The Role of Brief Therapy in Attachment Disorders

215 Pages·2010·3.08 MB·English

by  Lisa Wake

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The Role of Brief Therapy in Attachment Disorders provides a comprehensive summary of the
range of approaches that exist within the brief therapy world, including Cognitive Analytic a
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Therapy, Cognitive Behavioural Therapy, Eye Movement Desensitisation and Reprocessing,
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Ericksonian Therapy, Neurolinguistic Psychotherapy, Provocative Therapy, Rational Emotive
THE ROLE OF BRIEF
Behaviour Therapy, and Self Relations Therapy. Historically, many of the founders of these
therapies commenced their psychotherapy careers as psychodynamic or systemic therapists,
and switched their allegiance to briefer therapies, viewing these as more respectful and THERAPY IN
offering greater potential for assisting the client to change through an outcome oriented
approach.
ATTACHMENT DISORDERS
Most of these brief therapies operate from a principle of reframing the subjective reality of the
client and providing a focus on the future as an effective way of engendering change. The
therapies are discussed in the light of emerging theories of neuroscience and direct links are T
made to attachment disorder and the underpinning theory of object relations. A series of case H
studies bring these theoretical concepts into life and challenges the notion that attachment E
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disorders can only be addressed through a prolonged psychodynamic relationship with
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the client. The book considers the potential for neurological repair, growth and ongoing TO
development of the individual through the work of Schore, Gerhardt and Hart amongst others. A
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This opportunity for repair is then linked to the latest theories on attachment disorders, and the CE
role of the therapist in creating the optimum environment for change is considered. H
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Lisa Wake is a highly experienced and well respected psychotherapist, trainer, coach,
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facilitator and change management consultant. She has an MSc in Advanced Clinical Practice
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focusing on the applied psychology of NLP. As former Chair and Vice Chair of the United
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Kingdom Council for Psychotherapy (UKCP), Lisa has long been a proponent of the effectiveness DE
of brief therapy and has actively campaigned for rigour of standards, ethics and research in IF
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psychotherapy. OT
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The United Kingdom Council for Psychotherapy (UKCP) promotes the art and
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science of psychotherapy and psychotherapeutic counselling for the public N
benefit. It is a membership organisation and holds a national register of
Lisa Wake
psychotherapists and psychotherapeutic counsellors, listing those practitioner members who meet exacting
standards and training requirements. It has training and accrediting organisational members covering all
the main traditions of psychotherapy. UKCP promotes research and high standards of education, training with contributions and Foreword by Betty Alice Erickson
and practice, as well as the wider provision of psychotherapy and psychotherapeutic counselling for all
sections of the public.
KARNAC BOOKS
118 FINCHLEY ROAD
LONDON
NW3 5HT Combining Excellence in
www.karnacbooks.com Psychotherapy and Counselling
Please insert: Isbn 978 1 85575 697 7
CHAPTERTITLE I
THE ROLE OF BRIEF THERAPY
IN ATTACHMENT DISORDERS
Other titles in the UKCP Series:
What is Psychotherapeutic Research?
Del Loewenthal
Diversity, Discipline and Devotion in Psychoanalytic Psychotherapy:
Clinical and Training Perspectives
Gertrud Mander
Shakespeare on the Couch
Michael Jacobs
Dialogue and Desire: Mikhail Bakhtin and the Linguistic Turn
in Psychotherapy
Rachel Pollard
Our Desire of Unrest: Thinking About Therapy
Michael Jacobs
Not Just Talking: Conversational Analysis, Harvey Sacks'
Gift to Therapy
Jean Pain
The Muse as Therapist: A New Paradigm for Psychotherapy
Heward Wilkinson
The Emergent Self: An Existential–Gestalt Approach
Peter Philippson
Psychosis in the Family: The Journey of a Psychotherapist and Mother
Janet C. Love
Hidden Twins: What Adult Opposite Sex Twins Have To Teach Us
Olivia Lousada
Child-Centred Attachment Therapy: the CcAT Programme
Alexandra Maeja Raicar
The 3-Point Therapist
Hilary A. Davies
The Use of Psychoanalytic Concepts in Therapy with Families:
For All Professionals Working with Families
Hilary Davies
Love: Bondage or Li beration: A Psychological Exploration of the Meaning,
Values, and Dangers of Falling in Love
Deirdre Johnson
THE ROLE OF BRIEF
THERAPY IN
ATTACHMENT
DISORDERS
Lisa Wake
On behalf of the United Kingdom Council
for Psychotherapy
with contributions and Foreword by Betty Alice Erickson
First published in 2010 by
Karnac Books Ltd
118 Finchley Road, London NW3 5HT
Copyright © 2010 Lisa Wake
The right of Lisa Wake to be identified as the author of this work has been
asserted in accordance with §§ 77 and 78 of the Copyright Design and
Patents Act 1988.
All rights reserved. No part of this publication may be reproduced, stored
in a retrieval system, or transmitted, in any form or by any means,
electronic, mechanical, photocopying, recording, or otherwise, without the
prior written permission of the publisher.
British Library Cataloguing in Publication Data
A C.I.P. for this book is available from the British Library
ISBN: 978 1 85575 697 7
Edited, designed and produced by The Studio Publishing Services Ltd
www.publishingservicesuk.co.uk
e-mail: [email protected]
Printed in Great Britain
www.karnacbooks.com
CONTENTS
ACKNOWLEDGEMENTS vii
ABOUT THE AUTHOR ix
FOREWORD xiii
CHAPTER ONE
The purpose of the book 1
CHAPTER TWO

The inner world of the client through the brief 29
therapies
CHAPTER THREE
Attachment theory and recent developments in 71
neuroscience
CHAPTER FOUR
Creating potential for repair and growth in the brief 87
therapies
With contributions from Betty Alice Erickson
v
vi CONTENTS
CHAPTER FIVE
Outcome orientation as a model of psychotherapy 113
CHAPTER SIX
The therapist’s role in brief therapy 139
CHAPTER SEVEN
Conclusions 161
REFERENCES 171
INDEX 189
ACKNOWLEDGEMENTS
I am grateful to my clients, students, teachers and peers for their
feedback and contributions to this work. All client case material is
anonymous to maintain the confidentiality of their work and is
printed with full permission of the client.
Specific acknowledgements are paid to:
Betty Alice Erickson, whose contribution, feedback, and Fore-
word has enabled me to make a greater connection to the work of
her father, Milton Erickson. Erickson has long been of influence in
my work and it ha s been an honour to work so closely with Betty
Alice as my thinking has developed.
Steve Gilligan, for his willingness to critique my understanding
of his work and permission to include this.
The Association for Cognitive and Analytic Therapy: colleagues
who have responded in a timely manner to my requests for in-
formation and who have been very open in enabling me to include
elements of research from a therapy that I have little knowledge
of. Their holistic approach to their work with clients with a his-
tory of borderline processes can only bring a much-needed dimen-
sion to the role of the therapeutic relationship within complex
processes.
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viii ACKNOWLEDGEMENTS
Nick Kemp and his “non-provocative” critique of my under-
standing of Frank Farrelly’s work in provocative therapy.
Harvey Ratner at BRIEF for his enduring persistence in ensur-
ing that I fully represented solution focused brief therapy in an
appropriate and respectful way. Also to Mike Roarty, who helped
me put aside my own model and prejudices and begin to gain
greater understanding of SFBT.
Therapists Franca Mongiardi, Mark Wake, and Ann Hunter for
painstakingly critiquing and editing my work as it progressed.
Pippa Weitz at Karnac for holding the space while I moved
through my own process of doubt.
Finally, and most importantly, to my clients, who have taken a
significant step in their own lives and who have honestly and
earnestly considered the inclusion of their work and process in this
book. I have learnt much from working with each of you.
ABOUT THE AUTHOR
Lisa is a highly experienced and well respected psychotherapist,
trainer, coach, facilitator, and change management consultant.
After starting her career in National Health Service (NHS) clini-
cal practice as a nurse, Lisa moved into NHS management in 1992,
where she was employed as a senior manager until she left to com-
mence her own shared business in 1997. Using neurolinguistic pro-
gramming (NLP) as a launch pad, Lisa has developed extensive
experience as a coach, facilitator, change agent, trainer, supervisor,
and mentor. Now a Master Trainer of NLP, Lisa is accredited by the
UK Council for Psychotherapy as a neurolinguistic psychothera-
pist. She has a BSc (Hons) in Professional Studies in Health Care
and a MSc in Advanced Clinical Practice, and has undertaken a
range of further career-associated trainings.
As a psychotherapist, Lisa has served as both Chair and Vice
Chair of the UKCP, working closely with the government on the
statutory regulation of psychology, psychotherapy, and counselling,
and has long been a proponent of the effectiveness of brief therapy.
She has actively campaigned for rigour of standards, ethics, and
research in psychotherapy, and has contributed to the neurolin-
guistic psychotherapy field with the publication of her ground-
ix