Respective Contributions of Therapist and Client Adult Attachment Orientations to the Development of the Early Working Alliance: A Preliminary Growth Modeling Study

Sauer, Eric M.; Lopez, Frederick G.; Gormley, Barbara

doi:10.1093/ptr/kpg027

Cited by 113 publications

(138 citation statements)

References 39 publications

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“…Although little empirical support is available regarding IPNB specifically, aspects of IPNB including attachment theory, mindfulness, and psychoeducation have growing bodies of empirical support. Researchers have found evidence to substantiate links between counselors' attachment styles and aspects of the therapeutic process Saucer et al, 2003;Schauenburg et al, 2010;Tyrrell et al, 1999).…”

Section: Resultsmentioning

confidence: 99%

Experiences Learning Interpersonal Neurobiology: An Interpretative Phenomenological Analysis

Miller

Minton

2016

Journal of Mental Health Counseling

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Neuroscience is increasingly part of the national dialogue regarding mental health. The field of interpersonal neurobiology may offer a framework for helping mental health professionals identify and apply the most relevant neuroscience principles to counseling. This study explored mental health professionals' experiences learning IPNB. I conducted semistructured interviews with participants (n = 6), all of whom were licensed mental health professionals and had completed a year-long study in the application of IPNB through Nurturing the Heart with the Brain in Mind. I analyzed the data, along with a research partner, according to interpretative phenomenological analysis (IPA) protocol. Four super-ordinate themes emerged from the analysis: (1) learning process as dynamic and engaging, (2) deepening knowledge and understanding of self and others, (3) personal and professional growth, and (4) impact on therapeutic practice. A number of sub-ordinate themes also emerged through the analysis , including experiential learning; learning through group process; influence of the past on the present; increased understanding of the change process; increased compassion, empathy, and acceptance for self and for others; increased confidence; using IPNB to educate clients; using IPNB to conceptualize clients; and using IPNB to select interventions. Finally, I identified three higher-order constructs that appeared embedded within and across themes: learning as ongoing, person of the participant, and person of the instructor.The findings in this study suggest that participants' learning of IPNB had a significant impact on their personal and professional development, specifically in areas related to characteristics of effective counselors. The findings also suggest that these meaningful changes

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Section: Resultsmentioning

confidence: 99%

Experiences Learning Interpersonal Neurobiology: An Interpretative Phenomenological Analysis

Miller

Minton

2016

Journal of Mental Health Counseling

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“…Although, interestingly, it has also been found that attachment style, particularly client avoidance or anxiety has no effect upon therapeutic alliance (Sauer, Lopez & Gormley, 2003;Reis & Grenyer, 2004). Moreover, to date, no published attachment-based research has focused solely on the clinical population of PTSD (Smith & Golding, 2010).…”

Section: Ptsd/trauma Have Been Experienced Over the Past 35 Years In mentioning

confidence: 99%

Client factors that predict the therapeutic alliance in a chronic, complex trauma sample.

Reynolds¹,

Simms²,

Webb³

et al. 2017

Traumatology

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This project was completed as a PhD dissertation by the first name author. We wish to confirm that there are no known conflicts of interest associated with this publication and there has been no significant financial support for this work that could have influenced its outcome. AbstractThis investigation aimed to examine how specific client characteristics of individuals with chronic, complex trauma are associated with the type coping strategies they employ and the quality of the therapeutic alliance. Fifty-nine adult participants with diagnostic levels of posttraumatic stress disorder (PTSD) and who attended therapy for complex trauma in Northern Ireland were obtained via opportunity sampling. Participants completed self-report measures of client attachment style, alexithymia, coping strategies, and the therapeutic alliance. Preoccupied attachment factors such as "Need for Approval" and "Preoccupation with Relationships" were related to use of maladaptive coping strategies. In contrast, the adaptive coping strategies of "Acceptance" and "Instrumental Support" were significant predictors of a positive therapeutic alliance, whereas established psychological and traumatogenic factors (e.g., attachment, number of traumatic events) did not significantly predict the therapeutic alliance. The findings have implications for understanding the relationship between client characteristics and the therapeutic alliance within complex trauma populations, as well as developing protocols to assist this process.Keywords: Therapeutic Alliance, complex trauma, client factors, coping CLIENT FACTORS, THERAPEUTIC ALLIANCE, AND TRAUMA 3 Client characteristics, coping strategies, and the therapeutic alliance in a chronic, complex trauma sample Defined broadly as the collaborative and affective bond between therapist and client, the therapeutic alliance has long been considered an essential element of the therapeutic process. Research has consistently found a substantive relationship between the alliance and therapeutic effectiveness, regardless of therapeutic orientation, presenting problem, or problem severity (Goldsmith, Lewis, Dunn, & Bentall, 2015;Martin, Garske, & Davis, 2000). The capacity to engage in an effective therapeutic alliance, however, is thought to require concomitant implementation of certain coping strategies by clients (e.g., reflection, active coping, openness), which can prove challenging (Stiles, Agnew-Davies, Hardy, Barkham, & Shapiro, 1998).One clinical group in which this area of study is particularly relevant is individuals who have experienced chronic, complex or childhood trauma. Herman (1992) proposed the concept of 'Complex PTSD', or 'Complex Trauma' as it is also known, to describe the multifaceted clinical presentation of individuals experiencing protracted, recurring trauma, particularly of an interpersonal nature (e.g., childhood sexual abuse, sectarian violence).Compared to clients with a discrete or 'simple' PTSD presentation, individuals with complex PTSD have a more severe and comprehensive sympt...

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“…research on psychotherapy has suggested that the ability to build an effective alliance with patients may be related to the therapist's attachment style [17]. There is a significant relation between the 'secure' and 'insecure' attachment style in clinical psychologists and their clinical practices [18].…”

Section: Model Of Self (Dependence)mentioning

confidence: 99%

Emotional intelligence, attachment styles and medical education

Tyszkiewicz-Bandur¹,

Walkiewicz²,

Tartas³

et al. 2017

fmpcr

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Background. For many patients, the doctors' empathy is just as important as their clinical experience. Objectives. The goal of this paper is to describe the level of emotional intelligence and attachment styles of medical students and health science students. another aim is to describe the differences between the emotional intelligence and attachment styles of male and female students. Material and methods. 328 students of the Faculty of Medicine and the Faculty of Health science of the Pomeranian Medical university of szczecin, Poland, took part in the research. emotional intelligence was assessed with the use of the schutte self report emotional intelligence Test (sseiT). The attachment styles were assessed with the use of the relationship Questionnaire (rQ) -an adaptation of Hazan & shaver's adult attachment Questionnaire. Results. The students of the Faculty of Medicine showed a lower level of emotional intelligence in comparison to the students of the Faculty of Health science. generally, all students with a secure attachment style who participated in the research manifested a higher level of emotional intelligence. according to expectations, females obtained a higher level of emotional intelligence than males. Conclusions. students of the Faculty of Medicine shall be introduced to psychological prevention with special emphasis on developing emotional relations with others. Key words: emotional intelligence, physicians, medical students, medical education, professional role.

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Respective Contributions of Therapist and Client Adult Attachment Orientations to the Development of the Early Working Alliance: A Preliminary Growth Modeling Study

Cited by 113 publications

References 39 publications

Experiences Learning Interpersonal Neurobiology: An Interpretative Phenomenological Analysis

Experiences Learning Interpersonal Neurobiology: An Interpretative Phenomenological Analysis

Client factors that predict the therapeutic alliance in a chronic, complex trauma sample.

Emotional intelligence, attachment styles and medical education

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