In this article, we examine how the different attachment patterns enable or hinder the resolution of ruptures in the therapeutic alliance. We try to show that secure and insecure patients alike may experience ruptures in the therapeutic alliance, but that their ability to participate in resolving such ruptures differ markedly. Recent findings with the Patient Attachment Coding System (PACS) show that attachment classifications manifest in psychotherapy as distinct ways of communicating about present internal experience. Secure patients disclose their present experience openly and invite attunement from the therapist, while insecure patients either minimize their contributions to the dialogue (avoidant) or the contributions of the therapist (preoccupied). Using examples from session transcripts, we demonstrate how secure patients are particularly responsive to resolution strategies that focus on here-and-now experience, while insecure patients’ characteristic ways of communicating pose significant challenges to the resolution process.

中文翻译：

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从附件知情的角度解决联盟破裂问题。

在本文中，我们研究了不同的依恋模式如何促成或阻碍治疗联盟破裂的解决。我们试图证明安全和不安全的患者都可能在治疗联盟中经历破裂，但他们参与解决此类破裂的能力明显不同。患者依恋编码系统 (PACS) 的最新研究结果表明，依恋分类在心理治疗中表现为不同的交流当前内部体验的方式。安全的患者公开披露他们目前的经历并邀请治疗师进行协调，而不安全的患者要么尽量减少他们对对话的贡献（回避）或治疗师的贡献（全神贯注）。使用会话记录中的示例，