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Psychiatry & Psychotherapy Podcast cover image

Dr. Sue Johnson: Attunement, Attachment and the Development of Emotionally Focused Therapy

Psychiatry & Psychotherapy Podcast

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Navigating the Paradox of Connection and Fear

Disorganized attachment arises from a childhood experience where individuals perceive caregivers as both the source and solution to their fears, creating a confusing dynamic. This can lead to complex PTSD, where the desire for connection conflicts with the perception of threat. Individuals with disorganized attachment may actively seek closeness while simultaneously feeling terrified of it, resulting in a push-pull behavior. Recognizing this paradox is crucial for effective therapeutic work, as it can help reframe their responses and challenge labels like borderline personality disorder that may overlook the underlying attachment issues.

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