The ambivalent strategy involves clinging to the care-giver, often with excessive submissiveness, or adopting a role-reversal in which the care-giver is cared for rather than vice versa. Here feelings of anger at the rejection are most conspicuously subjected to defensive exclusion. Although these strategies have the function of maintaining attachment in the face of difficulties, a price has to be paid. The attachment patterns so established are clearly restricted and, if repeated in all relationships, will be maladaptive.

Bowlby uses the notion of faulty internal working models to describe different patterns of neurotic attachment. He sees the basic problem of 'anxious attachment" as that of maintaining attachment with a care-giver who is unpredictable or rejecting. Here the internal working model will be based not on accurate representation of the self and others, but on coping, in which the care-giver must be accommodated to. The two basic strategies here are those of avoidance or adherence, which lead to avoidant or ambivalent attachment.