Using the Adult Exploration of Attachment Interview ( AEAI ) to Break the Cycle of Intergenerational Trauma: Illustrations from a Family Reunification Program

Mentalization has recently been identified as a major process in the origins, maintenance, and recovery from various mental disorders.

Treatment options are limited for families in which the child has severe and intractable disturbances of emotion and behavior, in which there is suspected or confirmed maltreatment by the mother, and in which the mother has her own history of childhood neglect and abuse. This paper proposes a model for understanding maltreatment in mother-child dyads, drawing upon the developmental psychopathology, behavior, and trauma literatures. At the core of this model is the hypothesis that a mother's maltreating behavior arises from unconscious attempts to experientially avoid the reemergence of an attachment-related dissociative part of the personality that contains the distress arising from her own early experiences of attachment relationships. The implications of this model for therapy are considered.