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The majority of psychotherapy practitioners identify themselves as “integrative”. By contrast, psychotherapy integration (PI) is espoused by few leaders of the profession, while most psychotherapy trainings confine themselves to single modalities. PI encompasses pragmatic integration (e.g., combining transference-based sessions with homework); theoretical integration (e.g., parallels between schema-focused CBT (cognitive behavioural therapy) and psychodynamic concepts); and the “common factors” approach (identifying the underlying features of successful therapies). Attachment theory and research provide a theoretical framework for thinking about common factors. The therapeutic alliance shares features with secure caregiver-child bond. Therapies' theoretical framework is comparable to the shared meanings found in attachment security. Change promotion, a key feature of all successful therapies, resonates with the empowerment and self-agency arising out of secure attachment. Therapeutic process represents a balance between the background of insecure attachments brought by clients, and therapists' attempts to counteract these with secure-making procedures.