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Attachment organization and treatment use for adults with serious psychopathological disorders

  • Mary Dozier (a1)
  • DOI:
  • Published online: 31 October 2008

Individual differences in attachment organization among adults with serious psychopathological disorders were related to strategies of treatment use. Forty young adults with serious psychopathological disorders were administered the Adult Attachment Interview (George, Kaplan, & Main, 1984), and their clinicians completed ratings of treatment use. Attachment organization was assessed using the Attachment Q-set (Kobak, 1989), yielding ratings of security/anxiety and avoidance/preoccupation. In preliminary analyses, diagnosis was found to be related to security, with greater security associated with affective rather than thought disorders. Gender was related to avoidance/preoccupation, with males having stronger avoidant tendencies than females. The effects of diagnosis and gender were partialled out of subsequent analyses. As predicted, greater security was associated with more compliance with treatment, as rated by clinicians. Stronger avoidant tendencies were associated with greater rejection of treatment providers, less self-disclosure, and poorer use of treatment. These findings suggest that attachment organization may be an important determinant of how individuals with serious psychopathological disorders approach attachment figures.

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This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

R. Arend , F. L. Gove , & L. A. Sroufe (1979). Continuity of individuel adaptation from infancy to kindergarten: A predictive study of ego resiliency and curiosity in preschoolers. Child Development, 50, 950959.

G. W. Brown , J. L. T. Birley , & J. K. Wing (1972). Influence of family life on the course of schizophrenic disorders: A replication. British Journal of Psychiatry, 121, 241258.

J. D. Coie , & J. B. Kupersmidt (1983). A behavioral analysis of emerging social status in boys' groups. Child Development, 54, 14001416.

J. A. Crowell , & S. S. Feldman (1988). Mothers' internal models of relationships and children's behavioral and developmental status: A study of mother–child interaction. Child Development, 59, 12731285.

K. A. Dodge (1980). Social cognition and children's aggressive behavior. Child Development, 54, 13861399.

B. Egeland , D. Jacobvitz , & L. A. Sroufe (1988). Breaking the cycle of abuse. Child Development, 59, 10801088.

B. Egeland , & L. A. Sroufe (1981). Attachment and early maltreatment. Child Development, 52, 4452.

I. I. Gottesman , & J. Shields (1976). A critical review of recent adoption, twin, and family studies of schizophrenia: Behavioral genetics perspectives. Schizophrenia Bulletin, 2, 360401.

R. R. Kobak , & A. Sceery (1988). Attachment in late adolescence: Working models, affect regulation and representations of self and others. Child Development, 59, 135146.

L. Matas , R. A. Arend , & L. A. Sroufe (1978). Continuity of adaptation in the second year. The relationship between quality of attachment and later competence. Child Development, 49, 547556.

J. W. Pennebaker , C. Hughes , & R. C. O'Heeron (1987). The psychophysiology of confession: Linking inhibitory and psychosomatic processes. Journal of Personality and Social Psychology, 52, 781793.

J. W. Pennebaker , J. K. Kiecolt-Glaser , & R. Glaser (1988). Disclosure of traumas and immune function: Health implications for psychotherapy. Journal of Consulting and Clinical Psychology, 56, 239245.

R. C. Pianta , L. A. Sroufe , & B. Egeland (1989). Continuity and discontinuity in maternal sensitivity at 6, 24, and 42 months in a high-risk sample. Child Development, 60, 481487.

M. Radke-Yarrow , E. M. Cummings , L. Kuczynski , & M. Chapman (1985). Patterns of attachment in two- and three-year-olds in normal families and families with parental depression. Child Development, 56, 884893.

C. Rieder , & D. Cicchetti (1989). Organizational perspective on cognitive control functioning and cognitive-affective balance in maltreated children. Developmental Psychology, 25, 382393.

J. M. Ritter , & J. H. Langlois (1988). The role of physical attractiveness in the observation of adultchild interactions: Eye of the beholder or behavioral reality? Developmental Psychology, 24, 254263.

M. Snyder , E. D. Tanke , & E. Berscheid (1977). Social perception and interpersonal behavior: On the self-fulfilling nature of social stereotypes. Journal of Personality and Social Psychology, 35, 656666.

M. Snyder , & S. W. Uranowitz (1978). Reconstructing the past: Some cognitive consequences of person perception. Journal of Personality and Social Psychology, 36, 941950.

L. A. Sroufe , & E. Waters (1977). Attachment as an Organizational construct. Child Development, 48, 11841199.

P. G. Surtees (1980). Social support, residual adversity and depressive outcome. Social Psychiatry, 15, 7180.

R. J. Turner (1981). Social support as a contingency in psychological well-being. Journal of Health and Social Behavior, 22, 357367.

B. Vaughn , B. Egeland , L. A. Sroufe , & E. Waters (1979). Individual differences in infant–mother attachment at twelve and eighteen months: Stability and change in families under stress. Child Development, 50, 971975.

E. Zigler , M. Glick , and A. Marsh (1979). Premorbid social competence and outcome among schizophrenie and nonschizophrenic patients. Journal of Nervous and Mental Disease, 167, 478483.

E. Zigler , & J. Levine (1981). Premorbid competence in schizophrenia: What is being measured? Journal of Consulting and Clinical Psychology, 49, 96105.

E. Zigler , & L. Phillips (1960). Social effectiveness and symptomatic behaviors. Journal of Abnormal and Social Psychology, 61, 231238.

E. Zigler , & L. Phillips (1961). Case history data and psychiatric diagnosis. Journal of Consulting Psychology, 25, 258.

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Development and Psychopathology
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