The role of the therapeutic alliance in the regulation of emotion in psychosis: an attachment perspective.

Clinical Psychology & Psychotherapy
Karen Annette OwensKatherine Berry

Abstract

This article aims to explore the value of attachment theory as a framework for understanding the ways in which the staff-patient relationship is associated with different methods of regulating emotion in individuals with a diagnosis of psychosis. Patient participants with a diagnosis of schizophrenia, schizoaffective disorder or psychosis not otherwise specified and mental health workers were recruited from 24-hour rehabilitation teams. Patient participants completed questionnaires assessing emotion regulation, attachment, therapeutic alliance and symptomatology. The therapeutic alliance was also assessed from mental workers' perspective. Insecure attachment was significantly associated with greater difficulties in regulating emotions. A strong therapeutic alliance was associated with fewer difficulties in regulating emotions. Attachment is a useful theoretical construct for understanding psychosis, with evidence for a link between a positive staff-patient relationship and enhanced emotion regulation. Clinical implications of these findings are discussed. The study supports a link between attachment organisation and psychosis, characterised by difficulties in emotion regulation. A positive patient-key worker relationship may fa...Continue Reading

References

Jun 1, 1988·Journal of Personality and Social Psychology·D WatsonA Tellegen
Jan 1, 1987·Schizophrenia Bulletin·S R KayL A Opler
Jul 1, 1995·Psychiatric Services : a Journal of the American Psychiatric Association·M S Neale, R A Rosenheck
Apr 16, 1998·The British Journal of Psychiatry : the Journal of Mental Science·G Adshead
May 16, 1998·BMJ : British Medical Journal·T V Perneger
Mar 9, 2000·Journal of Personality and Social Psychology·R C FraleyK A Brennan
Mar 10, 2001·Psychological Medicine·P A GaretyP E Bebbington
Dec 26, 2001·Archives of General Psychiatry·I Myin-GermeysP A Delespaul
Jul 26, 2003·Behaviour Research and Therapy·Daniel Freeman, Philippa A Garety
Jan 1, 1997·International Journal of Behavioral Medicine·C S Carver
Feb 8, 2006·The Journal of Nervous and Mental Disease·Shannon M CoutureDonald Goff
Mar 21, 2006·Clinical Psychology Review·Sarah I F Daniel
May 31, 2007·The American Journal of Orthopsychiatry·Alexander M PonizovskyPaula Rosca
May 21, 2008·Journal of Abnormal Psychology·Julie D HenryMaryanne O'Donnell
Oct 18, 2008·Behaviour Research and Therapy·Katherine BerryAlison Wearden
Jul 2, 2009·Clinical Psychology & Psychotherapy·Karen LivingstoneDavid Gillanders
Jul 3, 2009·Journal of Clinical Psychology·Benjamin Brent
Nov 13, 2009·Psychiatry Research·Lisette van der MeerAndré Aleman
May 12, 2010·The Journal of Nervous and Mental Disease·Christine BarrowcloughRichard Emsley
Oct 1, 2005·Journal of Child and Adolescent Mental Health·Astrid Berg

❮ Previous
Next ❯

Citations

Sep 22, 2015·Frontiers in Psychology·Stefan WestermannFranz Caspar
Jul 24, 2015·Psychology and Psychotherapy·Ciarán O'DriscollCraig Steel
Apr 18, 2015·The British Journal of Clinical Psychology·Katherine BerryChristine Barrowclough
Apr 12, 2014·The British Journal of Psychiatry : the Journal of Mental Science·A I GumleyM Birchwood
Sep 27, 2016·The Journal of Nervous and Mental Disease·Kelsey A BonfilsPaul H Lysaker
Dec 23, 2017·Psychology and Psychotherapy·Kathryn Powell, Nick Maguire
Oct 4, 2018·Schizophrenia Bulletin·Kelsey A BonfilsMichelle P Salyers
Jun 20, 2019·Autism : the International Journal of Research and Practice·Carly AlbaumJonathan A Weiss
Jul 10, 2013·Acta Psychiatrica Scandinavica·A I GumleyA MacBeth
Feb 19, 2020·Journal of Clinical Psychology·Kelsey A Bonfils, Paul H Lysaker
Nov 23, 2017·Journal of Psychiatric and Mental Health Nursing·C A Dunster-PageG Haddock
Aug 26, 2021·Clinical Psychology & Psychotherapy·Katherine BerryLynsey Gregg

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Journal of Nervous and Mental Disease
Claire BlackburnKeren Cohen
Social Psychiatry and Psychiatric Epidemiology
Robert ArbuckleStephanie Kennedy
The British Journal of Clinical Psychology
Katherine BerryJonathan Bradley
© 2021 Meta ULC. All rights reserved