Attachment Theory in Practice: Emotionally Focused Therapy (EFT) with Individuals, Couples, and Families is written by Susan Johnson, the primary developer of Emotionally Focused Therapy (EFT). This book focuses on how to apply EFT and attachment theory to clinical practice.
Here are the core tenets of attachment theory, according to Sue Johnson:
Core tenets of attachment theory
Humans are hardwired to seek social contact
Predictable physical and/or emotional connection with an attachment figure calms the nervous system and shapes a safe haven where comfort and reassurance can be reliably obtained. Responsiveness from others tunes the nervous system to be less sensitive to threat
This emotional balance promotes the development of an integrated sense of self
A felt sense of being able to depend on a loved one creates a secure base
Key factors include perceived accessibility, responsiveness, and emotional engagement of attachment figures
Separation distress arises when an attachment bond is threatened, or a secure connection is lost. Emotional and physical isolation from an attachment figure is inherently traumatizing
Secure connection is based on how individuals encode patterns of interaction into mental models
Those who are securely attached are comfortable with closeness and their need for others
If others have been perceived as inaccessible when needed, secondary models emerge
Adult attachment is more reciprocal and not as dependent on physical proximity. Two other systems emerge: caretaking and sexuality
Here are some additional insights from the book
Attachment security predicts almost every identified indicator of positive functioning, while insecurity is a risk factor for almost every identified indicator of dysfunction.
Emotional isolation is more disastrous for health than smoking, obesity, or lack of exercise
Isolation is the ultimate existential trauma
Emotion is triggered most strongly by relationship issues, and coregulation with another is usually the most intuitive and efficient route to emotional equilibrium
Simply teaching top-down containment and coping skills to try to control emotion is insufficient
Social self regulation is a relatively bottom up process, whereas self regulation is usually more costly effortful top down process involving extensive cognitive and attentional processes to inhibit somatic responses that are already triggered
Emotions are adaptive behavioral and physiological response tendencies called forth directly by evolutionary significant situations. They communicate needs motives and priorities to the self and others.
Being tuned out of emotional experience is like navigating life without a compass.
Emotion orients and engages. It grabs our attention and guides perceptions
Emotions shape meaning, motivate us, and communicate with others and sets up their response
Anger is an approach emotion that sets up the assertion of needs and the removal of blocks to satisfaction
Sadness elicits support from others and withdrawal in service of letting go
Shame elicits hiding
Surprise elicits exploration and engagement
Joy provokes openness and engagement
Fear elicits fleeing, freezing, or fight