Talia Alessandro, Georg Anna, Siepe Björn, Gullo Salvatore, Miller-Bottome Madeleine, Volkert Jana, Neukel Corinne, Kaess Michael, Bempohl Felix, Herpertz Sabine C, Taubner Svenja
Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge.
University Hospital Heidelberg, Institute for Psychosocial Prevention, Heidelberg.
Res Psychother. 2022 Nov 4;25(3):653. doi: 10.4081/ripppo.2022.653.
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.
最近，了解依恋理论的研究人员和临床医生开始表明，依恋理论为探索团体心理治疗提供了一个有用的框架。然而，不同依恋类型的患者在团体治疗过程中是否会有不同的行为和言语表现仍不清楚。在本研究中，我们对在团体治疗中的患者话语进行了探索性分析，这些患者通过成人依恋的金标准访谈测量独立获得了不同的分类。每位患者参与者参加了三个基于心理化的育儿团体中的一个。在治疗前，对每位患者进行成人依恋访谈（AAI）或父母发展访谈（PDI），访谈内容被转录并编码以获得患者的依恋分类。团体分别包括2名、5名和5名患者，任何一次治疗由至少两名共同治疗师主持。总共逐字转录了14次团体治疗。通过半归纳法对治疗进行分析，以确定在治疗中能够代表不同依恋分类患者的标志。通过转录摘录和叙述性描述，我们报告了不同依恋分类的患者在团体心理治疗中与治疗师以及彼此交流的不同方式。我们的工作为团体治疗师和研究人员提供了关于依恋状态差异在团体治疗中如何表现的有用信息。
