Course Type

Attachment and Psychopathology (A&P)

Duration: 3 days

Overview

This 3-day course focuses on the development, prevention, and treatment of psychological disorder. It weaves together theory, human development, assessment, case examples, and treatment applications to reframe maladaptive behavior in terms of strategies for self-protection. The course focuses on development from infancy to adulthood, emphasizing the process of adaptation and developmental pathways that carry risk for psychopathology. The model used, the Dynamic-Maturational Model (DMM) of Attachment and Adaptation. The DMM is an expansion of the Bowlby-Ainsworth model to ages beyond infancy. The DMM is relevant to individuals who are at-risk, have been exposed to danger, display disturbed or maladaptive behavior, or are diagnosed as having a psychiatric disorder.

The DMM describes an array of self-protective attachment strategies that develop from infancy to adulthood (including old age). The course emphasizes the process of adaptation and those developmental pathways that carry risk for psychopathology. At each age, the approaches to prevention and treatment are considered. The DMM differs from the ABC+D (plus “disorganization”) model of attachment by (1) focusing on differences within the risk group, (2) highlighting a strengths approach to working with parents and children at risk, and (3) presuming that maturation and development increase individuals’ potential for adaptation.

A particular emphasis is cultural influences on attachment and the distribution of individual differences in protective attachment strategies.

Readings from Raising Parents: Attachment, Representation, and Treatment accompany each day’s lecture and video. Each participant will receive a copy of Raising Parents.

With additional assignments, the course may be applied to the DMM-informed Mental Health Practitioner Certificate. For further information, contact Dr. Andrea Landini, Director FRI (andrealandini@mac.com).

The course is appropriate for: psychology, social work, counseling, medical professions (nursing, psychiatry, pediatrics, occupational therapy, etc.), and early education.

The course is structured developmentally and consists of lecture with slides, videotapes, and interview transcripts to demonstrate the patterns and principles of development. With the readings, it offers a sound overview of development and an introduction to diagnostic procedures, family formulation, and treatment principles.

Each day includes:

  • a developmental overview
  • information processing as it affects self- and child-protective behavior
  • description of new self-protective strategies that develop at the age level
  • an application of DMM ideas to generate a novel approach to disorder
  • treatment strategies drawn from all the major theories of treatment and selected on the basis of information processing and strategy

An introduction is given to the DMM assessments of attachment:

  • CARE-Index (infancy from birth to 24 months)
  • Ainsworth Strange Situation (SSP, 11-15 months)
  • Toddler CARE-Index (15-36 months)
  • Preschool Assessment of Attachment (PAA, 2 – 5 years)
  • School-age Assessment of Attachment (SAA, 6-13 years)
  • Transition to Adulthood Attachment Interview (TAAI, 16-25 years)
  • Adult Attachment Interview (AAI, 25 years and older)
  • Parents Interview

Text

  • Crittenden, P. M. (2015). Raising parents: Attachment, representation, and treatment, 2nd edition. London: Routledge.
  • The A & P is part of the DMM-informed Mental Health Practitioner Certificate and prerequisite to all assessment courses, e.g., the Adult Attachment Interview.

Text

Crittenden, P. M. (2015). Raising parents: Attachment, representation, and treatment, 2nd edition. London: Routledge.

The A & P is part of the DMM-informed Mental Health Practitioner Certificate and prerequisite to all assessment courses, e.g., the Adult Attachment Interview.

Approximate Daily Schedule

Actual times may vary depending upon delegates’ input

Day 1

AM
  • Overview of the principles and clinical applications of the DMM
  • The transition to Adulthood (best time for prevention)
  • Dangerous gaps in services & preventive opportunities
PM
  • Infancy & parental protection
  • CARE-Index videos
  • Child abuse and neglect

Day 2

AM
  • The Ainsworth patterns of attachment
  • Disorders versus diseases
  • Mothers’ post-natal depression & adult psychoses
PM
  • Preschool development and the dynamic-maturational model
  • The coercive and compulsive self-protective strategies
  • Preschool videos

Day 3

AM
  • School-age: Peers, obsessive & deceptive strategies
  • The School-age Assessment of Attachment & discourse analysis
  • Conduct problems & children’s psychotic intrusions
PM
  • Adolescence: Integrating sexuality with attachment
  • Sexual disorders and sexual offending
  • Transition to Adulthood Attachment Interview

Summary and Overview

New skills to be learned

  • Perceiving discrepant behavior: seeing commonly overlooked clues to trouble
  • Identifying false positive affect: uncovering hidden problems in their early stages
  • Differentiating symptoms & self-protective strategies: specifying how symptoms function
  • Using functional formulations: moving beyond diagnoses to understanding behavior
  • Treatment planning: choosing treatment strategies to
  • increase efficiency
  • lower cost
  • reduce risk of iatrogenic harm

Take-away Tools

  • Level of Family Functioning Scale
  • Gradient of Intervention Scale

Downloadable materials

  • Daily text of slides (with registration only)
  • Color models of strategies
  • Numerous published papers

Language: this course is offered in English with English materials. A corresponding course is available in Italian with Italian materials and in Chinese with Chinese materials. The course is being developed in Spanish. Courses in successive translation necessarily take longer or cover less material.