Relational Guidance on Therapist Responsiveness to Client Attachment in Individual and Couples Therapy for Recurrent Pregnancy Loss and Infertility

Abstract

Abstract In this chapter, clinical markers for identifying more anxious or avoidant clients affected by recurrent pregnancy loss and infertility are suggested. Then, based on theory and research, guidance on how therapists should adjust their relational style and approach to facilitate a secure-base experience with avoidant and anxious clients is discussed and demonstrated within a hypothetical couple session vignette. The relational guidance offered in this chapter is believed to be relevant to therapy for pregnancy loss in general but is explored within the context of recurrent pregnancy loss and infertility specifically. These adverse reproductive events represent a series of ongoing stressful life experiences that often overwhelm a client’s typical way of coping, triggering the attachment system to seek support and comfort from others. The triggering of internal working models provides an opportunity to rewire the attachment system. This chapter concludes by exploring challenges to therapist responsiveness to client attachment and suggesting clinical implications.