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Attachment, personality, and psychopathology among adult inpatients: Self-reported romantic attachment style versus Adult Attachment Interview states of mind

Published online by Cambridge University Press:  22 January 2007

SHELLEY A. RIGGS
Affiliation:
University of North Texas
ADRIENNE PAULSON
Affiliation:
Texas Woman's University
ELLEN TUNNELL
Affiliation:
Texas Woman's University
GAYLA SAHL
Affiliation:
Texas Woman's University
HEATHER ATKISON
Affiliation:
Texas Woman's University
COLIN A. ROSS
Affiliation:
Timberlawn Psychiatric Hospital

Abstract

The present study examined self-reported romantic attachment style and Adult Attachment Interview (AAI) states of mind regarding early attachment relationships, personality dimensions, and psychopathology in a psychiatric sample of trauma survivors. Inpatients (N = 80) admitted to a hospital trauma treatment program were administered the Experiences in Close Relationships Scale, AAI, Millon Clinical Multiaxial Inventory—III, Dissociative Experiences Scale, and Dissociative Disorder Interview Schedule. Self-report and AAI attachment classifications were not related, and different results emerged for the two measures. Self-reported romantic attachment style was significantly associated with personality dimensions, with fearful adults showing the most maladaptive personality profiles. Findings suggested that self-report dimensions of self and other independently contribute to different forms of psychological dysfunction. AAI unresolved trauma was uniquely associated with dissociation and posttraumatic stress disorder, whereas unresolved trauma and unresolved loss jointly contributed to schizotypal and borderline personality disorder scores. The differences in findings between the two measures are discussed with a view toward the developmental and clinical implications.This project was partially funded by the Department of Psychology and Philosophy at Texas Woman's University and the Ross Institute. We are grateful to the staff and patients of the Timberlawn Psychiatric Hospital Trauma Program for their time. In addition, we express our appreciation to Dante Cicchetti and the editorial reviewers, whose insightful suggestions substantially enhanced the manuscript.

Type
Research Article
Copyright
© 2007 Cambridge University Press

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References

REFERENCES

Acierno, R., Resnick, H., Kilpatrick, D. G., Saunders, B., & Best, C. L. (1999). Risk factors for rape, physical assault, and posttraumatic stress disorder in women: Examination of differential multivariate relationships. Journal of Anxiety Disorders, 13, 541563.CrossRefGoogle Scholar
Adam, K., Sheldon-Keller, A., & West, M. (1996). Attachment organization and history of suicidal behavior in clinical adolescents. Journal of Consulting and Clinical Psychology, 64, 264272.CrossRefGoogle Scholar
Adam, K. S. (1994). Suicidal behavior and attachment: A developmental model. In M. B. Sperling & W. H. Berman (Eds.), Attachment in adults (pp. 275298). New York: Guilford Press.
Ainsworth, M. D. S., Blehar, M., Waters, E., & Wall, S. (1978). Patterns of attachment. Hillsdale, NJ: Erlbaum.
Alexander, P. (1992). Application of attachment theory to the study of sexual abuse. Journal of Consulting and Clinical Psychology, 60, 185195.CrossRefGoogle Scholar
Alexander, P. C. (1993). The differential effects of abuse characteristics and attachment in the prediction of long-term effects of sexual abuse. Journal of Interpersonal Violence, 9, 346362.CrossRefGoogle Scholar
Allen, J. (2001). Traumatic relationships and serious mental disorders. Chichester: Wiley.
Allen, J., Coyne, L., & Huntoon, J. (1998). Complex posttraumatic stress disorder in women from a psychometric perspective. Journal of Personality Assessment, 70, 277298.CrossRefGoogle Scholar
Allen, J., Hauser, S., & Borman-Spurrell, E. (1996). Attachment theory as a framework for understanding sequelae of severe adolescent psychopathology: An 11-year follow-up study. Journal of Consulting and Clinical Psychology, 6, 254263.CrossRefGoogle Scholar
Allen, J. G., Huntoon, J., & Evans, R. B. (1999). Complexities in complex posttraumatic stress disorder in inpatient women: Evidence from cluster analysis of MCMI-III personality disorder scales. Journal of Personality Assessment, 73, 449471.CrossRefGoogle Scholar
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text revision). Washington, DC: Author.
Anderson, C. L., & Alexander, P. C. (1996). The relationship between attachment and dissociation in adult survivors of incest. Psychiatry, 59, 240254.CrossRefGoogle Scholar
Bakermans-Kranenburg, M. J., & van IJzendoorn, M. H. (1993). A psychometric study of the Adult Attachment Interview: Reliability and discriminant validity. Developmental Psychology, 29, 870879.CrossRefGoogle Scholar
Bartholomew, K. (1990). Avoidance of intimacy: An attachment perspective. Journal of Social and Personal Relationships, 7, 147178.CrossRefGoogle Scholar
Bartholomew, K. (1997). Adult attachment processes: Individual and couple perspectives. British Journal of Medical Psychology, 70, 249263.CrossRefGoogle Scholar
Bartholomew, K., & Horowitz, L.M. (1991). Attachment styles among young adults: A test of a four-category model. Journal of Personality and Social Psychology, 61, 226244.CrossRefGoogle Scholar
Bartholomew, K., & Moretti, M. (2002). The dynamics of measuring attachment. Attachment and Human Development, 4, 162165.CrossRefGoogle Scholar
Bartholomew, K., & Shaver, P. (1998). Methods of assessing adult attachment: Do they converge? In J. A. Simpson & W. S. Rholes (Eds.), Attachment theory and close relationships (pp. 2545). New York: Guilford Press.
Belsky, J. (2002). Developmental origins of attachment styles. Attachment and Human Development, 4, 166170.CrossRefGoogle Scholar
Bernier, A., & Dozier, M. (2002). Assessing adult attachment: Empirical sophistication and conceptual bases. Attachment and Human Development, 4, 171179.CrossRefGoogle Scholar
Bernstein, E. M., & Putnam, F. W. (1986). Development, reliability, and validity of a dissociation scale. Journal of Nervous and Mental Disease, 174, 727735.CrossRefGoogle Scholar
Blatt, S. J., & Levy, K. N. (2003). Attachment theory, psychoanalysis, personality development and psychopathology. Psychoanalytic Inquiry, 23, 102150.CrossRefGoogle Scholar
Bowlby, J. (1969). Attachment and loss: Vol. 1. Attachment. New York: Basic Books.
Bowlby, J. (1973). Attachment and loss: Vol. 2. Separation. New York: Basic Books.
Bowlby, J. (1979). The making and breaking of affectional bonds. New York: Tavistock Publications.
Bowlby, J. (1980). Attachment and loss: Vol. 3. Loss. New York: Basic Books.
Bowlby, J. (1988). Developmental psychiatry comes of age. American Journal of Psychiatry, 145, 110.Google Scholar
Bremner, J. D., Scott, T. M., Delaney, R. C., Southwick, S. M., Mason, J. W., Johnson, D. R., et al. (1993). Deficits in short-term memory in posttraumatic stress disorder. American Journal of Psychiatry, 150, 10151019.Google Scholar
Brennan, K. A., Clark, C. L., & Shaver, P. R. (1998). Self-report measurement of adult attachment: An integrative overview. In J. A. Simpson & W. S. Rholes (Eds.), Attachment theory and close relationships (pp. 4676). New York: Guilford Press.
Brennan, K. A., & Shaver, P. R. (1995). Dimensions of adult attachment, affect regulation, and romantic relationship functioning. Personality and Social Psychology Bulletin, 21, 267283CrossRefGoogle Scholar
Brennan, K. A., & Shaver, P. R. (1998). Attachment styles and personality disorders: Their connections to each other and to parental divorce, parental death, and perceptions of parental caregiving. Journal of Personality, 66, 835878.CrossRefGoogle Scholar
Brennan, K. A., Shaver, P. R., & Tobey, A. E. (1991). Attachment styles, gender, and parental problem drinking. Journal of Social and Personality Relationships, 8, 451466.CrossRefGoogle Scholar
Brewin, C. R., Andrews, B., & Gotlib, I. H. (1993). Psychopathology and early experience: A reappraisal of retrospective reports. Psychological Bulletin, 113, 8298.CrossRefGoogle Scholar
Brewin, C. R., Dalghleish, T., & Joseph, S. (1996). A dual representation theory of post-traumatic stress disorder. Psychological Review, 103, 670686.CrossRefGoogle Scholar
Brown, G. W., & Harris, T. O. (1978). The social origins of depression. London: Tavistock.
Burbach, D. J., & Borduin, C. M. (1986). Parent–child relations and the etiology of depression: A review of methods and findings. Clinical Psychology Review, 6, 133153.CrossRefGoogle Scholar
Campbell, L., Simpson, J. A., Kashy, D. A., & Rholes, W. S. (2001). Attachment orientations, dependence and behavior in a stressful situation: An application of the Actor–Partner Interdependence model. Journal of Social and Personal Relationships, 18, 821843.CrossRefGoogle Scholar
Carlson, E. A. (1998). A prospective longitudinal study of attachment disorganization/disorientation. Child Development, 69, 11071128.CrossRefGoogle Scholar
Carlson, E. A., & Sroufe, L.A. (1995). Contribution of attachment theory to developmental psychopathology. In D. Cicchetti & D. Cohen (Eds.), Developmental psychopathology: Vol. 1. Theory and Methods (pp. 581617). New York: Wiley.
Carlson, E.B., Armstrong, J., Loewenstein, R., & Roth, D. (1998). Relationships between traumatic experiences and symptoms of posttaumatic stress, dissociation, and amnesia. In J. D. Bremner & C. R. Marmar (Eds.), Trauma, memory, and dissociation (pp. 205227). Washington, DC: American Psychiatric Press.
Carlson, E. B., & Putnam, F. W. (1993). An update on the Dissociative Experiences Scale. Dissociation, 6, 1627.Google Scholar
Carlson, E. B., Putnam, F. W., Ross, C. A., Torem, M., Coons, P., Dill, D., et al. (1993). Validity of the Dissociative Experiences Scale in screening for multiple personality disorder: A multicenter study. American Journal of Psychiatry, 150, 10301036.Google Scholar
Carnelley, K. B., & Brennan, K. A. (2002). Building bridges. Attachment and Human Development, 4, 189192.CrossRefGoogle Scholar
Carnelley, K. B., Peitromonaco, P., & Jaffe, K. (1994). Depression, working models of others, and relationship functioning. Journal of Personality and Social Psychology, 66, 127140.CrossRefGoogle Scholar
Carranza, L. V., & Kilmann, P. R. (2000). Links between perceived parent characteristics and attachment variables for young women from intact families. Adolescence, 35, 295311.Google Scholar
Choca, J. P., & Van Denburg, E. (1997). Interpretive guide to the Millon Clinical Multiaxial Inventory (MCMI; 2nd ed.). Washington, DC: American Psychological Association.
Chu, J. A., Frey, L. M., Ganzel, B. L., & Matthews, J. A. (1999). Memories of childhood abuse: Dissociation, amnesia, and corroboration. American Journal of Psychiatry, 156, 749755.Google Scholar
Cicchetti, D., & Toth, S. L. (1995). Child maltreatment and attachment organization: Implications for intervention. In S. Goldberg, R. Muir, & J. Kerr (Eds.), Attachment theory: Social, developmental, and clinical perspectives (pp. 279308). Hillsdale, NJ: Analytic Press.
Clayton, P. J. (1990). Bereavement and depression. Journal of Clinical Psychiatry, 51, 3440.Google Scholar
Cloitre, M., Scarvalone, P., & Difede, J. (1997). Posttraumatic stress disorder, self-and interpersonal dysfunction among sexually retraumatized women. Journal of Traumatic Stress, 10, 437482.CrossRefGoogle Scholar
Cole-Detke, H., & Kobak, R. (1996). Attachment processes in eating disorder and depression. Journal of Consulting and Clinical Psychology, 64, 282290.CrossRefGoogle Scholar
Collins, N., & Read, S. (1990). Adult attachment relationships, working models, and relationship quality in dating couples. Journal of Personality and Social Psychology, 58, 644683.CrossRefGoogle Scholar
Coons, P. M., Bowman, E. S., Pellow, T. A., & Schneider, P. (1989). Posttraumatic aspects of the treatment of victims of sexual abuse and incest. Psychiatric Clinics of North America, 12, 325335.Google Scholar
Craig, R. J. (Ed.). (1993). The Millon Clinical Multiaxial Inventory: A clinical research information synthesis. Hillsdale, NJ: Erlbaum.
Crittenden, P. M. (1985). Maltreated infants: Vulnerability and resiliency. Journal of Child Psychology and Psychiatry, 26, 8596.CrossRefGoogle Scholar
Crittenden, P. M. (1995). Attachment and psychopathology. In S. Goldberg, R. Muir, & J. Kerr (Eds.), Attachment theory: Social, developmental, and clinical perspectives (pp. 367406). Hillsdale, NJ: Analytic Press.
Crowell, J. A., Fraley, R. C., & Shaver, P. R. (1999). Measurement of individual differences in adolescent and adult attachment. In J. Cassidy & P. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications (pp. 434465). New York: Guilford Press.
Crowell, J. A., & Treboux, D. (1995). A review of adult attachment measures: Implications for theory and research. Social Development, 4, 294327.CrossRefGoogle Scholar
DeWolff, M. S., & van IJzendoorn, M. (1997). Sensitivity and attachment: A meta-analysis on parental antecedents of infant attachment. Child Development, 68, 571591.CrossRefGoogle Scholar
Diehl, M. E., Elnick, A. B., Bourbeau, L., & Labouvie-Vief, G. (1998). Adult attachment styles: Their relations to family context and personality. Journal of Personality and Social Psychology, 74, 16561669.CrossRefGoogle Scholar
Dolan, R. T., Arnkoff, D. B., & Glass, C. R. (1993). Client attachment style and the psychotherapist's interpersonal stance. Psychotherapy, 30, 408411.CrossRefGoogle Scholar
Dozier, M. (1990). Attachment organization and treatment use for adults with serious psychopathological disorders. Development and Psychopathology, 2, 4760.CrossRefGoogle Scholar
Dozier, M., Stevenson, A. L., Lee, S. W., & Velligan, D. I. (1991). Attachment organization and familial overinvolvement for adults with serious psychopathological disorders. Development and Psychopathology, 3, 475489.CrossRefGoogle Scholar
Dozier, M., Stovall, C., & Albus, K. (1999). Attachment and psychopathology in adulthood. In J. Cassidy & P. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications (pp. 497519). New York: Guilford Press.
Draijer, N., & Langeland, W. (1999). Childhood trauma and perceived parental dysfunction in the etiology of dissociative symptoms in psychiatric inpatients. American Journal of Psychiatry, 156, 379385.Google Scholar
Dutton, D. G., Saunders, K., Starzomski, A., & Bartholomew, K. (1994). Intimacy-anger and insecure attachment as precursors of abuse in intimate relationships. Journal of Applied Social Psychology, 24, 13671386CrossRefGoogle Scholar
Ellason, J. W., Ross, C. A., & Fuchs, D. L. (1995). Assessment of dissociative identity disorder with the Millon Clinical Multiaxial Inventory—II. Psychological Reports, 76, 895905.CrossRefGoogle Scholar
Feeney, J. A. (1999). Adult romantic attachment and couple relationships. In J. Cassidy & P. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications (pp. 355377). New York: Guilford Press.
Folette, V. M., Polusny, M., Bechtle, A. E., & Naugle, A. E. (1996). Cumulative trauma: The impact of child sexual abuse, adult sexual assault, and spousal abuse. Journal of Traumatic Stress, 9, 2535.CrossRefGoogle Scholar
Fonagy, P., Leigh, T., Steele, M., Steele, H., Kennedy, R., Mattoon, G., et al. (1996). The relation of attachment status, psychiatric classification, and response to psychotherapy. Journal of Consulting and Clinical Psychology, 64, 2231.CrossRefGoogle Scholar
Fonagy, P., Steele, H., & Steele, M. (1991). Maternal representations of attachment during pregnancy predict the organization of infant–mother attachment at one year of age. Child Development, 62, 891905.CrossRefGoogle Scholar
Fonagy, P., Steele, M., Steele, H., Leigh, T., Kennedy, R., Mattoon, G., et al. (1995). Attachment, the reflective self, and borderline states: The predictive specificity of the Adult Attachment Interview and pathological emotional development. In S. Goldberg, R. Muir, & J. Kerr (Eds.), Attachment theory: Social, developmental, and clinical perspectives (pp. 233277). Hillsdale, NJ: Analytic Press.
Frischholz, E. J., Braun, B. G., Sachs, R. G., Hopkis, L., Shaeffer, D. M., Lewis, J., et al. (1990). The Dissociative Experiences Scale: Further replication and validation. Dissociation, 3, 151153.Google Scholar
George, C., Kaplan, N., & Main, M. (1985). The Berkeley Adult Attachment Interview. Unpublished manuscript. University of California, Berkeley, Department of Psychology.
Griffin, D. W., & Bartholomew, K. (1994). The metaphysics of measurement: The case of adult attachment. In K. Bartholomew & D. Perlman (Eds.), Advances in personal relationship: Vol. 5. Attachment processes in adulthood (pp. 1752). London: Jessica Kingsley.
Hazan, C., & Shaver, P. (1987). Romantic love conceptualized as an attachment process. Journal of Personality and Social Psychology, 52, 511524.CrossRefGoogle Scholar
Hazan, C., & Zeifman, D. (1999). Pair bonds as attachments: Evaluating the evidence. In J. Cassidy & P. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications (pp. 336354). New York: Guilford Press.
Heim, C., Ehlert, U., Hanker, J. P., & Hellhammer, D. H. (1998). Abuse-related post-traumatic stress disorder and alterations of the hypothalamic–pituitary–adrenal axis in women with chronic pelvic pain. Psychosomatic Medicine, 60, 309318.CrossRefGoogle Scholar
Henderson, A. J. Z., Bartholomew, K., & Dutton, D. G. (1997). He loves me; he loves me not: Attachment and separation resolution of abused women. Journal of Family Violence, 12, 169191.CrossRefGoogle Scholar
Herman, J. (1992). Trauma and recovery. New York: Basic Books.
Hesse, E. (1996). Discourse, memory, and the Adult Attachment Interview: A note with emphasis on the emerging cannot classify category. Infant Mental Health Journal, 17, 411.3.0.CO;2-S>CrossRefGoogle Scholar
Hesse, E. (1999). The Adult Attachment Interview: Historical and current perspectives. In J. Cassidy & P. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications (pp. 395433). New York: Guilford Press.
Hesse, E., & van IJzendoorn, M. H. (1999). Propensities toward absorption are related to lapses in the monitoring of reasoning or discourse during the Adult Attachment Interview: A preliminary investigation. Attachment and Human Development, 1, 6791.CrossRefGoogle Scholar
Holtzworth-Munroe, A., Stuart, G., & Hutchinson, G. (1997). Violent versus nonviolent husbands: Differences in attachment patterns, dependency, and jealousy. Journal of Family Psychology, 11, 314331.CrossRefGoogle Scholar
Jacobvitz, D., Curran, M., & Moller, N. (2002). Measurement of adult attachment: The place of self-report and interview methodologies. Attachment and Human Development, 4, 207215.CrossRefGoogle Scholar
Jacobvitz, D., Hazen, N., & Riggs, S. A. (1997, April). Disorganized mental processes in mothers, frightening/frightened caregiving and disoriented, disorganized behavior in infancy. Paper presented at the Biennial Meeting of the Society for Research in Child Development, Washington, DC.
Janoff-Bulman, R. (1992). Shattered assumptions: Towards a new psychology of trauma. New York: Free Press.
Johnson, J. G., Cohen, P., Brown, J., Smailes, E. M., & Bernstein, D. P. (1999). Childhood maltreatment increases risk for personality disorders during early adulthood. Archives of General Psychiatry, 56, 600606.CrossRefGoogle Scholar
Jumper, S. A. (1995). A meta-analysis of the relationship of child sexual abuse to adult psychological adjustment. Child Abuse and Neglect, 19, 715728.CrossRefGoogle Scholar
Kobak, R. (1999). The emotional dynamics of disruptions in attachment relationships: Implications for theory, research, and clinical intervention. In J. Cassidy & P. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications (pp. 2143). New York: Guilford Press.
Kobak, R. R., & Sceery, A. (1988). Attachment in later adolescence: Working models, affect regulation, and perceptions of self and others. Child Development, 59, 135146.CrossRefGoogle Scholar
Krupnick, J. L., Green, B. L., Stockton, P., Goodman, L., Corcoran, C., & Petty, R. (2004). Mental health effects of adolescent trauma exposure in a female college sample: Exploring differential outcomes based on experiences of unique trauma types and dimensions. Psychiatry, 67, 264279.CrossRefGoogle Scholar
Liotti, G. (1992). Disorganization of attachment as a model for understanding dissociative disorders. Dissociation, 5, 196204.Google Scholar
Lopez, F., Melendez, M., Sauer, E., Berger, E., & Wyssmann, J. (1998). Internal working models, self-reported problems, and help-seeking attitudes among college students. Journal of Counseling Psychology, 45, 7983.CrossRefGoogle Scholar
Lyons-Ruth, K., Bronfman, E., & Parsons, E. (1999). Atypical maternal behavior and disorganized infant attachment strategies. Frightened, frightening, or atypical maternal behavior and disorganized infant attachment strategies. Monographs of the Society for Research in Child Development, 64(3, Serial No. 258), 6796.Google Scholar
Lyons-Ruth, K., & Jacobvitz, D. (1999). Attachment disorganization: Unresolved loss, relational violence, and lapses in behavioral and attentional strategies. In J. Cassidy & P. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications (pp. 520554). New York: Guilford Press.
Lyons-Ruth, K., Yellin, C., Melnick, S., & Atwood, S. (2003). Childhood experiences of trauma and loss have different relations to maternal unresolved and Hostile–Helpless states of mind on the AAI. Attachment and Human Development, 5, 330352.CrossRefGoogle Scholar
Lyons-Ruth, K., Yellin, C., Melnick, S., & Atwood, G. (2005). Expanding the concept of unresolved mental states: Hostile/Helpless states of mind on the Adult Attachment Interview are associated with disrupted maternal communication and infant disorganization. Development and Psychopathology, 17, 123.Google Scholar
Main, M. (1995). Recent studies in attachment: Overview, with selected implications for clinical work. In R. M. S. Goldberg & J. Kerr (Eds.), Attachment theory: Social, developmental, and clinical perspectives (pp. 407474). Hillsdale, NJ: Analytic Press.
Main, M. (1999). Epilogue. Attachment theory: Eighteen points with suggestions for future studies. In J. Cassidy & P. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications (pp. 845888). New York: Guilford Press.
Main, M., & Goldwyn, R. (1985/1998). Adult attachment scoring and classification system. Unpublished manuscript, University of California at Berkeley, Department of Psychology.
Main, M., & Hesse, E. (1990). Parents' unresolved traumatic experiences are related to infant disorganized attachment status: Is frightened and/or frightening parental behavior the linking mechanism? In M. T. Greenberg, D. Cicchetti, & E. M. Cummings (Eds.), Attachment in the preschool years (pp. 161182). Chicago: University of Chicago Press.
Main, M., Kaplan, N., & Cassidy, J. (1985). Security in infancy, childhood and adulthood: A move to the level of representation. Monographs of the Society for Research in Child Development, 50(1–2, Serial No. 209), 66104.CrossRefGoogle Scholar
Main, M., & Solomon, J. (1986). Discovery of an insecure-disorganized/disoriented attachment pattern. In T. B. Brazelton & M. W. Yogman (Eds.), Affective development in infancy (pp. 95124). Westport, CT: Ablex Publishing.
Makikyro, T., Sauvola, A., Moring, J., Beijola, J., Neiminem, P., Jarvelin, M., et al. (1998). Hospital-treated psychiatric disorders in adults with a single-parent and two-parent family background: A 28-year follow-up of the 1966 Northern Finland Birth Cohort. Family Process, 37, 335344.CrossRefGoogle Scholar
Mickelson, K., Kessler, R., & Shaver, P. (1997). Adult attachment in a nationally representative sample. Journal of Personality and Social Psychology, 73, 10921106.CrossRefGoogle Scholar
Mikulincer, M., Florian, V., & Weller, A. (1993). Attachment styles, coping strategies, and posttraumatic psychological distress: The impact of the Gulf War in Israel. Journal of Personality and Social Psychology, 58, 273280.Google Scholar
Mikulincer, M., & Nachshon, O. (1991). Attachment styles and patterns of self-disclosure. Journal of Personality and Social Psychology, 61, 321331.CrossRefGoogle Scholar
Millon, T. (1990). Toward a new personology. New York: Wiley.
Millon, T. (1994). Millon Clinical Multiaxial Inventory—III manual. Minneapolis, MN: National Computer Systems.
Millon, T., & Davis, R. D. (1996). Disorders of personality: DSM-IV and beyond. New York: Wiley.
Millon, T., Davis, R. D., & Millon, C. (1997). MCMI-III manual (2nd ed.). Minneapolis, MN: National Computer Systems, Inc.
Millon, T., Davis, R. D., Millon, C., Escovar, L., & Meagher, S. (2000). Personality disorders in modern life. New York: Wiley.
Modestin, J., Ebner, G., Junghan, M., & Erni, T. (1996). Dissociative experiences and dissociative disorders in acute psychiatric inpatients. Comprehensive Psychiatry, 37, 355361.CrossRefGoogle Scholar
Modestin, J., Oberson, B., Junghan, M., & Erni, T. (1996). Dissociative experiences and dissociative disorders in acute psychiatric inpatients. Comprehensive Psychiatry, 37, 355361.CrossRefGoogle Scholar
Modestin, J., Oberson, B., & Erni, T. (1998). Possible antecedents of DSM-II-R personality disorders. Acta Psychiatrica Scandinavica, 97, 260266.CrossRefGoogle Scholar
Muller, R., Lemieux, K., & Sicoli, L. (2001). Attachment and psychopathology among formerly maltreated adults. Journal of Family Violence, 16, 151169.CrossRefGoogle Scholar
Nijenhuis, E. R. S., Vanderlinden, J., & Spinhoven, P. (1998). Animal defensive reactions as a model for trauma-induced dissociative reactions. Journal of Traumatic Stress, 11, 243260.CrossRefGoogle Scholar
Ogawa, J. R., Sroufe, L. A., Weinfield, N. S., Carlson, E. A., & Egeland, B. (1997). Development and the fragmented self: Longitudinal study of dissociative symptomatology in a nonclinical sample. Development and Psychopathology, 9, 855879.CrossRefGoogle Scholar
Onishi, M., Gjerde, P. F., & Block, J. (2001). Personality implications of romantic attachment patterns in young adults: A multi-method, multi-informant study. Personality and Social Psychology Bulletin, 27, 10971110.CrossRefGoogle Scholar
Paley, B., Cox, M., Burchinal, M., & Payne, C. (1999). Attachment and marital functioning: Comparison of spouses with continuous-secure, earned-secure, dismissing, and preoccupied stances. Journal of Family Psychology, 13, 580597.CrossRefGoogle Scholar
Patrick, M., Hobson, R., Castle, D., Howard, R., & Maughan, B. (1994). Personality disorder and the mental representation of early social experience. Development and Psychopathology, 6, 375388.CrossRefGoogle Scholar
Pianta, R., Egeland, B., & Adam, E. (1996). Adult attachment classification and self-reported psychiatric symptomatology as assessed by the Minnesota Multiphasic Personality Inventory—2. Journal of Consulting and Clinical Psychology, 64, 273281.CrossRefGoogle Scholar
Riggs, S. A., & Jacobvitz, D. (2002). Expectant parents' representations of early attachment relationships: Associations with mental health and family history. Journal of Consulting and Clinical Psychology, 70, 195204.CrossRefGoogle Scholar
Riggs, S. A., Jacobvitz, D., & Hazen, N. (2002). Adult attachment and history of psychotherapy in a normative sample. Psychotherapy, 39, 344353.CrossRefGoogle Scholar
Roche, D., Runtz, M., & Hunter, M. (1999). Adult attachment: A mediator between child sexual abuse and later psychological adjustment. Journal of Interpersonal Violence, 14, 184167.CrossRefGoogle Scholar
Rosenstein, D. S., & Horowitz, H. A. (1996). Adolescent attachment and psychopathology. Journal of Consulting and Clinical Psychology, 64, 244253.CrossRefGoogle Scholar
Ross, C. A. (2000). The trauma model: A solution to the problem of comorbidity in psychiatry. Richardson, TX: Manitou Communications, Inc.
Ross, C. A., Duffy, M. M., & Ellason, J. W. (2002). Prevalence, reliability, and validity of dissociative disorders in an inpatient setting. Journal of Trauma & Dissociation, 3, 717.CrossRefGoogle Scholar
Ross, C. A., Heber, S., Norton, G. R., Anderson, D., Anderson, G., & Barchet (1989). The Dissociative Disorders Interview Schedule: A structured interview. Dissociation, 2, 169189.Google Scholar
Ross, C. A., Norton, G. R., & Anderson, G. (1988). The Dissociative Experiences Scale: A replication study. Dissociation, 1, 2122.Google Scholar
Ross, L. R., & Spinner, B. (2001). General and specific attachment representations in adulthood: Is there a relationship? Journal of Social and Personal Relationships, 18, 747766.Google Scholar
Rothbard, J. C., & Shaver, P. R. (1994). Continuity of attachment across the life span. In M. B. Sperling & W. H. Berman (Eds.), Attachment in adults: Clinical and developmental perspectives (pp. 3171). New York: Guilford Press.
Sagi, A., van IJzendoorn, M. H., Scharf, M., & Koren-Karie, N. (1994). Stability and discrimination validity of the Adult Attachment Interview: A psychometric study in young Israeli adults. Developmental Psychology, 30, 771777.CrossRefGoogle Scholar
Schuengel, C., van IJzendoorn, M. H., & Bakermans-Kranenburg, M. J. (1999). Frightening maternal behavior linking unresolved loss and disorganized infant attachment. Journal of Consulting and Clinical Psychology, 67, 5463.CrossRefGoogle Scholar
Shaver, P. R., & Brennan, K. (1992). Attachment styles and the “Big Five” personality traits: Their connections with each other and with romantic relationship outcomes. Personality and Social Psychology Bulletin, 18, 536545.CrossRefGoogle Scholar
Shaver, P. R., & Clark, C. L. (1994). The psychodynamics of adult romantic attachment. In J. M. Masling & R. F. Bornstein (Eds.), Empirical perspectives on object relations theories (pp. 105156). Washington, DC: American Psychological Association.
Shaver, P. R., & Mikulincer, M. (2002). Attachment-related psychodynamics. Attachment and Human Development, 4, 133161.CrossRefGoogle Scholar
Simpson, J. A. (1990). Influence of attachment styles on romantic relationships. Journal of Personality and Social Psychology, 59, 971980.CrossRefGoogle Scholar
Simpson, J. A., & Rholes, W. S. (2002). Fearful-avoidance, disorganization, and multiple working models: Some directions for future theory and research. Attachment and Human Development, 4, 223229.CrossRefGoogle Scholar
Simpson, J. A., Rholes, W. S., Orina, M., & Grich, J. (2002). Working models of attachment, support giving, and support seeking in a stressful situation. Personality and Social Psychology Bulletin, 28, 598608.CrossRefGoogle Scholar
Sroufe, L. A., Carlson, E., Levy, A. K., & Egeland, B. (1999). Implications of attachment theory for developmental psychopathology. Development and Psychopathology, 11, 113.Google Scholar
Stalker, C. A., & Davies, F. (1995). Attachment organization and adaptation in sexually abused women. Canadian Journal of Psychiatry, 40, 234240.Google Scholar
Steele, H., & Steele, M. (1994). Intergenerational patterns of attachment. In K. Bartholomew & D. Perlman (Eds.), Attachment processes in adulthood. Advances in Personal Relationships Series (Vol. 5, pp. 93120). London: Kingsley.
Stevens, J. (1996). Applied multivariate statistics for the social sciences (3rd ed.). Mahwah, NJ: Erlbaum.
Thakkar, R. R., & McCanne, T. R. (2000). The effects of daily stressors on physical health in women with and without a history of childhood sexual abuse. Child Abuse and Neglect, 24, 209221.CrossRefGoogle Scholar
Treboux, D., Crowell, J., & Colon-Downs, C. (1992). Self-concept and identity in late adolescence: Relation to working models of attachment. Paper presented at the biennial meeting of the Society for Research in Adolescence, Washington, DC.
Turton, P., McGauley, G., Marin-Avellan, L., & Hughes, P. (2001). The Adult Attachment Interview: Rating and classification problems posed by non-normative samples. Attachment and Human Development, 3, 284303.CrossRefGoogle Scholar
Tyrell, C., & Dozier, M. (1997, April). The role of attachment in therapeutic process and outcome for adults with serious psychiatric disorders. Paper presented at the biennial meeting of Society for Research in Child Development, Washington, DC.
van IJzendoorn, M. H. (1995). Adult attachment representations, parental responsiveness, and infant attachment: A meta-analysis on the predictive validity of the Adult Attachment Interview. Psychological Bulletin, 117, 387403.CrossRefGoogle Scholar
van IJzendoorn, M. H., & Bakermans-Kranenburg, M. J. (1996). Attachment representations in mothers, fathers, adolescents, and clinical groups: A meta-analytic search for normative data. Journal of Consulting and Clinical Psychology, 64, 821.CrossRefGoogle Scholar
van IJzendoorn, &M., Schuengel, C. (1996). The measurement of dissociation in normal and clinical populations: Meta-analytic validation of the Dissociative Experiences Scale. Clinical Psychology Review, 16, 365383.CrossRefGoogle Scholar
van IJzendoorn, M., Schuengel, C., & Bakermans-Kranenburg, M. J. (1999). Disorganized attachment in early childhood: Meta-analysis of precursors, concomitants, and sequelae. Development and Psychopathology, 11, 225249.CrossRefGoogle Scholar
Walker, L. E. (1979). The battered woman. New York: Harper & Row.
West, M., Adam, K., Spreng, S., & Rose, S. (2001). Attachment disorganization and dissociative symptoms in clinically treated adolescents. Canadian Journal of Psychiatry, 46, 627631.CrossRefGoogle Scholar
Wetzler, S., & Marlowe, D. (1990). “Faking bad” on the MMPI, MMPI-2 and Millon-II. Psychological Reports, 67, 11171118.Google Scholar
Widom, C. S. (1989). Does violence beget violence? A critical examination of the literature. Psychological Bulletin, 106, 328.CrossRefGoogle Scholar
Zerbe, K. J. (1999). Women's mental health in primary care. Philadelphia, PA: Saunders.