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The following paper will use findings from attachment theory and its elaboration by Fonagy and Target to show how attachment findings are linked with intersubjective and relational treatment. These concepts will be applied to the clinical situation through a case vignette that examines the treatment with a patient who has an avoidant-fearful attachment style. The clinical vignette will detail the treatment process and show how, through the treatment relationship and process, an attachment style can change over time.