UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

Applying attachment theory to effective practice with hard-to-reach youth: the AMBIT approach

Bevington, D; Fuggle, P; Fonagy, P; (2015) Applying attachment theory to effective practice with hard-to-reach youth: the AMBIT approach. Attachment & Human Development , 17 (2) pp. 157-174. 10.1080/14616734.2015.1006385. Green open access

[img] Text
BevingtonFuggleFonagy_Post-Review Rewrite_Final_08.11.2013.docx
Available under License : See the attached licence file.

Download (358kB)

Abstract

Adolescent Mentalization-Based Integrative Treatment (AMBIT) is a developing approach to working with "hard-to-reach" youth burdened with multiple co-occurring morbidities. This article reviews the core features of AMBIT, exploring applications of attachment theory to understand what makes young people "hard to reach," and provide routes toward increased security in their attachment to a worker. Using the theory of the pedagogical stance and epistemic ("pertaining to knowledge") trust, we show how it is the therapeutic worker's accurate mentalizing of the adolescent that creates conditions for new learning, including the establishment of alternative (more secure) internal working models of helping relationships. This justifies an individual keyworker model focused on maintaining a mentalizing stance toward the adolescent, but simultaneously emphasizing the critical need for such keyworkers to remain well connected to their wider team, avoiding activation of their own attachment behaviors. We consider the role of AMBIT in developing a shared team culture (shared experiences, shared language, shared meanings), toward creating systemic contexts supportive of such relationships. We describe how team training may enhance the team's ability to serve as a secure base for keyworkers, and describe an innovative approach to treatment manualization, using a wiki format as one way of supporting this process.

Type: Article
Title: Applying attachment theory to effective practice with hard-to-reach youth: the AMBIT approach
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1080/14616734.2015.1006385
Publisher version: http://dx.doi.org/10.1080/14616734.2015.1006385
Language: English
Additional information: This is an Accepted Manuscript of an article published by Taylor & Francis in Attachment & Human Development on 18/05/2015, available online: http://wwww.tandfonline.com/10.1080/14616734.2015.1006385.
Keywords: adolescent, attachment, hard-to-reach, mentalization, outreach, therapy
UCL classification: UCL
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: https://discovery.ucl.ac.uk/id/eprint/1464067
Downloads since deposit
560Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item