Introduction I have chosen to present this particular case study as it highlighted for me the significant contributions that Bowlby's attachment theory has towards interpersonal relationships, and encapsulated many of the underlying principles that I correlated with so easily. I also felt that due to the systemic paradigm of this case, I was also able to considerably influence my professional development which enabled me to increase my perceived value around many aspects of time-limited dynamic psychotherapy and the model of CMP. I also recognized the decision to use. John was also based around a number of other factors, such as; his willingness to engage, our working alliance which I felt established quickly and John's openness to explore his CMP (Cyclical Maladaptive Pattern). Within this case study I will aim to illustration how John began the process of recognizing his maladaptive patterns in relation to his images of self, which according to Object relation theory (2011) advances from human exchanges, and in John's case seemingly from his childhood experiences. Time-Limited Dynamic Psychotherapy (TLDP) TLDP is an interpersonal, time-sensitive approach for clients with prolific, ubiquitous, dysfunctional approaches of relating to others. The proposal of TLDP suggests that the "focus on corrective, interpersonal experiences and cyclical transactional process provide opportunities for integration from theoretical, technique, and common factors perspectives"(Levenson, 2003). With this in mind, it is considered that the I will work towards recognizing a John's cyclical maladaptive patterns (CMP) (Schacht, Binder, & Strupp, 1984), that consist of self-defeating expectations and self-appraisals that make way for destructive interactions with other, in a bid to facilitate understanding within him to challenge his dysfunctional interpersonal patterns by cultivating new experiences and understandings that derive from our transference/countertransference. This type of therapy encapsulates the core concepts of "repetitive interpersonal patterns" that have been instrumental within psychodynamic informed therapies since Freud enunciate that transference and "repetition compulsion," (Schacht & Henry, 1994) required specific attention if change was to be facilitated Referral and Clinical Setting John' was a white, 37 year old man who had been utilizing the services of my placement since 1999, in order to assist him with his emotional management of his HIV Diagnosis. On completion of another HIV support services john referred himself for counseling. John indicated that had felt that he would benefit from therapy as a way to begin to understand what part he played in his relationships. I was made aware that John lives alone and is currently single, gay and has a daughter (age, 20), who he is estranged from, which replicates the relationship between himself and his daughters mother. John is also estranged from his family, which consists of his mother, father and two siblings. John was adopted at the age of 6months and is the second of three children to be adopted by his parents. John has an older sister (also adopted) and a younger brother, who is blood related to his parents. John is currently seeing a Psychiatrist and had been since the breakdown of a relationship in 2012 and was being prescribed 20mls of Citalopram. John was described in the referral process as unemployed, with low self-worth, particularly within his interactions with others. My immediate thoughts about John's seemed to focus around maladaptive patterns based within Bowlby's attachment theory (Bowlby J., 1988), this is also part of the basic principles that formulate a stage for TLDP. I considered the impact that being adopted might have on one's ability to form positive attachments and wondered if this might also be an underlining factor around his estranged adult relationships. Bowlby (1973) furthered this thought by alluded that disturbances in adult relations typically manifest from defective interactions with caregiving within infancy, usually within the family household. Outcome of Assessment Interview Much of John's environment materialized throughout the initial sessions of the therapy as we built the therapeutic alliance and it strengthened. I acknowledged that I needed to identify two areas initially; Johns appropriateness for TLDP, which was to be gained through John's ability to meet the criteria for TLDP and secondly if I was able to distinguish any patterns in his interpersonal interactions. The key components within the selection criteria that I looked to identify were: (1) Emotional discomfort; (2) Basic trust; (3) willingness to consider conflicts in interpersonal terms; (4) willingness to examine feelings and (5) Capability to relate to the therapist in a meaningful way (Levenson, 1995) Appearance and Behavior John was waiting for me in the waiting areas ten minutes prior to our first session, hunched up and seemingl