Using Narrative and Attachment Theory in Systemic Family Therapy with Eating Disorders

Abstract

This article proposes that recent developments in attachment theory, especially the move towards the study of representations, offer some helpful new directions for systemic family therapy. Some of the findings of a close association between early attachment experiences and the coherence of the corresponding narratives are reviewed. It is suggested that this offers a useful link for systemic approaches in showing how early interactions in families promote, not only particular emotional attachment patterns, but also shape the content and style of the narratives that are formed. These implications are then explored in the context of work with anorexia nervosa. It is suggested that commonly observed patterns, such as avoidance of conflict and apparent difficulties in discussing relationships and feelings, is consistent with trans-generational experiences of insecure/dismissive attachments. Some implications for systemic therapy with families are outlined and an illustrative case study is offered.