychoanalysis. In Beyond Freud: A Study of Modem Psychoanalytic Theorists (ed. Reppen, J.). New York: Analytic Press.Google Scholar
Harlow, H. (1958) The nature of love. American Psychologist, 13, 673–685.Google Scholar
Heard, D. & Lake, B. (1986) The attachment dynamic in adult life. British Journal of Psychiatry, 149, 430–438.Google Scholar
Henderson, S., Byrne, D. & Duncan-Jones, P. (1981) Neurosis and the Social Environment. Sydney: Academic Press.Google Scholar
Herman, J., Perry, C. & Kolk, B. (1989) Childhood trauma in borderline personality disorder. American Journal of Psychiatry, 146, 490–495.Google Scholar
Hinde, R. (1982) Ethology. London: Fontana.Google Scholar
Hobbs, M. (1991) Group therapy. In A Textbook of Psychotherapy in Psychiatric Practice (ed. Holmes, J.). Edinburgh and London: Churchill Livingstone.Google Scholar
Hobson, R. (1985) Forms of Feeling: The Heart of Psychotherapy. London: Tavistock.Google Scholar
Holmes, J. (1991) A Textbook of Psychotherapy in Psychiatric Practice. Edinburgh and London: Churchill Livingstone.Google Scholar
Holmes, J. (1992) Between Art and Science: Essays in Psychotherapy and Psychiatry. London: Routledge.Google Scholar
Holmes, J. (1993a) John Bowlby and Attachment Theory. London: Routledge.Google Scholar
Holmes, J. (1993b) The clinical implications of attachment theory. (In preparation.) Google Scholar
Holmes, J. & Lindley, R. (1989) The Values of Psychotherapy. Oxford: Oxford University Press.Google Scholar
Ijzendoorn, M. & Kroonenberg, P. (1988) Cross cultural patterns of attachment: a meta-analysis of the Strange Situation. Child Development, 59, 147–156.Google Scholar
Ivey, A. & Simek-Downing, L. (1980) Counselling and Psychotherapy: Skills, Theories, and Practice. New Jersey: Prentice-Hall.Google Scholar
King, P. & Steiner, R. (1990) The Freud-Klein Controversy 1941—5. London: Routledge.Google Scholar
Klein, M. (1986) The Selected Melanie Klein (ed. Mitchell, J.). London: Penguin Books.Google Scholar
Leff, J. & Vaughn, C. (1983) Expressed Emotion in Families. New York: Guilford Press.Google Scholar
Liotti, G. (1987) Resistance to change of cognitive structures: a counterproposal to psychoanalytic metapsychology. Journal of Cognitive Psychotherapy, 1, 87–104.Google Scholar
Lorenz, C. (1952) King Solomon's Ring. London: Methuen.Google Scholar
Mackie, A. (1981) Attachment theory: its relevance to the therapeutic alliance. British Journal of Medical Psychology, 54, 203–212.Google Scholar
Main, M. (1990) A Typology of Human Attachment Organisation with Discourse, Drawings and Interviews. New York: Cambridge University Press.Google Scholar
Main, M. (1991) Metacognitive knowledge, metacognitive monitoring, and singular (coherent) vs multiple (incoherent) models of attachment: findings and direction for future research. In Attachment Across the Life Cycle (eds Parkes, C. M., Stevenson-Hinde, J. & Marris, P.). London: Routledge.Google Scholar
Malan, D. (1979) Individual Psychotherapy and the Science of Psychodynamics. London: Butterworth.Google Scholar
Margison, F. (1991) Learning to listen: teaching and supervising basic psychotherapeutic skills. In A Textbook of Psychotherapy in Psychiatric Practice (ed. Holmes, J.). Edinburgh and London: Churchill Livingstone.Google Scholar
Mumford, D. (1992) Emotional distress in the Hebrew Bible. British Journal of Psychiatry, 160, 92–97.Google Scholar
Murray, L. & Cooper, P. (1993) Clinical applications of attachment theory and research: change in infant attachment with brief psychotherapy. Journal of Child Psychology and Psychiatry (in press).Google Scholar
Parkes, C. M. (1975) Bereavement: Studies of Grief in Adult Life. London: Tavistock.Google Scholar
Parkes, C. M. & Stevenson-Hinde, J. (1982) The Place of Attachment in Human Behaviour. London: Tavistock.Google Scholar
Parkes, C. M. & Stevenson-Hinde, J., & Marris, P. (1991) Attachment Across the Life Cycle. London: Routledge.Google Scholar
Patrick, M., Hobson, P., Castle, P., et al (1992) Personality disorder and the mental representation of early social experience. (Paper presented to the MRC Child Psychiatry Unit at the Institute of Psychiatry, London.) Google Scholar
Pedder, J. (1982) Failure to mourn and melancholia. British Journal of Psychiatry, 141, 329–337.Google Scholar
Pedder, J. (1987) Some biographical contributions to psychoanalytic theories. Free Associations, 10, 102–116.Google Scholar
Pines, M. (1991) A history of psychodynamic psychiatry in Britain. In A Textbook of Psychotherapy in Psychiatric Practice (ed. Holmes, J.). Edinburgh and London: Churchill Livingstone.Google Scholar
Rustin, M. (1991) The Good Society and the Inner World. London: Verso.Google Scholar
Rutter, M. (1981) Maternal Deprivation Reconsidered. London: Penguin Books.Google Scholar
Ryle, A. (1990) Cognitive Analytic Therapy: Active Participation in Change. Chichester: J. Wiley.Google Scholar
Sable, P. (1992) Attachment theory: application to clinical practice with adults. Clinical Social Work Journal, 20, 271–283.Google Scholar
Sandler, J., (ed.) (1988) Projection, Identification, Projective Identification. London: Karnac.Google Scholar
Shafer, R. (1976) A New Language for Psychoanalysis. London: Yale University Press.Google Scholar
Shaver, P. & Hazan, C. (1988) A biased overview of the study of love. Journal of Social and Personal Relationships, 5, 473–501.Google Scholar
Slavin, M. & Kriegman, D. (1992) The Adaptive Design of the Human Psyche. London: Guilford Press.Google Scholar
Spence, D. (1982) Narrative Truth and Historical Truth: Meaning and Interpretation in Psychoanalysis. New York: Norton.Google Scholar
Sroufe, A. (1979) The coherence of individual development. American Psychologist, 34, 834–841.Google Scholar
Stiles, W., Shapiro, D. & Elliot, R. (1986) Are all psychotherapies equivalent? American Psychologist, 41, 165–180.Google Scholar
Stern, D. (1985) The Interpersonal World of the Infant. New York: Basic Books.Google Scholar
Storr, A. (1991) John Bowlby. Munks Roll. London: Royal College of Physicians.Google Scholar
Sutherland, J. (1980) The British object relations theorists: Balint, Winnicott, Fairbairn, Guntrip. Journal of the American Psychoanalytic Association, 28, 829–860.Google Scholar
Tennant, C. (1988) Parental loss in childhood. Archives of General Psychiatry, 45, 1045–1055.Google Scholar
Trevarthen, C. (1977) Preschool children's intraconversational narratives. Journal of Child Language, 9, 91–109.Google Scholar
Vygotsky, L. (1962) Thought and Language. Cambridge, Mass.: MIT Press.Google Scholar
Waddington, C. (1977) Tools for Thought. London: Cape.Google Scholar
Weiss, R. (1991) Attachment in adult life. In Attachment Across the Life Cycle (eds Parkes, C. M., Stevenson-Hinde, J. & Marris, P.). London: Routledge.Google Scholar
Winnicott, D. (1965) The Maturational Process and the Facilitating Environment. London: Hogarth.Google Scholar
Wolff, H. (1971) The therapeutic and developmental functions of psychotherapy. British Journal of Medical Psychology, 44, 117–130.Google Scholar
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