This book brings together the latest knowledge from attachment research
and neuroscience to provide a new approach to treating trauma for
therapists from different professional disciplines and diverse
theoretical backgrounds. The field of trauma suffers from fragmentation
as brands of therapy proliferate in relation to a multiplicity of
psychiatric disorders. This fragmentation calls for a fresh clinical
approach to treating trauma. Pinpointing at once the problem and
potential solution, the author places the experience of being
psychologically alone in unbearable emotional states at the heart of
trauma in attachment relationships. This trauma results from a failure
of mentalizing, that is, empathic attunement to emotional distress.
Psychotherapy offers an opportunity for healing by restoring
mentalizing, that is, fostering psychological attunement in the context
of secure attachment relationships-in the psychotherapy relationship and
in other attachment relationships. The book gives a unique overview of
common attachment patterns in childhood and adulthood, setting the stage
for understanding attachment trauma, which is most conspicuous in
maltreatment but also more subtly evident in early and repeated failures
of attunement in attachment relationships.