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By Susana Farinha a Thesis Submitt Running head: INFLUENCE OF ATTACHMENT AND EMOTIONAL ATTUNEMENT IN THERAPY To what extent do Attachment and Emotional Attunement influence the Therapeutic Relationship? by Susana Farinha A thesis submitted in partial fulfillment of the requirements for the degree of Master of Counselling (MC) City University of Seattle Vancouver BC, Canada site May, 2018 APROVED BY: Colin Sanders, Ph.D., MA, RCC, Thesis Supervisor, Counsellor Education Faculty Christopher Kinman, PhD (student), MSc, MDiv, Faculty Reader, Counsellor Education Faculty Division of Arts and Sciences INFLUENCE OF ATTACHMENT AND EMOTIONAL ATTUNEMENT IN THERAPY ii Abstract The proposed research is intended to demonstrate that attachment and emotional attunement are key elements in forging and maintaining the therapeutic alliance. Therapeutic alliance, the bond between therapist and client, is a powerful factor in the process of emotional and psychological healing. Therefore, initiating and maintaining a good Therapeutic alliance is the foundation of therapy. The focus of this study is to understand the extent which attachment and emotional attunement influence the therapeutic relationship. KEY TERMS Attachment theory; attachment styles; emotional attunement; affect regulation; therapeutic relationship; therapeutic alliance; therapeutic process. INFLUENCE OF ATTACHMENT AND EMOTIONAL ATTUNEMENT IN THERAPY iii Acknowledgements I would like to thank all my teachers and fellow colleagues of cohort 18 for having generated multiple and deep reflections about counselling and life during these past two years. I would also like to thank all my clients for making this journey of counselling an exploration worth making. Being a witness of their journey has been an amazing adventure. INFLUENCE OF ATTACHMENT AND EMOTIONAL ATTUNEMENT IN THERAPY iv Dedication I would like to dedicate this Thesis to my dear husband who has been my most dedicated supporter and has encouraged me to always fight/look for what I want. He made all the necessary efforts so that I would arrive at the end. I would also like to dedicate it to my children. Like E.E. Cummings, I say “I carry your heart(s) with me, I carry it in my heart. I am never without it”. This is the strength that makes me go. INFLUENCE OF ATTACHMENT AND EMOTIONAL ATTUNEMENT IN THERAPY v Table of Contents Abstract ........................................................................................................................................... ii Acknowledgements ........................................................................................................................ iii Dedication ...................................................................................................................................... iv Chapter 1: Introduction ................................................................................................................... 1 Chapter 2: Attachment .................................................................................................................... 4 Introduction ................................................................................................................................. 4 Attachment Theory ..................................................................................................................... 4 John Bowlby’s work ............................................................................................................... 5 Mary Ainsworth’s work .......................................................................................................... 8 The Biological Basis of Attachment ......................................................................................... 11 Attachment predictors ........................................................................................................... 11 Attachment Theory Expansion and Application to Other Fields .......................................... 11 Attachment and emotion regulation ...................................................................................... 11 Attachment Bond vs Affectional Bonds ................................................................................... 14 Attachment influence in adult emotional perception and expression ................................... 14 Reactive attachment .............................................................................................................. 17 Earned secure attachment ..................................................................................................... 17 “In a Different Voice” ........................................................................................................... 18 Summary ................................................................................................................................... 19 Chapter 3: Affect Regulation Theory ........................................................................................... 20 Introduction ............................................................................................................................... 20 The Beginnings ..................................................................................................................... 20 INFLUENCE OF ATTACHMENT AND EMOTIONAL ATTUNEMENT IN THERAPY vi Affect .................................................................................................................................... 21 Additional Concepts .................................................................................................................. 24 The brain structures involved in regulating the affect .......................................................... 26 Primary Affect Regulating System ........................................................................................... 31 Secondary Affect-Regulating System ....................................................................................... 37 Affect Regulation and Attachment Theory ............................................................................... 40 Summary ................................................................................................................................... 43 Chapter 4: Therapeutic Relationship ............................................................................................ 44 Prologue .................................................................................................................................... 44 What is Therapeutic Relationship? ........................................................................................... 46 “On the shoulders of Carl Rogers” ....................................................................................... 48 What makes the client-therapist relationship so special? ..................................................... 48 A Selection of Authors who have Inspired Me ......................................................................... 54 Irving Yalom ......................................................................................................................... 54 The narrative studies and definitional ceremony in therapy ................................................. 57 The beauty and gentleness of Harlene Anderson .................................................................. 59 Summary ................................................................................................................................... 63 Chapter 5: Discussion ................................................................................................................... 64 Chapter 6: Conclusion................................................................................................................... 69 References ..................................................................................................................................... 70 INFLUENCE OF ATTACHMENT AND EMOTIONAL ATTUNEMENT IN THERAPY 1 Chapter 1: Introduction Because I feel that, in the Heavens above The angels, whispering to one another, Can find, among their burning terms of love None so devotional as that of ‘Mother’ – Edgar Allen Poe I started this Master’s of Counselling program with a past, tangled in the routines of the present but with little vision of a future. Looking back after almost three years, living in the present and envisioning the future were all playing together a symphony that, at times, didn’t seem harmonious. Now, at the end of this journey another question invades me: What thesis topic will I chose? What is important to me? What is my utmost passion? How will life look different when this program finishes? Difficult reflection. Even now, I am unsure of the answer, since there are many. Concerning the thesis topic, I decided by one aspect that for long is deeply part of myself: motherhood. It started as a wish whispered in my unconscious being, became a dream, and then a reality. Motherhood has been the longest, and most fascinating, adventure in my life. It has turned my life upside down, it has made me cry and fear as I never feared before; and rejoice as no other event had made me rejoice. I changed as a person. I grew, matured and I still feel that I am just at the beginning. When I became involved with helping professions, specifically mental health, I have been discovering the many similarities between being a mother and a therapist. INFLUENCE OF ATTACHMENT AND EMOTIONAL ATTUNEMENT IN THERAPY 2 Some aspects of the deep bond established between mother-child
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