Suppressor effects in associations between patient attachment to therapist and psychotherapy outcome

Petrowski, Katja; Berth, Hendrik; Schurig, Susan; Probst, Thomas

doi:10.1002/cpp.2334

Cited by 5 publications

(7 citation statements)

References 16 publications

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“…Similarly, individuals with a fearful attachment style experience a desire for relationships to compensate for low self-worth, but hold a negative working model of others, and so avoid close relationships for fear of rejection. The approach-avoidance conflict implicit in this attachment style can cause marked distress for the individual (Lopez, 1995;Reis and Grenyer, 2004b), and may contribute to the link between fearful attachment, psychopathology and treatment resistance in therapeutic settings (Reis and Grenyer, 2004b;Levy et al, 2011Levy et al, , 2018Reiner et al, 2016;Petrowski et al, 2019). The insecure-dismissive avoidant style on the other hand, features a positive model of self, and a negative model of others.…”

Section: Pathological Narcissism and Adult Attachment Stylesmentioning

confidence: 99%

Pathological Narcissism and Emotional Responses to Rejection: The Impact of Adult Attachment

et al. 2021

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Background: Aspects of pathological narcissism, such as grandiosity, vulnerability and entitlement, tend be enacted in therapeutic settings, negatively influencing outcome and alliance between the clients and therapist. This research took an experimental approach to understanding the interplay between the emotional reactions of individuals with a pathological narcissistic presentation, and adult attachment style. We predicted that participants reporting narcissistic vulnerability would report greater insecurity in attachment (fearful and preoccupied styles), greater trait emotional reactivity, and also experience more intense and negative responses to simulated rejectionMethods: 269 participants (75.84% female, median age = 21) completed baseline and rejection trials of a virtual ball-tossing game, following the assessment of grandiose and vulnerable pathological narcissism, entitlement, adult attachment, trait emotional reactivity (measured prior to the rejection) and in-situ affective response (measured both before and after the rejection). Change in affect from baseline was calculated to capture affective responses to the manipulation.Results: Vulnerable narcissism was positively associated with both fearful and preoccupied attachment, and negatively associated with secure and dismissive attachment, whilst grandiose narcissism was significantly related to preoccupied attachment only. Multiple hierarchical regression analyses showed vulnerable narcissism predicted both (1) more negative trait emotional reactivity and (2) a significant increase in negative affect following the rejection trial. Grandiose narcissism was associated with (1) higher positive trait emotional reactivity, and (2) significant reductions in positive affect following rejection.Conclusion: Results indicated that those high in pathological narcissistic vulnerability reported greater insecurity in attachment, negative trait emotional reactivity and experienced a more negative and intense emotional reaction to rejection. Grandiose narcissism was related to a more deactivated pattern of emotional reactivity, and less positive (rather than more negative) emotional reactions. Findings have important implications for therapy, particularly regarding communication of emotions for individuals high in vulnerable and grandiose narcissism.

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Section: Pathological Narcissism and Adult Attachment Stylesmentioning

confidence: 99%

Pathological Narcissism and Emotional Responses to Rejection: The Impact of Adult Attachment

et al. 2021

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“…Wie die Ergebnisse zum bedingt sicheren Bindungsmuster des BIKEB zeigen, ist dieses Muster zu unterscheiden von dem pseudo-sicheren Bindungsmuster, das in jüngster Zeit im Zusammenhang mit Befunden zur Client Attachment to Therapist Scale (CATS) diskutiert wird (Mallinckrodt et al, 2017;Petrowski et al, 2019). Mit Letzterem ist gemeint, dass Patient*innen eine sichere Bindung zur Therapeutin bzw.…”

Section: Ergebnisseunclassified

“…Mit Letzterem ist gemeint, dass Patient*innen eine sichere Bindung zur Therapeutin bzw. zum Therapeuten beschreiben, dies aber durch Idealisierung im Rahmen einer hyperaktivierenden (Mallinckrodt et al, 2017) oder deaktivierenden (Petrowski et al, 2019) Bindungsstrategie geprägt ist. Das bedingt sichere Bindungsmuster des BIKEB konstituiert sich anhand der Erwartungen von Patient*innen vor oder zu Beginn einer Therapie dazu, wie sie sich selbst gegenüber der Therapeutin bzw.…”

Section: Ergebnisseunclassified

“…Das Selbsterleben in den Therapiestunden war bei den bedingt sicher gebundenen Patient*innen somit nicht durch hyperaktivierende oder deaktivierende Bindungsstrategien gekennzeichnet und fiel insofern anders aus, als bei Vorliegen eines pseudo-sicheren Bindungsmuster zu erwarten gewesen wäre. Dies dürfte auch erklären, weshalb sich wie oben erwähnt für das bedingt sichere Bindungsmuster Zusammenhänge zum Therapieerfolg nachweisen lassen, hingegen nicht für das pseudo-sichere Bindungsmuster (Mallinckrodt et al, 2017;Petrowski et al, 2019).…”

Section: Ergebnisseunclassified

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2023

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Es erscheinen jeweils 2 Nummern pro Jahr. Bestellungen sind über jede Fachbuchhandlung oder direkt beim Verlag möglich. Ein Abonnement verlängert sich automatisch, wenn es nicht sechs Wochen vor Jahresende schriftlich gekündigt wurde. Mitglieder der herausgebenden Vereinigungen haben jeweils spezifische Bezugsbedin gungen. Für den Bezug im Rahmen von Verbandsmitgliedschaften gelten weiterhin die verbandsspezifischen Regelungen.

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“…1998, Mallinckrodt 2000, Mallinckrodt ve Jeong 2015, Mallinckrodt ve ark. 2017, Obegi 2008, Petrowski ve ark. 2019, Smith ve ark.…”

Section: Introductionmentioning

confidence: 99%

The Validity and Reliability Study of the Turkish Version of Client Attachment to Therapist Scale (CATS)

Kahya¹,

Cicek²,

Uluyol³

et al. 2021

Turkish Journal of Psychiatry

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Bağlanma Kuramına göre danışan-terapist arasındaki ilişkiyi kavramsallaştırabilecek ve ölçebilecek bir çerçeve sunan Danışanın Terapiste Bağlanma Ölçeği (DTBÖ)'nin geçerlik ve güvenirlik çalışmasını yürütümek amaçlanmıştır. Yöntem: Araştırmanın örneklemi, çeşitli psikolojik sıkıntıları nedeniyle terapi hizmeti alan ve en az 5., en çok 15. seansı tamamlamış olan 191 danışandan (Ort. Yaş = 24,41) oluşmaktadır. Danışanlar, terapistleri aracılığıyla kapalı zarf içerisinde verilen ve geri toplanan DTBÖ Türkçe form, Yakın İlişkilerde Yaşantılar Envanteri II (YİYE II), Bell Nesne İlişkileri Envanteri (BORRTI) ve Terapötik İttifak Ölçeği (TİÖ) danışan formunu doldurmuştur. Bulgular: Açımlayıcı ve Doğrulayıcı Faktör Analizi bulguları, DTBÖ Türkçe formun kabul edilebilir uyuma sahip olduğunu göstermiştir. Buna göre DTBÖ Türkçe form, iç tutarlık düzeyleri 0,71 ile 0,85 arasında değişen DTBÖ-Güvenli, DTBÖ-Korkulu/Kaçıngan ve DTBÖ-Saplantılı/Bağımlı Bağlanma alt ölçeklerinden oluşmaktadır. Ölçüt geçerliği bulguları, DTBÖ-Korkulu/Kaçıngan ve DTBÖ-Saplantılı/Bağımlı Bağlanma puanları ile YİYE II Kaçınma/Kaygı boyutları ve BORRTI nesne ilişkileri boyutunda yer alan alt boyut puanları arasındaki ilişkilerin beklendik yönde olduğunu göstermiştir. Ayrıca, DTBÖ-Güvenli Bağlanma puanları, terapötik ittifak ve bileşenlerine ait puanların anlamlı bir yordayıcısı olmuştur. Sonuç: Bu araştırma, DTBÖ Türkçe formun kabul edilebilir düzeyde geçerli ve güvenilir bir araç olduğunu göstermiştir. Bulgular, psikoterapide değişimi getiren ortak etmenleri inceleyen Türkiye'deki araştırma ve uygulama ortamları için ölçeğin yararlığına işaret etmektedir. Anahtar Sözcükler: Terapiste bağlanma, terapötik ittifak, psikoterapide bağlanma ölçümü SUMMARY The Validity and Reliability Study of the Turkish Version of Client Attachment to Therapist Scale (CATS)Objective: This study aimed to evaluate the validity and reliability of the Turkish version of Client Attachment to Therapist Scale (CATS-TR) which provides a framework for measuring and conceptualizing the relationship between the therapist and the client. Method:The study included 191 individuals with a mean age of 24.41 years who had received a minimum of 5 and a maximum of 15 sessions of therapy for different psychological problems. All participants completed the CATS-TR, the Early Close Relationships-R (ECR-R), the Bell Object Relations Inventory (BORRTI), and the Working Alliance Inventory (WAI-SF), and a Client Information Form handed to the clients in a closed envelope by their respective therapists.Results: Exploratory and Confirmatory Factor Analysis results indicated an acceptable fit for the CATS-TR which comprised the Secure, Fearful/Avoidant and Preoccupied/Merger subscales, with internal consistency levels ranging between 0.71 and 0.85. Criterion validity analyses showed that the scores on the CATS-TR Fearful/Avoidant and Preoccupied/Merger subscales correlated with the scores on the ECR-R Avoidance/Anxiety subdimesnions and the BORRTI Object Relations subdimension in the expected directi...

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Suppressor effects in associations between patient attachment to therapist and psychotherapy outcome

Cited by 5 publications

References 16 publications

Pathological Narcissism and Emotional Responses to Rejection: The Impact of Adult Attachment

Pathological Narcissism and Emotional Responses to Rejection: The Impact of Adult Attachment

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The Validity and Reliability Study of the Turkish Version of Client Attachment to Therapist Scale (CATS)

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