Brisch lists nine guidelines for the therapist in becoming a "secure base" for adult patients and six guidelines for psychotherapy with children and their parents. The balance of the book is filled with case examples of attachment disorders, ranging from the mother with a fear of attachment to an unconceived child through attachment disorder in adolescence, adulthood, and old age. These clinically interesting vignettes from Brisch’s practice vary in length from two to nine pages, and each includes a formulation of attachment dynamics, often with an alternative psychodynamic viewpoint as well. Brisch regularly comments on countertransference but uses the term to refer to the therapist’s general reaction to the patient rather than the classical reference to unconscious drives or defenses. Although the patient’s use of psychiatric drugs is occasionally mentioned, there is no attempt to address the indications for these drugs or the interaction of drugs and psychotherapy. Likewise, there is no attempt to tie in positive attachment effects, or failure thereof, with possible changes in brain structure or function as revealed in modern neuroimaging techniques. Nevertheless, there may be lessons from attachment theory and treatment for today’s psychopharmacologist-therapist who is struggling with the patient suffering from some degree of attachment disorder reflected in reluctance to accept medication, treatment-"resistant" depression, or childhood oppositional disorder and the like.