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Background <p>The adult attachment interview (AAI) assesses attachment representations, which are highly relevant for both research and clinical practice. As the gold standard for measuring attachment, the AAI aims for a&#xa0;valid attachment classification, requiring intensive training with reliability checks.</p> Objectives <p>In order to systematically explore attachment experiences and internal working models of attachment within a&#xa0;time-limited psychotherapeutic setting, we propose an AAI protocol for clinical application without claiming it to be a&#xa0;complete and reliable attachment classification.</p> Material and methods <p>For this purpose, we draw on selected questions from the AAI. We present guiding questions that enable clinicians to comprehend patients’ responses from an attachment-theoretical perspective. The approach is illustrated using a&#xa0;brief case example. In addition, we provide practical guidance for structured implementation and identify typical pitfalls, for example, regarding the confrontation with inconsistencies or the interpretation of patients’ statements during the interview.</p> Results and discussion <p>The structured assessment of attachment experiences can help therapists, regardless of their therapeutic orientation, to develop hypotheses about the development and maintenance of psychological disorders. At the same time, the information obtained provides valuable insights for shaping patients’ relationships, both in their external relationships and with respect to the therapeutic relationship.</p>

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Strukturierte Exploration der Bindungsgeschichte in Psychotherapie und Beratung

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年9月16日

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  • Iris Reiner,
  • Manfred Beutel,
  • Jonas Tesarz,
  • Lina Krakau

摘要

Background

The adult attachment interview (AAI) assesses attachment representations, which are highly relevant for both research and clinical practice. As the gold standard for measuring attachment, the AAI aims for a valid attachment classification, requiring intensive training with reliability checks.

Objectives

In order to systematically explore attachment experiences and internal working models of attachment within a time-limited psychotherapeutic setting, we propose an AAI protocol for clinical application without claiming it to be a complete and reliable attachment classification.

Material and methods

For this purpose, we draw on selected questions from the AAI. We present guiding questions that enable clinicians to comprehend patients’ responses from an attachment-theoretical perspective. The approach is illustrated using a brief case example. In addition, we provide practical guidance for structured implementation and identify typical pitfalls, for example, regarding the confrontation with inconsistencies or the interpretation of patients’ statements during the interview.

Results and discussion

The structured assessment of attachment experiences can help therapists, regardless of their therapeutic orientation, to develop hypotheses about the development and maintenance of psychological disorders. At the same time, the information obtained provides valuable insights for shaping patients’ relationships, both in their external relationships and with respect to the therapeutic relationship.