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Attachment Disturbances in Adults: Treatment for Comprehensive Repair

Daniel P. Brown PhD, David S. Elliott PhD · 3 HN comments
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Amazon Summary
Winner of the 2018 International Society for the Study of Trauma and Dissociation (ISSTD) Pierre Janet Writing Award. A comprehensive treatment approach for the repair and resolution of attachment disturbances in adults, for use in clinical settings. With contributions by Paula Morgan-Johnson, Paula Sacks, Caroline R. Baltzer, James Hickey, Andrea Cole, Jan Bloom, and Deirdre Fay. Attachment Disturbances in Adults is a landmark resource for (1) understanding attachment, its development, and the most clinically relevant findings from attachment research, and (2) using this understanding to inform systematic, comprehensive, and clinically effective and efficient treatment of attachment disturbances in adults. It offers an innovative therapeutic model and set of methods for treating adult patients with dismissing, anxious-preoccupied, or disorganized attachment. In rich detail, it integrates historical and leading-edge attachment research into practical, effective treatment protocols for each type of insecure attachment. Case transcripts and many sample therapist phrasings illustrate how to apply the methods in practice. Part I, "Foundational Concepts," features a comprehensive overview of the field of attachment, including its history, seminal ideas, and existing knowledge about the development of attachment bonds and behaviors. Part II, "Assessment," addresses the assessment of attachment disturbances. It includes an overview of attachment assessment for the clinician and a trove of practical recommendations for assessing patients' attachment behavior and status both outside of and within the therapeutic relationship. In Part III, "Treatment," the authors not only review existing treatment approaches for attachment disorders in adults, but also introduce an unprecedented, powerful new treatment method. This method, the "Three Pillars" model, is built on three essential clinical ingredients: Systematically utilizing ideal parent figure imagery to develop a new positive, stable internal working model of secure attachment Fostering a range of metacognitive skills Fostering nonverbal and verbal collaborative behavior in treatment Used together, these interdependent pillars form a unified and profoundly effective method of treatment for attachment disturbances in adults―a must for any clinician. In Part IV, "Type-Specific Treatment," readers will learn specific variations of the three treatment pillars to maximize efficacy with each type of insecure attachment. Finally, Part V, "A Treatment Guide and Expected Outcomes," describes treatment in a step-by-step format and provides a success-assessment guide for the Three Pillars approach. This book is a comprehensive educational resource and a deeply practical clinical guide. It offers clinicians a complete set of tools for effective and efficient treatment of adult patients with attachment disturbances.
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Hacker News Stories and Comments

All the comments and stories posted to Hacker News that reference this book.
It's much worse than the article suggests. The article doesn't explain why people don't marry. People who marry before middle-age often have secure attachment styles. The dating pool from middle age on consists primarily of people with insecure attachment styles. Relationships with insecurely attached people are especially problematic. If you're not married, but want to be, look for widows or widowers with secure attachment styles, and work on developing secure attachment.

https://www.amazon.com/Attached-Science-Adult-Attachment-You...

https://www.amazon.com/Attachment-Disturbances-Adults-Treatm...

actually_a_dog
Do you have evidence for this besides 2 links to books on Amazon that I can't currently read? My searches aren't finding much in the way of papers and such.
cyberbanjo
Both are available on SCIHUB
kilroy123
This might be true but my gut and experience says it's way more complicated than that.
exporectomy
This stuff is awful. So many lives ruined by having it in either themselves or their spouse.
vernon99
This is actually a very good point often missed in similar discussions. People have different personalities and traumas and some are more suited for stable relations (what you call secure here) and some are less (anxious/avoidant types in this framework). And as you can imagine, more secure personalities find partners in life sooner.

Because of that both later age dating pool and also dating app pools are in general scewed towards insecure types. Doesn’t mean dating 20yo is a guarantee for a more stable person, but chances are generally higher.

On the other hand, I feel, security increases with the age, but for a very small portion of the population actively working on it (therapy, practices, ceremonies).

(Restatement from a comment I posted previously[0] in a related thread.)

My go-to reference is

Attachment Disturbances in Adults: Treatment for Comprehensive Repair by Daniel P. Brown PhD & David S. Elliott PhD. [1]

[0] https://news.ycombinator.com/item?id=21739622

[1] https://www.amazon.com/Attachment-Disturbances-Adults-Treatm...

Yes! I like to think my life (relationships, work performance, hiring, firing, well-being) would have been completely different had I known about and understood attachment theory. (I have only learned about it in the last few years.) For me, it explains nearly everything in psychology that has been unclear or mysterious.

My go-to reference is

Attachment Disturbances in Adults: Treatment for Comprehensive Repair by Daniel P. Brown PhD & David S. Elliott PhD. [0]

It's a dry academic text intended for therpists that details the development of therapeutic approaches based on attachment theory, as well as specific treatment protocols for various insecure attachment styles.

Change is possible, as is working with people who have attachment difficulties.

George Haas, a meditation teacher in LA, has developed a way of using Vipassana meditation as a method of self-therapy.[1]

[0] https://www.amazon.com/Attachment-Disturbances-Adults-Treatm...

[1] https://www.mettagroup.org/classes#intensives

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