The Challenge of Attachment for Caregiving

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Psychology Press, 1997 - Medical - 229 pages
The Challenge of Attachment for Caregivingdescribes a theoretical model for the development of caregiving that complements and also extends attachment theory. The model highlights the conditions under which adult caregivers can remain in a state of arrested development, impairing their own ability to give care and resulting in attachment problems for those who seek care from them. It shows how insecure attachment in childhood and adolescence impedes the development of caregiving and how, in times of crisis, even securely attached individuals need appropriate support in order to sustain their capacity to give effective care.
Constructing a systemic model of the self, the authors place the instinctive systems fr caregiving and careseeking (attachment) within a theory that relates them to other systems of the self, such as the systems for sharing interests, sexuality and for self-defence. The model describes the interplay between these goal-corrected behavioural systems. Because it includes the defensive mechanisms and strategies which an individual values most, it is particularly helpful to the therapist in understanding the interpersonal processes between people who are seeking to influence each other's behaviour. It is presented in a form that enables the therapist to formulate hyptheses about at client's predicament and their way of relating to the therapist and then explore and test these hypotheses in the course of therapy.
Drawing on many years' experience as clinicians and researchers, Dorothy Heard and Brian Lake explore in depth an aspect of human development which has profound implications for our future survival. Presenting its own challenge to both theory and practice, this book offers students and practitioners a new perspective on attachment.
 

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Contents

Caregiving from an evolutionary perspective
13
Human nonverbal and symbolic communication and
26
Bowlbys model for instinctive behaviour based on
37
Extensions to Bowlbys model of instinctive behaviour
52
The emergence of highorder systems of the self
60
Categorising the functions of instinctive systems of the self
67
Implicit concepts of caregiving in the development of
103
Values and ideals in promoting maturation and wellbeing
116
Principles of therapy guided by an attachmentbased theory
133
Assessment
147
The therapeutic alliance and the creation of a safe base
164
Separation anxiety impingement and the therapeutic frame
183
A The Strange Situation Test
196
Author index
218
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About the author (1997)

Dorothy Heard is a psychoanalytic psychotherapist in private practice and was formerly a Consultant in John Bowlby's Department at the Tavistock Clinic, London. Brian Lake, now retired, was formerly Consultant in Psychotherapy at St James' University Hospital, Leeds.

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