I tend to think this is a very fluid sort of topic with many overlapping interpretations of various terms. Alliance v attachment v dependency are easily blurred. I think when a client has unmet primary needs, they can be ignored and still achieve progress on other issues; but I don't believe those needs will disappear, simply go underground and be expressed in ways that often undermine other areas of life. Not all clients have these needs, and therapy for them can be a lot more straightforward. But if the needs are there developmentally, I think they can be met if the T is emotionally healthy, well-trained, and ethical, without the process degrading into unhealthy dependency, emotional dysfunction, and a lessening of RL functionality.

But it does take a T who is very capable.