Tailoring Treatment to Attachment Patterns: Karen Pando-Mars
Mar 4, 2025
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Karen Pando-Mars, a Licensed MFT and founder of the Sandtray Network, shares her expertise on attachment theory in therapy. She delves into the transformative power of poetry in addressing trauma and emphasizes client empowerment. The nuances of sensitivity and responsiveness in caregiving are explored, as well as the complex interplay of attachment patterns and adult relationships. Karen provides practical strategies for therapists to cater to different attachment styles, highlighting the importance of recognizing emotions in both children and adults.
Karen Pando-Mars emphasizes the significance of integrating both attachment and trauma in therapeutic practices for effective client healing.
The podcast introduces AEDP as a therapeutic model that focuses on clients' emotions, resilience, and the transformative process during therapy.
Deep dives
Karen Pando-Mars's Journey into Attachment Theory
Karen Pando-Mars shares her personal journey into the field of attachment theory, which was shaped by a traumatic experience in her early life when her mother suffered a near-fatal accident. At age 14, the fear of losing her mother triggered profound feelings of abandonment that were compounded by a lack of emotional support during that critical time. This early experience led her to explore the relationship between trauma and attachment, motivating her to pursue psychology and ultimately specialize in attachment theory. By connecting her past trauma with her professional development, she emphasizes the importance of understanding how personal experiences influence therapeutic practices.
The Interplay of Attachment and Trauma
The podcast delves into the complex relationship between attachment and trauma, highlighting how individuals can be left to process overwhelming experiences alone, which can result in psychopathology. Karen explains that many practitioners tend to focus either on attachment issues or trauma alone, potentially overlooking the interaction between the two. By recognizing that experiences of being left alone with significant trauma can manifest differently within attachment relationships, therapists can better understand their clients' behaviors and emotional responses. This holistic view underscores the need for a comprehensive approach that integrates both trauma and attachment theory in treatment.
The discussion introduces Accelerated Experiential Dynamic Psychotherapy (AEDP), a therapeutic model developed by Diana Fosshage that emphasizes the importance of emotions, relationships, and transformation in healing. This approach allows practitioners to focus not only on clients' presenting problems but also on their resilience and capacity for growth, which are seen as integral parts of the healing process. Through the use of a structured map of change, therapists can help clients navigate their traumas and emotional experiences while fostering motivation to transform. This framework shifts the focus from viewing clients solely through their suffering to recognizing their inherent strengths, promoting a more empowering therapeutic relationship.
Tailoring Interventions to Attachment Patterns
Karen discusses her upcoming book, which aims to provide clinicians with clear guidance on how to tailor their interventions according to clients' attachment patterns. By establishing grids that categorize various attachment styles and their corresponding behaviors, the book offers practical strategies for addressing each client's needs. This organized approach helps therapists identify clients' emotional states, attachment behaviors, and the most effective interventions for promoting healing. The emphasis on adapting therapy to the individual patterns of clients is seen as crucial for fostering secure attachment relationships in therapeutic settings.
This week, Kirsty speaks with Karen Pando-Mars, MFT, founder of the Sandtray Network, Senior Faculty at the AEDP Institute, about her new book, co-authored by Diana Fosha, "Tailoring Treatment to Attachment Patterns."