While noting the disjunctions that make total integration of attachment theory with self-psychology and intersubjectivity impossible, the author highlights the common ground of each theory—affective exchanges and the patterns and expectations established through affective interaction. Case examples from individual and couples treatment illustrate two possible patterns (corresponding to categories established in attachment research) formed to organize maximal proximity to sources of safety and security when patients have grown up in circumstances in which security in relation to a parent was not possible. Recommending incorporation without integration, the author argues that familiarity with attachment theory and research allows clinicians to more easily recognize important patterned expectations in the emotional lives of their patients and thus potentially enriches all varieties of clinical work.