Emily Tate Addiction and Attachment: Mental Health Clinicians’ Use of Attachment Theory in the Treatment of Substance Use Disorders

This study explores mental health clinicians’ use of attachment theory in the treatment of substance use disorders (SUDs). There are many quantitative studies that show a correlation between substance use and insecure attachment style, yet there is little research that looks at whether or how mental health clinicians are using attachment theory in treatment or the possible benefits and limitations of its use. This is a qualitative study that sampled ten mental health clinicians to see if and how attachment theory is used in treating SUDs. It also explored the benefits and limitations of using attachment theory in the treatment of SUDs. Participants’ responses reveal that all participants held a general understanding of attachment theory and all except one participant did not deliberately consider attachment theory in the treatment process. However, all participants spoke to considering attachment-style in the treatment process. Evidenced-Based Practices (EBPs) were cited as one of the most common treatment approaches. Overall, attachment theory shows a utility in treatment, however, it should be used in conjunction with other treatment approaches and models as the study also shows its limitations for use. Also, the study reveals the need for future studies to look at treatment outcomes of the use of attachment theory in the treatment of SUDs. ADDICTION AND ATTACHMENT: MENTAL HEALTH CLINICIANS’ USE OF ATTACHMENT THEORY IN THE TREATMENT OF SUBSTANCE USE DISORDERS A project based upon an independent investigation submitted in partial fulfillment of the requirements for the degree of Master of Social Work. Emily Tate Smith College School For Social Work Northampton, Massachusetts 01063 2013