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Treating Attachment Disorders From Theory to Therapy,9781593850449

Treating Attachment Disorders From Theory to Therapy

by ;
Edition: 1st
Format: Paperback
Pub. Date: 5/4/2004
Publisher(s): The Guilford Press
Availability: This title is currently not available.

Summary

Attachment theory and research have greatly enhanced our understanding of the role of parent-child relationships in the development of psychopathology. Yet until now, little has been written on how an attachment perspective can be used to actively inform psychotherapeutic practice. In this invaluable work, Karl Heinz Brisch presents an attachment-oriented framework for assessing and treating patients of all ages. Rich, extended case examples form the core of the book. Demonstrated are the ways attachment-oriented interventions can effectively be used to treat a wide range of patients: couples trying unsuccessfully to conceive, women with severe postpartum depression, children and adolescents with behavioral and emotional disturbances, adults with relationship difficulties and work problems, and others. Applications in short- and long-term psychotherapy are discussed, as well as use of the model in such other contexts as prevention in infant mental health, family therapy, and group work. A vital resource for practitioners, this book is also a compelling text for graduate-level psychotherapy courses.

Author Biography

Karl Heinz Brisch, MD, is a child and adolescent psychiatrist and psychotherapist, as well as an adult psychiatrist and neurologist; a training psychoanalyst at the Psychoanalytic Institute; and head of the Department of Pediatric Psychosomatic Medicine and Psychotherapy at the Children's Hospital at the Ludwig-Maximilians-University of Munich, Germany. Dr. Brisch's primary research is on the development of infants and children with high-risk conditions and the development of attachment and its disorders. He has led longitudinal research projects on attachment disturbances and early psychotherapeutic interventions. He is a member of the World Association of Infant Mental Health and of the Society for Research in Child Development.

Table of Contents

Acknowledgments to the English Edition xiii
Acknowledgments to the German Edition xv
Foreword xvii
Lotte Köhler
Preface xxiii
Introduction 1(6)
Section I. Attachment Theory and Its Basic Concepts 7(48)
Historical Overview
7(7)
The Development of the Concepts of Attachment Theory
14(41)
Basic Assumptions of Attachment Theory
14(6)
The Concept of Sensitivity
20(4)
The Concept of Attachment Quality in Children
24(2)
The Classification of Infant Attachment Quality
26(3)
Correlations of Strange Situation Behavior with Other Variables
29(1)
The Concept of Attachment Representation
30(5)
Attachment across Generations and throughout the Life Cycle
35(4)
The Significance of Protective and Risk Factors
39(2)
Attachment and Separation in Other Psychotherapeutic Schools
41(14)
Section II. Attachment Disorders 55(18)
Attachment and Psychopathology
55(3)
The Theory of Attachment Disorder
58(4)
Attachment Classification in Diagnostic Manuals
62(2)
The Diagnosis and Typology of Attachment Disorders
64(9)
No Signs of Attachment Behavior
65(1)
Undifferentiated Attachment Behavior
66(1)
Exaggerated Attachment Behavior
67(1)
Inhibited Attachment Behavior
68(1)
Aggressive Attachment Behavior
68(1)
Attachment Behavior with Role Reversal
69(1)
Psychosomatic Symptoms
70(3)
Section III. Attachment Therapy 73(14)
Therapeutic Theory
73(3)
Treatment Technique
76(11)
General Considerations for Adult Psychotherapy
76(4)
General Considerations for Child and Adolescent Psychotherapy
80(3)
Special Considerations
83(4)
Section IV. Treatment Cases from Clinical Practice 87(152)
Manifestations of Attachment Disorders Prior to Conception
87(9)
The Unfulfilled Desire for Pregnancy-Fear of Attachment to the Fantasized Child
87(9)
Prenatal Attachment Disorders
96(19)
The Pregnant Mother's Fear That Imminent Birth May Dissolve Her Attachment to the Child
96(7)
Complications in Pregnancy and High-Risk Pregnancies
103(6)
The Diagnosis of Prenatal Abnormalities
109(6)
Postnatal Attachment Disorder
115(15)
The Mother with Postpartum Depression
115(6)
The Mother with Postnatal Psychosis
121(6)
The Trauma of Prematurity
127(3)
Attachment Disorders in Childhood
130(33)
No Signs of Attachment Behavior
131(6)
Undifferentiated Attachment Behavior
137(5)
Exaggerated Attachment Behavior
142(5)
Inhibited Attachment Behavior
147(2)
Aggressive Attachment Behavior
149(4)
Attachment Behavior with Role Reversal
153(2)
Psychosomatic Symptoms
155(8)
Attachment Disorders in School-Age Children
163(14)
School Phobias
163(7)
Underachievement
170(3)
Aggressiveness
173(4)
Attachment Disorders in Adolescence
177(21)
Addictive Symptoms
177(6)
Antisocial Behavior and Delinquency
183(6)
Neurodermatitis
189(9)
Attachment Disorders in Adults
198(37)
Panic and Agoraphobia Symptoms
198(10)
Depressive Symptoms
208(6)
Narcissistic Symptoms
214(6)
Borderline Symptoms
220(6)
Psychotic Symptoms
226(5)
Depression in Old Age
231(4)
Summary
235(4)
Section V. Prospects for Further Application 239(12)
Family Therapy
244(1)
Group Psychotherapy
245
Education
146(101)
Critical Issues
247(4)
Afterword 251(6)
Inge Bretherton
Appendix: Brief Précis of the Adult Attachment Interview Protocol Excerpted from George, Kaplan, and Main (1996) 257(2)
Notes 259(6)
References 265(20)
Index 285

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