医患关系与依恋模式

目前,关于如何建立有效的医患关系凸显重要,从参与合作式的医患模式着手,分析这一模式的双面性.运用依恋理论的观点,分别探讨了患者的四种依恋模式和就诊心理,以及不同依恋模式的医生和患者在就诊过程中形成互动医患关系,为进一步促使医患关系的和谐发展提供了理论基础和现实依据.     

The Relationship Between Attachment Style and Postformal Thought

The purpose of the present study was to investigate the relationship between attachment styles and postformal thought ability and to test the comparability of three methods of testing for postformal thought. In a sample of 119 participants, postformal thought levels and attachment styles were assessed using postformal thought questionnaires and an attachment style scale. It was predicted that individuals with secure attachment styles would exhibit higher levels of postformal thought ability than individuals with anxious–ambivalent or avoidant attachment styles. It was also predicted that the three postformal tests would have equivalent results. Results indicated that attachment and postformal thought were not related and that the three measures of postformal thought were equivalent. Results are discussed in terms of the relationship between attachment styles and individuals’ abilities to perform complex problem-solving tasks and/or dilemmas.     

Relationship of Attachment Style to Personality Factors and Family Interaction Patterns

This study investigated the relationships among attachment, personality style, and family interaction patterns. The results revealed that avoidant attachment style was associated with indirect affect expression as measured by somatic complaints, social isolation, family disengagement, and family conflict avoidance. Anxious/ambivalent style was associated with more overt expression of depression and anxiety. Family factors were not significantly related to either the anxious/ambivalent or secure styles. The implications and potential therapy benefits for use of attachment theory in family therapy and directions for future research are also addressed. Marci Leveridge, PhD, is a Licensed Health Service Provider and private practitioner in Oklahoma City. Cal Stoltenberg, PhD, is Professor, Counseling Psychology Program, University of Oklahoma, Department of Educational Psychology, 820 Van Vleet Oval, Room 321, Norman, OK 73019-2041 (cstoltenberg@ou.edu). Denise Beesley, PhD, is an Assistant Professor in the Counseling Psychology Program at the University of Oklahoma.     

夫妻依恋风格、婚姻归因与婚姻质量的关系

本研究采用主—客体互倚模型(actor-partner interdependence model,APIM)的方法深入探讨夫妻的依恋风格、婚姻归因与自身及配偶感知到的婚姻质量之间的关系。以方便取样的方式在北京地区选取155对夫妻,采用Brennan等(1998)编制的亲密关系经历量表(ECR),Stander编制的婚姻归因量表(MAQ)和Spanier编制的婚姻质量问卷(DAS),要求夫妻双方分别报告其依恋风格、婚姻归因方式和感知到的婚姻质量。通过配对t检验、相关分析和结构方程模型分析发现:(1)夫妻对婚姻质量的总体知觉较为一致,但丈夫的婚姻满意度显著高于妻子;(2)夫妻双方在回避依恋和焦虑依恋两个分量表上不存在显著差异,但在婚姻归因上,妻子比丈夫表现出了更多的消极归因;(3)妻子的消极依恋显著地负向预测自身感知到的婚姻质量,而丈夫的消极依恋对自身感知到的婚姻质量没有显著影响;(4)在控制了丈夫、妻子的依恋风格、归因方式对其自身婚姻质量的主体效应之后,丈夫的依恋风格不能显著预测妻子感受到的婚姻质量,但其归因方式可以显著地预测妻子感受到的婚姻质量;然而妻子的归因方式并不能显著预测丈夫的婚姻质量。     

Two Dimensions of Attachment to God and Their Relation to Affect, Religiosity, and Personality Constructs

In this study we sought to address several limitations of previous research on attachment theory and religion by (1) developing a dimensional attachment to God scale, and (2) demonstrating that dimensions of attachment to God are predictive of measures of affect and personality after controlling for social desirability and other related dimensions of religiosity. Questionnaire measures of these constructs were completed by a sample of university students and community adults (total n = 374). Consistent with prior research on adult romantic attachment, two dimensions of attachment to God were identified: avoidance and anxiety . After statistically controlling for social desirability, intrinsic religiousness, doctrinal orthodoxy, and loving God image, anxious attachment to God remained a significant predictor of neuroticism , negative affect , and (inversely) positive affect ; avoidant attachment to God remained a significant inverse predictor of religious symbolic immortality and agreeableness . These findings are evidence that correlations between attachment to God and measures of personality and affect are not merely byproducts of confounding effects of socially desirable responding or other dimensions of religiosity.     

工读学校学生孤独感的特点及其与依恋风格的关系

采用《中学生孤独感问卷》和《关系问卷》,对上海市194名工读学校学生和112名普通学校学生进行调查,结果发现：工读学校学生与普通学校学生在孤独感各维度都存在显著或极其显著的差异;工读学校学生孤独感不存在显著的性别差异;在对不同依恋对象（母亲、父亲和同伴）的依恋风格中,工读学校学生的孤独感更容易受同伴依恋风格的影响。     

The Association between Parental Reports of Attachment Style and Family Dynamics, and Offspring''s Reports of Adult Attachment Style

This research assessed the association between parents' reports of attachment styles and their perceptions of family environment, on the one hand, and offspring's reports of adult attachment styles, on the other. The sample included 98 Israeli young adults who completed the adult attachment style scale, and their mothers and fathers who completed this scale, as well as FACES III, and the conflict and expressiveness subscales of the Family Environment Scale. Findings revealed associations between parents' and offspring's reports of attachment styles, which were qualified by gender matching. They also indicated independent and differential contributions of the examined dimensions of perceived family environment to offspring's attachment styles. The discussion attempts to integrate attachment theory with a family system perspective.     

Attachment Style,Assertive Communication,and Safer-Sex Behavior1

This research tested the proposition that the effect of attachment security on safer-sex practice may be mediated by communication patterns. One hundred eighty-five undergraduate students completed questionnaire measures of attachment, assertiveness, and attitudes to communication about AIDS. Eight weeks later, they reported on their practice of safer sex in the period since the first testing session. Hierarchical regressions showed that at Step I, anxiety about relationships (a measure of insecure attachment) was associated with less safer-sex practice, for all outcome measures. Attitudes to communication about AIDS added to the prediction of general reports of safer-sex practice: in line with the mediational model, anxiety about relationships became unimportant as a predictor when communication variables were included. Communication variables failed to add to the prediction of safer sex on the most recent encounter, and both anxiety about relationships and attitudes to communication about AIDS predicted condom use. Some gender differences in patterns of prediction were noted. The results are discussed in terms of attachment style and its links with the negotiation of sexual practice and relationship issues.     

Rorschach Oral Imagery,Attachment Style,and Interpersonal Relatedness

Data on a college sample (n = 198) were used to examine the hypothesized relationship between Rorschach orality and self-reported attachment style. The number of Rorschach Human responses was also examined. High orals were more often classified as insecure than low orals. Within the low-oral group, however, subjects who produced no oral responses were more likely to be classified as insecure than subjects who produced one oral response, 78% versus 35%; p < .005. This implies that there is heterogeneity within the low-oral group. Neither orality nor attachment security was meaningfully related to the number of Human responses provided, but the Human responses provided by insecure (vs. secure) subjects more frequently evidenced themes of struggle. We concluded that (a) there is a subgroup of low orals who are not interpersonally secure but who, instead, are insecure and interpersonally anxious; and (b) unlike the quality of the Human response, the number of Human responses may not reflect preoccupations with themes of dependency, attachment, and interpersonal relatedness.     

Sex Differences in Religiosity: The Role of Attachment to Parents and Social Learning

We employed aspects of both attachment theory and social learning theory to develop an understanding of sex differences in young adults’ attachment to God, their concepts of God, and other aspects of their religiosity. We found that attachment to God is more likely to be associated with attachment to the same-sex parent than to the opposite-sex parent. We found that this is also true for concepts of God as loving, controlling, and distant in female, but not male participants in our study. For both males and females, mother’s level of religious involvement when they were growing up was associated with participants’ later attendance at religious services, but for males, attachment to father was an additional influence. In neither males nor females was attachment to either parent or their parent’s past religious involvement a significant predictor of strength of religious faith.     

农村留守初中生依恋与应对方式的关系研究

采用青少年父母、同伴依恋问卷和青少年应对方式问卷对方便取样得到的492名农村留守初中生、514名非留守学生进行调查,探讨农村留守初中生依恋和应对方式之间的关系,结果表明:(1)留守初中生父母、同伴依恋显著低于对照组;留守初中生使用问题解决和求助的方式显著低于对照组,而发泄显著高于对照组。(2)留守初中生的依恋与应对方式之间存在显著相关。父母同伴依恋与问题解决和求助正相关,与幻想、忍耐等显著负相关。父母同伴的信任、沟通和疏离与应对方式之间存在显著相关。     

The Relationship Between Religiosity and Narcissism

Intrinsic religiosity correlated negatively and specifically with the maladaptive exploitiveness dimension of narcissism. Data are discussed in terms of the contemporary controversy regarding humanistic-theistic values.     

Separation‐Individuation,Adult Attachment Style,and College Adjustment

The authors examined the relationship between separation‐individuation, adult attachment styles, and college adjustment. One hundred fifty‐six young adults completed the Psychological Separation Inventory (J. A. Hoffman, 1984; J. A. Hoffman & B. Weiss, 1987), 2 subscales from the Student Adaptation to College Questionnaire (R. W. Baker & B. Siryk, 1989), a measure of pathology of separation‐individuation (R. M. Christenson & W. P. Wilson, 1985), and assessments of adult attachment style (K. Bartholomew & L. Horowitz, 1991). College adjustment was positively associated with secure adult attachment and counterindicated by fearful and preoccupied attachments. Implications for counseling practice and directions for future research are discussed.     

Adult Attachment and Exploration: Linking Attachment Style to Motivation and Perceptions of Support in Adult Exploration

Taking an attachment theory perspective, the present studies investigated partner-related motives for exploration and perceptions of romantic partners as persons who might provide support for exploration. We argue, from an attachment theory perspective, that more avoidant persons may use exploration as a way to distance themselves from their partners, whereas more anxious persons may use exploration as a means of getting closer to or depending on their partners. Attachment theory also suggests that more insecure individuals will tend to see their partners as providing less support and less effective support for exploration. Our research found support for both of these hypotheses. In this article we also investigate potential mediating models for linking attachment style to motives for exploration and perceptions of partner support.     

Relationship Context,Body-Esteem,Religiosity, and Sexual Experience: Associations with Well-Being and Relationship Status

Abstract

In this study we explored why there are sometimes conflicting findings regarding the influence of past sexual experience on relationships. Consequently, we studied the effects of body-esteem and religiosity on sexual experience in two relational contexts (casual or committed relationships) and how all of these variables were associated with life satisfaction, and the likelihood that a person would be married by their early thirties. With a national sample of 4966 participants, our results indicated that sexual experiences in casual relationships had negative associations with life satisfaction and relationship status, whereas sexual experiences in committed relationships had positive associations.     

Influence of Attachment Style on Major Psychological Capacities to Lead

Addressing psychological literature's deficiency in research on the early development of leaders in everyday life (e.g., leaders in the workplace, leaders in social settings, leaders in organizational settings), this study assumed that central psychological capacities required for such leaders can be predicted and explained by J. Bowlby's (1969) Bowlby, J. 1969. Attachment and loss: Vol. 1. Attachment New York : Basic Books. [Google Scholar] attachment theory concerning developmental processes in infancy. The authors administered a series of questionnaires to 402 participants. The authors analyzed data by using structural equation modeling. Findings indicate a potential-to-lead construct that forms in infancy. The results fully supported the authors’ main arguments: that secure attachment style influences the potential to lead and that this capacity is essential for leadership as measured by leadership ranking.     

网络游戏定制、角色依恋和忠诚度的关系研究

网络游戏具有巨大的经济前景和良好的发展态势,国内外很多企业都投入大量资金来开发网络游戏。面对激烈的市场竞争,如何吸引和留住游戏玩家,提高他们的忠诚度,是网络游戏开发商所面临的一个重要问题。本文采用问卷调查法,考察了网络游戏中的定制、角色依恋对网络游戏忠诚度的影响。结果表明：（1）网络游戏定制、角色依恋和忠诚度两两之间呈显著正相关。（2）网络游戏定制对网络游戏忠诚度没有直接影响,而是通过角色依恋的完全中介作用对网络游戏忠诚度产生影响。     

A Statistical Investigation of the Relationship Between Personal Attachment Style and Satisfaction with Evangelical Church Membership

The purpose of this study was to examine if parishioners' relational attachment style influences their satisfaction with evangelical church membership. A sample of parishioners aged 18 and over completed the Relationship Questionnaire and the Congregation Satisfaction Questionnaire (CSQ), along with an accompanying demographic profile. The research design employed a one-way analysis of variance to determine if securely attached persons reported greater satisfaction with their evangelical church participation than those who reported preoccupied, dismissing, or fearful attachment. This study furthered existing research, suggesting that attachment style influences how people measure congregational satisfaction. In this study, securely attached individuals reported greater satisfaction, as measured by the CSQ, with their evangelical church membership than those who were not securely attached.     

Relations Between Anxiety Sensitivity and Attachment Style Dimensions

This study replicated and extended the work of C. F. Weems, S. L. Berman, W. K. Silverman, and E. T. Rodriquez (2002) by investigating relations between anxiety sensitivity (AS) and attachment dimensions in a sample of young adults. Two hundred and twenty-six undergraduate students completed self-report measures including the Anxiety Sensitivity Index and the measure of adult romantic attachment used by C. F. Weems et al. (2002). In order to investigate the association between AS and a different domain of attachment, a measure of adult attachment referring to close relationships was included. As defined by both measures, insecurely attached individuals, specifically those classified as preoccupied and fearful (i.e., those with negative Models of Self), reported significantly higher levels of AS than those with secure and dismissing attachment styles (i.e., those with positive Models of Self). Results indicated that across both measures the Model of Self attachment dimension accounted for unique variance in AS levels beyond that contributed by trait anxiety. The Model of Others attachment dimension had a more limited association with AS.