Tilknytning hos voksne som psykoterapeutisk endringsfokus - en litteraturstudie
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Øveraas, Christine1, Forfatter
Lunn, Susanne2, Vejleder
1Det Samfundsvidenskabelige Fakultet, Københavns Universitet, København, Danmark, diskurs:7001              
2Institut for Psykologi, Det Samfundsvidenskabelige Fakultet, Københavns Universitet, København, Danmark, diskurs:7012              
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Ukontrollerede emneord: Attachment theory, adult attachment, attachment change, therapeutic change, therapeutic alliance, the alliance, psychotherapy.
 Abstract: John Bowlby’s attachment theory is of major influence in the field of psychology. The relational attachment bond that forms between children and their caregivers is based on the quality of the caregiver’s interaction with the child. This interaction is then cognitively internalized in internal working models, which consist of cognitive, affective and behavioral components that influence the individual in close relationships throughout life. Insecure attachment patterns are seen as adaptive responses to the child ́s environment, but they become maladaptive when they are at odds with the functioning of the individual in different environments later in life. They compromise intra – and interpersonal functioning, and can be a risk factor for psychopathology. Theory and research within this domain is outlined as the theoretical framework for this assignment.

In recent years there have been a growing interest for attachment in the field of psychotherapy research. The insecure styles are especially theorized to have negative impact on the therapeutic alliance, which is a strong predictor of therapeutic outcome. There have also been proposed that insecure attachment styles have potential to be transformed into more secure styles within the therapeutic context. The use of “attachment change”, as a measure of outcome, is though limited even though the theoretic significance is suggested to be of great importance. This assignment systematically review studies that use attachment as an outcome goal in individual psychotherapy, and make a careful analysis to answer the question of “how attachment change in adults can be achieved through psychotherapy”. Studies that illuminate the influence of the therapist and the clients attachment on the therapeutic use of interventions, and on the therapeutic alliance is carefully reviewed to investigate the importance of the therapeutic alliance, to achieve change.
The results are discussed against the theoretical framework, and the tentative conclusions are that attachment change can be achieved through psychotherapy. The therapeutic alliance and interventions seem to be interacting or having transactional influence on the observed change. Additional studies are needed to examine how change is brought about, and they need to measure alliance and attachment change as outcome simultaneously.
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 Type: Speciale
Alternativ titel: Adult attachment as focus of change in psychotherapy - a literature review
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Sprog: Norwegian Bokmål - nob
 Datoer: 2013-05-16
 Sider: -
 Publiceringsinfo: København : Københavns Universitet
 Indholdsfortegnelse: -
 Note: -
 Type: Speciale
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