The in-session discourse of unresolved/disorganized psychotherapy patients: An exploratory study of an attachment classification
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The in-session discourse of unresolved/disorganized psychotherapy patients : An exploratory study of an attachment classification. / Talia, Alessandro; Taubner, Svenja; Miller-Bottome, Madeleine; Muurholm, Signe Dall; Winther, Anne-Marie Lund; Frandsen, Frederik Weischer; Harpøth, Tine S.D.; Onofri, Antonio; Kongerslev, Mickey; Simonsen, Sebastian; Poulsen, Stig Bernt; Duschinsky, Robbie.
I: Frontiers in Psychology, Bind 13, 985685, 2022.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - The in-session discourse of unresolved/disorganized psychotherapy patients
T2 - An exploratory study of an attachment classification
AU - Talia, Alessandro
AU - Taubner, Svenja
AU - Miller-Bottome, Madeleine
AU - Muurholm, Signe Dall
AU - Winther, Anne-Marie Lund
AU - Frandsen, Frederik Weischer
AU - Harpøth, Tine S.D.
AU - Onofri, Antonio
AU - Kongerslev, Mickey
AU - Simonsen, Sebastian
AU - Poulsen, Stig Bernt
AU - Duschinsky, Robbie
PY - 2022
Y1 - 2022
N2 - The Unresolved/disorganized (U/d) attachment classification has generatedconsiderable interest among clinicians. This is in part based on its empiricalassociations with adult mental health, parenting practices, and treatmentoutcomes. Despite decades of theorizing, however, we have little empiricalinformation regarding how patients with a U/d classification assigned byaccredited coders actually behave or speak in psychotherapy sessions. Here,we take a step towards bridging this gap by reporting our observations of thepsychotherapy session transcripts of 40 outpatients who were independentlyclassified as U/d on the Adult Attachment Interview (AAI), the gold standardmeasure of adult attachment research. These patients were extracted froma larger sample of 181 and compared to others without a U/d classification.In this paper, we discuss two different discourse styles associated with aU/d classification. Some U/d patients did not seem to sufficiently elicit thetherapist’s endorsement of what they said. For example, they did not justify theirclaims with examples or explanations, or did not consider others’ intentions orexperiences. Other U/d patients were credible, but left the listener uncertainas to the underlying point of their discourse, for example, by glaringly omittingthe consequences of their experiences, or interrupting their narratives mid-way. In the discussion, we place these observations in the context of recentthinking on attachment and epistemic trust, and discuss how this study mayform the basis for future quantitative studies of psychotherapy.
AB - The Unresolved/disorganized (U/d) attachment classification has generatedconsiderable interest among clinicians. This is in part based on its empiricalassociations with adult mental health, parenting practices, and treatmentoutcomes. Despite decades of theorizing, however, we have little empiricalinformation regarding how patients with a U/d classification assigned byaccredited coders actually behave or speak in psychotherapy sessions. Here,we take a step towards bridging this gap by reporting our observations of thepsychotherapy session transcripts of 40 outpatients who were independentlyclassified as U/d on the Adult Attachment Interview (AAI), the gold standardmeasure of adult attachment research. These patients were extracted froma larger sample of 181 and compared to others without a U/d classification.In this paper, we discuss two different discourse styles associated with aU/d classification. Some U/d patients did not seem to sufficiently elicit thetherapist’s endorsement of what they said. For example, they did not justify theirclaims with examples or explanations, or did not consider others’ intentions orexperiences. Other U/d patients were credible, but left the listener uncertainas to the underlying point of their discourse, for example, by glaringly omittingthe consequences of their experiences, or interrupting their narratives mid-way. In the discussion, we place these observations in the context of recentthinking on attachment and epistemic trust, and discuss how this study mayform the basis for future quantitative studies of psychotherapy.
U2 - 10.3389/fpsyg.2022.985685
DO - 10.3389/fpsyg.2022.985685
M3 - Journal article
C2 - 36275246
VL - 13
JO - Frontiers in Psychology
JF - Frontiers in Psychology
SN - 1664-1078
M1 - 985685
ER -
ID: 339636389