Clinical assessment of attachment patterns and personality disorder in adolescents and adults.
Abstract
The relevance of attachment theory and research for practice has become increasingly clear. The authors describe a series of studies with 3 aims: (a) to validate measures of attachment for use by clinicians with adolescents and adults, (b) to examine the relation between attachment and personality pathology, and (c) to ascertain whether factor analysis can recover dimensions of attachment reflecting both interpersonal and narrative style. In 3 studies, experienced clinicians provided psychometric data using 1 of 4 attachment questionnaires (2 adolescent and 2 adult samples). Attachment dimensions predicted both personality pathology and developmental experiences in predictable ways. Factor analysis identified 4 dimensions that replicated across adolescent and adult samples on the basis of a combination of interpersonal and narrative indicators: secure, dismissing, preoccupied, and incoherent/disorganized.
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- Authors
- Westen, D., Nakash, O., Thomas, C., & Bradley, R.
- Affiliations
- Emory University (US)
- Cambridge Health Alliance (US)
- ORCID
- Nakash, Ora
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2006
- Volume
- 74
- Issue
- 6
- Pages
- 1065-1085
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W2091132690
- Cited by
- 155
- References
- 110
- Citations by year
- 2026: 5 · 2025: 2 · 2024: 4 · 2023: 7 · 2022: 6 · 2021: 6 · 2020: 11 · 2019: 5 · 2018: 12 · 2017: 4 · 2016: 8 · 2015: 5 · 2014: 11 · 2013: 20 · 2012: 11
- FWCI
- 9.90
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- attachment theory, attachment patterns, personality disorders, personality pathology, adolescents, adults, questionnaire validation, secure attachment, dismissing attachment, preoccupied attachment, disorganized attachment, interpersonal style, narrative style, developmental experiences
- MeSH terms
- Adolescent, Adult, Factor Analysis, Statistical, Female, Humans, Male, Middle Aged, Personality Assessment, Personality Disorders, Personality Inventory, Psychometrics, Psychotherapy, Statistics as Topic, Reproducibility of Results, Comorbidity, Reactive Attachment Disorder
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