Attachment and body representations in adolescents with personality disorder

IF 2.5 3区心理学 Q2 PSYCHOLOGY, CLINICAL

Journal of Clinical Psychology Pub Date : 2024-06-01 DOI:10.1002/jclp.23705

Bernadette Buhl-Nielsen, Howard Steele, Miriam Steele

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引用次数: 0

Abstract

Background

Attachment theory has served as an influential framework for understanding psychopathology, partly due to reliable assessment methodology. The influence of insecure attachment on attitudes toward the body and the impact this might have for the development of psychopathology is however less well elucidated.

Method

A total of 123 adolescents (35 with borderline personality disorder or BPD, 25 with other personality disorders [OPD] and 63 comprising a normative control group) were interviewed with the Adult Attachment Interview (AAI) and the Mirror Interview (MI). The MI questions respondents about how they feel about their bodies, as they look in the mirror.

Results

The AAIs from the Borderline group were predominantly insecure-preoccupied and unresolved. These adolescents had significantly lower levels of a positive and integrated sense of self and body than the other groups. Regression results revealed a high loving relationship with fathers, low involving anger with father, high coherence of mind, slight derogation of mother & low levels of unresolved loss uniquely and additively predicted 55% of variance in the summary score assigned to MI responses, that is, the summary score for a Positive and Integrated Body Representation (PIBR).

Conclusion

Unfavorable attachment experiences and current states of mind regarding attachment may give rise to problems with establishing PIBRs, and thus play a role in the development of psychopathology, especially BPD.

查看原文本刊更多论文

人格障碍青少年的依恋和身体表征。

背景：依恋理论是理解精神病理学的一个有影响力的框架，部分原因在于其可靠的评估方法。然而，不安全依恋对身体态度的影响以及这种影响可能对精神病理学的发展产生的影响却没有得到很好的阐释：共对 123 名青少年（其中 35 人患有边缘型人格障碍或 BPD，25 人患有其他人格障碍 [OPD] ，63 人组成正常对照组）进行了成人依恋访谈（AAI）和镜像访谈（MI）。镜像访谈询问受访者照镜子时对自己身体的感觉：结果：边缘型青少年组的 AAI 主要表现为缺乏安全感、斤斤计较和未解决问题。这些青少年对自我和身体的积极和综合意识明显低于其他组别。回归结果显示，与父亲的爱的关系高、对父亲的愤怒程度低、心智的一致性高、对母亲的轻微贬低以及未解决的失落感程度低，这些因素独特地预测了多元智能反应的总分（即积极和整合的身体表征（PIBR）的总分）中55%的差异：结论：不利的依恋经历和当前关于依恋的心理状态可能会导致建立 PIBR 的问题，从而在精神病理学（尤其是 BPD）的发展中发挥作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Psychology PSYCHOLOGY, CLINICAL-

CiteScore

5.40

自引率

3.30%

发文量

177

期刊介绍： Founded in 1945, the Journal of Clinical Psychology is a peer-reviewed forum devoted to research, assessment, and practice. Published eight times a year, the Journal includes research studies; articles on contemporary professional issues, single case research; brief reports (including dissertations in brief); notes from the field; and news and notes. In addition to papers on psychopathology, psychodiagnostics, and the psychotherapeutic process, the journal welcomes articles focusing on psychotherapy effectiveness research, psychological assessment and treatment matching, clinical outcomes, clinical health psychology, and behavioral medicine.