Stacks Ann M
Merrill Palmer Skillman Institute and Wayne State University, USA.
Clin Child Psychol Psychiatry. 2010 Apr;15(2):209-14. doi: 10.1177/1359104509355670. Epub 2010 Mar 1.
Clinicians understand the importance of their clients' past relationships on current functioning. The notion of attachment disorganization is especially salient to many clinicians because based on the traditional model of attachment it is the category in which clients with a history of relational trauma are most likely to fall. Unfortunately, lumping together what so many clinicians feel is clinically important may not inform clinical practice and the process by which attachment is assessed is beyond the reach of many clinicians. A different model of attachment, the Dynamic Maturational Model of Attachment and Adaptation offers a new lens through which to view relational trauma and to understand the ways in which danger is processed. This article describes the similarities and differences in the two models of attachment.
临床医生明白患者过去的人际关系对其当前功能的重要性。依恋紊乱的概念对许多临床医生来说尤为突出,因为根据传统的依恋模型,有关系创伤史的患者最有可能属于这一类别。不幸的是,将许多临床医生认为具有临床重要性的内容归为一类,可能无法为临床实践提供指导,而且依恋评估过程对许多临床医生来说难以企及。一种不同的依恋模型,即依恋与适应的动态成熟模型,提供了一个新的视角来审视关系创伤,并理解处理危险的方式。本文描述了这两种依恋模型的异同。