Attachment Repair in Couples Therapy: A Prototype for Treatment of Intimate Relationships

This paper describes a prototype for the treatment of intimate relationships that takes into account how to evaluate attachment styles in the couple relationship and in psychotherapy, and how to integrate this understanding into clinical practice. It is important for the couple's therapist to understand attachment, its neurobiological underpinnings, and its origins in early development. Secure attachment in an adult relationship may be challenged if one or both partners have experienced disruption of a primary attachment relationship. The goal of successful treatment is to restore the normative growth of intimacy, empathy, understanding, healthy dependency, and connection.