Trauma group therapy: the role of attachment and therapeutic alliance

Attachment has increasingly been identified as central to therapy process and outcome. Attachment theory proposes that an individual's prior interactions with attachment figures develop into templates that will guide the way they form connections and perceive their relationships with others. This study examined clients' ratings of their relationship with the therapist as well as their ratings of group climate at multiple discrete points during treatment. These variables were examined in relation to attachment classification prior to therapy. Participants were 62 women attending the Women Recovering from Abuse Program (WRAP), a primarily group-based day-treatment program for childhood interpersonal trauma, at Women's College Hospital in Toronto, Ontario, Canada. Results demonstrated that clients' perceptions of relationships in group therapy varied as a function of attachment classification.