{"title":"Attachment Differences Across Close Relationships Among Inpatients With Avoidant or Obsessive-Compulsive Personality Pathology","authors":"John T. Rucker, Katrina A. Rufino","doi":"10.1002/cpp.70108","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <p>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 (<i>N</i> = 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.</p>\n </section>\n \n <section>\n \n <h3> Summary</h3>\n \n <div>\n \n <ul>\n \n \n <li>Inpatients with avoidant personality pathology demonstrated insecure attachment across more important figures than those with obsessive-compulsive personality pathology.</li>\n \n \n <li>Both avoidant and obsessive-compulsive PD inpatients share a maternal insecure attachment.</li>\n \n \n <li>The current DSM-5 categorization may overemphasize the degree of overlap between these Cluster C conditions.</li>\n </ul>\n </div>\n </section>\n </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 3","pages":""},"PeriodicalIF":3.2000,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical psychology & psychotherapy","FirstCategoryId":"102","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/cpp.70108","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
引用次数: 0
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.
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.