Assessing Attachment in Psychotherapy: Validation of the Patient Attachment Coding System (PACS)
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Assessing Attachment in Psychotherapy : Validation of the Patient Attachment Coding System (PACS). / Talia, Alessandro; Miller-Bottome, Madeleine; Daniel, Sarah I.F.
I: Clinical Psychology and Psychotherapy, Bind 24, Nr. 1, 01.01.2017, s. 149-161.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › fagfællebedømt
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TY - JOUR
T1 - Assessing Attachment in Psychotherapy
T2 - Validation of the Patient Attachment Coding System (PACS)
AU - Talia, Alessandro
AU - Miller-Bottome, Madeleine
AU - Daniel, Sarah I.F.
PY - 2017/1/1
Y1 - 2017/1/1
N2 - The authors present and validate the Patient Attachment Coding System (PACS), a transcript-based instrument that assesses clients' in-session attachment based on any session of psychotherapy, in multiple treatment modalities. One-hundred and sixty clients in different types of psychotherapy (cognitive–behavioural, cognitive–behavioural-enhanced, psychodynamic, relational, supportive) and from three different countries were administered the Adult Attachment Interview (AAI) prior to treatment, and one session for each client was rated with the PACS by independent coders. Results indicate strong inter-rater reliability, and high convergent validity of the PACS scales and classifications with the AAI. These results present the PACS as a practical alternative to the AAI in psychotherapy research and suggest that clinicians using the PACS can assess clients' attachment status on an ongoing basis by monitoring clients' verbal activity. These results also provide information regarding the ways in which differences in attachment status play out in therapy sessions and further the study of attachment in psychotherapy from a pre-treatment client factor to a process variable.
AB - The authors present and validate the Patient Attachment Coding System (PACS), a transcript-based instrument that assesses clients' in-session attachment based on any session of psychotherapy, in multiple treatment modalities. One-hundred and sixty clients in different types of psychotherapy (cognitive–behavioural, cognitive–behavioural-enhanced, psychodynamic, relational, supportive) and from three different countries were administered the Adult Attachment Interview (AAI) prior to treatment, and one session for each client was rated with the PACS by independent coders. Results indicate strong inter-rater reliability, and high convergent validity of the PACS scales and classifications with the AAI. These results present the PACS as a practical alternative to the AAI in psychotherapy research and suggest that clinicians using the PACS can assess clients' attachment status on an ongoing basis by monitoring clients' verbal activity. These results also provide information regarding the ways in which differences in attachment status play out in therapy sessions and further the study of attachment in psychotherapy from a pre-treatment client factor to a process variable.
KW - AAI
KW - attachment patterns
KW - language
KW - measure
KW - observer-based
KW - therapeutic relationship
U2 - 10.1002/cpp.1990
DO - 10.1002/cpp.1990
M3 - Journal article
C2 - 26596847
AN - SCOPUS:84947983483
VL - 24
SP - 149
EP - 161
JO - Clinical Psychology & Psychotherapy
JF - Clinical Psychology & Psychotherapy
SN - 1063-3995
IS - 1
ER -
ID: 196257156