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Siegel’s conceptualization

This emotional management is called affect regulation.The psychological fate of the infant (in attachmenr rerms, her security or the la& of it) dipends largely on the relative success or failure with which first relationships regulate the infant’s affects. From this angle, adaptive attachment srrategies can also be seen as srrategies of affect regulation that will shape the sef in fundamental and pervasive ways. The self of the developing child emerges as a function of these adaptive strategies and the specific feelings, thoughts, and actions for which the child’s first relationships of amachment can effectively make room. The expressions of the child’s self that evoke the attachment figure’s attuned responsiveness can be integrated, while those that evoke dismissing, unpredictable, or frightening re.sponses (or no responses at all) will be defensively excluded or distorted. what is integrated can then enjoy a healthy maturational trajectory; what is not tends to remain undeveloped. Attachment relationships are crucial to the process of integration.r The difficulties that bring patients to trearment usually involve unintegrated and undeveloped capacities to feel, think, and relate to others (and to themselves) in ways that “work.” with rhis in mind, Bowlby (19g5) characterized the psychotherapist’s task as follows: “our role is in sanctioning the patient to think thoughts that his parents have discouraged or forbidden him to think, to experience feelings his parents have discouraged or forbidden him to experience, and to consider actions his parents have forbidden him to contemplare” (p. 198). The role of the clinician is, in short, to facilitate integration and, thus, the resumption of healthy developmenr, srarring usually with emotional development