Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-29T16:33:05.834Z Has data issue: false hasContentIssue false

Attachment organization and familial overinvolvement for adults with serious psychopathological disorders

Published online by Cambridge University Press:  01 September 2009

Mary Dozier*
Affiliation:
Trinity University
Andrea L. Stevenson
Affiliation:
Trinity University
Spring W. Lee
Affiliation:
Trinity University
Dawn I. Velligan
Affiliation:
San Antonio State Hospital
*
Address reprint requests to: Mary Dozier, Department of Psychology, Trinity University, San Antonio, TX 78212.

Abstract

Forty adults with serious psychopathological disorders were administered the Adult Attachment Interview (AAI). Attachment strategies were assessed using Kobak's (1989) Q-sort method, which yields scores along the two dimensions of security/anxiety and repression/preoccupation. Expressed emotion was rated for a close family member based on the Five-Minute Speech Sample (FMSS). In addition, premorbid competence was assessed, and subjects completed a psychiatric symptom inventory. Subjects who used more extreme secondary attachment strategies (whether preoccupied or repressing) were more likely to have family members who were overinvolving. Symptom inventories revealed greater symptom reporting by individuals who relied more on preoccupied than on repressing strategies and by individuals who were in high expressed emotion families. Higher levels of premorbid competence were associated with more secure attachment strategies. These findings are consistent with a transactional model of relationships whereby the attachment strategies of these adults affect the involvement of their family members, which in turn further perpetuate behaviors associated with their attachment strategies.

Type
Articles
Copyright
Copyright © Cambridge University Press 1991

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ainsworth, M. D. S., Blehar, M. C., Waters, E., & Wall, S. (1978). Patterns of attachment: A psychological study of the strange situation. Hillsdale, NJ: Erlbaum.Google Scholar
American Psychiatric Association (1987). Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington, DC: Author.Google Scholar
Bowlby, J. (1969). Attachment and loss. Vol. 1. Attachment. New York: Basic.Google Scholar
Bowlby, J. (1973). Attachment and loss. Vol. 2. Separation. New York: Basic.Google Scholar
Bowlby, J. (1980). Attachment and loss. Vol. 3. Loss, sadness, and depression. New York: Basic.Google Scholar
Brown, G. W., Birley, J. L. T., & Wing, J. K. (1972). Influence of family life on the course of schizophrenic disorders: A replication. British Journal of Psychiatry, 121, 241258.CrossRefGoogle ScholarPubMed
Cicchetti, D., Toth, S. L., Bush, M. A., & Gillespie, J. F. (1988, Spring). Stage-salient issues: A transactional model of intervention. In Nannis, E. D. & Cowan, P. A. (Eds.), Developmental psychopathology and its treatment. (New Directions for Child Development, No. 39). San Francisco: Jossey-Bass.Google Scholar
Cook, W. L., Strachan, A. M., Goldstein, M. J., & Miklowitz, D. J. (1989). Expressed emotion and reciprocal affective relationships in families of disturbed adolescents. Family Process, 28, 337348.Google Scholar
Cummings, E. M., & Cicchetti, D. (1990). Toward a transactional model of relations between attachment and depression. In Greenberg, M. T., Cicchetti, D., & Cummings, E. M. (Eds.), Attachment in the preschool years: Theory, research, and intervention (pp. 339372). Chicago: University of Chicago Press.Google Scholar
Derogatis, L. R., & Spencer, P. M. (1982). Administration and procedures: BSI Manual I. Baltimore: Clinical Psychometrics Research.Google Scholar
Dozier, M. (1990). Attachment organization and treatment use for adults with serious psychopathological disorders. Development and Psychopathology, 2, 4760.CrossRefGoogle Scholar
Dozier, M., & Franklin, J. L. (1988). Social disability in the young adult mentally ill. American Journal of Orthopsychiatry, 4, 613617.CrossRefGoogle Scholar
Dozier, M., & Kobak, R. R. (1991). Psychophysiology in adolescent attachment interviews: Converging evidence for repressing strategies. Manuscript submitted for publication.Google Scholar
Egeland, B., Jacobvitz, D., & Sroufe, L. A. (1988). Breaking the cycle of abuse. Child Development, 59, 10801088.CrossRefGoogle ScholarPubMed
Erickson, M. F., Sroufe, L. A., & Egeland, B. (1985). The relationship between quality of attachment and behavior problems in preschool in a high-risk sample. Monographs of the Society for Research in Child Development, 50, 147166.CrossRefGoogle Scholar
George, C., Kaplan, N., & Main, M. (1985). Attachment interview for adults. Unpublished manuscript, University of California, Berkeley.Google Scholar
Goldstein, M. J., Miklowitz, D. J., Strachan, A. M., Doane, J. A., Nuechterlein, K. H., & Feingold, D. (1989). Patterns of expressed emotion and patient coping styles that characterize the families of recent onset schizophrenics. British Journal of Psychiatry, 155, 107111.CrossRefGoogle Scholar
Jenkins, J. H., Karno, M., de la Selva, A., Santana, F., Telles, C., Lopez, S., & Mintz, J. (1986). Expressed emotion, maintenance pharmacotherapy, and schizophrenic relapse among Mexican-Americans. Psychopharmacology Bulletin, 22, 621627.Google Scholar
Kanter, J., Lamb, H. R., & Loeper, C. (1987). Expressed emotion in families: A critical review. Hospital and Community Psychiatry, 38, 374380.Google Scholar
Kobak, R. R. (1989). The Attachment Interview Q-Set. Unpublished document, University of Delaware.Google Scholar
Kobak, R. R., Cole, H. E., Ferenz-Gillies, R., Fleming, W., & Gamble, W. (in press). Attachment and emotion regulation during mother-teen problem solving: A control theory analysis. Child Development.Google Scholar
Kobak, R. R., & Hazan, C. (1991). Attachment in marriage: Effects of security and accuracy of working models. Journal of Personality and Social Psychology, 60, 861869.Google Scholar
Kobak, R. R., & Sceery, A. (1988). Attachment in late adolescence: Working models, affect regulation, and representation of self and others. Child Development, 59, 135146.CrossRefGoogle Scholar
Leff, J. (1976). Schizophrenia and sensitivity to the family environment. Schizophrenia Bulletin, 2, 566574.Google Scholar
Leff, J., & Vaughn, C. (1985). Expressed emotion in families. New York: Guilford.Google Scholar
Magaña-Amato, A. (1989). Manual for coding expressed emotion from the five minute speech sample. Unpublished document, UCLA.Google Scholar
MagaÑA, A. B., Goldstein, M. J., Karno, M., Miklowitz, D. J., Jenkins, J., & Falloon, I. R. H. (1986). A brief method for assessing expressed emotion in relatives of psychiatric patients. Psychiatry Research, 17, 203212.Google Scholar
Main, M. (in press). Metacognitive knowledge, metacognitive monitoring, and singular (coherent) vs. multiple (incoherent) models of attachment: Findings and directions for future research. In Marris, P., Stevenson-Hinde, J., & Parkes, C. (Eds.), Attachment across the life cycle. New York: Routledge.Google Scholar
Main, M. (1990). Cross-cultural studies of attachment organization: Recent studies, changing methodologies, and the concept of conditional strategies. Human Development, 33, 4861.CrossRefGoogle Scholar
Main, M., & Goldwyn, R. (in press). Adult attachment classification system. In Main, M. (Ed.), Behavior and the development of representational models of attachment: Five methods of assessment. Cambridge: Cambridge University Press.Google Scholar
Main, M., Kaplan, N., & Cassidy, J. (1985). Security in infancy, childhood, and adulthood: A move to the level of representation. In Bretherton, I. & Waters, E. (Eds.), Growing points in attachment theory and research. Monographs of the Society for Research in Child Development, 50, 66104.CrossRefGoogle Scholar
Miklowitz, D. J., Goldstein, M. J., Doane, J. A., Nuechterlein, K. H., Strachan, A. M., Snyder, K. S., & MagaÑA-Amata, A. (1989). Is expressed emotion an index of a transactional process? I. Parents’ affective style. Family Process, 28, 153167.Google Scholar
Miklowitz, D. J., Goldstein, M. J., & Falloon, E. R. H. (1983). Premorbid and symptomatic characteristics of schizophrenics from families with high and low levels of expressed emotion. Journal of Abnormal Psychology, 92, 359367.CrossRefGoogle ScholarPubMed
Nuechterlein, K. H., Snyder, K. S., Dawson, M. E., Rappe, S., Gitlin, M., & Fogelson, D. (1986). Expressed emotion, fixed dose fluphenazine decanoate maintenance, and relapse in recent-onset schizophrenia. Psychopharmacology Bulletin, 22, 633639.Google Scholar
Sameroff, A. J., & Chandler, M. J. (1975). Reproductive risk and the continuum of caretaking casualty. In Horowitz, F. D., Heterington, M., Scarr-Salapatek, S., & Siegel, G. (Eds.), Review of child development research (Vol. 4, pp. 187244). Chicago: University of Chicago Press.Google Scholar
Sroufe, L. A. (1983). Infant-caregiver attachment and patterns of adaptation in pre-school: The roots of maladaptation and competence. In Perlmutter, M. (Ed.), Minnesota symposium on child psychology (Vol. 16, pp. 4181). Hillsdale, NJ: Erlbaum.Google Scholar
Sroufe, L. A., Fox, N. E., & Pancake, V. R. (1983). Attachment and dependency in developmental perspective. Child Development, 54, 16151627.Google Scholar
Strachan, A. M., Feingold, D., Goldstein, M. J., Miklowitz, D. J., & Neuchterlein, K. H. (1989). Is expressed emotion an index of a transactional process? II. Patient's coping style. Family Process, 28, 169181.Google Scholar
Vaughn, C. E., & Leff, J. P. (1976). The influence of family and social factors on the course of psychiatric illness. British Journal of Psychiatry, 129, 125137.CrossRefGoogle ScholarPubMed
Zigler, E., & Glick, M. (1986). A developmental approach to adult psychopathology. New York: Wiley.Google Scholar
Zigler, E., Glick, M., & Marsh, A. (1979). Premorbid social competence and outcome among schizophrenic and nonschizophrenic patients. Journal of Nervous and Mental Disease, 167, 418483.CrossRefGoogle ScholarPubMed
Zigler, E., & Levine, J. (1981). Premorbid competence in schizophrenia: What is being measured? Journal of Consulting and Clinical Psychology, 49, 96105.Google Scholar
Zigler, E., Levine, J., & Zigler, B. (1988). Premorbid social competence and paranoid-nonparanoid status in female schizophrenic patients. Journal of Nervous and Mental Disease, 164, 333339.Google Scholar
Zigler, E., & Phillips, L. (1960). Social effectiveness and symptomatic behaviors. Journal of Abnormal and Social Psychology, 61, 231238.Google Scholar
Zigler, E., & Phillips, L. (1961). Social competence and outcome in psychiatric disorder. Journal of Abnormal and Social Psychology, 63, 264271.CrossRefGoogle Scholar