The influence of psychodynamically oriented therapists' attachment representations on outcome and alliance in inpatient psychotherapy [corrected].
The Adult Attachment Interview (AAI) was used to study 31 psychotherapists who treated 1,381 patients in intensive multimodal inpatient psychotherapy. AAI dimensional ratings of security versus insecurity and dismissiveness versus preoccupation were used to predict alliance and outcome via multilevel regression techniques (hierarchical linear modeling). There were no main effects of therapists' attachment dimensions. However, higher attachment security of the therapist was associated with both better alliance and outcome in more severely impaired patients. Implications of the findings as well as limitations of the study are discussed.
Clinic for Psychosomatics and General Internal Medicine, University of Heidelberg, 69115 Heidelberg, Germany. Henning.Schauenburg@med.uni-heidelberg.de
Henning
H
Schauenburg
Anna
A
Buchheim
Kathrin
K
Beckh
Tobias
T
Nolte
Katja
K
Brenk-Franz
Falk
F
Leichsenring
Micha
M
Strack
Ulrike
U
Dinger
D000328:Adult; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000534:rehabilitation*; D008875:Middle Aged; D009769:Object Attachment; D011369:Professional-Patient Relations; D011586:Psychology, Clinical / Q000379:methods* / Q000706:statistics & numerical data*; D011613:Psychotherapy / Q000379:methods* / Q000706:statistics & numerical data*; D016896:Treatment Outcome