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Attachment and Psychoanalysis: Developing the Capacity for Secure Relating in Adults(905)
Thursday, March 04, 2021, 7:00 PM - 8:30 PM EDT
Category: Courses

Attachment and Psychoanalysis: 
Developing the Capacity for Secure Relating in Adults (905)
Instructors: Heather Craige, MSW, & Katherine Broadway, LCMHC

This 8-session course will focus on the clinical application of attachment theory and research to the psychodynamic treatment of adults. We will review the history of attachment theory and its relationship to other schools of psychoanalysis. We will also survey the major research methods used in the assessment of secure and insecure attachment styles (avoidant, ambivalent, disorganized).

Using clinical material we will explore how these early relational patterns become represented in the child's inner world and subsequently re-enacted in adult life, including in the therapeutic relationship. Psychoanalytic concepts of resistance, defense, transference, and countertransference can be freshly viewed through the lens of attachment, in which maladaptive ways of relating in adulthood are understood as adaptations that ensured the patient's survival as a young child. Maintaining this perspective in the face of the patient's dismissing, rejecting and confusing behaviors helps the therapist keep a non-reactive and empathic interpretive stance that may allow the patient to "earn" the capacity for secure attachment.

Each session will include a discussion of both reading and clinical work, and students will have the opportunity to present brief case vignettes.

The class will be limited to 23 students and is intended for psychodynamically-oriented psychologists, psychiatrists, clinical social workers, licensed professional counselors, and other clinicians at an intermediate level.

Register Here

Where:    via Zoom 
When:     Thursdays, January 14 - March 4, 2021.  
Time:       7:00pm - 8:30 pm

CME Credits: 12 / CE Credits: 12  / NBCC: 12 clock hours / All others: Letter of Attendance

Prerequisite: Students will need a basic exposure to and understanding of psychoanalytic theory and its application to the treatment of patients. Applicants can meet this requirement through previous coursework, training, or supervision (e.g., Thinking Psychoanalytically: The Basics; the PPSC Introductory Course; psychoanalytic coursework or supervision in graduate school/residency or post-graduation). Applicants who do not meet this requirement may register for the course with permission from the instructors.

Training Program Credit: Students who successfully complete this course can earn elective credit in both the psychoanalysis and psychoanalytic psychotherapy training programs. 

About the InstructorsHeather Craige, MSW,  Katherine Broadway, LCMHC

Required Text:   Prior to the start of class, students should purchase and read chapters 1 through 10 (190 pages) of Attachment in Psychotherapy by David J. Wallin. If you click on the book title, you will be linked to the book's page at, where new and used copies are available. The book can also be obtained at other online bookstores. 

Additional readings by Bowlby, Karen, Holmes, Wallin, Schore, Main, Tronick, Applegate & Shapiro, Slade, Fonagy, Allen, Daniel, Nelson, Lyons-Ruth, Bretherton, Siegel, and Chused will be assigned.

Course Syllabus: click here

Registration and Tuition Deadline deadline is January 7.  $25 Registration Fee is due at time of application.
Tuition: $315
$235 for students matriculated in the training programs 
$290 for graduate students and residents
Payment plans can be arranged with the Administrator
Matriculated students and faculty aren't charged a course registration fee.  Students who register for more than one course in a semester pay only one registration fee.  In special circumstances, we may accept registrations after the registration deadline, but there will be an additional $20 late registration fee.
Course Cancellation Policy

Register Here

Course Learning Objectives: 
This course is designed to help participants:


  1. Review the history of attachment theory beginning with the work of John Bowlby. 
  2. Describe the laboratory separation procedure-- the Strange Situation--originally developed by Mary Ainsworth that allowed researchers to delineate the core elements of both secure and insecure attachment organization (avoidant, ambivalent, and disorganized attachment) in young children.
  3. Explain the essential features of the Adult Attachment Interview (AAI) in which narrative patterns are indicative of secure and insecure attachment styles (dismissing, preoccupied, and unresolved trauma or loss/disorganized). Become familiar with methods to assess adult attachment style developed subsequent to the AAI.
  4. Identify the hallmarks of the avoidant/dismissing attachment style in adult patients.
  5. Explain what is meant by affect regulation and how this capacity is related to attachment.
  6. Identify the hallmarks of the ambivalent/preoccupied attachment in adult patients.
  7. Discuss the relationship between developmental trauma and insecure attachment styles.
  8. Identify the hallmarks of the disorganized attachment style (unresolved trauma or loss) in adult patients.
  9. Describe what is meant by earned secure attachment.
  10. Illustrate the difference between implicit and explicit memory. Review neurobiology relevant to attachment.
  11. Explain what is meant by the term mentalization and how this capacity is developed in childhood relationships and in psychotherapy.
  12. Discuss clinical material, including the interpretation of transference and resistance to engaging in the therapeutic relationship, through an attachment lens.
  13. Describe work with a "difficult to engage" patient from the clinician's practice through an attachment lens.

CE & CME Information

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of American Psychoanalytic Association and Psychoanalytic Center of the Carolinas. The American Psychoanalytic Association is accredited by the ACCME to provide continuing medical education for physicians.

The American Psychoanalytic Association designates this Live Activity for a maximum of 12 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
IMPORTANT DISCLOSURE INFORMATION FOR ALL LEARNERS: None of the planners and presenters of this CME program have any relevant financial relationships to disclose.

The Psychoanalytic Center of the Carolinas has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6518. Programs that do not qualify for NBCC credit are clearly identified. The Psychoanalytic Center of the Carolinas is solely responsible for all aspects of the program.


Contact: [email protected]