Clinical Applications of the Adult Attachment

The Adult Attachment Interview (AAI) is both a mainstay of attachment research and a powerful clinical tool. This unique book provides a thorough introduction to the AAI and its use as an adjunct to a range of therapeutic approaches, including cognitive-behavioral therapy, psychoanalytic psychotherapy, parent-infant psychotherapy, home visiting programs, and supportive work in the context of foster care and adoption. Leading authorities provide detailed descriptions of clinical procedures and techniques, illustrated with vivid case material. Grounded in research, the volume highlights how using the AAI can enhance assessment and diagnosis, strengthen the therapeutic alliance, and facilitate goal setting, treatment planning, and progress monitoring.

Howard Steele, PhD, is Associate Professor and Director of Graduate Studies in Psychology at the New School for Social Research, where he is Codirector (with Miriam Steele) of the Center for Attachment Research. He is senior and founding editor of the journal Attachment and Human Development and is the author of more than 60 journal articles and book chapters on the impact of attachment, loss, trauma, and emotion understanding across the lifespan and across generations.

Miriam Steele, PhD, is Associate Professor and Assistant Director of the Doctoral Program in Clinical Psychology at the New School for Social Research, where she is Codirector (with Howard Steele) of the Center for Attachment Research. Dr. Steele trained as a psychoanalyst at the Anna Freud Centre. She initiated the London Parent-Child Project, a major longitudinal study of intergenerational patterns of attachment, and has also carried out longitudinal attachment research in the context of child maltreatment and adoption, about which she publishes and lectures widely.

The AAI in Clinical Context
Ten Clinical Uses of the Adult Attachment Interview	p. 3
Studying Differences in Language Usage in Recounting Attachment History: An Introduction to the AAI	p. 31
The Distribution of Adult Attachment Representations in Clinical Groups: A Meta-Analytic Search for Patterns of Attachment in 105 AAI Studies	p. 69
Intervention Research with Mothers, Infants, and Toddlers
The AAI Anticipates the Outcome of a Relation-Based Early Intervention	p. 99
Adult Attachment, Parental Commitment to Early Intervention, and Developmental Outcomes in an African American Sample	p. 126
Attachment-Theory-Informed Intervention and Reflective Functioning in Depressed Mothers	p. 154
Parent-Infant Relationships, Adolescents, and Adults in Psychotherapy
The AAI as a Clinical Tool	p. 175
Integrating the AAI in the Clinical Process of Psychoanalytic Parent-Infant Psychotherapy in a Case of Relational Trauma	p. 195
Obsessive-Compulsive Disorder in Adolescence: An AAI Perspective	p. 213
The AAI in a Clinical Context: Some Experiences and Illustrations	p. 236
The Reciprocal Impact of Attachment and Transference-Focused Psychotherapy with Borderline Patients	p. 270
The AAI and Trauma
The AAI and Its Contribution to a Therapeutic Intervention Project for Violent, Traumatized, and Suicidal Cases	p. 297
Adult Attachment and Posttraumatic Stress Disorder in Women with Histories of Childhood Abuse	p. 320
AAIs in a High-Risk Sample: Stability and Relation to Functioning from Adolescence to 39 Years	p. 341
Exploring the Mind Behind Unresolved Attachment: Lessons from and for Attachment-Based Interventions with Infants and Their Traumatized Mothers	p. 371
Hostile-Helpless States of Mind in the AAI: A Proposed Additional AAI Category with Implications for Identifying Disorganized Infant Attachment in High-Risk Samples	p. 399
The AAI, Foster Care, and Adoptive Placements
Forecasting Outcomes in Previously Maltreated Children: The Use of the AAI in a Longitudinal Adoption Study	p. 427
Helping Foster Parents Change: The Role of Parental State of Mind	p. 452
Afterword: Reflections on Clinical Applications of the Adult Attachment Interview	p. 471
Index	p. 487
Table of Contents provided by Ingram. All Rights Reserved.

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Clinical Applications of the Adult Attachment Interview

Summary

Author Biography

Table of Contents

Supplemental Materials