Cited by 155Attachment and Relationship DynamicsPersonality Disorders and PsychopathologyPsychoanalysis and Psychopathology Research

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Clinical assessment of attachment patterns and personality disorder in adolescents and adults.

Westen, Drew, Nakash, Ora, Thomas, Cannon, Bradley, Rebekah·2006·Journal of Consulting and Clinical Psychology

DOI 10.1037/0022-006x.74.6.1065

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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
Publisher: American Psychological Association (APA)
Published: 2006
Volume: 74
Issue: 6
Pages: 1065-1085
ISSN: 0022-006X (ISSN-L)
1939-2117
DOI: 10.1037/0022-006x.74.6.1065
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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Clinical assessment of attachment patterns and personality disorder in adolescents and adults.

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