Clinical Psychology Commons^™

An Attachment-Based Group Intervention, Shannon Dillon

Doctoral Dissertations

This mixed method study aimed to understand and describe the effectiveness of an intervention and the experiences of mothers raising their children in a transitional living home. This was achieved through interviewing four mothers in Gilead House. Initially, participants completed the Depression, Anxiety and Stress scale (DASS-21), the Trauma History Screening (THS), the Adolescent Adult Parenting Inventory-2 (AAPI-2) and a demographics form. The first interview was also completed. Interview questions were based on the Working Model of the Child Interview (WCMI). Following this time 1 meeting an attachment-based group intervention was utilized for eight weeks. This intervention was based on …

The Role Of Attachment In Experiences Of Affiliate Stigma Among Parents Of Lesbian, Gay, And Bisexual Individuals, Christina Mastropaolo

Seton Hall University Dissertations and Theses (ETDs)

The purpose of this study was to examine the relationship between parents of lesbian, gay, and bisexual (LGB) individuals’ attachment styles and their experiences of LGB affiliate stigma associated with having an LGB child. It was hypothesized that higher levels of anxious and/or avoidant attachment, as measured by the Experiences in Close Relationships Scale (ECR; Brennan, Clark, & Shaver, 1998), would predict higher levels of LGB affiliate stigma, as measured by the LGB Affiliate Stigma Measure (LGB-ASM; Robinson & Brewster, 2016). A sample of 87 self-identified parents of LGB individuals completed the ECR and LGB-ASM. Utilizing multiple regression, results of …

The Association Of Attachment And Marital Satisfaction Mediated By Implicit Theories Of Relationships, Sadie Teal

Clinical Psychology Dissertations

This study explored the association between adult attachment, implicit theories of relationships, and marital satisfaction for adults who are currently in a romantic relationship. Attachment needs influence the lasting relationships individuals have in their lives, from infancy to adulthood. Secure attachment facilitates lasting relationships. Implicit theories around romantic relationships motivate our behaviors in relationships to fit our cognitive schemas. Due to attachment’s pervasive hold on our perceptions of the world and others, the relationships we have with significant others influence our cognitive schemas around romantic relationship dynamics. It was hypothesized that attachment (the independent variable) would affect marital satisfaction (the …

An Exploration Of The Collegiate Coach-Athlete Relationship And Its Impact On Female Athlete Attitudes And Behaviors Toward Disordered Eating And Body Image, Bridget E. Smith

Dissertations, 2014-2019

Collegiate female athletes face the challenges of conflicting feminine body ideals in society and in their sport all while striving for athletic success. Coaches are believed to play a significant role in an athlete’s development, and thus have potential to (knowing or unknowingly) reinforce, or even introduce, eating pathology as a means to achieve athletic performance and/or a body ideal. Previous research has found a link between insecure attachment and subsequent eating pathology in athletes and non-athletes alike. The coach can be viewed as an important attachment figure in an athlete’s life and development and thus serve a mediating role …

The Effect Of Smartphones On Anxiety: An Attachment Issue Or Fear Of Missing Out?, Kelly Mannion

Seton Hall University Dissertations and Theses (ETDs)

Previous research shows that college students tend to experience increased anxiety when they are separated from their smartphone. This anxiety has been suggested to be due to attachment, where college students have formed an attachment to their smartphone. Another explanation for this anxiety is the fear of missing out (FoMO), where college students experience worry when they cannot check in with their friends. No existing study to my knowledge has simultaneously examined the separate impact of attachment to phones and FoMO on anxiety levels, particularly during a stressful situation. The current study examines the separate and combined impacts of FoMO …

Sibling Survivors Of Suicide: A Retrospective Exploration Of Familial Attachment During Bereavement, Mark Macor

Antioch University Dissertations & Theses

The following qualitative study retrospectively explored the adolescent experiences and reactions of adult survivors to their loss of a sibling to suicide. The study employed Interpretative Phenomenological Analysis (IPA) to inform subsequent interpretation of interview data collected from a sample of five adult sibling survivors of suicide. Criteria for an individual’s participation included being of at least 25 years old at the time of the interview and that they experienced the loss of a sibling to suicide while they themselves were between the ages of 12 and 21 years old. Participant responses to an attachment self-report measure—Attachment Style Questionnaire (Feeney, …

The Relationship Between Attachment, Self-Regulation, And Resilience In Undergraduate Students' College Adjustment, Scott Tanner

Walden Dissertations and Doctoral Studies

Difficulty adjusting to college life is noted in nearly 20% of freshmen who fail to return to college. The purpose of this quantitative survey design study, grounded in attachment theory, was to investigate the best predictor (e.g., secure parental attachment, self-regulation, or resilience) of college adaptation, the combined contribution of the variables in predicting college adaptation, and whether a bivariate relationship existed between the variables and subcomponents of college adaptation. The Connor Davidson Resilience Scale Revised, Parental Attachment Questionnaire, Short Self-Regulation Questionnaire, and Student Adaptation to College Questionnaire were securely administered online to a sample of 68 full-time students from …

Mentalization In Counseling Processes, Matthew J. Swartzentruber

Educational Specialist, 2009-2019

The purpose of this literature review is to demonstrate the profound influences and numerous applications the concept of mentalization has within counseling processes. The skill of mentalizing extends across theoretical orientations within existing counseling frameworks and has been suggested to be a core factor within the counseling process (Allen, Fonagy, & Bateman, 2008). Mentalizing capacities have been linked to positive therapeutic alliances (Markowitz & Milrod, 2011), positive client outcomes (Bernbach, 2002; Bouchard et al., 2008; Fonagy & Target, 1996; Karlsson & Kermott, 2006; Levy et. al., 2006; Meehan, Levy, Reynoso, Hill, & Clarkin, 2009), and counselor effectiveness (Cologon, 2013); and …

Minding The Baby®: Maternal Adverse Childhood Experiences And Treatment Outcomes In A Mother-Infant Home Visiting Program, Jessica G. Albertson

Dissertations, Theses, and Capstone Projects

This study examined Adverse Childhood Experiences (ACEs) in a sample of women participating in Minding the Baby® (MTB), a mother-infant home-visiting intervention known to have positive effects on mother-infant attachment. In addition to documenting maternal childhood trauma exposure within the sample, this study explored whether such exposure affected the intervention outcome or service delivery. We looked specifically at whether maternal childhood trauma exposure affected mother-child attachment or frequency of contact with home-visitors. We also examined the relationship between maternal early childhood trauma exposure and reflective functioning capacity (RF), a potential resiliency-promoting factor.

Methods: The study’s participants were 29 first-time …

Women’S Sexual Fantasies In Context: The Emotional Content Of Sexual Fantasies, Psychological And Interpersonal Distress, And Satisfaction In Romantic Relationships, Sarah Constantine

Dissertations, Theses, and Capstone Projects

Background: Psychoanalytic thinkers propose that aspects of an individual’s sexual fantasies are related to her psychological and interpersonal functioning. The present study aims to elucidate the significance of sexual fantasies with respect to women’s emotional and interpersonal lives. The study evaluated a model, which hypothesized that internal representations of self and others (e.g. attachment security, maturity of object relations) along with psychological and interpersonal factors would predict both the emotional content (guilt, fear, affection) of written sexual fantasy narratives, and overall romantic satisfaction in heterosexual women. Methods: Five hundred and thirty four women completed self-report questionnaires online. Subsequently, the sexual …

Women Who Perpetrate Partner Violence: The Role Of Attachment Insecurity And Emotion Regulation, Diana Adele Robinson

Electronic Theses, Projects, and Dissertations

Intimate partner violence (IPV) is a prevalent and destructive social problem affecting millions of people around the world. Although partner violence has been widely examined among women, few studies have focused on women in the role of perpetrator. The purpose of this investigation was to identify the underlying mechanisms of IPV perpetration among college women. Specifically, we investigated the relationship among attachment insecurity (i.e., anxious and avoidant), emotion regulation (ER) strategies (i.e., expressive suppression and cognitive reappraisal), and IPV among a sample of college women. Participants (N = 177) were recruited from a Southern California university and completed measures …

A Mixed Methods Study Of A Psychoeducational Attachment-Based Intervention For Families Experiencing Separation And Loss, Kelly C. Atwood

Dissertations, 2014-2019

This mixed methods study examined foster and adoptive parents’ experience of an attachment-based psychoeducational parent education course. A semi-structured qualitative interview explored parent perceptions of the course content and the impact of the course on parental stress levels, parent-child interactions, and child behavior in a sample of parent participants, after parents completed the 8-week Attachment Security Course. Prior to and following completion of the course parents completed quantitative measures of parenting stress, parent-child interaction, and child behavior. Due to the small sample size, the quantitative results were not interpretable in aggregate form. Emphasis was placed on the qualitative data to …

Examining Differences Between Foster Parents Who Continue To Foster Children And Those Who Do Not, Jacqueline L. Farris

Walden Dissertations and Doctoral Studies

Foster parents are often not equipped to address the difficulties and challenges they face with their foster children. Research has identified the importance of providing foster children with a safe and secure environment. Guided by the theory of adoption and attachment, the purpose of this study was to identify the differences between foster parents who continue with foster child placements and those who do not by examining their perceptions of foster parenting behaviors and their foster parent/child relationships. Participants were recruited using online foster parent forums and foster care agencies. A total of 31 foster parents participated: 13 licensed and …

The Implications Of Attachment Orientation And Personality Pathology For Detecting Deception, Madeline Luedke

Global Tides

This study investigated the implications of attachment orientations and personality dimensions for accuracy in detecting deception from emotionally-based statements. Thirty individuals (M age = 25.33, range = 18-52) completed a survey that included the Personality Inventory for DSM-V-Brief Form and the Relationship Styles Questionnaire to measure the individual differences in question. To measure deceit, 7 mental health counselors volunteered to participate in a video-recorded mock interview concerning their current romantic partner—3 individuals provided false responses, and the remaining 4 offered true answers. The audio-visual vignettes were imbedded in the survey and subjects viewed each, then responded a question asking …

Ptsd From Childhood Trauma As A Precursor To Attachment Issues, Christy Owen

Fidei et Veritatis: The Liberty University Journal of Graduate Research

The past 20 years have been turbulent regarding Reactive Attachment Disorder (RAD), with conflicting research about its causes, effects, treatment, and prognosis. The current diagnostic criteria in the DSM-5 fails to adequately address this disorder. A number of deviant and maladaptive behaviors common amongst children with RAD are not even mentioned in the diagnostic criteria. As such, the diagnostic definition is almost unidentifiable or incompatible with real-life conduct manifestations of the disorder. Rather, this author contends that RAD is foundationally a unique and extreme form of Posttraumatic Stress Disorder (PTSD) from Early Childhood Trauma. The child endured unspeakable neglect and/or …

Assessing Adult Attachment Using The Dynamic Maturational Model: Exploring A Novel Measure, Albert Pace

Doctor of Psychology (PsyD)

The Adult Attachment Interview (AAI) is perhaps the most widely used and best-known assessment tool for assessing adult attachment. Several methods for scoring and coding the AAI exist; the Dynamic Maturational Model of Attachment and Adaptation (DMM) offers one theoretical perspective that accounts for the dynamic nature of attachment in high-risk populations, and incorporates contemporary information processing theory (Crittenden, 2015a). Despite the AAI’s empirical and clinical power, its utilization in both clinical and research practice is time consuming and costly. Conversely, most self-report questionnaires are readily accessible, cost effective, and time efficient. Nevertheless, there has been concern regarding the psychometric …

How Therapists Use And Choose Mindfulness To Treat Trauma, Jessica M. King

Theses and Dissertations--Family Sciences

This qualitative study used the phenomenological method to examine how therapists use mindfulness therapies and interventions to address trauma-salient issues with their clients. Specifically, it explored therapists’ use of and choices about mindfulness-based treatments when addressing post-traumatic stress symptoms, and trauma-relevant emotion dysregulation and attachment injury. Informants were associate and fully-licensed local therapists, recruited using convenience sampling and snowball sampling by word-of-mouth referrals. Data was collected by semi-structured interviewing. Interview data was analyzed with Moustakas’ (1994) recommended procedures for analysis of phenomenological data. Results, Discussion, Limitations and Suggestions for Future Research are described at the end.

The Remembered Experience Of Adoption: Factors Supporting Healthy Adjustment, Crystal R. Gonsalves

Antioch University Dissertations & Theses

This qualitative research study is designed to explore ideas, customs, and practices related to adoption from the perspective of adult adoptees. While many studies seek to explain the negative impact of adoption, minimal literature exists with regard to a phenomenological exploration of adoption practices that successfully promote healthy adjustment and a sense of resilience and well-being in adopted children. Existing research on adoption has largely been conducted quantitatively, which can fail to capture the personal, lived experience of a positive adoption experience that leads to healthy adjustment. Specifically, little is known about which factors of the adoption experience adoptees perceive …

Effects Of Acculturation Gap And Attachment Style On South Asian Adolescent Well-Being, Malliga Delaney Delaney

Walden Dissertations and Doctoral Studies

South Asian (SA) adolescents experience the added challenges of identity development and coping as a minority population of color in a predominantly White host culture. Adolescent attachment style (AS) with their parents, along with an acculturation gap (AG) with their parents, can either add to or alleviate their struggles. A matched acculturation style and secure AS with their parents were hypothesized to result in higher ethnic identity and adaptive coping. The Brief COPE, Multiethnic Identity Measure, Inventory of Parent and Peer Attachment, and the Bicultural Inquiry Questionnaire were used to measure the independent (AG and AS) and dependent variables (identity …

Supervisee Avoidant Attachment And Supervisors' Use Of Relational Behavior : Contributions To The Working Alliance, Katharine Suzanne Shaffer

Legacy Theses & Dissertations (2009 - 2024)

Supervision research has demonstrated the importance of a strong supervisory working alliance in the context of clinical training. However, little is known about what specifically occurs in clinical supervision that contributes to a strong supervisory working alliance. The present study of counselor trainees was designed to investigate relations among their avoidant attachment style, perceptions of relational behaviors used by their supervisors in the most recent supervision session, and the supervisory working alliance. Competing hypotheses stated that greater use of relational behavior on the part of supervisors would either mediate or moderate the inverse relationship between trainees' avoidant attachment style and …

Stress Exposure, Secure Base Scriptedness, Psychosocial Needs Satisfaction And Behavioral Problems Among At-Risk Urban Adolescents, Kelsey Sala-Hamrick

Wayne State University Theses

The adolescent period of development is associated with increases in internalizing, externalizing, and other problem behaviors which are thought to be exacerbated by cumulative risk factors associated with environmental disadvantage. Previous research has demonstrated the associations between both secure attachment and psychosocial needs satisfaction with decreases in behavior problems; however, few studies have examined the relative effects of environmental stress exposure, attachment security and psychosocial needs satisfaction on adolescent behavioral problems. Therefore, this study recruited 106 environmentally at-risk, socioeconomically disadvantaged sample of urban adolescents and their caregivers from Detroit, MI in order to: (1) describe the levels of environmental disadvantage …

Short-Term Attachment Outcomes Of Infants In The Child Welfare System, Tracy Markowitz

Antioch University Dissertations & Theses

Children with prenatal substance exposure are often born into families of low socio-economic status, low educational level, and with restricted access to health services. Pregnant substance-using mothers tend to reject, neglect, and generally misattune to their infant children. These environmental risk factors increase the likelihood of negative developmental outcomes such as poor academic performance, externalizing behaviors, and an insecure attachment style. In compliance with the Child Abuse Prevention and Treatment Act and the Adoption and Safe Families Act, Child Welfare Services often places at-risk infants into traditional or kinship foster care placements. This study looked at how placement type and …

Challenges Of Child Trauma On Adoptive Families' Social And Emotional System, Jacqueline Yvonne Ford

Walden Dissertations and Doctoral Studies

Adoption-focused psychoeducation is deemed essential in maintaining the permanency of traumatized children within a new family unit. However, adoptive parents of traumatized children struggle to find training to address their unique concerns. Guided by the lens of psychodynamic theory, the purpose of this study was to investigate the challenges faced by adoptive families of traumatized children. Special focus was placed on the social and emotional relationships of the adoptive parents of traumatized children, to identify the realistic expectations towards attachment from the families' perspectives. Fifteen families were randomly selected to participate in this study from a group of 30 parents …

Psychopathy And Attachment: The Effect Of Security Priming On Psychopathy In A College Student Sample, Blake D. Herd

College of Graduate Studies: Theses & Dissertations

Psychopathy has been defined as a pattern of negative behaviors, social interactions, and affective features, including impoverishment of emotion, unethical and manipulative actions, and impulsivity (Neumann & Hare, 2008). It is estimated that between 15 to 30 percent of incarcerated adults meet the criteria for psychopathy (Hare, 1991, 1996; Salekin, Rogers, Ustad, & Sewell, 1998). Because psychopathy is linked with deviant behaviors and a significant portion of incarcerated adults are high in psychopathy, methods of reducing psychopathy are needed. The current longitudinal study sought to reduce state psychopathy levels through secure attachment priming. It was first hypothesized that the mean …

A Narrative Study Of Emotions Associated With Negative Childhood Experiences Reported In The Adult Attachment Interview, Lynne Hartman

Antioch University Dissertations & Theses

Attachment patterns, which tend to be stable over time, are passed from one generation to the next. Secure attachment has been linked to adaptive social functioning and has been identified as a protective factor against mental illness. The parents’ state of mind with regard to attachment—as measured with the Adult Attachment Interview (AAI) (Main, Goldwyn, & Hesse, 2002)—predicts the attachment classification for the infant in Ainsworth’s Strange Situation Procedure (Ainsworth, Blehar, Waters, & Wall, 1978). Earned-secure individuals have overcome negative childhood experiences to achieve a secure state of mind in adulthood. Earned security, like continuous security, strongly predicts infant security …

Differential Parenting And Parents' Perceptions Of Their Children: Can Attachment Help Explain This Relationship?, Meagan Mcswiggan

Electronic Theses and Dissertations

Research has suggested that the differential experiences of children in the same family were often greater than those of children across different families. Although studies identified potential moderators (e.g., age, gender) associated with differential parenting, there has been less investigation of mediators. The current study examined attachment as a mediator in the relationship between differential parenting and parents' perceptions of their children. As part of this study, 132 culturally diverse mothers with children who ranged in age from 2- to 10-years rated how differently they treat their own children, their children's attachment, their parenting characteristics, and their children's functioning (i.e., …

The Relationship Between Early Attachment And Marital Satisfaction In Early Adulthood, Seyed Hadi Hosseini Yassin

Electronic Theses, Projects, and Dissertations

The purpose of this study was to examine the relationship between early attachment and marital satisfaction. Whereas partner attachment has been found to be related to marital satisfaction, little research has examined the relationship of early attachment to marital satisfaction. It was hypothesized that early attachment would impact the three components of marital satisfaction, i.e., communication, sexual satisfaction, and love/partner attachment in early adulthood. Participants were 35 male and 119 female college students ages 18 to 40 years (M = 27 yrs), who completed a questionnaire comprised of Dyadic Adjustment Scale (DAS) (Spanier, 1976), the sexual satisfaction subscale from the …

The Effect Of Parent-Child Interaction Therapy On Strengthening The Attachment Relationship With Foster Parents And Children In Foster Care, Christina Marie Danko

College of Science and Health Theses and Dissertations

Children in foster care are more likely to face difficulties in forming a secure attachment relationship and to have problem behaviors than children not in foster care (Dozier & Rutter, 2008). Parent-Child Interaction Therapy (PCIT) is an evidence-based treatment that focuses on strengthening the attachment relationship between the child and the caregiver, as well as reducing the number and intensity of behavior problems. Although PCIT is based on attachment theory, very few studies have examined the effect of PCIT on child-parent attachment or examined the effect of PCIT on attachment in foster care families. This study extends prior work and …

Unfinished Business In Bereavement: A Mixed Methods Study, Kara Lee Klingspon

UNLV Theses, Dissertations, Professional Papers, and Capstones

Unfinished business(incomplete, unexpressed or unresolved relationship issues with the deceased) is frequently discussed as a risk factor for chronic and severe grief reactions. However, few empirical studies have examined this construct. The present study aimed to address this gap in the literature by examining the presence and severity of unfinished business as well as common themes of unfinished business reported in open-ended qualitative narratives among a sample of 256 bereaved individuals. In bivariate analyses, self-reported presence of unfinished business and the severity of distress due to unfinished business were both found to be associated with higher levels of distress and …

Adult Attachment And Emotion Identification: A Cognitive Evaluation, Jennifer F. Barron

College of Graduate Studies: Theses & Dissertations

Whether adult or infant, attachment bonds aid in the development of beliefs about oneself and others (Collins & Read, 1990; Hazen & Shaver, 1987). Additionally, attachment seems to play a vital role in human development, communication, emotion recognition and comprehension, and the development of appropriate mental representations of emotional experiences (Denham et al., 2002; Greg & Howe, 2001; Raikes & Thompson, 2006). Because attachment is considered a somewhat stable trait, it seems logical that the importance of emotional experiences would not be limited to childhood, and would be important in establishing and maintaining healthy adult relationships (Kerr, Melley, Travea, & …