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An attachment theory approach to treatment of the difficult patient

Fonagy, P; (1998) An attachment theory approach to treatment of the difficult patient. BULLETIN OF THE MENNINGER CLINIC , 62 (2) 147 - 169.

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Abstract

This article reviews the role of attachment in difficult-to-treat patients. It is suggested that difficulty often arises in the treatment of these patients because of their inadequate understanding of mental functioning in themselves and in others. The capacity to mentalize is seen as a function of early attachment relationships. Vulnerability introduced by insecure attachment is frequently compounded by a history of intense trauma, leading these patients to defensively inhibit their capacity to think about mental states in their abusers, which then generalizes to other attachment relationships. The clinical implications of this model are discussed.

Type: Article
Title: An attachment theory approach to treatment of the difficult patient
Location: PARK CITY, UT
Keywords: INFANT-MOTHER ATTACHMENT, PERSONALITY-DISORDER, DISCRIMINANT VALIDITY, CHILDHOOD, REPRESENTATIONS, INTERVIEW, ABUSE, TRANSMISSION, ORGANIZATION, ASSOCIATIONS
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: http://discovery.ucl.ac.uk/id/eprint/134262
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