Clark Baim, Lydia Guthrie, Ezra Loh, Satbinder Kaur Bhogal

Attachment-based Practice with Children, Adolescents and Families: Understanding Strategies and Promoting Positive Change

Training pack

A practical guide to understanding and responding to troubled young people, building on attachment theory and a series of case studies to create a holistic, integrative, safe and effective approach to helping individuals and families.



Over recent decades, attachment theory has come to be seen as fundamental to understanding not only childhood development and how people survive and grow, but also the capacity of partners, parents and carers to offer safe and consistent care, particularly under difficult conditions. Attachment-based Practice with Children, Adolescents and Families integrates attachment theory with other key concepts to explore the ways in which we understand and respond to troubled young people. Drawing on psychiatry, psychotherapy, social work, clinical psychology, systemic therapy and multi-modal assessment and intervention, and combining theory, practical guidance and illustrated case studies, the authors present an attachment-based, integrative, biopsychosocial approach to working with individuals and families that is designed to promote improved outcomes for all involved.


CLARK BAIM is a psychotherapist, supervisor, group leader and consultant. He is President of the British Psychodrama Association, and is on the faculty of the Family Relations Institute. He is the lead author of Attachment-based Practice with Adults (Pavilion, 2011).

LYDIA GUTHRIE works as a systemic psychotherapist in an NHS Child and Adolescent Mental Health service. She is a former Social Worker and Probation Officer, and works as a trainer, supervisor and group facilitator.

EZRA LOH is a Consultant Psychiatrist in Child, Adolescent and Adult Mental Health, with a special interest in attachment and psychotherapy across the lifespan.

SATBINDER KAUR BHOGAL is a Clinical Psychologist, and Clinical Lead for the Personality and Complex Trauma (PACT) Pathway with Forward Thinking Birmingham.


Publisher: Pavilion Publishing and Media Ltd

Publication Date: End of May 2022

ISBN: 9781803880655


Table of Contents

Foreword by Professor Panos Vostanis

PART ONE: Introducing attachment theory and the integrative approach

Introduction and how to use this guide

  1. Introducing attachment theory;
  2. The three basic patterns;
  3. The Dynamic-Maturational Model (DMM) of Attachment and Adaptation;
  4. The integrative, bio-psycho-social approach

PART TWO: Principles, guidelines and tools for assessment, formulation, planning and treatment

  1. Ten principles for attachment-based practice;
  2. Essential planning and preparation;
  3. The goal of treatment;
  4. The LEARN model, and purposeful adaptation of treatment

PART THREE: The case studies

1. Amelie and Charlie (1): Trying to love through depression and trauma; 2. Lucas (14): Changing sexual behaviour; 3. Jacob (8): Adoption breakdown; 4. Azim (14): Seeking safety in a new country; 5. Suchita (22): In search of independence; 6. Rob (20): Strong feelings in autism; 7. Jessica (14): On the edge and in need of guardian; 8. Gretchen (7): In search of safety, family and belonging; 9. Asha (16): Complex trauma and unresolved grief; 10. Marie and Evelyn (2): A mother and daughter trying to connect; 11. Beth (15): Struggling to understand sexual feelings; 12. Calum (20): Leaving care, entering adulthood and becoming a new parent.


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