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| title | chunk | source | category | tags | date_saved | instance |
|---|---|---|---|---|---|---|
| Attachment therapy | 1/12 | https://en.wikipedia.org/wiki/Attachment_therapy | reference | science, encyclopedia | 2026-05-05T09:17:08.228014+00:00 | kb-cron |
Attachment therapy (also called "the Evergreen model", "holding time", "rage-reduction", "compression therapy", "rebirthing", "corrective attachment therapy", "coercive restraint therapy", and "holding therapy") is a pseudoscientific mental health intervention intended to treat attachment disorders in children. During the height of its popularity, the practice was found primarily in the United States; much of it was centered in about a dozen locations in Evergreen, Colorado, where Foster Cline, one of its founders, established a clinic in the 1970s. The practice has resulted in adverse outcomes for children, including at least six documented child fatalities. Since the 1990s, there have been a number of prosecutions for deaths or serious maltreatment of children at the hands of "holding therapists" or parents following their instructions. Two of the most well-known cases are those of Candace Newmaker in 2000 and the Gravelles in 2003. Following the associated publicity, some advocates of attachment therapy began to alter views and practices to be less potentially dangerous to children. This change may have been hastened by the publication of a task force report on the subject in January 2006, commissioned by the American Professional Society on the Abuse of Children (APSAC), which was largely critical of attachment therapy. In April 2007, ATTACH, an organization originally set up by attachment-based therapists, formally adopted a white paper stating its unequivocal opposition to the use of coercive practices in therapy and parenting, promoting instead newer techniques of attunement, sensitivity and regulation. Attachment therapy is primarily based on Robert Zaslow's rage-reduction therapy from the 1960s-1970s and on psychoanalytic theories about suppressed rage, catharsis, regression, breaking down of resistance and defence mechanisms. Zaslow and other early proponents such as Nikolas Tinbergen and Martha Welch used it as a treatment for autism, based on the now discredited belief that autism was the result of failures in the attachment relationship with the mother. This form of treatment differs significantly from attachment-based therapies, as well as talking psychotherapies such as attachment-based psychotherapy and relational psychoanalysis.
== Theory == Attachment therapy is a treatment used primarily with fostered or adopted children who have behavioral difficulties, including disobedience and perceived lack of gratitude or affection for their caregivers. The children's problems are ascribed to an inability to bond to their new parents, because of suppressed rage due to past maltreatment and abandonment. Attachment therapy involves a child being firmly held and/or lain upon by therapists or parents. Through this process of restraint and confrontation, therapists seek to produce in the child a range of responses such as rage and despair with the goal of achieving catharsis. In theory, when the child's resistance is overcome and the rage is released, the child is reduced to an infantile state in which he or she can be "re-parented" by methods such as cradling, rocking, bottle feeding and enforced eye contact. The aim is to promote bonding with the new caregivers. Control over the children is usually considered essential, and the therapy is often accompanied by parenting techniques which emphasize obedience. These accompanying parenting techniques are based on the belief that a properly bonded child should comply with parental demands in a manner "fast, snappy and right the first time" and should be "fun to be around". These techniques have been implicated in several child deaths and other harmful effects. This form of therapy, including diagnosis and accompanying parenting techniques, is not scientifically validated, nor is it considered to be part of mainstream psychology. The form described as "attachment therapy", despite its name, has theoretical foundations inconsistent with those of attachment theory and its guidance is incompatible with the norms of attachment-based therapy.
== Treatment characteristics == The controversy, as outlined in the 2006 American Professional Society on the Abuse of Children (APSAC) Task Force Report, has broadly centered around "holding therapy" and coercive, restraining, or aversive procedures. These include deep tissue massage, aversive tickling, punishments related to food and water intake, enforced eye contact, requiring children to submit totally to adult control over all their needs, barring normal social relationships outside the primary caretaker, encouraging children to regress to infant status, reparenting, attachment parenting, or techniques designed to provoke cathartic emotional discharge. Variants of these treatments have carried various labels that change frequently. They may be known as "rebirthing therapy", "compression therapy", "corrective attachment therapy", "the Evergreen model", "holding time", "rage-reduction therapy", or "prolonged parent-child embrace therapy". Some authors critical of this therapeutic approach have used the term Coercive Restraint Therapy. It is this form of treatment for attachment difficulties or disorders which is popularly known as "attachment therapy". Advocates for Children in Therapy, a group that campaigns against attachment therapy, give a list of therapies they state are attachment therapy by another name. They also provide a list of additional therapies used by attachment therapists which they consider to be unvalidated. Matthew Speltz of the University of Washington School of Medicine describes a typical treatment taken from The Center's material (apparently a replication of the program at the Attachment Center, Evergreen) as follows: