Consistency consistency concistency. How can the attachment ever be helpful if the therapist is unpredictable? Having had an unpredictable therapist and now a very consistent therapist, I can safely say that has been the key different for me in working on attachment issues.

As for ruptures, in my therapy it's all about my therapist's willingness to own his mistakes, our mutual respect and trust and working to solve it collaboratively. He cares about understanding me, so when he doesn't, and rupture occurs, we work together to get back on the same page.