RECENT decades have seen a marked expansion in knowledge regarding hum
an neurophysiology, and psychiatry is currently challenged with the ta
sk of integrating this information with a psychodynamic understanding
of emotional life. In this paper we review portions of the relevant li
terature regarding the basic brain functions of affect, memory, and at
tachment, and we consider the implications of these data for integrate
d psychobiologic conceptualizations of emotional dysfunction and its t
reatment. In particular, data from these three areas of study point to
the possibility that implicit memory of the early attachment relation
ship, communicated via the language of affect, is an enduring neural s
tructure that influences both emotional self-regulation and behavior r
elated to relatedness. Finally, we consider the implications of this p
roposition for the nature of psychotherapy, which from a psychobiologi
c view might be profitably conceptualized as a directed attachment rel
ationship whose purpose is the revision of the implicit emotional memo
ry of attachment.