I wonder if it depends on the severity of the original attachment issue. I agree that consistency and reliability is the key, also more 'holding', in the form of additional contact or sessions. This would work in theory but I'm not convinced it's possible in reality. I keep talking about this with my T. Every time there's a break, inconsistency or even lack of attunement, it's back to square one. I get reminded about my past and my developed reactions to disappointment, I get reminded that he is 'human' after all but I also feel as though I am continuously replaying this torturous love/rejection pattern. I fail to see how therapy can help with this and I feel very angry that I was encouraged to open up and trust the 'process' - yes, this reflects my past but how is it different, how does the outcome change so that my heart and faith in humanity remains intact? Perhaps I have exceptionally bad/difficult attachment issues to work with