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The Role of the Therapeutic Alliance in the Regulation of Emotion in Psychosis: An Attachment Perspective

submitted by ono 1 year and 11 months ago
This article aims to explore the value of attachment theory as a framework for understanding the ways in which the staff–patient relationship is associated with different methods of regulating emotion in individuals with a diagnosis of psychosis. Patient participants with a diagnosis of schizophrenia, schizoaffective disorder or psychosis not otherwise specified and mental health workers were recruited from 24-hour rehabilitation teams. Patient participants completed questionnaires assessing emotion regulation, attachment, therapeutic alliance and symptomatology. The therapeutic alliance was also assessed from mental workers' perspective. Insecure attachment was significantly associated with greater difficulties in regulating emotions. A strong therapeutic alliance was associated with fewer difficulties in regulating emotions. Attachment is a useful theoretical construct for understanding psychosis, with evidence for a link between a positive staff–patient relationship and enhanced emotion regulation. Clinical implications of these findings are discussed.


Topic: Health

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