Facilitating Secure Attachment: Integrating Infant Observation Studies, Attachment, Trauma, and Neurobiology in Clinical Interventions

2018 ◽  
Vol 12 (4) ◽  
pp. 269-281
Author(s):  
Lindy Lee Swimm

This article explores the effectiveness of treating a 17-month-old male diagnosed with posttraumatic stress disorder (PTSD) and a disrupted secure attachment utilizing eye movement desensitization reprocessing (EMDR) and an integrative family therapy approach. The child experienced a life-threatening choking incident requiring hospitalization. Pretreatment, the child was inconsolable by his parents when distressed and could not tolerate anything touching his throat. Posttreatment, the child accepts comfort from his parents and allows his mother to kiss his throat. Results demonstrate a reduction or elimination of PTSD symptoms and a return to a secure attachment. This case study underscores Shapiro’s Adaptive Information Processing (AIP) model (2001). Application and customization of the eight phases of EMDR therapy are highlighted along with the Integrative Attachment Trauma Protocol for Children (IATP-C). Treatment consisted of five sessions. Customization included caregiver psychoeducation; EMDR resource development, focused on strengthening attachment and regulating emotion; and facilitating caregiver co-regulation throughout EMDR. The use of EMDR therapy with customization through the IATP-C protocol shows promise as an effective intervention for treating posttraumatic stress symptoms and repairing attachment in very young children.


1995 ◽  
Vol 4 (2) ◽  
pp. 62-69 ◽  
Author(s):  
Katherine Verdolini ◽  
Ingo R. Titze

In this paper, we discuss the application of mathematical formulas to guide the development of clinical interventions in voice disorders. Discussion of case examples includes fundamental frequency and intensity deviations, pitch and loudness abnormalities, laryngeal hyperand hypoadduction, and phonatory effort. The paper illustrates the interactive nature of theoretical and applied work in vocology


Author(s):  
Ina Grau ◽  
Jörg Doll

Abstract. Employing one correlational and two experimental studies, this paper examines the influence of attachment styles (secure, anxious, avoidant) on a person’s experience of equity in intimate relationships. While one experimental study employed a priming technique to stimulate the different attachment styles, the other involved vignettes describing fictitious characters with typical attachment styles. As the specific hypotheses about the single equity components have been developed on the basis of the attachment theory, the equity ratio itself and the four equity components (own outcome, own input, partner’s outcome, partner’s input) are analyzed as dependent variables. While partners with a secure attachment style tend to describe their relationship as equitable (i.e., they give and take extensively), partners who feel anxious about their relationship generally see themselves as being in an inequitable, disadvantaged position (i.e., they receive little from their partner). The hypothesis that avoidant partners would feel advantaged as they were less committed was only supported by the correlational study. Against expectations, the results of both experiments indicate that avoidant partners generally see themselves (or see avoidant vignettes) as being treated equitably, but that there is less emotional exchange than is the case with secure partners. Avoidant partners give and take less than secure ones.


2006 ◽  
Vol 27 (3) ◽  
pp. 172-182 ◽  
Author(s):  
Y. Hamama-Raz ◽  
Z. Solomon

The study examines the contributions of hardiness, attachment style, and cognitive appraisal to the psychological adjustment of 300 survivors of malignant melanoma: The findings show that the survivors' adjustment is by far better predicted by their personal resources and cognitive appraisal than by their sociodemographic features (with the exception of marital status) and features of their illness. Of all the variables, their adjustment was best predicted by their attachment style, with secure attachment making for greater well-being and less distress. These findings add to the ample evidence that personal resources help persons to cope with stressful or traumatic events.


2013 ◽  
Author(s):  
Liana Claudia Peter-Hagene ◽  
Bette L. Bottoms ◽  
Suzanne L. Davis ◽  
Kari L. Nysse Carris

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