The Adult Attachment Interview and psychoanalytic outcome studies

During the last two decades, the Adult Attachment Interview (AAI) has attracted growing interest from psychoanalysts concerned with empirical research. The paper discusses the application of Crittenden's Dynamic-Maturational AAI method for assessing the outcome of psychoanalysis. The aim is to demonstrate, through a case presentation, how therapeutic change can be expressed in the AAI. The pre- and post-treatment interviews of one patient, having completed a four-times-a-week psychoanalysis, are presented. It is demonstrated that the detailed discourse analysis of the AAI, based on transcribed tape-recorded interviews, focuses subtle formal elements of language and speech reflecting dominant patterns of affect regulation and object relating. The AAI text analysis provides possibility for coding procedural memory as conveyed by the handling of the relationship to the interviewer, incorporating the dynamic relationship between researcher and subject and thus complying with a methodological prerequisite regarded by many psychoanalysts as necessary for capturing data that are relevant to psychoanalysis. On this background, the method emerges as promising for psychoanalytic outcome studies.     

Adult Attachment Interview and Psychoanalytic Perspective: A Single Case Study

In this single case study we present a female patient diagnosed with a narcissistic personality disorder and a borderline organization. The interplay between attachment and psychoanalytic perspective will be focused. The analyst describes his impressions of the initial interview with the patient and essential steps during treatment. The patient was interviewed with the Adult Attachment Interview and classified as “insecure preoccupied” with an “unresolved state of mind” concerning loss and abuse. The analyst was asked to comment the AAI's essential characteristics of this patient. We discuss converging and diverging aspects of clinical and attachment interpretation in this single case.     

Attachment and God representations among lay Catholics, priests, and religious: a matched comparison study based on the Adult Attachment Interview

Based on the idea that believers' perceived relationships with God develop from their attachment-related experiences with primary caregivers, the authors explored the quality of such experiences and their representations among individuals who differed in likelihood of experiencing a principal attachment to God. Using the Adult Attachment Interview (AAI), they compared attachment-related experiences and representations in a group of 30 Catholic priests and religious with a matched group of lay Catholics and with the worldwide normal distribution of AAI classifications. They found an overrepresentation of secure-autonomous states regarding attachment among those more likely to experience a principal attachment to God (i.e., the priests and religious) compared with the other groups and an underrepresentation of unresolved-disorganized states in the two groups of Catholics compared with the worldwide normal distribution. Key findings also included links between secure-autonomous states regarding attachment and estimated experiences with loving or nonrejecting parents on the one hand and loving God imagery on the other. These results extend the literature on religion from an attachment perspective and support the idea that generalized working models derived from attachment experiences with parents are reflected in believers' perceptions of God.     

A taxometric study of hypochondriasis symptoms

Hypochondriasis has been conceptualized as both a distinct category that is characterized by a disabling illness preoccupation and as a continuum of health concerns. Empirical support for one of these theoretical models will clarify inconsistent assessment approaches and study designs that have impeded theory and research. To facilitate progress, taxometric analyses were conducted to determine whether hypochondriasis is best understood as a discrete category, consistent with the DSM, or as a dimensional entity, consistent with prevailing opinion and most self-report measures. Data from a large undergraduate sample that completed 3 hypochondriasis symptom measures were factor analyzed. The 4 factor analytically derived symptom indicators were then used in these taxometric analyses. Consistent with our hypotheses and existing theory, results supported a dimensional structure for hypochondriasis. Implications for the conceptualization of hypochondriasis and directions for future study are discussed.     

The Adult Attachment Interview and self-reports of attachment style: an empirical rapprochement

Although 10 studies have been published on the empirical overlap of the Adult Attachment Interview (AAI) and measures of self-reported attachment style, results in this literature have been inconsistently interpreted in narrative reviews. This report was designed as a rapprochement of the AAI and attachment style literatures and includes 3 studies. Study 1 (combined N = 961) is a meta-analytic review showing that by J. Cohen's (1992) criteria (mean r = .09), the association between AAI security and attachment style dimensions is trivial to small. Study 2 (N = 160) confirms meta-analytic results with state-of-the-art assessments of attachment security and also examines attachment dimensions in relation to the Big 5 personality traits. Finally, Study 3 is an investigation of 50 engaged couples that shows that developmental and social psychological measures of attachment security predict somewhat distinct--though theoretically anticipated--aspects of functioning in adult relationships.     

A taxometric study of borderline personality disorder

Taxometric methodology was used to determine whether borderline personality disorder (BPD) represents a taxon that is categorically distinct from normal personality or whether it falls on a dimensional continuum with normality. Two taxometric procedures were used with a sample of 1,389 outpatients assessed for BPD symptoms by semistructured interview. The procedures indicated that BPD does not represent a latent category. Implications are drawn for the conceptualization and etiology of BPD, and for the categorical versus dimensional status of personality disorders in general.     

成人依恋表征与婚恋依恋

近年来依恋研究已拓展到成人的依恋表征和婚恋依恋,依恋表征是成人对其早期依恋经验的回忆和重构,婚恋依恋是成人与情侣间构成的依恋情感联结。该文介绍了依恋表征和婚恋依恋研究的理论背景、测量方法及主要成果——依恋的代际传递性、依恋的临床应用、婚恋依恋对成人婚恋关系质量和工作的影响。最后探讨了成人依恋领域有待深入研究的问题,如依恋表征与婚恋依恋的关系问题、依恋的稳定性与变化问题以及依恋是个体差异还是关系变量等,并分析了今后的研究方向。     

Examining relations among attachment, religiosity, and new age spirituality using the Adult Attachment Interview

This study was the first to examine relations between attachment and religion-spirituality in adults using a developmentally validated attachment assessment, the Adult Attachment Interview. Security of attachment was expected to be linked to a religiosity-spirituality that is socially based on the parental relationships and reflects extrapolation of attachment experiences with sensitive parents to perceived relationships with a loving God. Insecurity of attachment was expected to be related to religiosity- spirituality via emotional compensation for states of insecurity. Participants (N=84; 40% men; mean age=29 years) were drawn from religious-spiritual groups. Religiousness-spirituality was assessed with questionnaires. Results generally supported the hypotheses (ps<.05). Estimates of parental loving were linked to socially based religiosity, loving God images, and gradual religious changes occurring at early ages and in life contexts indicating a positive influence of close relationships. Estimates of parental rejection and role reversal were related to New Age spirituality and sudden-intense religious changes occurring in life contexts of turmoil. Current attachment state of mind was generally unrelated to traditional religiosity, but current preoccupation, unresolved- disorganized, and cannot classify states were associated with New Age spirituality.     

Language use in the Adult Attachment Interview: Evidence for attachment‐specific emotion regulation

Adult attachment classification is traditionally based on qualitative coding of participants' discourse about their attachment history. Word count‐based analyses have proven useful for assessing emotional states from narrative. To expand the understanding of how language is used in emotion regulation processes related to attachment, the authors assess 102 college‐aged adults' language on the Adult Attachment Interview (AAI). Autonomous adults use more emotion words and, in particular, negative emotion words. Preoccupied adults use more anger words. Disorganized adults use more experientially connected language and more death/dying words, but also use more second‐person pronouns when discussing loss. Language use during the AAI explains variability in self‐reported emotional distress above and beyond attachment classifications. Results are discussed in terms of their relevance to emotion and attachment.     

Factor structure of the Child Attachment Interview

The aim of this study was to specify and test the factor structure of the Child Attachment Interview (CAI), by means of confirmatory factor analysis (CFA). The CFA provides a continuous measure of attachment, and also an examination of the construct validity of this continuous approach. Analyses included 150 children aged 9–13, recruited from schools in Norway. The one factor-model “Security–Dismissal”, as well as a model including the supplementary factor “Preoccupation–Idealization”, fitted the data well. Individuals' scores based on these factors converged with the categorical attachment classifications, but added more information about individual differences within categories. The findings support the construct validity of this continuous approach to the CAI.     

A taxometric study of the Center for Epidemiological Studies Depression Scale

The authors assessed the latent structure of depressive symptoms as measured by the Center for Epidemiological Studies Depression Scale (CES-D; L. S. Radloff, 1977). By using taxometric procedures, the authors conducted analyses of CES-D data obtained from a large college student population. These procedures incorporated strategies for interpreting analyses of skewed indicators and small putative taxa. The authors hypothesized that CES-D total scores would be represented as a dimension, with a taxonic distribution of a factor incorporating somatic symptoms. Results indicated that all CES-D factors, including the factor composed of somatic complaints, were dimensional. Administration of the Diagnostic Interview Schedule-IV (L. N. Robins, L. Marcus, & W. Reich, 1996) to one quarter of the participants indicated that the CES-D was effective in identifying cases of current or recent clinical depression. Evidence of the dimensionality of CES-D indicators in a student population is consistent with a continuity view of depressive symptoms.     

Mothers' attachment status as determined by the Adult Attachment Interview predicts their 6-year-olds' reunion responses: a study conducted in Japan

Following a 1986 study reporting a predominance of ambivalent attachment among insecure Sapporo infants, the generalizability of attachment theory and methodologies to Japanese samples has been questioned. In this 2nd study of Sapporo mother-child dyads (N=43), the authors examined attachment distributions for both (a) child, based on M. Main and J. Cassidy's (1988) 6th-year reunion, and (b) adult, via the Adult Attachment Interview (AAI). In contrast to the previous Sapporo study, children's 3-way or "organized" distribution did not differ from the global distribution. However, when the disorganized-controlling (D) and cannot classify (CC) categories were applied to the analyses, a high proportion of D/CC children was found. Comparable analyses for Japanese mothers, including the unresolved/disorganized (U) and CC categories, were found to deviate slightly from the global norm. However, turning from global distributions to mothers' AAI classification as related to their child's reunion classification, all matches were surprisingly close to those established worldwide. When, as is customary, mothers' U and CC classifications were combined (U/CC) and compared with the child's D and CC classifications (also customarily combined as D/CC), mothers' U/CC status strongly predicted child D/CC status (r=.60, d=1.50). Additionally, mothers' AAI subclassifications predicted child subclassifications.     

Narcissism and Adult Attachment: A Multivariate Approach

The primary purpose of this study was to examine the relationship between maladaptive narcissism, attachment anxiety, and attachment avoidance. The secondary objective of the present research was to explore further the differences between overt and covert forms of narcissistic vulnerability. Female participants (N = 171) completed measures of adult attachment, overt narcissism, and covert narcissism. Canonical correlation analysis (CCA) explored the multivariate relationship between overt and covert narcissism, on one hand, and adult attachment dimensions of anxiety and avoidance, on the other hand. CCA indicated the two linear combinations of variables overlapped significantly and shared about a quarter of their variance in common. The most important variable within the narcissism set was covert narcissism; and within the adult attachment set, both anxiety and avoidance were important, but the former more than the latter. The implications of the present findings are discussed in the context of past and future research on personality, attachment, and the experience of emotions.     

大学生抑郁情绪与成人依恋的关系研究

目的:考察大学生的抑郁情绪与成人依恋的关系方法采用流调中心用抑郁量表和成人依恋量表,对河南某高校随机抽取的288名大一至大四的学生进行了调查,并进行有关的统计分析。结果:大学生的抑郁情绪在性别与年级的交互作用上差异显著;大学生成人依恋的不同类型对其抑郁情绪有影响,其中,拒绝型和恐惧型的大学生在抑郁情绪上有显著差异。结论:拒绝型与恐惧型成人依恋在大学生的抑郁情绪上有显著差异,不同年级和性别之间的抑郁情绪有显著交互作用。     

A Reliability Generalization Meta-Analysis of Self-Report Measures of Adult Attachment

This study is a reliability generalization meta-analysis that reviews 5 of the most frequently used continuous measures of adult attachment security: the Adult Attachment Scale, Revised Adult Attachment Scale, Adult Attachment Questionnaire, Experiences in Close Relationships, and Experiences in Close Relationships–Revised. A total of 313,462 individuals from 564 studies provided 1,629 internal consistency reliability estimates for this meta-analysis. We present the average internal consistency reliability of scores for each measure and test the consistency of score reliabilities across a wide variety of sample characteristics. In light of this, we highlight several issues in the measurement of adult attachment security and make concrete recommendations for researchers seeking to measure adult attachment.     

成人依恋风格的结构探索

为明确成人依恋风格的潜在结构,采用成人依恋问卷对203名大一新生进行测量,通过因子分析、潜在剖面分析以及潜类别因子分析分别对数据进行分析,并对分析结果进行对比。结果表明:2因子模型优于单因子模型,4类别模型优于其他类别模型,3类别2因子模型优于其他潜类别因子模型;以上3个最优模型中,2因子模型优于4类别模型,4类别模型优于3类别2因子模型。因此成人依恋的潜在结构是连续的。     

The Adult Attachment Interview and observed couple interaction: implications for an intergenerational perspective on couple therapy

One of the assumptions of intergenerational family therapy is that how a person thinks and talks about family-of-origin experiences has important implications for current family relationships. The Adult Attachment Interview (AAI) is a measure of attachment security based on how coherently the person can discuss attachment experiences in childhood. This study examined the relationship between attachment security, as measured by the AAI, and couple interaction, as measured by the Georgia Marriage Q-Sort (GMQ), in a sample of 28 couples in therapy for relationship problems. During a conflict resolution discussion, those individuals who were less coherent in discussing their family of origin expressed more negative affect, less respect, less openness, more avoidance, and less willingness to negotiate when interacting with their partner. No evidence of intra-couple effects or "buffering" was found. The findings support a key assumption of intergenerational approaches to family therapy and suggest that applying attachment theory is a promising direction for refining and developing new interventions for couples.     

The State Adult Attachment Measure (SAAM): A construct and incremental validity study

Recent studies have shown that relationship experiences and contextual factors may influence attachment security, anxiety, and avoidance. In the present study, we investigated the psychometric properties of the Italian translation of the State Adult Attachment Measure (SAAM), a personality scale aimed to assess temporary variations in adult attachment styles (Gillath, Hart, Noftle, & Stockdale, 2009). Four hundred Italian participants took a set of standardized self-report attachment scales and other measures of subjective wellbeing and mental-health. Confirmatory Factor Analysis showed an acceptable fit between the SAAM three-factor model and the data, confirming the hypothesized measurement model for security, anxiety, and avoidance. SAAM subscales also attained high internal consistency reliability, were properly related to mainstream attachment style scales, and had incremental validity in predicting psychological well-being and mental health. The Italian SAAM translation is indeed a reliable and valid measure, showing promise as a clinical assessment of short-term changes in attachment states, even in non-English cultural context.     

The Child Attachment Interview: a psychometric study of reliability and discriminant validity

While well-established attachment measures have been developed for infancy, early childhood, and adulthood, a "measurement gap" has been identified in middle childhood, where behavioral or representational measures are not yet sufficiently robust. This article documents the development of a new measure--the Child Attachment Interview (CAI)--which seeks to bridge this gap. The CAI is a semistructured interview, in which children are invited to describe their relationships with their primary caregivers. The coding system is informed by the Adult Attachment Interview and the Strange Situation Procedure, and produces 4 attachment categories along with a continuous measure of attachment security based on ratings of attachment-related dimensions. The main psychometric properties are presented, including interrater reliability, test-retest reliability, and concurrent and discriminant validities, both for normally developing children and for those referred for mental health treatment. The CAI correlates as expected with other attachment measures and predicts independently collected ratings of social functioning. The findings suggest that the CAI is a reliable, valid, and promising measure of child-parent attachment in middle childhood. Directions for improvements to the coding system are discussed.