Cited by 150Attachment and Relationship DynamicsPsychotherapy Techniques and ApplicationsPsychoanalysis and Psychopathology Research

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Changes in attachment representations during psychological therapy

Taylor, Peter, Rietzschel, Julia, Danquah, Adam, Berry, Katherine·2015·Psychotherapy Research

DOI 10.1080/10503307.2014.886791

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Abstract

OBJECTIVES: This review systematically examines research that investigates changes in adult attachment representations during psychological therapy. METHOD: Studies from two adult attachment approaches are reviewed (interview and self-report) with the aim of concluding whether psychotherapy can improve attachment representations. To guide the interpretation of findings, the methodological quality of studies is assessed. RESULTS: The results suggest that attachment security increases following therapy, whereas attachment anxiety decreases following therapy. Findings are unclear with regard to attachment avoidance. Improvements are observed across different methodologies, patient groups, therapeutic approaches, and therapy settings. Findings also appear to be consistent across different levels of study quality. CONCLUSIONS: Overall, research supports the suggestion that attachment styles may alter during the course of psychotherapy, but further controlled trials are required to confirm this conclusion.

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Authors: Taylor, P., Rietzschel, J., Danquah, A., & Berry, K.
Affiliations: University of Liverpool (GB)
Wrightington, Wigan and Leigh NHS Foundation Trust (GB)
Pennine Care NHS Foundation Trust (GB)
University of Manchester (GB)
Corresponding author: Taylor, Peter
ORCID: Taylor, Peter
Danquah, Adam
Berry, Katherine
Venue: Psychotherapy Research
Publisher: Informa UK Limited
Published: 2014-02-21
Volume: 25
Issue: 2
Pages: 222-238
ISSN: 1050-3307 (ISSN-L)
1468-4381
DOI: 10.1080/10503307.2014.886791
OpenAlex: W2019674006
Cited by: 150
References: 90
Citations by year: 2026: 12 · 2025: 9 · 2024: 9 · 2023: 20 · 2022: 14 · 2021: 17 · 2020: 13 · 2019: 14 · 2018: 14 · 2017: 9 · 2016: 9 · 2015: 6 · 2014: 4
FWCI: 13.83
Type: journal article
Language: en
Open access: closed
Locations: Psychotherapy Research (publishedVersion)
PubMed (publishedVersion)
Research Explorer (The University of Manchester) (publishedVersion)
Topics: Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
Keywords: attachment representations, adult attachment, psychotherapy outcome, attachment security, attachment anxiety, attachment avoidance, attachment styles, therapeutic change
MeSH terms: Anxiety, Humans, Interpersonal Relations, Object Attachment, Psychotherapy, Treatment Outcome

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Changes in attachment representations during psychological therapy

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