Attachment Differences Across Close Relationships Among Inpatients With Avoidant or Obsessive-Compulsive Personality Pathology

IF 3.2 3区 心理学 Q1 PSYCHOLOGY, CLINICAL
John T. Rucker, Katrina A. Rufino
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Abstract

Two pathologies frequently presenting to treatment are the fear-based Cluster C variants of avoidant and obsessive-compulsive personality disorders. Despite their distinctive syndromes, the literature has noted similar presentations and therapist–patient interactions that challenge diagnostic and treatment efforts. This study used a large sample (N = 1728) of psychiatric inpatients to observe differences in attachment styles across important persons (e.g., mom, dad, partner and friends) for those with avoidant or obsessive-compulsive personality pathology. Results demonstrated variety in attachment style across important persons, particularly for those with avoidant personality disorder. A discussion of these results conveys their distinction as clinical syndromes, despite their grouping under the Cluster C category. Further, clinical implications are discussed to advocate for my tailored approaches to treating these conditions in psychotherapy and inpatient practice.

Summary

  • Inpatients with avoidant personality pathology demonstrated insecure attachment across more important figures than those with obsessive-compulsive personality pathology.
  • Both avoidant and obsessive-compulsive PD inpatients share a maternal insecure attachment.
  • The current DSM-5 categorization may overemphasize the degree of overlap between these Cluster C conditions.
回避型与强迫性人格病理住院患者亲密关系之依恋差异
经常出现的两种病理是基于恐惧的回避型和强迫性人格障碍的C类变体。尽管他们有不同的症状,但文献指出了类似的表现和治疗师与患者的互动,这对诊断和治疗的努力提出了挑战。本研究采用大样本(N = 1728)精神科住院患者,观察回避型或强迫性人格病理患者在重要人物(如母亲、父亲、伴侣和朋友)之间依恋风格的差异。研究结果表明,重要人物的依恋风格各不相同,尤其是那些有回避型人格障碍的人。对这些结果的讨论传达了它们作为临床综合征的区别,尽管它们在C类下分组。此外,本文还讨论了临床意义,以倡导我在心理治疗和住院实践中治疗这些疾病的量身定制的方法。逃避型人格病理住院患者比强迫性人格病理住院患者对重要人物表现出更多的不安全依恋。回避型和强迫性PD住院患者都有一种不安全的母亲依恋。目前的DSM-5分类可能过分强调了这些C类疾病之间的重叠程度。
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
Clinical psychology & psychotherapy
Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-
CiteScore
6.30
自引率
5.60%
发文量
106
期刊介绍: Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.
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