Treating Attachment Abuse Steven Stosny, PhD, Director of the Community Outreach Service, which serves clients in and around Washington, DC, received his doctorate in clini- cal social work from the Univer- sity of Maryland at Baltimore. He has treated more than 600 perpetrators and victims of var- ious forms of attachment abuse and is the author of books, ar- ticles, and chapters about vari- ous forms of abuse. During the past 5 years Dr. Stosny has developed the Compassion Workshop, and has worked with a highly varied population of abusers and victims. His passion about attachment abuse grew from his childhood experience in a violent home. Jratfmg Attachment Abuse A Compassionate Approach Steven Stosny, PHD SPRINGER PUBLISHING COMPANY Copyright © 1995 by Springer Publishing Company, Inc. 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 permission of Springer Publishing Company, Inc. Springer Publishing Company, Inc. 11 West 42nd Street New York, NY 10036 Cover design by Tom Yabut Production Editor: Pam Lankas Library of Congress Cataloging-in-Publication Data Stosny, Steven. Treating attachment abuse : a compassionate approach / Steven Stosny. p. cm. Includes bibliographical reference and index. ISBN 0-8261-8960-1 1. Psychological abuse. 2. Attachment behavior. 3. Caring. I. Title. RC569.5.P75S76 1995 616.85'82—dc20 95-7295 CIP Printed in the United States of America To my mother, from whose suffering this treatment was born This page intentionally left blank Contents Introduction ix Part I The Role of Attachment in Abuse 1 Beginnings: Self-Building, Abuse, and Treatment 3 2 The Experience of Attachment 13 3 Attachment Abuse: Why We Hurt the Ones We Love 30 4 Pathways to Abuse: Deficits in Attachment Skills and Affect Regulation 42 5 A New Response for Clinicians in the Prevention of Emotional Abuse and Violence 63 6 Compassion and Therapeutic Morality 77 Part II Treating Attachment Abuse 7 The Compassion Workshop, Module One: Healing 91 8 The Compassion Workshop, Module Two: Dramatic Compassion 139 uu um Contents 9 The Compassion Workshop, Module Three: Self-Empowerment; Module Four: Empowerment of Loved Ones 165 10 The Compassion Workshop, Module Five: Negotiating Attachment Relationships; Module Six: Moving Toward the Future 200 Epilogue 238 References 241 Appendix A. Pilot Evaluation oj the Compassion Workshop 261 Appendix B. The Attachment Compassion Scale 279 Index 281 Introduction The treatment described in these pages offers a systematic approach to an often underestimated reason that people seek the help of clinicians. Nearly everyone who goes into counsel- ing, for whatever reason, does so in the throes of failed self- compassion. Such failure, prominent in symptom-forma- tion, eventually depletes compassion for others, as it disables natural self-healing and self-nurturing capacities, in effect, suppressing the immune system of the psyche and rendering self-regulation arduous and painful. COMPASSION AND SELF-BUILDING As the salient attachment emotion, compassion plays a key role in the self-building function of the innate attachment drive. "Self-building" refers to the unique power of interac- tions among attachment figures to build an individual's sense of self, particularly personal value as an attachment figure: whether one is worthy of love and whether one's love is worthy of others. Obviously, the stakes of self-building loom high, with emotional rewards among the greatest of hu- man experience: love and secure attachment. These, in turn, stimulate deeper self-compassion, in a kind of happy feed- back loop, depicted in Figure I.I. DC
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