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Association Between Attachment Patterns and Personality Disorders: A Multimethod Multi-Informant Study Using a Clinical Sample.
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- Author(s): Nakash O; Nagar M; Razon L; Razon L; Westen D; Westen D
- Source:
The Journal of nervous and mental disease [J Nerv Ment Dis] 2021 May 01; Vol. 209 (5), pp. 386-394.- Publication Type:
Journal Article; Research Support, Non-U.S. Gov't- Language:
English - Source:
- Additional Information
- Source: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 0375402 Publication Model: Print Cited Medium: Internet ISSN: 1539-736X (Electronic) Linking ISSN: 00223018 NLM ISO Abbreviation: J Nerv Ment Dis Subsets: MEDLINE
- Publication Information: Publication: Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: Baltimore [etc.] - Subject Terms:
- Abstract: Abstract: We investigated the association between personality disorders (PDs) and attachment patterns, and examined the construct validity of attachment patterns against adaptive functioning. We used a multimeasure multi-informant approach, which allowed us to disentangle the effects of the methods and to examine the utility of the various methods for measuring these constructs. The participants included 80 clinicians and 170 clinical outpatients, recruited via convenience sampling. Results showed that secure attachment was positively associated with adaptive functioning, whereas insecure patterns were negatively associated with adaptive functioning. Both categorical and dimensional PD diagnoses were associated with insecure attachment patterns. However, after controlling for comorbidity among the PD diagnoses, only some findings remained significant, most notably the association between borderline PD and the clinicians' assessment of preoccupied and incoherent/disorganized attachment, and the patients' self-reported attachment anxiety. Our findings underscore the importance of controlling for comorbidity in examining the associations between attachment patterns and PDs.
(Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.) - References: Ainsworth MS, Blehar MC, Waters E, Wall S (1978) Patterns of attachment: A psychological study of the Strange Situation . Oxford: Lawrence Erlbaum.
American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders (4th ed, text rev). Washington, DC: American Psychiatric Association.
American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders (5th ed). Arlington, VA: American Psychiatric Association.
Bakermans-Kranenburg MJ, van Ijzendoorn MH (2009) The first 10,000 Adult Attachment Interviews: Distributions of adult attachment representations in clinical and non-clinical groups. Attach Hum Dev . 11:223–263.
Beeney JE, Wright AGC, Stepp SD, Hallquist MN, Lazarus SA, Beeney JRS, Scott LN, Pilkonis PA (2017) Disorganized attachment and personality functioning in adults: A latent class analysis. Personal Disord . 8:206–216.
Benjamini Y, Hochberg Y (1995) Controlling the false discovery rate: A practical and powerful approach to multiple testing. J R Stat Soc B Methodol . 57:289–300.
Bowlby J (1977) The making and breaking of affectional bonds: I. Aetiology and psychopathology in the light of attachment theory. An expanded version of the Fiftieth Maudsley Lecture, delivered before the Royal College of Psychiatrists, 19 November 1976. Br J Psychiatry . 130:201–210.
Bowlby J (1980) Attachment and loss: Volume 3: Loss, sadness and depression . London, UK: Hogarth Press/Institute of Psychoanalysis.
Brennan KA, Clark CL, Shaver PR (1998) Self-report measurement of adult attachment: An integrative overview. In Simpson JA, Rholes WS (Eds), Attachment theory and close relationships (pp 46–76). New York: Guilford Press.
Chiesa M, Cirasola A, Williams R, Nassisi V, Fonagy P (2017) Categorical and dimensional approaches in the evaluation of the relationship between attachment and personality disorders: An empirical study. Attach Hum Dev . 19:151–169.
DeFife JA, Drill R, Nakash O, Westen D (2010) Agreement between clinician and patient ratings of adaptive functioning and developmental history. Am J Psychiatry . 167:1472–1478.
First MB, Gibbon M, Spitzer RL, Williams JBW, Benjamin LS (1997b) Structured clinical interview for DSM-IV Axis II personality disorders . Washington, DC: American Psychiatric Press.
First MB, Spitzer RL, Gibbon M, Williams JBW (1997a) Structured clinical interview for DSM-IV axis I disorders–clinician version (SCID-CV) . New York: State Psychiatric Institute, Biometrics Research.
Folstein JR, Van Petten C (2004) Multidimensional rule, unidimensional rule, and similarity strategies in categorization: Event-related brain potential correlates. J Exp Psychol Learn Mem Cogn . 30:1026–1044.
Fossati A, Feeney JA, Donati D, Donini M, Novella L, Bagnato M, Carretta I, Leonardi B, Mirabelli S, Maffei C (2003) Personality disorders and adult attachment dimensions in a mixed psychiatric sample: A multivariate study. J Nerv Ment Dis . 191:30–37.
George C, Kaplan J, Main M (1996) Adult Attachment Interview: Unpublished manuscript . Berkeley: Department of Psychology, University of California.
Gritti ES, Samuel DB, Lang M (2016) Diagnostic agreement between clinicians and clients: The convergent and discriminant validity of the SWAP-200 and MCMI-III Personality Disorder Scales. J Pers Disord . 30:796–812.
Hicks BM, Clark DA, Durbin CE (2017) Person-centered approaches in the study of personality disorders. Personal Disord Theory Res Treat . 8:288–297.
Kernberg OF (1985) Borderline conditions and pathological narcissism . Lanham: Rowman & Littlefield.
Levy KN, Beeney JE, Temes CM (2011) Attachment and its vicissitudes in borderline personality disorder. Curr Psychiatry Rep . 13:50–59.
Levy KN, Scala JW, Temes CM, Clouthier TL (2015) An integrative attachment theory framework of personality disorders. In Huprich SK (Ed), Personality disorders: Toward theoretical and empirical integration in diagnosis and assessment (pp 315–343). Washington, DC: American Psychological Association.
Lobbestael J, Leurgans M, Arntz A (2011) Inter-rater reliability of the structured clinical interview for DSM-IV axis I disorders (SCID I) and axis II disorders (SCID II). Clin Psychol Psychother . 18:75–79.
MacDonald K, Berlow R, Thomas ML (2013) Attachment, affective temperament, and personality disorders: A study of their relationships in psychiatric outpatients. J Affect Disord . 151:932–941.
Main M, Solomon J (1986) Discovery of an insecure-disorganized/disoriented attachment pattern. In Brazelton TB, Yogman MW (Eds), Affective development in infancy (pp 95–124). Westport, CT: Ablex Publishing.
Meyer B, Pilkonis PA, Proietti JM, Heape CL, Egan M (2001) Attachment styles and personality disorders as predictors of symptom course. J Pers Disord . 15:371–389.
Mikulincer M, Shaver PR (2016) Attachment in adulthood: Structure, dynamics, and change . New York: Guilford Press.
Moos RH, McCoy L, Moos BS (2000) Global Assessment of Functioning (GAF) ratings: Determinants and role as predictors of one-year treatment outcomes. J Clin Psychol . 56:449–461.
Nagar M, Westen D, Nakash O (2018) Reliability of DSM and empirically derived prototype diagnosis for mood, anxiety and personality disorders. Compr Psychiatry . 85:8–14.
Nakash-Eisikovits O, Dutra L, Westen D (2002) Relationship between attachment patterns and personality pathology in adolescents. J Am Acad Child Adolesc Psychiatry . 41:1111–1123.
Nakash O, Nagar M, Westen D (2018) Agreement among clinician, patient, and independent interviewer ratings of adaptive functioning. J Nerv Ment Dis . 206:116–121.
Nakash O, Nagar M, Westen D (2019) Validity and clinical utility of DSM and empirically derived prototype diagnosis for personality disorders in predicting adaptive functioning. Personal Disord Theory Res Treat . 10:105–113.
Nolte T, Guiney J, Fonagy P, Mayes LC, Luyten P (2011) Interpersonal stress regulation and the development of anxiety disorders: An attachment-based developmental framework. Front Behav Neurosci . 5:55.
Roberts BW, Harms PD, Smith JL, Wood D, Webb M (2006) Using multiple methods in personality psychology. In Eid M, Diener E (Eds), Handbook of multimethod measurement in psychology (Vol. 24, pp 321–335). Washington, DC: American Psychological Association.
Roisman GI, Holland A, Fortuna K, Fraley RC, Clausell E, Clarke A (2007) The Adult Attachment Interview and self-reports of attachment style: An empirical rapprochement. J Pers Soc Psychol . 92:678–697.
Scott LN, Kim Y, Nolf KA, Hallquist MN, Wright AG, Stepp SD, Morse JQ, Pilkonis PA (2013) Preoccupied attachment and emotional dysregulation: Specific aspects of borderline personality disorder or general dimensions of personality pathology? J Pers Disord . 27:473–495.
Shaver PR, Belsky J, Brennan KA (2000) The Adult Attachment Interview and self-reports of romantic attachment: Associations across domains and methods. Pers Relat . 7:25–43.
Shaver PR, Hazan C (1988) A biased overview of the study of love. J Soc Pers Relat . 5:473–501.
Shedler J (2015) Integrating clinical and empirical perspectives on personality: The Shedler-Westen Assessment Procedure (SWAP). In Huprich SK (Ed), Personality disorders: Toward theoretical and empirical integration in diagnosis and assessment (pp 225–252). Washington, DC: American Psychological Association.
Shedler J, Westen D (2004) Refining personality disorder diagnosis: Integrating science and practice. Am J Psychiatry . 161:1350–1365.
Spitzer RL, First MB, Shedler J, Westen D, Skodol AE (2008) Clinical utility of five dimensional systems for personality diagnosis: A “consumer preference” study. J Nerv Ment Dis . 196:356–374.
Stepp SD, Scott LN, Morse JQ, Nolf KA, Hallquist MN, Pilkonis PA (2014) Emotion dysregulation as a maintenance factor of borderline personality disorder features. Compr Psychiatry . 55:657–666.
Tyrer P, Reed GM, Crawford MJ (2015) Classification, assessment, prevalence, and effect of personality disorder. Lancet . 385:717–726.
Waters E, Merrick S, Treboux D, Crowell J, Albersheim L (2000) Attachment security in infancy and early adulthood: A twenty-year longitudinal study. Child Dev . 71:684–689.
Westen D (2012) Prototype diagnosis of psychiatric syndromes. World Psychiatry . 11:16–21.
Westen D, DeFife JA, Bradley B, Hilsenroth MJ (2010) Prototype personality diagnosis in clinical practice: A viable alternative for DSM-V and ICD-11 . Prof Psychol Res Pr . 41:482–487.
Westen D, DeFife JA, Malone JC, DiLallo J (2014) An empirically derived classification of adolescent personality disorders. J Am Acad Child Adolesc Psychiatry . 53:528–549.
Westen D, Malone JC, DeFife JA (2012) An empirically derived approach to the classification and diagnosis of mood disorders. World Psychiatry . 11:172–180.
Westen D, Nakash O (2005) Attachment Prototype Questionnaire manual . Atlanta, GA: Emory University.
Westen D, Nakash O, Thomas C, Bradley R (2006) Clinical assessment of attachment patterns and personality disorder in adolescents and adults. J Consult Clin Psychol . 74:1065–1085.
Westen D, Shedler J (1999) Revising and assessing axis II, part I: Developing a clinically and empirically valid assessment method. Am J Psychiatry . 156:258–272.
Westen D, Shedler J (2007) Personality diagnosis with the Shedler-Westen Assessment Procedure (SWAP): Integrating clinical and statistical measurement and prediction. J Abnorm Psychol . 116:810–822.
Widiger TA, Huprich S, Clarkin J (2011) Proposals for DSM-5 : Introduction to special section of Journal of Personality Disorders . J Pers Disord . 25:135.
World Health Organization (1992) The ICD-10 classification of mental and behavioural disorders: Clinical descriptions and diagnostic guidelines . Geneva, Switzerland: World Health Organization. - Publication Date: Date Created: 20210224 Date Completed: 20211231 Latest Revision: 20230928
- Publication Date: 20230929
- Accession Number: 10.1097/NMD.0000000000001310
- Accession Number: 33625070
- Source:
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