An exploratory study on how attachment classifications manifest in group psychotherapy

Recently, attachment-informed researchers and clinicians have begun to show that attachment theory offers a useful framework for exploring group psychotherapy. However, it remains unclear whether patients with differing attachment classifications would behave and speak in distinct ways in group ther...

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Published in:Research in psychotherapy (Milano). Vol. 25; no. 3
Main Authors: Talia, Alessandro, Georg, Anna, Siepe, Björn, Gullo, Salvatore, Miller-Bottome, Madeleine, Volkert, Jana, Neukel, Corinne, Kaess, Michael, Bempohl, Felix, Herpertz, Sabine C, Taubner, Svenja
Format: Journal Article
Language:English
Published: Italy PAGEPress Publications, Pavia, Italy 04-11-2022
PAGEPress Publications
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Summary:Recently, attachment-informed researchers and clinicians have begun to show that attachment theory offers a useful framework for exploring group psychotherapy. However, it remains unclear whether patients with differing attachment classifications would behave and speak in distinct ways in group therapy sessions. In this study, we conducted an exploratory analysis of the discourse of patients in group therapy who had independently received different classifications with gold standard interview measures of attachment in adults. Each patient participant attended one of three mentalization-based parenting groups. Before treatment, the Adult Attachment Interview (AAI) or the Parent Development Interview (PDI) were administered to each patient, and interviews were transcribed and coded to obtain the patient's attachment classification. Groups included 2, 5, and 5 patients, respectively, and any session was led by at least two co-therapists. A total of 14 group sessions were transcribed verbatim. Sessions were analysed through a semi-inductive method, in order to identify markers that would typify patients of different attachment classifications in session. Through transcript excerpts and narrative descriptions, we report on the differing ways in which patients of different attachment classifications communicate in group psychotherapy, with the therapist and with each other. Our work provides useful information for group therapists and researchers regarding how differences in attachment status may play out in group sessions.
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Citation: Talia, A., Georg, A., Siepe, B., Gullo, S., Miller-Bottome, M., Volkert, J., Neukel, C., Kaess, M., Bempohl, F., Herpertz, S. C. & Taubner, S. (2022). An exploratory study on how attachment classifications manifest in group psychotherapy. Research in Psychotherapy: Psychopathology, Process and Outcome, 25(3), 286-298. doi: 10.4081/ripppo.2022.653
Contributions: AT and BS analysed the verbatim data. AT wrote the first draft of the paper; AG revised and edited the manuscript. All authors edited and expanded the manuscript and are responsible for its final version.
Consent for publication: individual participants cannot be identified in this report and therefore consent for publication is not required. Any details that might provide clues for recognizing patients or any other person mentioned in the transcript excerpts have been omitted or altered, including gender of all persons, their occupations, family relationships, professional roles, religious beliefs, cultural backgrounds, and all specific details of the events narrated themselves - in brief, everything that was not essential to illustrate the fundamental discourse characteristics we wish to analyse.
Publisher’s note: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Availability of data and material: the anonymized transcript data underlying the conclusions made in this manuscript are stored at the Institute for Psychosocial Prevention at the University of Heidelberg. Requests to access the dataset may be addressed to the corresponding author and will be warranted pending approval of the UBICA oversight committee and after the interested researchers have received additional ethics approval in the relevant institutions.
Conflict of interest: the authors declare no potential conflict of interest. Ethical approval and consent to participate: all patients have given their consent for their anonymized data to be used for research.
Ethical approval to conduct this study was obtained from the ethical committee of the Medical Faculty, University Hospital Heidelberg (S-115/2019).
ISSN:2499-7552
2239-8031
2239-8031
DOI:10.4081/ripppo.2022.653