Abstract
Cognitive Analytic Therapy (CAT) makes scant reference to Attachment Theory, despite many similarities. It is argued that the theoretical basis of CAT is not yet fully integrated, and that current attachment theory can contribute to CAT's thinking about motivation, the origin of procedures, the therapeutic relationship and abusive relationships. Attachment theory should influence CAT theory regarding developmental issues and reactions to loss; some suggestions are made for improved CAT practice. The ambiguous concept of ‘core’ in CAT is also clarified in terms of unassuaged attachment needs, with a distinction being made between ‘core pain’ and ‘core states’. Finally, consideration is given to a developmental research tool, the Adult Attachment Interview, as a means of determining different types of ‘defensive exclusion’ of information in psychopathology. There are preliminary indications that patients with predominantly dismissing or preoccupied attachment strategies might require somewhat different therapeutic processes in CAT. Copyright © 1999 John Wiley & Sons, Ltd.
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