According to Mitchell, individuals have a "tilt" or tendency toward certain modes of relating and experiencing the world, which are shaped by their early experiences. For example, if an infant has consistent and attuned caregiving, they are likely to develop a secure attachment style, which lays the foundation for healthy relationships in adulthood. On the other hand, if an infant experiences inconsistent or neglectful caregiving, they may develop an anxious or avoidant attachment style, which can make it difficult for them to form and maintain healthy relationships in adulthood.
Mitchell believed that the developmental tilt is not fixed or predetermined, but rather is subject to ongoing development and change throughout the lifespan. He emphasized the importance of the therapeutic relationship in helping individuals to identify and work through their developmental challenges, and to develop more adaptive ways of relating to themselves and others.