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A bottom-up model that emphasizes dyadic regulation of relatedness and emotional arousal, accelerated experiental-dynamic psychotherapy's (AEDP's) conceptual framework integrates constructs, insights, and findings from attachment theory (e.g., Bowlby, 1982), clinical developmentalists' research into moment-to-moment mother-infant interaction (e.g.

Accelerated experiential dynamic psychotherapy (AEDP) is a highly integrative treatment that incorporates elements of short-term psychodynamic and emotion-focused, process-experiential, psychotherapies, as well as attachment theory. The current study employed a mixed-methods multicase study design to describe how the process of change unfolds in a "successful" and an "unsuccessful" case of AEDP, as defined by reliable change (RC) on the Outcome Questionnaire-30.2 (OQ-30;. Concurrently, several additional outcomes (affect experience and adult attachment), therapy relationship variables (working alliance [WA], real relationship [RR], and patient attachment to the therapist), and a qualitative description of the therapy process (Important Events Questionnaire [IEQ]; Cummings, Martin, Hallberg, & Slemon, 1992) were assessed at 3 time points during the course of therapy. Overall, the clinical observations in this study are consistent with AEDP's theory of change, which predicts that symptom relief is accompanied by changes in affect and insecure attachment, and that these changes occur within a strong therapeutic relationship that is real, collaborative, and secure. Furthermore, qualitative analyses suggest that the advent of a corrective emotional experience (CEE) may have served as a catalyst for change in the "successful" therapy dyad. On the contrary, a reliable decline in agreement over the tasks of therapy and decreasing positive affect (PA) and negative affect (NA) may have hindered early change in the "unsuccessful" case.