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This paper examines how attachment theory has informed our understanding of psychosis and has the potential to improve practice working with those who have accrued a diagnosis of psychosis. The “treatment” of psychosis is placed in its historical context, and critical commentary is made about the current treatments of those with psychosis and possible future developments. A psychoanalytic perspective is explored, and concern about the apparent colonisation of the social and psychological by the biological expressed. Differing understanding and explanations of “psychotic symptoms” are explored and the predominance of biological explanations of the aetiology of psychosis is questioned. A brief description of attachment theory is given, before concluding with a section on how attachment theory informs understanding of psychosis and the implications for therapeutic approaches.