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Title Attachment, trauma and PTSD
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Publication Date
Degree Thesis (D.Clin.Psy.)
Degree Level doctoral
University/Publisher Canterbury Christ Church University
Abstract Eye Movement Desensitisation and Reprocessing (EMDR) therapy is a recommended treatment for Post-Traumatic Stress Disorder (PTSD). Despite its rapidly growing evidence base, relatively little is known about its treatment effects beyond improving PTSD symptoms. This preliminary study aimed to explore the capacity for EMDR to facilitate a change in attachment security in a clinical sample of adults experiencing symptoms of PTSD and Complex PTSD (CPTSD). It also explored the role of the therapeutic alliance. A within-subject, repeated-measures design was used. Participants received 10 EMDR sessions on average, as part of their routine care. Self-report measures of attachment, PTSD, CPTSD, and the therapeutic alliance were administered during therapy. No significant changes in attachment were observed; however, there was a trend in the expected direction. A significant reduction in PTSD scores was found, in addition to some associations between change in attachment security and change in PTSD and CPTSD symptoms. No significant relationship between the strength of the therapeutic alliance and attachment change was found. This study contributes to the emerging literature on change in attachment; however, the findings should be interpreted with caution due to limitations including the small sample size. Clinical implications and recommendations for future research are discussed.
Subjects/Keywords 150; BF0575.S75 Stress (Psychology) ; RC0475 Therapeutics. Psychotherapy
Rights Full text available
Country of Publication uk
Record ID oai:ethos.bl.uk:629802
Repository ethos
Date Retrieved
Date Indexed 2016-12-15

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…Declaration to be sent to Ethics Committee ................................................................. 36 U: Notes to Publisher - Journal of Traumatic Stress ............................................................................. 36 SECTION A…

…ATTACHMENT, TRAUMA, & PTSD Abstract Background: The theory of attachment has informed our understanding of survival and wellbeing throughout the lifespan. There is a growing interest in the relationship between attachment and Post-Traumatic Stress Disorder…

…body of research (Cozzarelli, Karafa, Collins, & Tagler, 2003). More recently, there has been increasing interest in how attachment may influence the development of Post-Traumatic Stress Disorder (PTSD, de Zulueta, 2006). Mikulincer…

…et al., (2006) argued: “the mental health implications of attachment-system functioning are highly pertinent to understanding a person’s psychological reactions to traumatic events” (p. 8). Post-traumatic Stress Disorder (PTSD…

…strategies for coping, eliciting help from others, and effectively tuning into internal signals (Carlson & Sroufe, 1995). If this process is disrupted, individuals’ can become vulnerable to stress and psychological difficulty in later life (…

…b) ‘trauma’; c) ‘posttraumatic stress’; or d) ‘PTSD’. Titles and abstracts of relevant studies were examined to refine the papers, consistent with the review questions. Searches were limited to peer reviewed journals and papers…

…nonPOWs, which may support the theory that attachment-behaviours tend to be activated by extreme stress (Mikulincer et al., 2006). It is also consistent with the finding that psychological trauma is more closely related to insecure attachment…

…dismissing and preoccupied. Sixty percent of personnel were classified as insecurely attached. The authors claimed that securely attached military personnel experience less stress due to using social coping mechanisms and seeking help, although this was not…

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