scholarly journals Attachment theory in psychiatric rehabilitation: informing clinical practice

2010 ◽  
Vol 16 (4) ◽  
pp. 308-315 ◽  
Author(s):  
Katherine Berry ◽  
Richard Drake

SummaryThis article highlights the relevance of attachment theory for psychiatric rehabilitation services and discusses practice implications derived from the theory. Attachment theory can guide the development of interpersonal relationships during recovery and this aspect of rehabilitation is emphasised here. Attachment theory can also be used to help staff predict and understand problematic behaviours such as violence and aggression, and different styles of recovery. The theory can help promote positive staff–service-user relationships by highlighting the qualities of effective caregivers and the way in which people with different attachment styles might benefit from different approaches. We conclude by suggesting ways of teaching rehabilitation staff to become more effective attachment figures.

2015 ◽  
Vol 10 (4) ◽  
pp. 218-233 ◽  
Author(s):  
Nikki Boniwell ◽  
Leanne Etheridge ◽  
Ruth Bagshaw ◽  
Joanne Sullivan ◽  
Andrew Watt

Purpose – Attachment Theory can be regarded as central to the concept of relational security. There is a paucity of research examining the coherence of this construct for ward-based staff. The paper aims to discuss these issues. Design/methodology/approach – Five female nurses from the acute admission and assessment ward of a UK medium secure unit acted as participants. Semi-structured interviews were conducted, and inductive thematic analysis was applied. Findings – Six themes; “staff-service user relationships”, “staff diversities”, “service user backgrounds”, “variability in service users’ presentations”, “service users with personality disorder are problematic” and “nurses do not use attachment” emerged from the data. The nurses used heuristic models of attachment-related behaviour and they lacked knowledge of constructs associated with Attachment Theory. Research limitations/implications – Acute admissions may not be representative of all treatment contexts. Traditional models of attachment style may have only limited relevance in forensic services. Practical implications – Limited knowledge and confidence in the nurses regarding how Attachment Theory might apply to service users is interesting because it may limit the extent to which care, treatment and risk management might be informed by an understanding of service user representations of therapeutic relationships. Training and educational interventions for nurses that enhance understanding of personality development and attachment styles are warranted. Originality/value – The importance of nurses for achieving relational security is emphasised and the adequacy of their training is questioned.


Author(s):  
M. Mercedes Perez-Rodriguez ◽  
Nicole E. Derish ◽  
Nerea Palomares ◽  
Sukhbir Kaur ◽  
Armando Cuesta-Diaz ◽  
...  

Attachment theory suggests that early relationships with significant others play a critical role in later interpersonal relationships. Attachment styles have a significant impact on social functioning. Since personality disorders are characterized by abnormal social-interpersonal functioning, it is surprising that attachment abnormalities in personality disorders remain mostly unexplored. This chapter describes definitions and measures of attachment and briefly reviews the neurobiology of attachment. Then it describes the evidence demonstrating abnormalities in attachment in personality disorders. Finally, the psychotherapeutic implications of different attachment styles are reviewed and attachment-focused treatments for personality disorders are described. A conclusion and future directions end the chapter.


Author(s):  
Ina Grau ◽  
Jörg Doll

Abstract. Employing one correlational and two experimental studies, this paper examines the influence of attachment styles (secure, anxious, avoidant) on a person’s experience of equity in intimate relationships. While one experimental study employed a priming technique to stimulate the different attachment styles, the other involved vignettes describing fictitious characters with typical attachment styles. As the specific hypotheses about the single equity components have been developed on the basis of the attachment theory, the equity ratio itself and the four equity components (own outcome, own input, partner’s outcome, partner’s input) are analyzed as dependent variables. While partners with a secure attachment style tend to describe their relationship as equitable (i.e., they give and take extensively), partners who feel anxious about their relationship generally see themselves as being in an inequitable, disadvantaged position (i.e., they receive little from their partner). The hypothesis that avoidant partners would feel advantaged as they were less committed was only supported by the correlational study. Against expectations, the results of both experiments indicate that avoidant partners generally see themselves (or see avoidant vignettes) as being treated equitably, but that there is less emotional exchange than is the case with secure partners. Avoidant partners give and take less than secure ones.


2020 ◽  
Vol 22 (3) ◽  
pp. 341-361
Author(s):  
Gonzalo Grau-Pérez ◽  
J. Guillermo Milán

In Uruguay, Lacanian ideas arrived in the 1960s, into a context of Kleinian hegemony. Adopting a discursive approach, this study researched the initial reception of these ideas and its effects on clinical practices. We gathered a corpus of discursive data from clinical cases and theoretical-doctrinal articles (from the 1960s, 1970s and 1980s). In order to examine the effects of Lacanian ideas, we analysed the difference in the way of interpreting the clinical material before and after Lacan's reception. The results of this research illuminate some epistemological problems of psychoanalysis, especially the relationship between theory and clinical practice.


Author(s):  
Sachin Bagali ◽  
Umapati Baragi ◽  
M. R. Sajjanshetti

In the present day scenario prime need of Ayurveda is practical applicability of Ayurvedic fundamental principles and research should be more focused on all aspects where scientific inputs should confirm Ayurveda’s principles and philosophy. In Ayurveda, Gunas are described as the way of presentation of action without which no Karma (action) can be possible. Ayurveda has provided significance to every Guna so that they become useful in clinical practice. Clinical practice or research is a continuous process including a series of events which need to be performed in a sequential manner. Though there are many factors on which accomplishment of treatment depends, among these Charaka has given prime importance to Paradi Gunas. In clinical practice, Guna which are to be with Bhishak are mainly the Paradi Gunas which can also be called as miscellaneous Gunas. As rightly quoted by Acarya Charaka, for getting success in the treatment Paradi Gunas are the best. The Sutra quotes "Sidhyupaya Chikitsayam" which means that Chikitsa i.e. Dhatusamya will be done mainly with the help of Paradi Gunas. Knowledge of Paradi Gunas are required to be present in pharmacists, physicians and Researchers. Acharya Charaka says that Chikitsa Siddhi i.e. successful management of disease is not possible without the knowledge of Paradi Gunas. Paradi Gunas play an important role in selection, adaption and manifestation of drug as per condition of the disease and the patient in particular Desha and Kala. The ultimate goal of any clinical activity is to contribute in the knowledge domain and to improve professional practice. Thus this literary review of Paradi Gunas serves to explore the subject of the clinical practice.


Author(s):  
Marilyn Watson

The origins of attachment theory and the work of John Bowlby and Mary Ainsworth are described. Four types of child–parent attachment relationships—secure, insecure/anxious, insecure/ambivalent, and insecure/disorganized—are outlined along with the ways each type might manifest itself in the classroom. A longitudinal study, conducted by Alan Sroufe and his colleagues, of the development and effects on learning and interpersonal relationships of different child–parent attachment relationships is described. Teachers too have a history of attachment relationships that can affect how they relate to their students. The chapter describes adult attachment and how one’s attachment history might, positively or negatively, affect one’s ability to build positive, nurturing relationships with students. Specific examples of ways teachers can offset the negative effects of a student’s or their own history of insecure attachment are described.


2020 ◽  
Vol 11 ◽  
Author(s):  
Jason P. Martens ◽  
Jessica L. Stewart

Abstract Little research exists on how partners of sex offenders are perceived. Using attachment theory, we hypothesised that one's attachment would generalise to perceptions of sexual offenders and their partners. One hundred and six British adults’ attachment styles were assessed, as well as perceptions of sex offenders and their partners. Generally, perceivers’ attachment avoidance was associated with positive perceptions of both partners and offenders, while attachment anxiety was associated with negative perceptions of partners but positive perceptions of sex offenders. Perceptions of sex offenders and their partners were highly correlated and negative in nature, and sex offenders were more negatively perceived.


1974 ◽  
Vol 68 (3) ◽  
pp. 108-118 ◽  
Author(s):  
Beatrice A. Wright

Several cognitive factors are singled out because of their strong influence on the way in which the abilities of blind people are perceived, namely: the spread phenomenon, position of the observer, expectation discrepancy, restricting environmental opportunities in accord with expectations, attribution to person versus environment. In the affective area, negative emotional factors (pity, fear, uneasiness, guilt) and positive emotional factors (genuine sympathy, respect, appreciation, warm interpersonal relationships) are discussed. Ambivalence (the presence of both positive and negative components) is seen as contributing to the variability of behavior toward blind people. Finally, guidelines for the improvement of attitudes and environmental opportunities are outlined. Of special significance for the education of the public is the approach based on the coping framework as opposed to the succumbing framework. Integrating blind persons with sighted persons into as many activities as possible is supported. The vigorous engagement and leadership in programs for the blind by blind people working collaboratively with sighted people are also stressed.


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