2Dynamic Systems“Many of the most intense emotions arise during the formation, the maintenance, the disruption and the renewal of attachment relationships. The formation of a bond is described as falling in love, maintaining a bond as loving someone, and losing a partner as grieving over someone. Similarly, threat of loss arouses anxiety, and actual loss gives rise to sorrow; whilst each of these situations is likely to arouse anger. The unchallenged maintenance of a bond is experienced as a source of security and the renewal of a bond as source of joy.”(Bowlby, 1980)
3ATTACHMENT NARRATIVE THERAPY Creating a secure baseExploring Narratives and Attachments within a Systemic FrameworkConsidering AlternativesFuture and Maintaining the therapeutic base
4THEORETICAL PERSPECTIVES ATTACHMENT NARRRATIVE THERAPYWhy the 3 perspectives need each other?Social Constructionist - Narrative practiceAttachment TheorySystemic Theory and practicePersons and families in social/cultural contexts
5THE NARRATIVE TURN IN ATTACHMENT THEORY Internal working models – attachment as a set of belief, expectations, stories we have about ourselves and othersNarrative approaches - move to assessing attachment through the content and structure of the stories people tell about their livesNarrative – ability to tell coherent stories about our lives is shaped by our attachment experiences in families
6Internal Working Models Beliefs and expectations aboutOne’s own and other people’s behaviourViews of the SELF – How loveable, worthy and acceptable am I?How available and interested are others in me, and in caring for and looking after me?These guide our actions, thoughts and feelings – how we try to keep ourselves safe, close to and loved by others
7Internal Working Models SECURE: able to use feelings and cognitions to make sense of eventsINSECURE:AVOIDANT: Shut down and deny feelings, display of distress is expected to annoy the caregiver so engage in pretending - put on false front – distrust of feelingsAMBIVALENT: Expect carer to be inconsistent, not able to predict their availability or verbal promises. Develop clingy and coercive strategies to secure attention and caring - distrust of wordsDISORGANISED: Carer may be confusing, frightening, abusive, child finds it difficult to develop and predict a consistent pattern – distrust of words and feelings
8ATTACHMENT STYLES AS COMMUNICATIONAL PATTERNS ATTACHMENT AS ‘OPEN’ or ‘CLOSED COMMUNICATION’ IN FAMILIESINSECURE ATTACHMENT INVOLVE ‘ DISTORTIONS’ OF COMMUNICATION - such that we cannot say openly or clearly how we feel and what we needATTACHMENT STYLES AS A SET OF FAMILY COMMUNICATIONAL RULESSECURE: Expression of feelings met by acknowledgement, reflection and negotiation – semantic and emotional responsesDISMISSIVE: Communication of feelings met by injunction to suppress feelings, avoidance, rejection – semantic responsesPRE-OCCUPIED: Symmetrical escalating expressions of feelings, mutual accusation, blaming – emotional response
9Family Patterns MOTHER FATHER Pre-occupied Dismissive CHILD ? INSECURITY can develop from FAMILY patternsParents may differ in their styles , e.g. mother avoidant/dismissive , father ambivalent/pre-occupiedParents may switch positionsMOTHER FATHERPre-occupied DismissiveCHILD ?
10CLAIRE Int: ..can you describe your family in terms of relationships ? Claire: It’s very false, its very strange. I mean its changed a lot. When I was younger it was just awful all the time, I don’t like anger now, its like, arguing non stop. It was horrible I would do anything to stop them arguing and anger is like fear. I don’t like anger now, its like an emotion that can’t be controlled and that scares me....But recently everyone’s been really trying but it still seems, it seems really false to me……..The only thing I ever hear them talking about is me and if I didn’t have this [anorexia] its kind of like, would everything fall apart, at least its keeping them talking. And they won’t argue while I’ve got this because it might make me worse. So um...that’s kind of bought, sort of like, I’m not in control as such but I’ve got more control over the situation that way.’Int: So if you were upset or distressed or frightened when you were young, who would you go to?Claire: Nobody. I wouldn’t go to anybody. The only time I ever did was once when Mum was at work and I had to sleep in my brother’s room. I can’t remember why, and there was a picture of me and her when we were little, cuddling, and I was only young and I was looking at this picture and I was crying so much because I thought because they’re older than most parents that she was going to die really soon and I went down to Dad and he was like “ Don’t be stupid and go back to bed”, and I had to go back to bed. And after that I didn’t bother going to him. I would just bottle it all up and just not bother’
11Implications for Therapy Naming and regulating emotionsStanding in the emotional shoes of the otherComforting and self soothingInformation processingTransformations in memory systems
12“Felt security” in a relationship Affect regulation (less reactivity, hyper-arousal & under-arousal)Support seekingInformation processing (curiosity, open, more toleration of uncertainty)Communication (meta-communication, disclosing, collaborative, assertive, empathic)‘Sense of self’ (elaborated, articulated, positive)
13THERAPY AS SCAFFOLDING: Emotional and cognitive Therapy and scaffolding:Encourage a secure emotional base – stance of acceptance and non- judgementEncourage noticing people’s feelingsOffer words, phrases to help identify feelingsOffer words and phrases to talk about how others feelOffer words and phrases to help discuss how people comfort each otherOffer words, phrases , stories to assist integration of feelings and events
14Systemic Techniques and Attachment Styles AVOIDANT/DISMISSIVEAMBIVALENT/PRE-OCCUPIEDEncouraging expression of feelingsEncouraging expression of cognitionsEnactmentRole playEmpathic QuestionsInternalised Other Interviewing beliefs/ punctuationAreas of conflictHow conflict is managedCaring and comfortingGenogramsLife lineTracking CircularitiesMapping RelationshipsScaling questionsCircular questionsShared/family beliefsREFLECTING TEAMS
15Attachment Narrative Therapy with Families/Couples Creating a secure baseMapping the context & talk about talkEngaging warmly with each member of the familyReflecting on our relationships in the room –modeling open communicationUse of self – therapist reflecting on his/her own experiencesAdopting a non-blaming approach - working together vs ‘fixing families’, purpose is not to find fault in the past or presentExternalizing FrameworkExploring the ‘problem’ - beliefs, feelings, explanationsA ‘conservative’ (paradoxical) framework - not pushing for changeAccess, expand, reprocess emotional experienceDe-escalating unhelpful patterns
16Attachment Narrative Therapy with Families/Couples Exploring Narratives and Attachments within a systemic frameworkCurrent attachmentsGossiping - circular questioningTrans-generational attachment traditionsEncouraging sociality/empathyImpact of the problem on the family relationships and vice versaEncouraging awareness of self and others in interaction
17Attachment Narrative Therapy with Families/Couples Considering AlternativesContemplating alternative narratives and responsesFamily experiments: in and outside the therapy roomUnique outcomes – exceptionsWorking ‘within’ and ‘between’: moving between intra and interpersonal narrativesPromoting secure bonding interactions
18Attachment Narrative Therapy with Families/Couples The future and maintaining the therapeutic baseContemplating futuresConsolidating changePlans to deal with relapseConsidering ways of continuing contactFeelings about separation, ending therapy
19Exploring Patterns of Comforting When you were upset or frightened as a child – what happened?How did you get to feel better? Who helped you to feel better? How did they do this?What have you learnt from this for your own family?What do you want to do the same?What do you want to do differently?How do people comfort each other in your own family/ relationship?How do you comfort your children?How do they comfort you?Can be done as a family or couple interview or as a one-to-one conversation.
20Corrective and Replicative Scripts This utilises ideas from John Byng-Hall that families make comparisons across the generations in terms of similarities and differences between how our own parents were with each other and us ( the children) and how this is repeated or altered in the next generation.Importantly it allows us to work in a positive frame with the family in that we can construe the intentions of the parents positively, i.e. they have tried to repeat what was good or correct what they felt was bad about their own experiences. This can then lead to a discussion of whether these attempts have been successful or not, and possibly how they might be altered, strengthened, elaborated etc.What are your thoughts about how similar or different your relationship with each other and your children is to your parent’s ( grandparents’) relationships ?What have you tried to make similar or different to either of these relationships?What do you value vs feel critical about in either of your parent’s relationshipsDoes what you have tried to repeat/change work? Is there anything that you want to alter, strengthen, abandon about what you have been trying to repeat or change?