Core Attachment Model (CAM): A Neurobiologically Sequential Framework for Attachment Repair

The Core Attachment Model (CAM) is a neurobiologically sequential, manualized therapeutic framework grounded in a functional hierarchy of access to psychological processes. The model integrates four levels of human functioning: autonomic regulation (P1), somatic–limbic integration (P2), attachment system functioning (P3), and narrative– identity integration (P4). These levels are linked through the concept of the Attachment Reset Window (ARW), defined as a state of simultaneous plasticity across P1–P3 associated with the possibility of durable reconsolidation of attachment patterns. ARW is conceptualized as a clinical–neurobiological construct describing the co-occurrence of autonomic stability, regulatable affective availability, and openness of the attachment system. It does not constitute a therapeutic technique, but rather a condition enabling relational change at the level of attachment. CAM was developed in response to limitations observed in many existing therapeutic approaches, which—despite integrating multiple modalities—often do not formalize the sequence of interventions in accordance with the functional hierarchy of bottom-up → affective–limbic → top-down processing. This document presents the clinical foundations of CAM, outlines the logic of the P1–P4 sequence, and formulates ARW as a coherent interpretative framework for clinical observations and further methodological reflection.