Bindungstheorie und Psychoanalyse

Bowlby’s attachment theory and more recent versions of it are examined from an epistemological viewpoint and subjected to questioning on whether they are in line with central psychoanalytic concepts. It is argued that Bowlby’s basic tenets regarding attachment theory, which later attachment theorists never seriously questioned, do not conform to scientific standards, and that psychoanalytic issues such as the dynamic unconscious, internal conflicts, the interaction between drive wishes and defence in establishing substitutive formations are either ignored or not treated in sufficient depth. In the light of this, the assertion that psychoanalytic criticism of attachment theory arose from mutual misunderstandings and is outdated nowadays stands the matter on its head: psychoanalytic criticism can only be regarded as outdated if either psychoanalysis, or attachment theory or both are misunderstood.     

Attachment theory and psychoanalysis Some remarks from an epistemological and from a Freudian viewpoint1

The author examines Bowlby's attachment theory and more recent versions of it from an epistemological viewpoint and subjects it to questioning on whether they are in line with central concepts of Freudian psychoanalysis. He argues that Bowlby's basic tenets regarding attachment theory, which later attachment theorists never seriously questioned, do not conform to scientifi c standards, and that psychoanalytic issues such as the dynamic unconscious, internal confl icts, interaction of drive wishes and the role of defence in establishing substitutive formations are either ignored or not treated in suffi cient depth. In the light of this, Fonagy's assertion that psychoanalytic criticism of attachment theory arose from mutual misunderstandings and ought nowadays to be seen as outdated is reversed: psychoanalytic criticism can only be regarded as outdated if either basic tenets of Freudian psychoanalysis, or attachment theory or both are misunderstood.     

Separation-individuation theory and attachment theory

Separation-individuation and attachment theories are compared and assessed in the context of psychoanalytic developmental theory and their application to clinical work. As introduced by Margaret Mahler and John Bowlby, respectively, both theories were initially regarded as diverging from traditional views. Separation-individuation theory, though it has had to be corrected in important respects, and attachment theory, despite certain limitations, have nonetheless enriched psychoanalytic thought. Without attachment an infant would die, and with severely insecure attachment is at greater risk for serious disorders. Development depends on continued attachment to a responsive and responsible caregiver. Continued attachment to the primary object was regarded by Mahler as as intrinsic to the process of separation-individuation. Attachment theory does not account for the essential development of separateness, and separation-individuation is important for the promotion of autonomy, independence, and identity. Salient historical and theoretical issues are addressed, including the renewed interest in attachment theory and the related decline of interest in separation-individuation theory.     

The rooting of the mind in the body: new links between attachment theory and psychoanalytic thought

The relationship between psychoanalysis and attachment theory is complex indeed. A brief review of the psychoanalytic literature as it concerns attachment theory and research, and of the attachment literature as it pertains to psychoanalytic ideas, demonstrates an increasing interest in attachment theory within psychoanalysis. Some of the difficulties that attachment theory faces in relation to psychoanalytic ideas are traced to its links to the now dated cognitive science of the 1960s and 1970s. Today, however, a second-generation cognitive neuroscience seeks neurobiologically plausible accounts in which links with brain and body are seen as shaping mind and consciousness, which increasingly are seen as "embodied", as emerging from or serving the needs of a physical being located in a specific time, place, and social context. This idea has also been at the core of much psychoanalytic thinking, which has historically affirmed the rootedness of symbolic thought in sensory, emotional, and enacted experience with objects. Now neurobiological advances supporting the concept of embodied cognition offer an opportunity to forge powerful links between the hitherto separate domains of attachment theory and psychoanalysis. Speculations about the nature of language are presented that emphasize the origin of internal working models (and of representations in general) in early sensorimotor and emotional experiences with a caregiver. It is argued that language and symbolic thought may be phylogenetically and ontogenetically embodied, built on a foundation of gestures and actions, and are thus profoundly influenced by the experience of early physical interaction with the primary object. Finally, the clinical and research implications of these ideas are discussed.     

Clinical Dynamics During Adolescence: Psychoanalytic and Attachment Perspectives

In this essay, we discuss the contribution of psychoanalytic theory and attachment to the understanding of dynamics in adolescence. While psychoanalysis describes adolescence as a period of upheaval that challenges the balance achieved in childhood between Ego and Id and begins the shedding of family dependencies and the loosening of infantile object ties, attachment, on the contrary, considers this period as one characterized by the persistence of strong bonds to parents, which become more complex and articulated. In order to illustrate psychoanalytic and attachment perspective, a clinical vignette of a 17-year-old boy is presented and discussed to consider his difficulties in the area of identity and loss.     

One-person and two-person conceptions of attachment and their implications for psychoanalytic thought

There has been increasing interest among analysts in the possibilities of enriching psychoanalytic thought through fuller incorporation of attachment theory and research. This paper offers a clinical illustration of the ways in which attention to an attachment perspective can lead to novel and useful ways of addressing the patient’s issues. It also presents a number of cautions that it is necessary to be alert to if attachment thinking is to achieve its full potential in advancing psychoanalytic thought and practice. Conceptions of attachment and approaches to its study and clinical use actually vary quite substantially. Some are more one-person, static, and categorical. Others are more two-person, dynamic, and focused on the process whereby attachment patterns develop and are maintained over time. This paper explores the distinction between these two versions of attachment theory and research with two aims in mind – first, to refine our understanding of the potential role that attachment thinking can play in advancing the psychoanalytic paradigm; second, to utilize the insights achieved through examining the attachment paradigm to consider some broader issues in the construction of psychoanalytic theory more generally and its relational variant in particular.     

Attachment to God,adult attachment,and spiritual pathology: mediator and moderator effects

In this exploratory study, we examined moderated mediation models grounded in psychoanalytic and attachment theory regarding the correspondence between adult attachment and Divine–human relating in a sample of graduate students in the USA. Results supported the correspondence hypothesis as positive correlations between adult attachment dimensions and attachment to God dimensions were observed. An interaction effect was observed as spiritual grandiosity moderated the indirect effect between insecure adult attachment and insecure God attachment dimensions through spiritual instability. Results therefore provided support for the theoretical notion that spiritual dysregulation can function as a mechanism of the attachment correspondence that varies as a function of spiritual grandiosity. Findings are discussed in the context of advancing existing theory on implicit models of attachment correspondence and the nature of the association between spiritual insecurity and spiritual grandiosity.     

Über die Bindung an die inneren Objekte

Sandler sees the possibility of constructing a bridge between attachment theory and psychoanalysis by extending the concept of motivation to involve now a primary need for attachment. Attachment to the object is the basis for the existential feelings of safety and well-being. Connections to the development of internal object relationships and to unconscious phantasy are discussed. Consequences for psychoanalytic countertransference are shown.     

Attachment theory within clinical supervision: application of the conceptual to the empirical

Attachment theory, which has demonstrated application in caregiver-child, romantic, and psychotherapeutic relationships, also appears to be supervision relevant. But bad blood between attachment theory and psychoanalysis may well have hampered considering the relevance of attachment theory for psychoanalytic supervision. This project sought to investigate the application of attachment theory to the supervision situation, with the potential implications of our findings for psychoanalytic supervision being considered. Attachment styles, leader–follower dynamics, and attachment-based expectations were explored as predictors of supervisor-trainee working alliance using a prospective, longitudinal study design. Findings revealed the importance of measuring supervision-specific attachment, the particularly problematic nature of supervisee avoidant attachment, and the potential contribution of a leader–follower framework for understanding supervisory attachment. These attachment concepts may well be useful in, and additive for, psychoanalytic supervision practice.     

Has infantile sexuality anything to do with infants?

Classical psychoanalytic theory draws many concepts from mental processes that are assumed to arise in the infant and influence the adult mind. Still, psychoanalytic practice with mothers and infants has been integrated but little within general psychoanalytic theory. One reason is that only few analysts have utilized such practice to further theory. Another reason is that infant therapists tend to abandon classical psychoanalytic concepts in favour of attachment concepts. As a result the concept of infantile sexuality, so central to classical theory, plays an unobtrusive role in clinical discussions on infant therapy. The author argues that infantile sexuality plays an important role in many mother-infant disturbances. To function as a clinical concept, it needs to be delineated from attachment and be understood in the context of mother-infant interaction. Two examples are provided; one where the analyst's infantile sexuality emerged in a comment to the infant. Another is a case of breast-feeding problems with a little boy fretting at the breast. This is interpreted as reflecting the mother's infantile sexual conflicts as well as the boy's emerging internalization of them. Thus, to conceptualize such disorders we need to take into account the infantile sexuality in both mother and baby.     

On Attachment to Internal Objects

This paper considers some clinical implications of attachment theory from the perspective of the theory of internal object relationships and the unconscious phantasies that derive from such relationships. The paper focuses on the contributions of Bowlby and his followers, particularly Mary Main, who has developed a language-based methodology to study representational processes in adults and children, bridging the gap between the systematic study of human behavior and clinical psychoanalysis. The theory of inherent role responsiveness in the internal object world—mental representations of self and other in interaction and externalized in complementary role relationships through exchanges of unconscious and conscious messages—is presented as the psychoanalytic complement of Bowlby's theory of internal working models of attachment. Role responsiveness occurs internally as well as externally, so that one can speak of attachment to phantasy objects as well as external objects. Clinical examples illustrate how the therapist, through maintaining a free-floating responsiveness to the patient's enactments, may reconstruct the internal working models of attachment and their origins in the transference. The paperthus illustrates the way in which the origins of phantasy derive from the wished for and feared states related to early experiences of felt security, or lack of it, in relation to the attachment objects, thereby integrating the psychoanalytic theory of phantasy with attachment theory.     

Attachment Theory,Psychoanalysis, Personality Development,and Psychopathology

Blatt and Levy place attachment theory and research in a broad theoretical matrix by considering the relationship of attachment patterns to personality development and to different types of psychopathology in adults. Thus Blatt and Levy construct conceptual bridges between the two configurations of personality development and psychopathology that Blatt and colleagues have developed over the past quarter century (e.g., Behrends and Blatt, 1985; Blatt, 1974, 1995; Blatt and Behrends, 1987; Blatt and Blass, 1990, 1996; Blatt and Shichman, 1983) and attachment theory and research. Blatt and Levy identify a polarity that is central to attachment theory and research, the polarity of attachment and separation, and they note that this polarity has also been central in much of classic psychoanalytic theory (e.g., Freud, 1930; Loewald, 1962). This polarity is expressed in attachment theory and research in the differences between avoidant and anxious-preoccupied insecure attachment patterns as well in the distinction between two types of disorganized attachment, helpless-withdrawn and negative intrusive, identified by Lyons-Ruth (1999, 2001).

This polarity of attachment and separation, or relatedness and self-definition is also fundamental to personality development that occurs in the hierarchical dialectic transaction of two basic developmental lines—interpersonal relatedness and self-definition (Blatt and Blass, 1990, 1996). This polarity is also inherent in the conception of two fundamental configurations of psychopathology—anaclitic psychopathology, the dependent (or infantile) and hysterical personality disorders—that are preoccupied with issues of interpersonal relatedness, and introjective psychopathology, the paranoid, obsessive-compulsive and depressive personality disorders, in which issues of self-definition and self-worth are dominant (Blatt, 1974, 1995; Blatt and Shichman, 1983). Thus, the identification of this fundamental polarity provides the basis for establishing links between attachment patterns, personality development, and adult psychopathology. Blatt and Levy also attempt to integrate psychoanalytic concepts of the representational world (e.g., Sandler and Rosenblatt, 1965)—the development of concepts of self and significant others—with the internal working models (IWMs) of attachment relationships. This integration enabled Blatt and Levy to bring a fuller developmental perspective to the IWMs of attachment theory and to note that, based on differences in the content and structural organization of the IWMs or mental representation of self and significant others, several developmental levels can be identified in both avoidant and anxious preoccupied attachment. These developmental levels within each attachment style also identifies less and more adaptive forms of both types of insecure attachment. Thus, the integration of the psychoanalytic concepts of mental representation with concepts of the IWM of attachment theory and research enables Blatt and Levy to create a fuller developmental perspective in the study of insecure attachment patterns.     

The construction of the gendered self

Feminist contributions to systemic approaches to human behaviour have led to gender being defined in interactional terms. Gender is seen not as a fixed quality or trait but as one socially constructed between men and women. This idea is discussed in relation to the gender debate in family therapy, attachment theory and feminist contributions to psychoanalytic thinking. Gender relationships are created as part of a person's internal working models of self and other. The ways in which gender patterns are carried forward are examined, especially with respect to the contradictions between a person's gendered internal working models and their experience. These ideas are explored through case examples.     

Classification of adult attachment: an integrative taxonomy from attachment and psychoanalytic theories.

Developmental and psychoanalytic theorists have focused increasingly on empirically determined early childhood antecedents of adult attachments, with several resulting taxonomic models. This article suggests a theoretically based and clinically based model of attachment consistent with both psychoanalytic and attachment theories, resulting in an integrative taxonomy of four adult attachment styles: dependent, avoidant, hostile, and resistant-ambivalent. These styles reflect behavioral manifestations of dependence and anger, as derived from the interaction of primitive relational drives, defenses, and interpersonal experience. In addition to theoretical construction, brief clinical examples are presented to facilitate discussion of the model.     

Racism: processes of detachment, dehumanization, and hatred

The author looks at definitions of racism from the viewpoints of various theoretical frameworks, addressing the role of projection and other phenomena. Racism is then examined according to principles of psychoanalytic relational theory, attachment theory, and radical group analytic theory. Power relationships, the psychosocial process, a sense of us versus them, and the universal importance of a feeling of belonging are also taken into consideration. In examining the meaning of race, the author addresses the notions of black and white and their evolution over time, as well as the phenomenon of othering.     

Treating Insecure Attachment in Group Therapy: Attachment Theory Meets Modern Psychoanalytic Technique

Attachment theory is a comprehensive, empirically supported theory of emotional, relational, and neurophysiological development. Modern psychoanalysis is a theory of technique that addresses early psychological deficits and conflicts considered beyond the reach of traditional psychoanalysis. Both orientations have influenced the theory and practice of group psychotherapy and emphasize personality maturation as a treatment goal. This paper explores their potential synergies when treating preoedipal, insecurely attached emotional states, disrupted emotional self-regulation, and impaired mentalization. Theoretical and technical applications are suggested that may enhance the treatment of disordered attachment in group psychotherapy. By addressing insecure attachment as resistance, modern psychoanalytic techniques may engage the emotional substrates of the attachment process to facilitate the expansion of relational capacities, mentalization, self-regulation, the differentiation of self/other representations, and epistemic trust.     

Psychoanalysis,a Bridge Between Attachment Research and Neurobiology

Attachment theory and neurobiology are at the forefront of scientific research, particularly in the area of child psychiatry. Several authors have encountered a surprising isomorphism between findings in these areas and concepts central in psychoanalysis. The author postulates that attachment theory is an outcome of the history of the transformation of the old concept of libido now applied interpersonally. The author also postulates that the neurobiology of attachment mediates but does not substitute psychoanalysis for the final understanding of the human bond. Findings in both fields, attachment theory and psychobiology, often compellingly lead to psychoanalytic concepts; on the other hand, the neurobiology of the psyche does not make full sense without the wealth of research conducted by psychoanalysts during the 20th century. The concept of seduction in particular, in its broad sense, is akin to mirroring and attachment and a useful tool in this regard. Although some cling to the idea of the purity of psychoanalysis and see these kin areas as a threat to its integrity, the author believes that psychoanalysis, serving as a bridge between them, can only be enriched by their empirical and experimental outcomes.The American Journal of Psychoanalysis (2008) 68, 148-155. doi:10.1057/ajp.2008.4.     

Supervision and Analysis at a Crossroad: The Development of the Analytic Therapist: Discussion of Papers by Joan Sarnat and Emanuel Berman

This discussion of papers by Sarnat and Berman on psychoanalytic supervision explores the complex nature of the contemporary psychoanalytic supervisory relationship. It considers how developments in psychoanalytic theory and practice, reflecting relational, intersubjective, attachment, and field theory influences over the past 30 years, have changed the ways in which many analysts practice and theorize supervision. Contemporary supervisors attend not just to the patient being presented, or to the therapeutic dyad, but to the supervisory relationship itself as part of the clinical/supervisory frame of reference. Similarities and differences between therapy and supervision are considered.     

Demeter's Compromise: Separation,Loss, and Reconnection in Mothers with Daughters Entering Adulthood

Drawing on contemporary theory of female development that focuses on the dynamics of the mother/daughter relationship regarding issues of separation and individuation, this article examines the treatment of a middle aged mother as she navigates her way through her daughter's adolescence and early adulthood. Psychoanalytic object relations, psychoanalytic relational theory, and feminist theory serve to frame an understanding of the case material in terms of developmental challenges that are uniquely female. Issues around mother/daughter attachment, separation, competition, conflict, and love are explored in the relationships between the patient and her mother, the patient and her daughter, and the patient and the therapist. The therapist's countertransference, intensified by her relationships with her own mother and daughter, suggests the possibility of both pitfalls and opportunities in the treatment. The article attempts to address a gap in psychoanalytic developmental theory, which offers little understanding of the challenges for women in midlife.