Attachment and the Conversational Model
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Dr Joan Haliburn |
Early attachment is viewed as a major organizing principle that may explain important aspects of normal and pathological interpersonal relations across the life cycle – including the therapeutic relationship with patients. (Bowlby 1979) The therapeutic relationship is widely accepted to be the bedrock on which the progress of psychotherapy depends. Attachment theory, with its focus on relationships across the life span, is helpful in understanding the nature and the unfolding of the therapeutic relationship.
That humans are primarily and innately adapted to relatedness with others was proposed by Suttie, (1935) Sullivan (1960) and A. Meares (1961). In the later 1970’s Russell Meares and Robert Hobson further elaborated that the form of relatedness dictates the form of conversation in the psychotherapy situation; and that the form of conversation determines in return the emerging sense of relatedness.
I will briefly describe Attachment Theory (Bowlby 1979) and the different types of attachment, (Bowlby, Ainsworth 1988) and proceed to look at how they inform the development of the therapeutic relationship, and the forms of relatedness required to progress in psychotherapy with the Conversational Model.
Recorded : October 2009 Westmead, NSW, Australia.
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Joan Haliburn
other talks by the speaker
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Dr Joan Haliburn
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Joan Haliburn is a child, adolescent and family psychiatrist, and psychotherapist. She has 30 years experience working in the field, in both hospital and private practice. She works with seriously disturbed adolescents and young adults, with psychotherapy being the primary focus along with pharmacotherapy. She is a senior clinical lecturer, University of Sydney at Westmead Hospital, senior supervisor with the psychotherapy program there, and was until 2009 the Director of Training ANZAP.
She was part of an international delegation of psychiatrists who visited Russia in 2009 under the auspices of the International People –to- People Educational & Humanitarian Program, to study the state of Psychiatry in Russia – she found this experience unique- particularly the primary importance given to psychotherapy in the treatment of mental illness. She currently offers psychotherapy supervision to all disciplines, singly and in groups.
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