Attachment theory and its implications for psychotherapy with maltreated children

The implications of attachment theory for clinical work with maltreated children are examined with particular emphasis upon the therapeutic relationship. Psychological and behavioral problems related to an insecure attachment often emerge in the relationship between the child and therapist. The clinician can intervene in the context of the relationship to enable the child to modify negative and pessimistic beliefs and expectations of others and of the self. The article describes a number of therapeutic strategies, as well as other issues relevant to therapists who utilize this theoretical and clinical orientation in their work with this population. A focus upon the therapeutic relationship is just one component of an overall plan to help abused children remediate some of their significant problems.