The concept of a lifelong attachment system is derived from the author's four decades of clinical experience. This framework aligns with the collectivist values prevalent in Asian cultures, where individuals are regarded as integral parts of a larger community. Individual well-being is viewed as contingent upon a secure attachment system throughout the lifecycle. In order to illustrate the practical application of this concept, I will present a composite family therapy case study involving a socially withdrawn (hikikomori) adolescent. The objective of the therapy is to facilitate secure attachment systems. The therapeutic process includes establishing a therapeutic system, promoting secure communication within the system, and incorporating broader attachment networks. This composite case study discusses the culturally preferred value of human relationship from the collectivistic perspective prevalent in East Asian cities. It also introduces therapeutic approaches that effectively promote a secure family system by expanding the original attachment theory.
Takeshi Tamura (Wed,) studied this question.