Hostname: page-component-78c5997874-xbtfd Total loading time: 0 Render date: 2024-11-18T08:18:34.313Z Has data issue: false hasContentIssue false

Adult attachment and paranoia: an experimental investigation

Published online by Cambridge University Press:  21 July 2017

Jane Hutton
Affiliation:
School of Health Sciences, University of Manchester, Manchester, UK NHS Lothian, UK
Lyn Ellett
Affiliation:
Department of Psychology, Royal Holloway, University of London, Egham, Surrey, UK
Katherine Berry*
Affiliation:
School of Health Sciences, University of Manchester, Manchester, UK
*
*Author for correspondence: Katherine Berry, School of Health Sciences, University of Manchester, 2nd Floor, Zocohnis Building, Brunswick Street, Manchester M13 9PL, UK. E-mail: katherine.berry@manchester.ac.uk

Abstract

Attachment theory may develop understanding of the occurrence and maintenance of persecutory delusions. This study investigates the role of dispositional attachment and contextually primed secure base attachment representations in the occurrence of paranoid thinking. Sixty participants were randomly allocated to one of three conditions: a secure attachment priming condition, a positive affect condition, or a neutral control condition. Following priming, all participants were exposed to a paranoia induction. State paranoia was measured at baseline and following the paranoia induction. Dispositional insecure attachment was associated with both trait and state paranoid thinking. Contrary to predictions, the secure attachment prime did not appear to buffer paranoid thinking and had a negative impact for participants with high levels of attachment anxiety, highlighting the potentially aversive effects of exposure to secure attachment material in those with existing insecure attachment styles.

Type
Original Research Report
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Further reading

Berry, K, Barrowclough, C, Wearden, A (2008). Attachment theory: a framework for understanding symptoms and interpersonal relationships in psychosis. Behaviour Research Therapy 46, 12751282.CrossRefGoogle ScholarPubMed
Ellett, L, Chadwick, P (2007). Paranoid cognitions, failure, and focus of attention in college students. Cognition and Emotion 21, 558576.Google Scholar
Gilbert, P, McEwan, K, Gibbons, L, Chotai, S, Duarte, J, Matos, M (2012). Fears of compassion and happiness in relation to alexithymia, mindfulness, and self-criticism. Psychology and Psychotherapy 85, 374390 CrossRefGoogle ScholarPubMed

References

Antony, MM, Bieling, PJ, Cox, BJ, Enns, MW, Swinson, RP (1998). Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales in clinical groups and a community sample. Psychological Assessment 10, 176181.Google Scholar
Berry, K, Barrowclough, C, Wearden, A (2007). A review of the role of adult attachment style in psychosis: unexplored issues and questions for further research. Clinical Psychology Review 27, 458475.Google Scholar
Berry, K, Barrowclough, C, Wearden, A (2008). Attachment theory: a framework for understanding symptoms and interpersonal relationships in psychosis. Behaviour Research Therapy 46, 12751282.Google Scholar
Berry, K, Danquah, A (2016). Attachment-informed therapy for adults: toward a unifying perspective on practice. Psychology and Psychotherapy: Theory, Research and Practice 89, 1532.Google Scholar
Berry, K, Wearden, A, Barrowclough, C, Liversidge, T (2006). Attachment styles, interpersonal relationships and psychotic phenomena in a non-clinical student sample. Personality and Individual Differences 41, 707718.Google Scholar
Bodner, E, Mikulincer, M (1998). Learned helplessness and the occurrence of depressive-like and paranoid-like responses: the role of attentional focus. Journal of Personality and Social Psychology 74, 10101023.Google Scholar
Bowlby, J (1969). Attachment and Loss. New York: Basic Books.Google Scholar
Cassidy, J, Shaver, PR, Mikulincer, M, Lavy, S (2009). Experimentally induced security influences responses to psychological pain. Journal of Social and Clinical Psychology 28, 463478.Google Scholar
Ein-Dor, T, Mikulincer, M, Doron, G, Shaver, PR (2010). The attachment paradox: how can so many of us (the insecure ones) have no adaptive advantages? Perspectives on Psychological Science 5, 123141.Google Scholar
Ellett, L, Chadwick, P (2007). Paranoid cognitions, failure, and focus of attention in college students. Cognition and Emotion 21, 558576.Google Scholar
Ellett, L, Lopes, B, Chadwick, P (2003). Paranoia in a non-clinical population of college students. Journal of Nervous Mental Disease 191, 425430.Google Scholar
Fenigstein, A, Vanable, PA (1992). Paranoia and self-consciousness. Journal of Personality and Social Psychology 62, 129138.CrossRefGoogle ScholarPubMed
Ferguson, CJ (2009). An effect size primer: a guide for clinicians and researchers. Professional Psychology: Research and Practice 40, 532538.CrossRefGoogle Scholar
Flower, L, Newman-Taylor, K, Stopa, L (2013). Cognitive control processes in paranoia: the impact of threat induction on strategic cognition and self-focused attention. Behavioural Cognitive Psychotherpy 43, 108118.Google Scholar
Fraley, RC, Waller, NG, Brennan, KA (2000). An item response theory analysis of self-report measures of adult attachment. Journal of Personality and Social Psychology 78, 350365.Google Scholar
Freeman, D, Garety, PA (2000). Comments on the content of persecutory delusions: does the definition need clarification? British Journal of Clinical Psychology 39, 407414.Google Scholar
Main, M, George, C, Kaplan, N (1985). Adult attachment interview. Growing points of attachment theory. Monographs of the Society for Research in Child Development.Google Scholar
Gilbert, P, McEwan, K, Gibbons, L, Chotai, S, Duarte, J, Matos, M (2012). Fears of compassion and happiness in relation to alexithymia, mindfulness, and self-criticism. Psychology and Psychotherapy 85, 374390.CrossRefGoogle ScholarPubMed
Gilbert, P, McEwan, K, Matos, M, Rivis, A (2011). Fears of compassion: development of three self-report measures. Psychology and Psychotherapy: Theory, Research and Practice 84, 239255.Google Scholar
Kingston, J, Ellett, L (2014). Self-affirmation and nonclinical paranoia. Journal of Behavior Therapy and Experimental Psychiatry 45, 502505.Google Scholar
Lincoln, TM, Peter, N, Schafer, M, Moritz, S (2010). From stress to paranoia: an experimental investigation of the moderating and mediating role of reasoning biases. Psychological Medicine 40, 169171.Google Scholar
Lopez, FG, Gormley, B (2002). Stability and change in adult attachment style over the first-year college transition: relations to self-confidence, coping, and distress patterns. Journal of Counseling Psychology 49, 355364.Google Scholar
Lovibond, PF, Lovibond, SH (1995). The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research Therapy 33, 335343.Google Scholar
Mikulincer, M, Arad, D (1999). Attachment working models and cognitive openness in close relationships: a test of chronic and temporary accessibility effects. Journal of Personality and Social Psychology 77, 710725.Google Scholar
Mikulincer, M, Gillath, O, Halevy, V, Avihou, N, Avidan, S, Eshkoli, N (2001a). Attachment theory and reactions to others’ needs: evidence that activation of the sense of attachment security promotes empathic responses. Journal of Personality and Social Psychology 81, 12051224.Google Scholar
Mikulincer, M, Hirschberger, G, Nachmias, O, Gillath, O (2001b). The affective component of the secure base schema: affective priming with representations of attachment security. Journal of Personality and Social Psychology 81, 305321.Google Scholar
Mikulincer, M, Shaver, P, Pereg, D (2003). Attachment theory and affect regulation: the dynamics, development, and cognitive consequences of attachment-related strategies. Motivation and Emotion 27, 77102.Google Scholar
Mikulincer, M, Shaver, PR (2001). Attachment theory and intergroup bias: evidence that priming the secure base schema attenuates negative reactions to out-groups. Journal of Personality and Social Psychology 81, 97115.Google Scholar
Mikulincer, M, Shaver, PR (2012). An attachment perspective on psychopathology. World Psychiatry 11, 1115.Google Scholar
Mikulincer, M, Shaver, PR, Gillath, O, Nitzberg, RA (2005). Attachment, caregiving, and altruism: boosting attachment security increases compassion and helping. Journal of Personality and Social Psychology 89, 817839.CrossRefGoogle ScholarPubMed
Mikulincer, M, Shaver, PR, Rom, E (2011). The effects of implicit and explicit security priming on creative problem solving. Cognition and Emotion 25, 519531.Google Scholar
Osborne, JW, Waters, E (2002). Four assumptions of multiple regression that researchers should always test. Practical Assessment, Research and Evaluation 8, 15.Google Scholar
Pickering, L, Simpson, J, Bentall, RP (2008). Insecure attachment predicts proneness to paranoia but not hallucinations. Personality and Individual Differences 44, 12121224.Google Scholar
Sibley, CG, Fischer, R, Liu, JH (2005). Reliability and validity of the Revised Experiences in Close Relationships (ECR-R) self-report measure of adult romantic attachment. Personality and Social Psychology Bulletin 31, 15241536.CrossRefGoogle ScholarPubMed
Sitko, K, Bentall, RP, Shevlin, M, Sellwood, W (2014). Associations between specific psychotic symptoms and specific childhood adversities are mediated by attachment styles: an analysis of the National Comorbidity Survey. Psychiatry Research 217, 202209.Google Scholar
van Os, J, Hanssen, M, Bijl, RV, Ravelli, A (2000). Strauss (1969) revisited: a psychosis continuum in the general population? Schizophrenia Research 45, 1120.CrossRefGoogle ScholarPubMed
Wickham, S, Sitko, K, Bentall, RP (2015). Insecure attachment is associated with paranoia but not hallucinations in psychotic patients: the mediating role of negative self-esteem. Psychological Medicine 45, 14951507.Google Scholar
Submit a response

Comments

No Comments have been published for this article.