Psych Vivas · Foundations — attachment
Attachment theory — structured clinical viva
Fellowship viva on attachment theory from infant classification through adult mentalization and clinical safety around coercive therapies.
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Target exams
FRANZCPMRCPsychABPNMD-DNB
Prompt
You are the psychiatry registrar. Discuss attachment theory for fellowship examiners using a 22-year-old woman with borderline personality features, recurrent self-harm after perceived abandonment, childhood emotional neglect, and a mother who still becomes dissociative when discussing the death of a sibling. Cover Bowlby constructs, Strange Situation patterns, AAI states of mind, mentalization, the difference between attachment style and RAD/DSED, clinical implications for personality/trauma care and parenting risk, and what interventions you would and would not recommend.
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References8ShowHide
- [1]Bowlby J The making and breaking of affectional bonds. I. Aetiology and psychopathology in the light of attachment theory Br J Psychiatry, 1977.PMID 843768
- [2]Ainsworth MD Patterns of infant-mother attachments: antecedents and effects on development Bull N Y Acad Med, 1985.PMID 3864510
- [3]Hesse E, Main M Disorganized infant, child, and adult attachment: collapse in behavioral and attentional strategies J Am Psychoanal Assoc, 2000.PMID 11212184
- [4]Schuengel C, Bakermans-Kranenburg MJ, Van IJzendoorn MH Frightening maternal behavior linking unresolved loss and disorganized infant attachment J Consult Clin Psychol, 1999.PMID 10028209
- [5]Fonagy P, Target M Attachment and reflective function: their role in self-organization Dev Psychopathol, 1997.PMID 9449001
- [6]Fonagy P, Luyten P A developmental, mentalization-based approach to the understanding and treatment of borderline personality disorder Dev Psychopathol, 2009.PMID 19825272
- [7]Zeanah CH, Chesher T, Boris NW Practice Parameter for the Assessment and Treatment of Children and Adolescents With Reactive Attachment Disorder and Disinhibited Social Engagement Disorder J Am Acad Child Adolesc Psychiatry, 2016.PMID 27806867
- [8]Chaffin M, Hanson R, Saunders BE, et al. Report of the APSAC task force on attachment therapy, reactive attachment disorder, and attachment problems Child Maltreat, 2006.PMID 16382093