Couple psychotherapy from an attachment theory perspective: a case study approach to challenging the dual nihilism of being an older person and someone with a terminal illness.

This article outlines the basic tenets of attachment theory and its relevance to adult couple psychotherapy. The paper also explores the nihilism around psychic change in older people and people with cancer and explores some possible reasons for this nihilism. A case study of older people, a couple, one of whom has a terminal cancer diagnosis, is presented to demonstrate the usefulness of therapeutic intervention in such cases from an attachment theory perspective. A discussion of the usefulness and difficulties of this approach follows. Other therapeutic models could also be applied usefully to this type of clinical presentation. However, the focus of this paper is the specific elucidation of attachment theory to demonstrate that change can occur regardless of a person's age and physical circumstances. The particular therapeutic approach presented here also represents the specialist interest and training of the writer in regard to couple work.