ABSTRACT
This chapter presents some clinical material from an attachment perspective. It proposes to work in general psychiatric settings. The relationship between borderline patients and psychiatric services are frequently problematic. The patient shows severe personality disorder insecure patterns of attachment on the adult attachment interview (AAI). Borderline patient knows a secure-making attachment experience is available needed similarly and paradoxically reduce the length of stay in hospital. The attachment concept of 'avoidance' helps to formulate the patient's difficulty. The avoidant person to walk a tightrope between fear of intimacy and fear of aloneness, anger is often a pardoxical attempt to stay in touch with the object without destroying. Oliver shows disorganized features account of a situation hard to follow, and it appearance an internal 'psychotic' logic in mind at variance with the external sequence of events. The capacity for acute and sensitive listening is a crucial ingredient of successful psychotherapy.
