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The Object Relations Lens
Some psychoanalytic models focus on \"how\" and \"when\" particular events may have shaped an individual's emotional and behavioral trajectories in life. In a field as accelerated as psychiatry, it's tempting to use this information to rush to a diagnosis.
The object relations model, as clearly outlined in this compelling volume from Dr. Christopher Miller, offers an attractive alternative: it emphasizes how a patient's early development has informed interpersonal relationship templates and how these play out in the here-and-now of the clinical encounter.
As accessible to the trainee as it is relevant to the experienced clinician, this guide describes how leaning into the therapist-patient dyad (including transference-countertransference dynamics) provides a fertile ground for learning about the patient's past more vividly.
Among the book's standout features are:
• Clinical vignettes that richly illustrate object relations theory as applied within therapy sessions as well as in acute care settings• Experience-near guidance on assimilating the concepts in academic settings, best practices for utilizing supervision, and extensive literature recommendations• Discussions of other theoretical approaches (e.g., attachment theory), as well as a dedicated chapter on a neuroscientific model of object relations, demonstrating how this psychodynamic framework can be harmonized within psychiatric theory and practice• A chapter focused on termination, including advice for inviting the patient into the decision-making process
With its mix of theory, practical advice, and illustrative clinical material, The Object Relations Lens is an indispensable resource for any clinician hoping to gain further knowledge of object relations thought and how this perspective can be eminently useful when conceptualizing and working with patients.
eBook
An online experimental test of the compensatory process in hoarding disorder: reducing loneliness and its effects on object attachment
Attachment theory suggests that strong object attachment in hoarding disorder (HD) may be due to an attempt at compensating for unmet relatedness needs. We tested this compensatory process with an online experiment and hypothesized that reducing loneliness among participants with high hoarding symptoms would result in lower object attachment, and that change in loneliness would mediate the impact of an online loneliness intervention on object attachment. A pretest-posttest control group design was used. Participants were 298 MTurk workers pre-screened for high hoarding symptoms recruited via cloudresearch.com. At Time 1, participants completed measures of hoarding severity, loneliness, and four aspects of object attachment: overall object attachment to possessions, insecure object attachment, attachment to an old cherished item, and attachment to a novel item. We randomly assigned participants to either a loneliness intervention (
n
= 142) or an active control (a health education program;
n
= 156). All participants completed follow-up questionnaires after two weeks. We conducted ANCOVAs to assess for group differences at Time 2 whilst controlling for Time 1 variables. Results showed small but significant improvements in loneliness, thwarted belongingness, and object attachment for the novel item for participants who received the loneliness intervention relative to control participants. Mediational analyses revealed that the change in loneliness mediated the effect of the intervention on insecure object attachment. Consistent with attachment theory, these results indicate that reducing loneliness might lead to lower object attachment in hoarding disorder. Trials with clinical participants using more intensive loneliness interventions are warranted.
Journal Article
Love, Fear, and Health
Can the way in which we relate to others seriously affect our health? Can understanding those attachments help health care providers treat us better? In Love, Fear, and Health , psychiatrists Robert Maunder and Jonathan Hunter draw on evidence from neuroscience, stress physiology, social psychology, and evolutionary biology to explain how understanding attachment – the ways in which people seek security in their close relationships – can transform patient outcomes.
Using attachment theory, Maunder and Hunter provide a practical, clinically focused introduction to the influence of attachment styles on an individual’s risk of disease and the effectiveness of their interactions with health care providers. Drawing on more than fifty years of combined experience as health care providers, teachers, and researchers, they explain in clear language how health care workers in all disciplines can use this knowledge to meet their patients’ needs better and to improve their health.
eBook
Object attachment and emotions in hoarding disorder
Object attachment is a core feature of hoarding disorder (HD), but it also occurs in people without HD. It is therefore critical to clarify differences between normal and abnormal object attachment. Although previous studies show that HD is associated with high emotional reactivity, no study to date has examined the nature and intensity of discrete emotions in people with and without HD in relation to object attachment.
Individuals with HD (n = 93) and matched controls (n = 93) were recruited via MTurk. They identified and described a possession of low monetary value that they were emotionally attached to and found difficult to discard. Participants rated their object attachment and the intensity of emotions when imagining being with the object (Scenario A) and irretrievably losing the same object (Scenario B).
Unexpectedly, there were no significant between-group differences on object attachment; however, the HD group experienced more incongruent emotions about their possessions; they reported significantly higher disgust, anxiety and anger than controls when they imagined being with their chosen object (Scenario A) and were more relaxed compared to controls when the object was lost (Scenario B). There were no significant differences between groups on congruent emotions (i.e., positive emotions in Scenario A or negative emotions in Scenario B).
People with and without HD experience similar emotional attachment for sentimental items but people with HD experience more mixed emotions, consistent with an insecure object attachment.
•Hoarding disorder (HD) is characterized by emotional attachments to objects.•People without HD also experience object attachment.•People with HD have more negative emotions for their possessions than controls.•People with HD feel more relaxed when losing a valued possession than controls.•Results are consistent with the presence of insecure object attachment in HD.
Journal Article
The Role of Brief Therapy in Attachment Disorders
The Role of Brief Therapy in Attachment Disorders provides a comprehensive summary of the range of approaches that exist within the brief therapy world, including Cognitive Analytic Therapy, Cognitive Behavioural Therapy, Eye Movement Desensitisation and Reprocessing, Ericksonian Therapy, Neurolinguistic Psychotherapy, Provocative Therapy, Rational Emotive Behaviour Therapy, and Self Relations Therapy. Historically, many of the founders of these therapies commenced their psychotherapy careers as psychodynamic or systemic therapists, and switched their allegiance to briefer therapies, viewing these as more respectful and offering greater potential for assisting the client to change through an outcome oriented approach.
eBook