Relationships Between Adult Attachment Dimensions and Patient-Physician Relationship Quality

2018 ◽  
Vol 9 ◽  
Author(s):  
Lachlan A. McWilliams
Keyword(s):  
Relationship Quality ◽  
Adult Attachment ◽  
Family Physicians ◽  
Attachment Anxiety ◽  
Insecure Attachment ◽  
Secure Attachment ◽  
Attachment Avoidance ◽  
Communication Difficulties ◽  
Physician Relationship ◽  
Attachment Dimensions

AbstractPositive associations between attachment insecurity and indicators of poorer patient-physician relationship quality have been found in samples of patients consulting with physicians for a variety of specific medical conditions or needs. The current study was the first to investigate associations between adult attachment characteristics and relationship quality with family physicians. University students (N = 239) completed measures assessing attachment and their relationships with their family physician. Attachment avoidance was associated with poor affective relationship quality and with greater communication difficulties. Attachment anxiety was associated with greater communication difficulties, but was unrelated to affective relationship quality. Those with insecure attachment, particularly those with high levels of avoidance, have poorer relationships with their family physicians than those with more secure attachment.

Different effects of attachment anxiety and attachment avoidance on depressive symptoms: A meta-analysis

2020 ◽  
Vol 37 (12) ◽  
pp. 3028-3050
Author(s):  
Leying Zheng ◽  
Yadan Luo ◽  
Xu Chen
Keyword(s):  
Depressive Symptoms ◽  
Adult Attachment ◽  
Meta Analysis ◽  
Cultural Orientation ◽  
Attachment Anxiety ◽  
Attachment Avoidance ◽  
The Relationship ◽  
Attachment Dimensions ◽  
Significant Moderator

Although insecure adult attachment is thought to be associated with depressive symptoms, results of research on the link between attachment dimensions (attachment anxiety and attachment avoidance) and depressive symptoms have been inconsistent. The aim of this study was to use meta-analysis to examine the strength of the correlations between the two attachment dimensions and depressive symptoms. A total of 64 papers and 78 independent samples were included in this meta-analysis. Results showed significant associations between both attachment dimensions and depressive symptoms. Additional analyses indicated that attachment anxiety was more strongly related to depressive symptoms, whereas attachment avoidance was weakly related to depressive symptoms. Cultural orientation and sex were found to moderate the relationship between attachment anxiety and depressive symptoms. Age was a significant moderator of the relationships between both attachment anxiety and avoidance and depressive symptoms. Results of the meta-analysis and the implications were discussed.

Rorschach Texture Responses Are Related to Adult Attachment via Tactile Imagery and Emotion

2013 ◽  
Vol 34 (2) ◽  
pp. 115-136 ◽  
Author(s):  
Kazunori Iwasa ◽  
Toshiki Ogawa
Keyword(s):  
Undergraduate Students ◽  
Adult Attachment ◽  
Poisson Regression ◽  
Emotional Responses ◽  
Underlying Mechanism ◽  
Attachment Anxiety ◽  
Attachment Avoidance ◽  
Poisson Regression Analysis ◽  
Close Relationship ◽  
Attachment Dimensions

This study examined an underlying mechanism of the relationships among Rorschach texture responses and adult attachment dimensions (attachment anxiety and attachment avoidance), focusing on the vividness of tactile imagery and emotion as mediators. In Study 1, Japanese undergraduate students (n = 20) completed the Rorschach and the Vividness of Tactile Imagery Scale. A poisson regression analysis revealed that greater vividness of tactile imagery was associated with an increased number of texture responses. In Study 2, Japanese undergraduate students (n = 224) completed the Experiences in Close Relationship Scale for the Generalized Other and the Vividness of Tactile Imagery Scale. A path analysis revealed that attachment avoidance weakened the strength of emotional responses accompanying the generation of tactile imagery, and greater emotional responses enhanced the vividness of tactile imagery. These results suggest the possibility that attachment avoidance indirectly reduces texture responses on the Rorschach.

scholarly journals M113. THE RELATIONSHIP BETWEEN ATTACHMENT STYLES AND CLINICAL PRESENTATION IN EARLY PSYCHOSIS PATIENTS

2020 ◽  
Vol 46 (Supplement_1) ◽  
pp. S177-S178
Author(s):  
Alena Gizdic ◽  
Lidia Hinojosa-Marqués ◽  
Thomas R Kwapil ◽  
Neus Barrantes Vidal
Keyword(s):  
Attachment Styles ◽  
Attachment Anxiety ◽  
Early Psychosis ◽  
Insecure Attachment ◽  
Psychotic Symptoms ◽  
Positive Symptoms ◽  
Secure Attachment ◽  
Symptom Dimensions ◽  
The Relationship ◽  
Attachment Dimensions

Abstract Background Research in both clinical and early psychosis samples is increasingly indicating that insecure attachment styles impact on psychosis symptom expression. Moreover, empirical support has been found for the assumption that specific types of insecure attachment predispose individuals to develop different symptom profiles. This study aimed to increase our understanding of the relevance of attachment styles in an early psychosis sample. To this end, we first examined the relationship of attachment styles with the severity of positive, negative and general symptom dimensions. Secondly, associations between attachment styles and specific positive psychotic symptoms were explored. Methods A total of 96 (60 At-Risk Mental State and 36 First Episode Psychosis) patients participated in the study. Patients’ attachment style was assessed by the Psychosis Attachment Measure (PAM) and the Relationship Questionnaire (RQ). The PAM was used to evaluate attachment dimensions (i.e., anxiety and avoidance), whereas RQ was employed to classify participants into an attachment prototypes (i.e., secure, fearful, preoccupied or dismissive). In addition, patients were administered the Positive and Negative Syndromes Scale. Correlation analyses examined the associations of patients’ attachment dimensions and patients’ attachment prototypes with symptom dimensions (positive, negative and general psychopathology) and specific positive psychotic symptoms (delusions, conceptual disorganization, hallucinations, excitement, grandiosity, paranoia and hostility). Results Patients’ attachment anxiety was associated with positive symptoms and general psychopathology, whereas no associations were found between attachment avoidance and symptom dimensions. Moreover, only attachment anxiety was related with specific positive symptoms, such as hallucinations and paranoia. Regarding the associations between attachment prototypes and symptom dimensions, only secure attachment was significantly related to decreased levels of general symptoms. Besides, secure attachment was associated with decreased levels of paranoia, whereas fearful attachment was related with increased levels of paranoid symptoms. No significant relationships were observed between dismissing and preoccupied attachment with specific positive symptoms. Discussion These findings highlight the potential role of secure attachment as a protective factor against poor clinical outcomes and are consistent with previous studies indicating that secure attachment confers a form of resilience for psychopathology. In contrast, attachment anxiety and fearful attachment might represent risk factors for general and positive symptoms. The fact that neither attachment dimensions nor attachment prototypes were associated with the negative symptom dimension seems to confirm previous findings and might suggest that the association of attachment with psychotic symptoms is more robust for the positive dimension. These findings highlight the need of tailoring interventions to patients’ attachment needs. This would include assessing patients’ attachment patterns, as the specific subtypes of insecure attachment style should provide guidance in the context of psychological formulation and treatment planning with early psychosis patients.

The Relationship Between Texture Responses on the Rorschach and Adult Attachment

2010 ◽  
Vol 31 (1) ◽  
pp. 4-21 ◽  
Author(s):  
Kazunori Iwasa ◽  
Toshiki Ogawa
Keyword(s):  
Graduate Students ◽  
Adult Attachment ◽  
Japanese Population ◽  
Attachment Anxiety ◽  
Anxiety Scale ◽  
Self Report ◽  
Comprehensive System ◽  
Attachment Avoidance ◽  
Sensitive Measure ◽  
The Relationship

We examined the relationship between texture responses (T) on the Rorschach and adult attachment in the Japanese population. 47 Japanese undergraduate and graduate students (mean age = 20.16, SD = 1.87) completed a self-report adult attachment scale as well as the Rorschach. An ANOVA revealed that T = 1 participants were attached more securely than were other groups. T > 1 participants were more preoccupied with attachment and scored higher on an attachment anxiety scale than the T = 1 group. Although these results were consistent with the interpretation of the texture response according to the Comprehensive System (CS), the results obtained for T = 0 participants were inconsistent with hypotheses derived from the CS. T = 0 participants were high on preoccupied and attachment anxiety scores, although they were theoretically expected to be high on dismissing or attachment avoidance. These results indicated that – at least in Japan – T should be regarded as a sensitive measure of attachment anxiety.

Partners’ Attachment Insecurity and Stress Predict Poorer Relationship Functioning During COVID-19 Quarantines

2021 ◽  
pp. 194855062199297
Author(s):  
Nickola C. Overall ◽  
Valerie T. Chang ◽  
Paula R. Pietromonaco ◽  
Rachel S. T. Low ◽  
Annette M. E. Henderson
Keyword(s):  
Relationship Quality ◽  
Family Environment ◽  
Family Cohesion ◽  
Attachment Anxiety ◽  
Relationship Functioning ◽  
Attachment Avoidance ◽  
Attachment Insecurity ◽  
Relationship Problems ◽  
Ongoing Relationship ◽  
Related Stress

The COVID-19 pandemic presents acute, ongoing relationship challenges. The current research tested how (1) preexisting vulnerabilities assessed prior to the pandemic (attachment insecurity) and (2) stress as couples endured a mandated quarantine predicted residual changes in relationship functioning. Controlling for prequarantine problems, relationship quality, and family environment, greater partners’ attachment anxiety predicted greater relationship problems, lower relationship quality, and a less stable and cohesive family environment when people were experiencing more stress. Greater partners’ attachment avoidance predicted lower problem-solving efficacy and family cohesion. The effects of partners’ preexisting vulnerabilities and pandemic-related stress demonstrate the utility of key models in relationship science in identifying who is at most risk of relationship problems in the unprecedented context of a mandated quarantine. The results emphasize that the effects of the COVID-19 pandemic on relationship functioning will be shaped by the characteristics of partners with whom people are confined with during the pandemic.

Proximity and distance goals in adult attachment

2008 ◽  
Vol 22 (8) ◽  
pp. 675-694 ◽  
Author(s):  
Marieke Dewitte ◽  
Jan De Houwer
Keyword(s):  
Adult Attachment ◽  
Implicit Association Test ◽  
Association Test ◽  
Attachment Anxiety ◽  
Implicit Association ◽  
Attachment Avoidance ◽  
Implicit Motivation ◽  
Motivational Constructs ◽  
Goal Activation ◽  
Implicit And Explicit

We used a variant of the Implicit Association Test (IAT) and explicit reports to examine the assumption that attachment anxiety and avoidance are related to proximity and distance goals. Results confirmed that attachment avoidance was associated with a stronger implicit motivation for and positive evaluation of distance goals in attachment relationships. This was found both at the implicit and explicit levels and both in a threat and non‐threat context. Attachment anxiety was associated with proximity goals only when measured explicitly, but not when goal activation was measured implicitly. Our findings highlight the importance of considering both implicit and explicit goal representations when studying motivational processes in the context of attachment, and suggest that the IAT can provide a useful tool for investigating implicit motivational constructs. Copyright © 2008 John Wiley & Sons, Ltd.

Romantic attachment and mate retention behavior: The mediating role of perceived risk of partner infidelity

2018 ◽  
Vol 36 (3) ◽  
pp. 940-956 ◽  
Author(s):  
Nicole Barbaro ◽  
Yael Sela ◽  
Mohammad Atari ◽  
Todd K. Shackelford ◽  
Virgil Zeigler-Hill
Keyword(s):  
Perceived Risk ◽  
Romantic Attachment ◽  
Attachment Anxiety ◽  
Psychological Perspective ◽  
Attachment Avoidance ◽  
Mate Retention ◽  
Mediating Role ◽  
Attachment Dimensions ◽  
Retention Study

Previous research indicates that the romantic attachment dimensions of anxiety and avoidance are associated with performance frequency of Benefit-Provisioning and Cost-Inflicting domains of mate retention. The current research aimed to replicate previous findings in a non-Western sample (Iran, Study 1) and to extend this research by investigating the mediating role of perceived risk of partner infidelity (Study 2). Studies 1 and 2 tested the hypotheses that attachment anxiety is positively associated with mate retention and that attachment avoidance is negatively associated with mate retention. Study 2 tested the hypothesis perceived risk of partner infidelity mediate the association between attachment dimensions and mate retention domains. Results of Studies 1 and 2 replicated previous research and also revealed that perceived risk of partner infidelity mediated the association between attachment anxiety, specifically, and mate retention. The current research advances our understanding of romantic attachment from an evolutionary psychological perspective.

scholarly journals Adult attachment and paranoia: an experimental investigation

2017 ◽  
Vol 10 ◽  
Author(s):  
Jane Hutton ◽  
Lyn Ellett ◽  
Katherine Berry
Keyword(s):  
Attachment Styles ◽  
Negative Impact ◽  
Attachment Anxiety ◽  
Insecure Attachment ◽  
Secure Attachment ◽  
Attachment Representations ◽  
Persecutory Delusions ◽  
Priming Condition ◽  
Induction State

AbstractAttachment theory may develop understanding of the occurrence and maintenance of persecutory delusions. This study investigates the role of dispositional attachment and contextually primed secure base attachment representations in the occurrence of paranoid thinking. Sixty participants were randomly allocated to one of three conditions: a secure attachment priming condition, a positive affect condition, or a neutral control condition. Following priming, all participants were exposed to a paranoia induction. State paranoia was measured at baseline and following the paranoia induction. Dispositional insecure attachment was associated with both trait and state paranoid thinking. Contrary to predictions, the secure attachment prime did not appear to buffer paranoid thinking and had a negative impact for participants with high levels of attachment anxiety, highlighting the potentially aversive effects of exposure to secure attachment material in those with existing insecure attachment styles.

scholarly journals Attachment-related differences in dispositional anger and its experience and expression following an insult-based anger induction

2021 ◽  
Author(s):  
Zara Brodie ◽  
Karen Goodall ◽  
Stephen Darling ◽  
Chris McVittie
Keyword(s):  
Attachment Style ◽  
Attachment Anxiety ◽  
Self Report ◽  
Trait Anger ◽  
Attachment Avoidance ◽  
Significant Independent Predictor ◽  
Anger Suppression ◽  
Taylor Aggression Paradigm ◽  
Post Test ◽  
Attachment Dimensions

Variation in how individuals experience and express anger has been linked to their attachment style, particularly in close interpersonal contexts. However, little research has investigated attachment-related differences in anger and aggression in non-relational settings. This multi-method investigation reports two studies. The first investigated associations between adult attachment dimensions (anxiety and avoidance) in 270 participants. The second describes a lab-based anger provocation task, based on a modified version of the Taylor Aggression Paradigm, which examined associations between attachment dimensions and pre-post test change in self-reported anger, physiological responses, anger suppression and aggressive responding (N = 77). Results from study 1 indicate that attachment anxiety was a significant independent predictor of trait anger, while attachment avoidance was not. There were no significant interaction effects, suggesting distinct effects of attachment dimensions on anger. In study 2, attachment avoidance was negatively related to anger change scores from baseline to post-provocation and positively to anger suppression (measured by the discrepancy between self-report and physiological measures). Attachment anxiety was positively associated with aggressive responding. In summary, the findings support the high arousal-low control style previously associated with attachment anxiety, evidenced by elevated trait anger and higher aggressive responding. They also align with previous studies that support an association between attachment avoidance and emotion suppression, suggesting that the attachment framework can be usefully extended to understand anger and aggression in non-relational contexts.

Forgiveness and Attachment: A Link that Survives the Grave?

2011 ◽  
Vol 39 (4) ◽  
pp. 316-329 ◽  
Author(s):  
Elizabeth A. Gassin ◽  
Gregory J. Lengel
Keyword(s):  
Attachment Style ◽  
Cultural Factors ◽  
Two Dimensions ◽  
Attachment Anxiety ◽  
Attachment Avoidance ◽  
Deceased Person ◽  
Reliable Predictor ◽  
The Relationship ◽  
Attachment Dimensions

The current project consists of two studies assessing the relationship between two attachment dimensions (anxiety and avoidance) and forgiveness in the context of bereavement. Using these two dimensions, the authors explore whether or not general attachment style and attachment to a deceased person in particular predict the degree to which one will forgive that individual. While most previous studies of extending forgiveness to living individuals suggest attachment anxiety is a more robust predictor of forgiveness, the current studies point to attachment avoidance as a more reliable predictor. The authors consider developmental and cultural factors in explaining the results and note implications for pastors and therapists.

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