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Attachment and Personality Disorders: Exploring Maladaptive Developmental Pathways

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Abstract

Recent theorizing and research from an attachment perspective has begun to trace linkages between attachment in childhood and the later appearance of personality disorders. This paper contributes to this work by identifying consistencies between descriptions of insecure attachment in childhood provided by Crittenden (1995, 1997a, 1997b) and descriptions of personality disorders provided by Millon (1996). Implications for clinical assessment and intervention are discussed. In particular, understanding of dimensional characteristics shared by attachment organization and personality disorders may shed light on the differential use of primarily cognitive-behavioral and primarily psychodynamic clinical interventions.

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References

  • Ainsworth, M.D.S. (1991). Attachments and other affectional bonds across the life cycle. In C.M. Parkes, J. Stevenson-Hinde, & P. Marris (Eds.), Attachment across the lifecycle (pp. 33–51). London: Tavistock/Routledge.

    Google Scholar 

  • Ainsworth, M.D.S. (1992). A consideration of social referencing in the context of attachment theory and research. In S. Feinman (Ed.), Social referencing and the social construction of reality in infancy (pp. 349–367). New York: Plenum Press.

    Google Scholar 

  • Ainsworth, M., Blehar, M., Waters, E. & Wall, S. (1978). Patterns of attachment. Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Allen-Meares, P. (1995). Social work with children and adolescents. White Plains, NY: Longman.

    Google Scholar 

  • American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.

    Google Scholar 

  • Atkinson, L. & Zucker, K.J. (Eds.) (1997). Attachment and psychopathology. New York: Guilford Press.

    Google Scholar 

  • Black, C. (1992). Effects of family alcoholism. In S. Saitoh & P. Steinglass (Eds.), Alcoholism and the family (pp. 272–281). New York: Brunner/Mazel.

    Google Scholar 

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

    Google Scholar 

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

    Google Scholar 

  • Bowlby, J. (1982). Attachment and loss, Vol. I: Attachment (2nd ed.). New York: Basic Books.

    Google Scholar 

  • Bowlby, J. (1988). A secure base: Parent-child attachment and heathy human development. New York: Basic Books.

    Google 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(5), 835–878.

    Google Scholar 

  • Crittenden, P.M. (1995). Attachment and psychopathology. In S. Goldberg, R. Muir, & J. Kerr (Eds.), Attachment theory: Social, developmental, and clinical perspectives (pp. 367–406). Hillsdale, NJ: Analytic Press.

    Google Scholar 

  • Crittenden, P.M. (1997a). Truth, error, omission, distortion, and deception: The application of attachment theory to the assessment and treatment of psychological disorder. In S.M. Clancey Dollinger & L.F. DiLalla (Eds.). Assessment and intervention: Issues across the life-span (pp. 35–76). Mahwah, NJ: Lawrence Erlbaum.

    Google Scholar 

  • Crittenden, P.M. (1997b). Patterns of attachment and sexual behavior: Risk of dysfunction versus opportunity for creative integration. In L. Atkinson & K.J. Zucker (Eds.), Attachment and psychopathology (pp. 47–93). New York: Guilford Press.

    Google Scholar 

  • Dozier, M., Stovall, K.C., & Albus, K.E. (1999). Attachment and psychopathology in adulthood. In J. Cassidy & P.R. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical implications (pp. 497–519). New York: Guilford Press.

    Google Scholar 

  • Fish, B. (1996). Clinical implications of attachment narratives. Clinical Social Work Journal, 24, 239–253.

    Google Scholar 

  • Fish, B. & Condon, S. (1994). A discussion of current attachment research and its clinical applications. Child and Adolescent Social Work Journal, 11(2), 93–105.

    Google Scholar 

  • Fish, B. & Dudas, K. (1999). The relevance of attachment research for adult narratives told in psychotherapy. Clinical Social Work Journal, 27(1), 27–40.

    Google Scholar 

  • Fiske, T.S. & Taylor, S.E. (1991). Social cognition (2nd ed.). New York: McGraw-Hill.

    Google Scholar 

  • Fonagy, P., Steele, M., Steele, H., Leigh, T., Kennedy, R., Mattoon, G., Target, M., & Gerber, A. (1996). The relation of attachment status, psychiatric classification, and response to psychotherapy. Journal of Consulting and Clinical Psychology, 64 (10), 22–31.

    Google Scholar 

  • George, C., Kaplan, N., & Main, M. (1996). Adult Attachment Interview Protocol (3rd ed.). Unpublished manuscript, University of California at Berkeley.

  • Hesse, E. (1999). The Adult Attachment Interview: Historical and current perspectives. In J. Cassidy & P.R. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical implications (pp. 395–433). New York: Guilford Press.

    Google Scholar 

  • Kagan, J., Snidman, N., & Arcus, D. (1998). Childhood derivatives of high and low reactivity in infancy. Child Development, 69(6), 1483–1493.

    Google Scholar 

  • Livesley, W.J., Schroeder, M.L., & Jackson, D.N. (1990). Dependent personality disorder and attachment problems. Journal of Personality Disorders, 4, 131–140.

    Google Scholar 

  • Main, M. (1999). Attachment theory: Eighteen points with suggestions for future studies. In J. Cassidy & P.R. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical implications (pp. 845–887). New York: Guilford Press.

    Google Scholar 

  • Main, M. & Solomon, J. (1990). Procedures for identifying infants as disorganized/disoriented during the Ainsworth strange situation. In M.T. Greenberg, D. Cicchetti, & E.M. Cummings (Eds.), Attachment in the preschool years: Theory, research, and intervention (pp. 121–160). Chicago: University of Chicago Press.

    Google Scholar 

  • McMillen, J.C. (1992). Attachment theory and clinical social work. Clinical Social Work Journal, 20(2), 205–218.

    Google Scholar 

  • Millon, T. (1996). Personality and psychopathology: Building a clinical science. Selected papers of Theodore Millon. New York: John Wiley & Sons.

    Google Scholar 

  • Millon, T. & Davis, R.D. (1996). Disorders of personality: DSM-IV and Beyond. New York: John Wiley & Sons.

    Google Scholar 

  • Page, T. (1999). The attachment partnership as conceptual base for exploring the impact of child maltreatment. Child and Adolescent Social Work Journal, 16(6), 419–437.

    Google Scholar 

  • Rutter, M. (1997). Clinical implications of attachment concepts: Retrospect and prospect. In L. Atkinson & K.J. Zucker (Eds.), Attachment and psychopathology (pp. 17–46). New York: Guilford Press.

    Google Scholar 

  • Sroufe, L.A. & Fleeson, J. (1986). Attachment and the construction of relationships. In W. Hartup & Z. Rubin (Eds.), Relationships and development (pp. 51–71). Hillsdale, NJ: Lawrence Erlbaum.

    Google Scholar 

  • Thompson, R.A. (1999). Early attachment and later development. In J. Cassidy & P.R. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical implications (pp. 265–286). New York: Guilford Press.

    Google Scholar 

  • Tulving, E. (1972). Episodic and semantic memory. In E. Tulving & W. Donaldson (Eds.), Organization of memory (pp. 382–403). New York: Academic Press.

    Google Scholar 

  • Weinfield, N.S., Sroufe, L.A., Egeland, B., & Carlson, E. (1999). The nature of individual differences in infant-caregiver attachment. In J. Cassidy & P.R. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical implications (pp. 68–88). New York: Guilford Press.

    Google Scholar 

  • West, M.L. & Sheldon-Keller, A.E. (1994). Patterns of relating: An adult attachment perspective. New York: Guilford Press.

    Google Scholar 

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Page, T.F. Attachment and Personality Disorders: Exploring Maladaptive Developmental Pathways. Child and Adolescent Social Work Journal 18, 313–334 (2001). https://doi.org/10.1023/A:1012551222723

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