Systemic Therapy and Attachment Narratives: Applications in a Range of Clinical Settings

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  • Edition: 1st
  • Format: Hardcover
  • Copyright: 2009-04-15
  • Publisher: Routledge

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Professional interest in the clinical applications of attachment theory continues to grow and evolve, and at the same time narrative approaches are also gaining ground. This book explores how attachment-based ideas can be used in clinical practice by offering a practical and sophisticated exposition of clinical approaches. Bringing together three main systems of thought and psychotherapeutic practice - systemic theory, attachment theory and narrative theory - practitioners are shown how to use these ideas in their work through the integrated approach of '¬Üattachment narrative therapy'¬". Using clinical examples, the authors provide guidance on how to use attachment narrative therapy in different clinical contexts and with various client groups, including working with: addictions: alcohol dependency and eating distress loss and grief trauma and dissociation love and sexuality: applications with couples. Systemic Therapy and Attachment Narrativesprovides practical guidance for a range of mental health professionals including family therapists, child, adolescent and adult psychotherapists, clinical psychologists and social workers, enabling them to apply this approach in a range of contexts.

Author Biography

Rudi Dallos is the Programme Director of the Plymouth University Doctorate in Clinical Psychology. He also works as a clinical psychologist specialising in work with adolescents and their families. Arlene Vetere is Deputy Director of Clinical Psychology Doctorate training at Surrey University and a family therapist, registered with the UKCP. She is also President of the European Family Therapy Association.

Table of Contents

List of figures and tablesp. ix
Forewordp. xi
Introductionp. 1
Systemic therapy and attachment narratives: guiding framework for formulation and therapyp. 8
Attachment narrative therapy modelp. 8
Stages of therapy in the ANT approachp. 10
Theory of changep. 14
Guiding formulations for interventionp. 25
Life-cycle transitions and attachment narrativesp. 31
Individual theories of emotional and social developmentp. 31
Family life-cycle models of change and developmentp. 3
Family life-cycle stages and attachment reorganisationsp. 37
Emotion regulation: aggression, ADHD and violence in familiesp. 59
Attachment patternsp. 59
Attachment strategies as filtering our experiencesp. 61
From self to joint regulation of feelingsp. 63
Problems of attention/hyperactivity and aggressionp. 66
Implications for therapy: an attachment formulationp. 68
The intergenerational effects of family violencep. 81
Love and sexuality: systemic therapy and attachment narratives: applications with couplesp. 86
Sexuality and genderp. 90
Adult attachment relationships and internal working modelsp. 94
Couples therapy and attachment theoryp. 99
Attachment narrative therapy with couplesp. 106
Trauma and dissociationp. 111
What is trauma?p. 112
Trauma, dissociation and attachment theoryp. 114
Family patterns and traumap. 116
Implications for therapyp. 122
Loss, grief and attachmentp. 132
Continuing bondsp. 133
Representational systems and internal working modelsp. 135
Grief as processp. 135
Bereavement, systemic therapy and attachment narrativesp. 144
Problems of addiction: alcohol dependency and eating distressp. 152
Working with dependence on alcoholp. 152
Eating distress and addictionsp. 168
Formats for explorationp. 178
Getting started: working with family relationships, attachments and narrativesp. 178
Exploring attachment narratives through the family genogramp. 180
Scaffolding conversations about feelings and attachmentsp. 181
Emotional sculptingp. 183
Exploring patterns of communicationp. 184
Corrective and implicative scriptsp. 186
Exploring patterns of comfortingp. 186
Reflecting team discussion: attachment narrativesp. 187
Structured reflective conversationp. 188
Exploring attachment injuryp. 189
Summaryp. 190
Reflections and conclusionsp. 192
Our own needsp. 192
Culture and contextsp. 194
Referencesp. 197
Indexp. 205
Table of Contents provided by Ingram. All Rights Reserved.

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