AttachmentBased

AttachmentBased refers to a family of therapeutic approaches rooted in attachment theory that focus on the quality of caregiver–child relationships as a central determinant of emotional and behavioral development. It is not a single protocol but a family of practices aimed at promoting secure attachment and healthy relational patterns.

Core principles include creating a secure base for the child, improving caregiver sensitivity and responsiveness, and repairing relational ruptures. Interventions emphasize caregiver reflective functioning, helping adults interpret and calmly respond to a child’s emotions rather than reacting defensively.

Applications span child and adolescent mental health, family therapy, foster care and adoption services, and school-based programs. Providers may deliver direct family therapy, parent coaching, or integrated supports that emphasize consistent routines and predictable caregiving contexts.

Common methods involve assessing attachment functioning, coaching parents in emotion labeling and soothing, guiding collaborative problem-solving, and conducting structured repair conversations after disagreements. Programs often include psychoeducation about attachment, behavioral regulation strategies, and ongoing monitoring of progress.

Evidence for AttachmentBased approaches shows promise in improving caregiver sensitivity and child attachment security, though results vary by setting and program. Critics note methodological variability, cultural factors, and the need for more rigorous, long-term studies.

See also: Attachment theory, Attachment-based therapy, Attachment-Based Family Therapy, reflective functioning.