Changing Attachments: The Client-Therapist Relationship and Outcome

dc.contributor.advisorKivlighan, Jr., Dennis Men_US
dc.contributor.authorHillman, Justin Williamen_US
dc.contributor.departmentCounseling and Personnel Servicesen_US
dc.contributor.publisherDigital Repository at the University of Marylanden_US
dc.contributor.publisherUniversity of Maryland (College Park, Md.)en_US
dc.date.accessioned2020-07-09T05:34:22Z
dc.date.available2020-07-09T05:34:22Z
dc.date.issued2020en_US
dc.description.abstractFrom the perspective of attachment theory (Bowlby, 1988), this study examined if client attachment to therapist developed over the course of psychotherapy and if changes in attachment to therapist were associated with treatment outcomes. Clients (N = 112), receiving psychodynamic therapy from trainee therapists (N = 29), completed the Client Attachment to Therapist Scale (Mallinckrodt, Gantt, & Coble, 1995) and the Outcome Questionnaire-45 (Lambert et al., 1996) at baseline and every eighth session. Multilevel linear growth curve analyses showed that secure attachment to therapist increased and avoidant-fearful attachment to therapist decreased. Multilevel linear regression showed that when within-client secure attachment to therapist was higher, subsequent symptoms improved more. Client-level and therapist-level effects were explored. Results suggest that the development of a secure attachment to therapist is important for positive treatment outcomes. Implications for practice and research are discussed.en_US
dc.identifierhttps://doi.org/10.13016/c6vf-ut6z
dc.identifier.urihttp://hdl.handle.net/1903/26158
dc.language.isoenen_US
dc.subject.pqcontrolledCounseling psychologyen_US
dc.subject.pquncontrolledAttachmenten_US
dc.subject.pquncontrolledOutcomeen_US
dc.subject.pquncontrolledProcessen_US
dc.subject.pquncontrolledPsychotherapyen_US
dc.subject.pquncontrolledSecure baseen_US
dc.titleChanging Attachments: The Client-Therapist Relationship and Outcomeen_US
dc.typeThesisen_US

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