Attachment Security
This chapter provides an overview of the construct of attachment security and describes the threat to this security that may arise in response to the diagnosis or progression of advanced disease. The heightened mortality salience that occurs in this context activates the attachment system, and increased dependency and caregiving needs frequently require an adjustment or renegotiation of attachment security. Attachment security protects from death anxiety and other forms of distress, and so the renegotiation of attachment relationships is often an urgent task that is needed to maintain or restore emotional equilibrium. This chapter explains the central role of attachment security in the Managing Cancer and Living Meaningfully (CALM) intervention, in which the therapeutic relationship can provide a secure base to process distressing thoughts and feelings and to face the challenges that inevitably occur.