Session Three: Attachment Discourse Patterns, Loss and Abuse Discourse Patterns, Therapist Pitfalls
Session Three – Content Level: Advanced
Attachment Discourse Patterns, Loss and Abuse Discourse Patterns, Therapist Pitfalls
This session will demonstrate how to recognize attachment clues embedded in the discourse within the therapeutic relationship and how to ‘hear’ implicitly encoded states of mind about attachment, including past and present loss, traumatic events, and ongoing activation of hostile and/or helpless states of mind. It is equally important to appreciate the dynamic nature of attachment behaviors and how they can shift during clinical treatment. The clinical pitfalls that may arise when therapist’s and patient’s internal working models of attachment collide or entangle during times of stress will be explored.
Readings
- Bretherton, I., & Munholland, K. A. (2018). The internal working model in light of contemporary neuroimaging research. In J. Cassidy & P. R. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications, (3rd Edition, Chapter 4). Guilford Press.
- Crowell, J. A., Fraley, R. C., & Roisman, G. I. (2018). Measurement of individual differences in adult attachment. In J. Cassidy & P. R. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications, (3rd Edition, Chapter 27). Guilford Press.
- Stovall-McClough, K. S., & Dozier, M.(2018). Attachment states of mind and psychopathology in adulthood. In J. Cassidy & P. R. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications, (3rd Edition, Chapter 31). Guilford Press.
Timed Outline
45 minutes – lecture presentation
20 minutes – discuss readings
25 minutes – case discussion and closing comments
Learning Objectives
At the conclusion of this session, participants will be able to:
1. Identify and illustrate attachment discourse within a therapeutic session
2. Describe unresolved and resolved indicators for past loss and abuse
3. Discuss internal working models during times of stress outside and within therapy sessions
Available Credit
- 1.50 APAThe International Society for the Study of Trauma and Dissociation is approved by the American Psychological Association to sponsor continuing education for psychologists. The International Society for the Study of Trauma and Dissociation maintains responsibility for this program and its content.
- 1.50 ASWB ACEThe International Society for the Study of Trauma and Dissociation (ISSTD), #1744, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: 08/20/2024 – 08/20/2027. Social workers completing this course receive 1.50 continuing education credits.
- 1.50 ISSTD Certificate ProgramThis program is eligible for 1.50 credits in the ISSTD Certificate Program. No certificate of completion is generated for this type of credit.

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