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Attachment and Psychopathology Among Formerly Maltreated Adults

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Abstract

The purpose of this study was to examine the relationships of attachment security and psychopathology in an adult sample of high-risk abuse survivors. Attachment security was conceptualized in terms of two underlying dimensions, the working models of self and other. A sample of 66 survivors of childhood maltreatment completed measures of abuse history, attachment style, and psychopathology. Results demonstrated a strong relationship between a negative view of self and reported psychopathology, regardless of whether attachment was conceptualized continuously or categorically. Findings also revealed that the association of negative view of self and psychopathology was much stronger than that of negative view of other and psychopathology.

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REFERENCES

  • Achenbach, T. M., and Edelbrock, C. (1983). Manual for the Child Behaviour Checklist and the Revised Child Behaviour Profile, University of Vermont, Department of Psychiatry, Burlington, VT.

    Google Scholar 

  • Achenbach, T., and Edelbrock, C. (1987). Manual for the Youth Self-Report and Profile, University of Vermont, Department of Psychiatry, Burlington, VT.

    Google Scholar 

  • Achenbach, T. M., Howell, C. T., McConaughy, S. H., and Stanger, C. (1995). Six-year predictors of problems in a national sample: III. Transitions to young adult syndromes. J. Am. Acad. Child Adoles. Psychiat. 34: 658–669.

    Google Scholar 

  • Alexander, P. C. (1993). The differential effects of abuse characteristics and attachment in the prediction of long-term effects of sexual abuse. J. Interpers. Viol. 8(3): 346–362.

    Google Scholar 

  • Alexander, P. C., Anderson, C. L., Brand, B., Schaeffer, C. M., Grelling, B. Z., and Kretz, L. (1998). Adult attachment and long-term effects in survivors of incest. Child Abuse and Negl. 22(1): 45–61.

    Google Scholar 

  • Bartholomew, K. (1990). Avoidance of intimacy: An attachment perspective. J. Soc. Pers. Relat. 7: 147–178.

    Google Scholar 

  • Bartholomew, K., and Horowitz, L. M. (1991). Attachment styles among young adults: A test of a four-category model. J. Pers. Soc. Psychol. 61: 226–244.

    Google Scholar 

  • Bartholomew, K., and Shaver, P. R. (1998). Methods of assessing adult attachment: Do, they converge? In Simpson J. A., and Rholes W. S. (eds.), Attachment Theory and Close Relationships, Guilford, New York, pp. 25–45.

    Google Scholar 

  • Beck, A. T., Rush, A. J., Shaw, B. F., and Emery, G. (1979). Cognitive Therapy of Depression, Guilford Press, New York, NY.

    Google Scholar 

  • Beck, A. T., and Steer, R. A. (1984). Internal consistencies of the original and revised Beck Depression Inventory: J. Clin. Psychol. 40(6): 1365–1367.

    Google Scholar 

  • Beck, A. T., and Steer, R. A. (1990). Manual for the Beck Anxiety Inventory, San Antonio, Psychological Corporation, TX.

    Google Scholar 

  • Beck, A. T., Steer, R. A., and Garbin, M. G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clin. Psych. Rev. 8: 77–100.

    Google Scholar 

  • Beitchman, J. H., Zucher, K. J., Hood, J. E., DaCosta, G. A., Akman, D., and Casavia, E. (1992). A review of the long-term effects of child sexual abuse. Child Abuse Negl. 12: 101–116.

    Google Scholar 

  • Benedict, L. L. W., and Zautra, A. A. J. (1993). Family environment characteristics as risk factors for childhood sexual abuse. J. Clin. Child Psychol. 22: 365–374.

    Google Scholar 

  • Bowlby, J. (1973). Attachment and loss: Vol. 2. Separation, Basic Books, New York.

    Google Scholar 

  • Bowlby, J. (1980). Attachment and loss: Vol. 3. Loss, sadness, and depression, Basic Books, New York.

    Google Scholar 

  • Bowlby, J. (1982). Attachment and loss: Retrospect and prospect. Am. J. Orthopsychiat. 52: 664–678.

    Google Scholar 

  • Brennan, K., Shaver, P., and Tobey, A. (1991). Attachment styles, gender, and parental problem drinking. J. Soc. Pers. Relat. 8: 451–466.

    Google Scholar 

  • Bretherton, I (1985). Attachment theory: Retrospect and prospect. Monogr. Soc. Res. Child Devel. 50(1–2, Serial No. 209): 3–35.

    Google Scholar 

  • Briere, J., and Runtz, L. Y. (1988). Multivariate correlates of childhood psychological and physical maltreatment among university women. Child Abuse Negl. 12: 331–341.

    Google Scholar 

  • Brown, G. R., and Anderson, B. (1991). Psychiatric morbidity in adult inpatients with childhood histories of sexual and physical abuse. Am. J. Psychiat. 148(1): 55–61.

    Google Scholar 

  • Bylsma, W. H., Cozzarelli, C., and Sumer, N. (1997). Relation between adult attachment styles and global self-esteem. J. Basic Appl. Soc. Psychol. 19(1): 1–16.

    Google Scholar 

  • Carnelley, K. B., Pietromonaco, P. R., and Jaffe, K. (1994). Depression, working models of others, and relationship functioning. J. Pers. Soc. Psychol. 66: 127–140.

    Google Scholar 

  • Cicchetti, D. (1990). How research on child maltreatment has informed the study of child development: Perspectives from developmental psychopathology. In Cicchetti, D., and Carlson, V. (eds.), Child Maltreatment: Theory and Research on the Causes and Consequences of Child Abuse and Neglect, New York, Cambridge U. Press, pp. 377–421.

    Google Scholar 

  • Cicchetti, D., and Rogosch, F. A. (1997). The role of self-organization in the promotion of resilience in maltreated children. Devel. Psychopathol. 9: 797–815.

    Google Scholar 

  • Cole-Detke, H., and Kobak, R. (1996). Attachment processes in eating disorders and depression. J. Pers. Soc. Psychol. 58: 644–663.

    Google Scholar 

  • Cummings, E. M., and Cicchetti, D. (1990). Toward a transactional model of relations between attachment and depression. In Greenberg, M. T., Cicchetti, D., and Cummings, E. M. (eds.), Attachment in the Preschool Years, University of Chicago Press, Chicago, pp. 339–391.

    Google Scholar 

  • Dozier, M., Stevenson, A. L., Lee, S. W., and Velligan, D. I. (1991). Attachment organization and familial over involvement for adults with serious psychopathological disorders. Development Psychopathology: Emotion, Cognition, and Representation, Rochester University Press, New York, pp. 371–414.

    Google Scholar 

  • Feldman, R. S., Salzinger, S., Rosario, M., Alvarado, L., Caraballo, L., and Hammer, M. (1995). Parent, teacher, and peer ratings of physically abused and nonmaltreated children's behaviour. J. Abnorm. Child Psychol. 23: 317–334.

    Google Scholar 

  • Finkelhor, D. (1979). Sexually victimized children, Free Press, New York.

    Google Scholar 

  • Fonagy, P., Leigh, T., Kennedy, R., Mattoon, G., Steele, H., Target, M., Steele, M., and Higgitt, A. (1995). Attachment, borderline states and the representation of emotions and cognitions in self and other. In: Cicchetti, D., and Toth, S. (eds.), Rochester Symposium on Developmental Psychopathology: Emotion, Cognition, and Representation, Rochester University Press, New York, pp. 371–414.

    Google Scholar 

  • Fydrich, T., Dowdall, D., and Chambless, D. L. (1992). Reliability and validity of the Beck Anxiety Inventory. J. Anxiety Disord. 6: 55–61.

    Google Scholar 

  • George, C., Kaplan, N., and Main, M. (1987). The Adult Attachment Interview. Unpublished manuscript. University of California, Berkeley.

    Google Scholar 

  • Gotlib, I. H., and Hammen, C. L. (1992). Psychological Aspects of Depression: Toward a Cognitive Interpersonal Integration, Wiley, Chichester, England.

    Google Scholar 

  • Greenberg, M. T., Speltz, M., and DeKlyen, M. (1993). The role of attachment in the early development of disruptive behaviour problems. Devel. Psychopathol. 5: 191–214.

    Google Scholar 

  • Griffin, D., and Bartholomew, K. (1994a). The metaphysics of measurement: The case of adult attachment. In Bartholomew, L. and Perlman, D. (eds.), Advances in Personal Relationships: Vol. 5. Attachment Processes in Adulthood, Jessica Kingsley Publishers, London, pp. 17–52.

    Google Scholar 

  • Griffin, D., and Bartholomew, K. (1994b). Models of the self and other: Fundamental dimensions underlying measures of adult attachment. J. Pers. Soc. Psychol. 67(3): 430–445.

    Google Scholar 

  • Hazan, C., and Shaver, P. (1987). Romantic love conceptualized as an attachment process. J. Pers. Soc. Psychol. 52: 511–524.

    Google Scholar 

  • Herman, J. L. (1992). Trauma and Recovery, Basic Books, New York.

    Google Scholar 

  • Herman, J. L., Perry, J. C., and van der Kolk, B. A. (1989). Childhood trauma in borderline personality disorder. Am. J. Psychiat. 146: 490–495.

    Google Scholar 

  • Herman, J. L., and van der Kolk, B. A. (1987). Traumatic antecedents of Borderline Personality Disorder. In van der Kolk, B. A. (ed.), Psychological Trauma, American Psychiatric Press, Washington, DC, pp. 111–126.

    Google Scholar 

  • Jordan, J. V., Kaplan, A. G., Miller, J. B., Stiver, I. P., and Surrey, J. L. (1991). Women's Growth in Connection, The Guilford Press, New York.

    Google Scholar 

  • Kobak, R. R., Sudler, N., and Gamble, W. (1991). Attachment and depressive symptoms during adolescence: A developmental pathways analysis. Devel. Psychopathol. 3: 461–474.

    Google Scholar 

  • LaFreneiere, P., and Sroufe, L. A. (1985). Profiles of peer competence in the preschool: Interrelations between measures, influence of social ecology, and relation to attachment history. Devel. Psychopathol. 21: 56–68.

    Google Scholar 

  • MacMillan, H. L., Fleming, J. E., Troomé, N., Boyle, M. H., Wong, M., Racine, Y. A., Beardslee, W. R., and Offord, D. R. (1997). Prevalence of child physical and sexual abuse in the community. JAMA 278: 131–135.

    Google Scholar 

  • Main, M., and Goldwyn, R. (1988). An Adult Attachment Classification System. Unpublished manuscript, University of California, Department of Psychology, Berkeley.

    Google Scholar 

  • McGee, R. A., Wolfe, D. A., Yuen, S. A., Wilson, S. K., and Carnochan, J. (1995). The measurement of maltreatment: A comparison of approaches. Child Abuse Negl. 19(2): 233–249.

    Google Scholar 

  • Mikulincer, M., Florian, V., and Weller, A. (1993). Attachment styles, coping strategies, and post-traumatic psychological distress: The impact of the gulf war in Israel. J. Pers. Soc. Psychol. 64(5): 817–826.

    Google Scholar 

  • Mueller, C., and Parcel, T. (1981). Measures of socioeconomic status: Alternatives and recommendations. Child Develop. 52: 13–30.

    Google Scholar 

  • Muller, R. T. (1996). Family aggressiveness factors in the prediction of corporal punishment: Reciprocal effects and the impact of observer perspective. J. Fam. Psychol. 10: 474–489.

    Google Scholar 

  • Muller, R. T., Fitzgerald, H. E., Sullivan, S. A., and Zucker, R. A. (1994). Social support and stress factors in child maltreatment among alcoholic families. Can. J. Behav. Sc. 26: 438–461.

    Google Scholar 

  • Murphy, B., and Bates, G. W. (1997). Adult attachment style and vulnerability to depression. Person. Individ. Diff. 2(6): 835–844.

    Google Scholar 

  • Prino, C. T., and Peyrot, M. (1994). The effect of child physical abuse and neglect on aggressive, withdrawn, and prosocial behaviour. Child Abuse and Negl. 18: 871–884.

    Google Scholar 

  • Roberts, J. E., Gotlib, I. H., and Kassel, J. D. (1996). Adult attachment security and symptoms of depression: The mediating roles of dysfunctional attitudes and low self-esteem. J. Pers. Soc. Psychol. 70(2): 310–320.

    Google Scholar 

  • Rosenberg, M. (1965). Society and the Adolescent Self-Image, Princeton University Press, Princeton, NJ.

    Google Scholar 

  • Russell, D. (1983). The incidence and prevalence of intra familial and extra familial sexual abuse of female children. Child Abuse Negl. 7: 133–146.

    Google Scholar 

  • Schafer, E., and Bartholomew, K. (1994). Reliability and stability of adult attachment patterns. Pers. Relat. 1: 23–43.

    Google Scholar 

  • Silber, E., and Tippett, J. S. (1965). Self-esteem: Clinical assessment and measurement validation. Psychol. Rep. 16(3): 1017–1071.

    Google Scholar 

  • Silverman, A. B., Reinherz, H. Z., and Giaconia, R. M. (1996). The long-term sequelae of child adolescent abuse: A longitudinal community study. Child Abuse Negl. 20: 709–723.

    Google Scholar 

  • Southwick, S., Morgan, A., Nagy, L., Bremner, D., Nicolaou, A., Johnson, D., Rosenheck, R., and Charney, D. (1993). Trauma-related symptoms in veterans of Operation Desert Storm: A preliminary report. Am. J. Psychiat. 150: 1524–1528.

    Google Scholar 

  • Straus, M. A., (1989). Manual for the Conflict Tactics Scale, Family Research Laboratory, Durham.

    Google Scholar 

  • Verhulst, F. C., Koot, H. M., and Berden, G. F. M.G. (1990). Four year follow-up of an epidemiological sample. J. Am. Acad. Child Adolesc. Psychiatry, 29(3): 441–448.

    Google Scholar 

  • Wheeler, B. R., and Walton, E. (1967). Personality disturbances of adult incest victims. Soc. Casework 597–602.

  • Wiznitzer, M., Verhulst, F., van den Brink, W., Koeter, M., van der Ende, J., Giel, R., and Koot, H. (1992). Detecting psychopathology in young adults: The young adult self report, the general health questionnaire and the symptom checklist as screening instruments. Acta Psychiatr. Scand. 86: 32–37.

    Google Scholar 

  • Wolfe, D. A., and McGee, R. (1994). Dimensions of child maltreatment and their relationship to adolescent adjustment. Devel. Psychopathol. 6: 165–181.

    Google Scholar 

  • Wong, M. R., and Cook, D. (1992). Shame and its cintribution to PTSD. J. Traum. 5: 557–562.

    Google Scholar 

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Muller, R.T., Lemieux, K.E. & Sicoli, L.A. Attachment and Psychopathology Among Formerly Maltreated Adults. Journal of Family Violence 16, 151–169 (2001). https://doi.org/10.1023/A:1011158919303

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