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Adults in Wilderness Treatment: A Unique Application of Attachment Theory and Research

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Abstract

Research shows how an understanding of adult attachment applies to clinical treatment, such as outpatient therapy, but no literature explores the application of adult attachment to wilderness therapy, a distinct type of residential treatment. This paper explores how an understanding of adult attachment applies to wilderness therapy clients, as the nature of wilderness therapy involves losses, separations, and reunions, all of which evoke attachment needs. Adult wilderness treatment exemplifies an effective method of treatment that provides a secure base and supports healthy attachment relationships.

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References

  • Asher, S. J., Huffaker, G. Q., & McNally, M. (1994). Therapeutic considerations of wilderness experiences for incest and rape survivors. Women & Therapy, 15(3), 161–174.

    Article  Google Scholar 

  • Bowlby, J. (1969). Attachment and loss, Vol. 1. Attachment. London: Hogarth Press.

  • Bowlby, J. (1973). Attachment and loss, Vol. 2. Separation. London: Hogarth Press.

  • Bowlby, J. (1988). A secure base: Parent-child attachment and healthy human development. New York: Basic Books.

    Google Scholar 

  • Cassidy, J., & Kobak, R. R. (1988). Avoidance and its relation to other defensive processes. In J. Belsky & T. Nezworski (Eds.), Clinical implications of attachment (pp. 300–323). Hillsdale, NJ: Lawrence Erlbaum Associates, Inc.

  • Cassidy, J., & Mohr, J. J. (2001). Unsolvable fear, trauma, and psychopathology: Theory, research, and clinical considerations related to disorganized attachment across the life span. Clinical Psychology: Science and Practice, 8(3), 275–298.

    Article  Google Scholar 

  • Cunningham, P., & Page, T. F. (2001). A case study of a maltreated 13-year-old boy: Using attachment theory to inform treatment in a residential program. Child & Adolescent Social Work Journal, 18(5), 335–352.

    Article  Google Scholar 

  • Daniel, S. I. F. (2006). Adult attachment patterns and individual psychotherapy: A review. Clinical Psychology Review, 26(8), 968–984.

    Article  PubMed  Google Scholar 

  • Dozier, M. (1990). Attachment organization and treatment use for adults with serious psychopathological disorders. Development and Psychopathology, 2(1), 47–60.

    Article  Google Scholar 

  • Eagle, M. N. (2006). Attachment, psychotherapy, and assessment: A commentary. Journal of Consulting and Clinical Psychology, 74(6), 1086–1097.

    Article  PubMed  Google Scholar 

  • Fish, B., & Dudas, K. (1999). The relevance of attachment research for adult narratives told in psychotherapy. Clinical Social Work Journal, 27(1), 27–40.

    Article  Google Scholar 

  • Fonagy, P., Leigh, T., Steele, M., Steele, H., Kennedy, R., Mattoon, G., et al. (1996). The relation of attachment status, psychiatric classification, and response to psychotherapy. Journal of Consulting and Clinical Psychology, 64(1), 22–31.

    Article  PubMed  Google Scholar 

  • Fraiberg, S., Adelson, E., & Shapiro, V. (2003). Ghosts in the nursery: A psychoanalytic approach to the problems of impaired infant-mother relationships. In J. Raphael-Leff (Ed.), Parent-infant psychodynamics: Wild things, mirrors and ghosts (pp. 87–117). London: Whurr Publishers.

    Google Scholar 

  • Fraley, R. C., & Bonanno, G. A. (2004). Attachment and loss: A test of three competing models on the association between attachment-related avoidance and adaptation to bereavement. Personality and Social Psychology Bulletin, 30(7), 878–890.

    Article  PubMed  Google Scholar 

  • Goldenberg, M., McAvoy, L., & Klenosky, D. B. (2005). Outcomes from the components of an outward bound experience. Journal of Experiential Education, 28(2), 123–146.

    Google Scholar 

  • Hamilton, C. E. (2000). Continuity and discontinuity of attachment from infancy through adolescence. Child Development, 71(3), 690–694.

    Article  PubMed  Google Scholar 

  • Hyer, L., Boyd, S., Scurfield, R., Smith, D., & Burke, J. (1996). Effects of outward bound experience as an adjunct to inpatient PTSD treatment of war veterans. Journal of Clinical Psychology, 52(3), 263–278.

    Article  PubMed  Google Scholar 

  • Kelly, V. A. (2006). Women of courage: A personal account of a wilderness-based experiential group for survivors of abuse. Journal for Specialists in Group Work, 31(2), 99–111.

    Article  Google Scholar 

  • Lieberman, A. F., Zeanah, C. H., Cassidy, J., & Shaver, P. R. (1999). Contributions of attachment theory to infant-parent psychotherapy and other interventions with infants and young children. In Handbook of attachment: Theory, research, and clinical applications (pp. 555–574). New York: Guilford Press.

  • Liotti, G. (2004). Trauma, dissociation, and disorganized attachment: Three strands of a single braid. Psychotherapy: Theory, Research, Practice, Training, 41(4), 472–486.

    Article  Google Scholar 

  • Main, M. (1996). Introduction to the special section on attachment and psychopathology: 2. Overview of the field of attachment. Journal of Consulting and Clinical Psychology, 64(2), 237–243.

    Article  PubMed  Google Scholar 

  • Main, M. (2000). The organized categories of infant, child, and adult attachment: Flexible vs. inflexible attention under attachment-related stress. Journal of the American Psychoanalytic Association, 48(4), 1055–1096.

    Article  PubMed  Google Scholar 

  • Main, M., & Hesse, E. (1990). Parents’ unresolved traumatic experiences are related to infant disorganized attachment status: Is frightened and/or frightening parental behavior the linking mechanism? In M. T. Greenberg, D. Cicchetti, & E. M. Cummings (Eds.), Attachment in preschool years: Theory, research, and intervention (pp. 161–182). Chicago, IL, US: University of Chicago Press.

  • Main, M., & Solomon, J. (1986). Discovery of an insecure-disorganized/disoriented attachment pattern. In T. B. Brazelton &M. W. Yogman (Eds.), Affective development in infancy (pp. 95–124). Norwood: Ablex Publishing.

    Google Scholar 

  • Mallinckrodt, B., Gantt, D. L., & Coble, H. M. (1995). Attachment patterns in the psychotherapy relationship: Development of the Client Attachment to Therapist Scale. Journal of Counseling Psychology, 42(3), 307–317.

    Article  Google Scholar 

  • Meyer, B., & Pilkonis, P. A. (2002). Attachment style. In J. C. Norcross (Ed.), Psychotherapy relationships that work (pp. 367–382). New York: Oxford University Press.

    Google Scholar 

  • Meyer, B., Pilkonis, P. A., Proietti, J. M., Heape, C. L., & Egan, M. (2001). Attachment styles and personality disorders as predictors of symptom course. Journal of Personality Disorders, 15(5), 371–389.

    Article  PubMed  Google Scholar 

  • Mickelson, K. D., Kessler, R. C., & Shaver, P. R. (1997). Adult attachment in a nationally representative sample. Journal of Personality and Social Psychology, 73(5), 1092–1106.

    Article  PubMed  Google Scholar 

  • Mikulincer, M., & Sheffi, E. (2000). Adult attachment style and cognitive reactions to positive affect: A test of mental categorization and creative problem solving. Motivation and Emotion, 24(3), 149–174.

    Article  Google Scholar 

  • Mikulincer, M., Shaver, P. R., & Pereg, D. (2003). Attachment theory and affect regulation: The dynamics, development, and cognitive consequences of attachment-related strategies. Motivation and Emotion, 27(2), 77–102.

    Article  Google Scholar 

  • Moore, K., Moretti, M. M., & Holland, R. (1998). A new perspective on youth care programs: Using attachment theory to guide interventions for troubled youth. Residential Treatment for Children & Youth, 15(3), 1–24.

    Article  Google Scholar 

  • Moses, T. (2000). Attachment theory and residential treatment: A study of staff-client relationships. American Journal of Orthopsychiatry, 70(4), 474–490.

    Article  PubMed  Google Scholar 

  • Paley, B., Cox, M. J., Burchinal, M. R., & Payne, C. C. (1999). Attachment and marital functioning: Comparison of spouses with continuous-secure, earned-secure, dismissing, and preoccupied attachment stances. Journal of Family Psychology, 13(4), 580–597.

    Article  Google Scholar 

  • Paxton, T., & McAvoy, L. (2000). Social psychological benefits of a wilderness adventure program [Electronic version]. USDA forest service proceedings RMRS-P-15, 3, 202–206.

  • Phelps, J. L., Belsky, J., & Crnic, K. (1998). Earned security, daily stress, and parenting: A comparison of five alternative models. Development and Psychopathology, 10(1), 21–38.

    Article  PubMed  Google Scholar 

  • Roisman, G. I., Padrón, E., Sroufe, L. A., & Egeland, B. (2002). Earned-secure attachment status in retrospect and prospect. Child Development, 73(4), 1204–1219.

    Article  PubMed  Google Scholar 

  • Rothbard, J. C., & Shaver, P. R. (1994). Continuity of attachment across the life span. In M. B. Sperling, & W. H. Berman (Eds.), Attachment in adults: Clinical and developmental perspectives (pp. 31–71). New York: Guilford Press.

    Google Scholar 

  • Russell, K. C. (2001). What is wilderness therapy? Journal of Experiential Education, 24(2), 70–79.

    Google Scholar 

  • Russell, K. C. (2003). Definitions, models, and assessing outcomes in outdoor behavioral healthcare. In R. Meltzer (Chair), Wilderness therapy training and symposium. Boulder, CO: Symposium conducted at Naropa University.

  • Sable, P. (1992). Attachment theory: Application to clinical practice with adults. Clinical Social Work Journal, 20(3), 271–283.

    Article  Google Scholar 

  • Schofield, G., & Brown, K. (1999). Being there: A family centre worker’s role as a secure base for adolescent girls in crisis. Child & Family Social Work, 4(1), 21–31.

    Article  Google Scholar 

  • Schuengel, C., & van Ijzendoorn, M. H. (2001). Attachment in mental health institutions: A critical review of assumptions, clinical implications, and research strategies. Attachment & Human Development, 3(3), 304–323.

    Article  Google Scholar 

  • Shaver, P. R., & Mikulincer, M. (2002). Attachment-related psychodynamics. Attachment & Human Development, 4(2), 133–161.

    Article  Google Scholar 

  • Shear, K., & Shair, H. (2005). Attachment, loss, and complicated grief. Developmental Psychobiology, 47(3), 253–267.

    Article  PubMed  Google Scholar 

  • Shilkret, C. J. (2005). Some clinical applications of attachment theory in adult psychotherapy. Clinical Social Work Journal, 33(1), 55–68.

    Article  Google Scholar 

  • Shorey, H. S., & Snyder, C. R. (2006). The role of adult attachment styles in psychopathology and psychotherapy outcomes. Review of General Psychology, 10(1), 1–20.

    Article  Google Scholar 

  • Simpson, J. A., & Rholes, W. S. (2004). Anxious attachment and depressive symptoms: An interpersonal perspective. In W. S. Rholes & J. A. Simpson (Eds.), Adult attachment: Theory, research, and clinical implications (pp. 408–437). New York: Guilford Publications.

    Google Scholar 

  • Slade, A. (1999). Attachment theory and research. In J. Cassidy & P. R. Shaver (Eds.), Handbook of attachment: Theory, research and clinical applications (pp. 575–594). New York: The Guilford Press.

    Google Scholar 

  • Solomon, J., & George, C. (1999). The place of disorganization in attachment theory: Linking classic observations with contemporary findings. In J. Solomon & C. George (Eds.), Attachment disorganization (pp. 3–32). New York, NY: Guilford Press.

  • Tolmacz, R. (2003). The secure-base function in a therapeutic community for adolescents. Residential Treatment for Children & Youth, 20(3), 1–18.

    Article  Google Scholar 

  • Wallis, P., & Steele, H. (2001). Attachment representations in adolescence: Further evidence from psychiatric residential settings. Attachment & Human Development, 3(3), 259–268.

    Article  Google Scholar 

  • Wayment, H. A., & Vierthaler, J. (2002). Attachment style and bereavement reactions. Journal of Loss & Trauma, 7(2), 129–149.

    Article  Google Scholar 

  • Westen, D., Nakash, O., Thomas, C., & Bradley, R. (2006). Clinical assessment of attachment patterns and personality disorder in adolescents and adults. Journal of Consulting and Clinical Psychology, 74(6), 1065–1085.

    Article  PubMed  Google Scholar 

  • Zegers, M. A. M., Schuengel, C., van Ijzendoorn, M. H., & Janssens, J. M. A. M. (2006). Attachment representations of institutionalized adolescents and their professional caregivers: Predicting the development of therapeutic relationships. American Journal of Orthopsychiatry, 76(3), 325–334.

    Article  PubMed  Google Scholar 

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Correspondence to Joanna E. Bettmann.

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Bettmann, J.E., Jasperson, R.A. Adults in Wilderness Treatment: A Unique Application of Attachment Theory and Research. Clin Soc Work J 36, 51–61 (2008). https://doi.org/10.1007/s10615-007-0134-0

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