Attachment Change in the Beginning Stages of Therapy: Examining Change Trajectories for Avoidance and Anxiety

The purpose of this study was to investigate the nature of self‐reported attachment change (avoidance and anxiety) in the context of six sessions of couple therapy designed to emphasize both therapist‐centered and couple‐centered (i.e., enactment‐based) clinical process during the beginning stages of therapy. A total of 48 couples with at least one partner who reported clinically significant relationship dissatisfaction participated in this study. Findings confirmed that some couples experience positive attachment‐related change (anxiety or avoidance), while also identifying a subset of individuals who may not experience optimal levels of attachment‐related change. In addition, findings point toward both differences and similarities between change trajectories for avoidance and anxiety. Finally, there was evidence that socio‐demographic factors may be associated with attachment change.     

A Dyadic Analysis of Attachment Insecurities and Romantic Disengagement among Couples Seeking Relationship Therapy

This study sought to assess the role of attachment insecurities on romantic disengagement among couples seeking relationship therapy. Dyadic associations were examined between attachment insecurities and romantic disengagement, accounting for depression, relationship satisfaction, and commitment, using a sample of 171 couples. Partners completed the Experiences in Close Relationships Scale and the Romantic Disengagement Scale. Path analysis revealed that attachment-related avoidance, but not anxiety, was associated with romantic disengagement. Men's attachment-related anxiety was related to greater disengagement in their partner. The combination of men's attachment-related avoidance and women's attachment-related anxiety was also significantly associated with women's romantic disengagement. Although attachment insecurities were associated with romantic disengagement, contextual and intrapersonal factors also contributed to our understanding of disengagement. Findings are discussed in light of clinical interventions for couple therapy.     

Attachment insecurities and under-commitment in distressed couples: The role of positive and negative partner behaviors

Research has rarely considered intermediate variables in the association between attachment insecurities and relationship commitment. Based on attachment theory and Rusbult's Investment Model, we tested whether positive and negative partner behaviors explain this association in 91 distressed couples undergoing therapy. Path analyses based on the Actor–Partner Interdependence Model revealed that individuals with attachment avoidance reported perceiving fewer positive behaviors from their partner, which was associated with their own higher under-commitment. Partners of individuals with avoidance also reported perceiving fewer positive partner behaviors, which was in turn associated with their own higher under-commitment. Partners of individuals with attachment anxiety perceived more positive behaviors from their partner, which was associated to their own lower under-commitment. Perceived negative partner behaviors were only directly associated with higher under-commitment. These findings imply that perceived positive partner behaviors may be a key aspect to target in relationship therapy in couples who present with high attachment insecurities.     

The Impact of Blamer‐softening on Romantic Attachment in Emotionally Focused Couples Therapy

Emotionally Focused Couples Therapy (EFT; Johnson, 2004 ) treats relationship distress by targeting couples' relationship‐specific attachment insecurity. In this study, we used hierarchical linear modeling (Singer & Willett, 2003 ) to examine intercept and slope discontinuities in softened couples' trajectories of change in relationship satisfaction and relationship‐specific attachment over the course of therapy from a total sample of 32 couples. Softened couples (n = 16) reported a significant increase in relationship satisfaction and a significant decrease in attachment avoidance at the softening session. Although softened couples displayed an initial increase in relationship‐specific attachment anxiety at the softening session, their scores significantly decreased across post‐softening sessions. Results demonstrated the importance of the blamer‐softening change event in facilitating change in EFT.     

The Impact of Behavioral Couple Therapy on Attachment in Distressed Couples

Emotion‐focused therapy (EFT; Greenberg & Johnson, 1988 Emotionally focused therapy for couples. New York: Guilford Press) is anchored in attachment theory (Johnson, 2003 Attachment processes in couples and families. New York: Guilford) and considers change in attachment schemas essential in the process of improving satisfaction in relationships (Johnson, 1999, Research and couples therapy: Where do we go from here? American Family Therapy Academy Newsletter). However, there are little data on how measures of attachment change over the course of EFT or any other couple therapy. The current study examines whether increases in attachment security predict improvements in marital satisfaction during behavioral couple therapy, which would suggest that change in attachment style is a key process variable even for a non‐attachment‐focused treatment. Multilevel models of data from 134 couples participating in a randomized clinical trial of integrative behavioral couple therapy and traditional behavioral couple therapy (Christensen et al. Journal of Consulting and Clinical Psychology, 72, 2004, 176) indicate that although there is a trend for early change in attachment‐related anxiety and avoidance to predict later change in marital satisfaction, early change in marital satisfaction strongly predicts change in attachment‐related anxiety through the end of treatment and 2‐year follow‐up. These findings suggest that changes in satisfaction may lead to changes in attachment rather than the reverse and that change in attachment may not be the mechanism of change in all efficacious couple therapy.     

“We're in this together”: Attachment insecurities,dyadic coping strategies,and relationship satisfaction in couples involved in medically assisted reproduction

Attachment is an important predictor of relationship satisfaction and attachment insecurities are a risk factor for couples under stress. Drawing from the Vulnerability–Stress–Adaptation model, we investigated whether dyadic coping strategies (DCS) would explain the links between attachment insecurities and relationship satisfaction in 97 couples involved in medically assisted reproduction (MAR). Path analyses revealed that for women and men, attachment insecurities (anxiety, avoidance) were associated with their own lower relationship satisfaction through their lower use of positive DCS. Attachment avoidance was also associated with participants' own lower relationship satisfaction through their own lower use of negative DCS. Men's attachment avoidance was also related to their partner's lower relationship satisfaction via their own and their partner's lower use of positive DCS. The findings suggest that promoting the use of positive DCS may be important to preserve relationship satisfaction in couples involved in MAR.     

Changes in Relationship‐Specific Attachment in Emotionally Focused Couple Therapy

Emotionally focused couple therapy (EFT; Johnson, The practice of emotionally focused couple therapy (1st/2nd edition). Brunner‐Routledge, New York, 2004) is an effective treatment of relationship distress (Johnson et al., Clinical Psychology: Science and Practice, 1999; 6, 67). However, less is known about EFT's impact on couples' relationship‐specific attachment bond. Using hierarchical linear modeling with a sample of 32 couples, we examined session‐by‐session changes in couples' relationship‐specific attachment anxiety and avoidance and pre‐ to posttherapy changes in their relationship‐specific attachment behaviors. Couples significantly decreased in relationship‐specific attachment avoidance, and those who completed a blamer softening significantly decreased in relationship‐specific attachment anxiety. Couples' attachment behavior significantly increased toward security. Finally, session‐by‐session decreases in relationship‐specific attachment anxiety and avoidance were significant associated with increases in relationship satisfaction across sessions. These results provide empirical support for the attachment‐based assumptions of EFT. Video abstract accessible by clicking here     

The Systemic Interaction of Attachment on Psychophysiological Arousal in Couple Conflict

Attachment in adult romantic relationships has long been linked to conflict styles. Psychophysiological measures have provided additional insight into this association by accessing less conscious and controlled responses to conflict. The aim of this study was to explore the relationship between attachment anxiety, attachment avoidance, and the interaction between attachment styles on skin conductance responses during conflict and recovery from conflict. Using dyadic analysis of 50 heterosexual couples, we found evidence of a systemic effect of attachment, where psychophysiological arousal increased when one partner had higher levels of attachment anxiety and the other partner had higher levels of attachment avoidance. Attachment avoidance was also negatively associated with increased levels of arousal. Relationship and clinical implications of these findings are discussed.     

Adult Attachment Orientation and Implicit Behavioral Mimicry

We investigated whether adult attachment orientation predicted the extent to which individuals engaged in implicit behavioral mimicry of a confederate presented by video. Results demonstrated that following an attachment threat prime: (1) those low in attachment anxiety and high in attachment avoidance showed less mimicry of face-rubbing gestures than individuals low in both attachment avoidance and attachment anxiety; (2) those high in attachment anxiety and low in attachment avoidance showed less mimicry of face-rubbing gestures than individuals low in both attachment avoidance and attachment anxiety. Importantly, attachment orientation did not predict baseline levels of face-rubbing gesturing, demonstrating that attachment orientation had an effect on mimicry rather than overall behavior expression. Attachment anxiety was positively related to attraction to the confederate such that those higher in attachment anxiety rated the confederate as more attractive. The findings are discussed with reference to both the mimicry and attachment literatures.     

The Influence of Attachment Styles on Sexual Communication Behavior

Attachment theory is one of the major theoretical frameworks for understanding romantic relationships. Attachment styles are formed through interactions with caregivers and shape an individual’s expectations of subsequent interpersonal relationships. In this study, we examined how attachment styles influence participants’ ability to communicate with their partners about problems in their sexual relationship. A community sample of 81 couples engaged in two video-recorded discussions, one representing an aspect of the couple’s sexual relationship where the male partner wanted change and the second representing an aspect of the sexual relationship where the female partner wanted change. Conversations were then coded, with each person being rated on three positive communication dimensions (positive affect, offering solutions, and responsiveness) and three negative communication dimensions (hostility, negative affect, and unskilled communication behaviors). As predicted, attachment avoidance was related to more negative and less positive communication for both the individual and his or her partner. Our observational data did not reveal any significant effects of attachment anxiety on sexual communication. These results can be contrasted with findings from self-report studies that do suggest an anxious attachment adversely impacts sexual communication.     

Insecure Attachment Behavior and Partner Violence: Incorporating Couple Perceptions of Insecure Attachment and Relational Aggression

Intimate partner violence and insecure attachment are therapeutically relevant concepts when working with couples. The link between attachment and intimate partner violence has been examined in the literature, but an area of aggression that often goes unexamined is relational aggression, or using third parties as a means of being aggressive toward a partner. We asked how participants' attachment behaviors were related to their own and partners' relational and physical aggression. We used structural equation modeling to estimate actor–partner interdependence among these relationships in 644 heterosexual couples. Results indicated significant partner paths from attachment to relational aggression, as well as significant actor paths between relational aggression and physical aggression. Implications were discussed. Data for this study were collected from the RELATE assessment.     

Subclinical Psychopathic Traits and Romantic Attachment in Treatment-Seeking Couples

Subclinical psychopathic personality traits have been associated with multiple indicators of couple distress and romantic attachment insecurities but essentially in community samples. This study examined dyadic associations between primary and secondary psychopathy and attachment anxiety and avoidance, assessed with self-reported measures, in 183 French-Canadian cohabiting partners seeking couple therapy. Two Actor-Partner Interdependence Models were tested: Model 1 considered psychopathic traits as independent variables and Model 2 treated attachment insecurities as independent variables. Analyses revealed that in both partners, secondary psychopathy was associated with attachment anxiety and avoidance (Models 1 and 2), while primary psychopathy was not only associated with attachment anxiety (Model 2; actor associations). Partner effects between primary and secondary psychopathy in men and women's attachment anxiety were also found in both models. These findings complement those reported in community samples and have clinical implications for treatment-seeking couples.     

Adult Exploration of Attachment Interview in Family Therapy

The Adult Exploration of Attachment Interview (AEAI) is a therapeutic interview developed by the author to assist adults to understand themselves and their relationships with others, especially with a partner, co‐parent and/or children. It is suitable for individuals and couples struggling to overcome repeated patterns of relating, helping to improve their intimate or parenting relationships through greater self and other understanding. The AEAI explores an adult's early relational learning, especially in regard to attachment needs, in order to allow change. The interview uses specific externalising language to help persons tolerate difficult memories, reduce guilt and shame and integrate their thoughts and feelings. It applies key implications of attachment theory and the approach is illustrated by examples from therapy.     

Using Difference Scores to Inform Therapy Practice: Differences in Perceptions of Attachment Behaviors between Partners in a Clinical Sample

Using clinically relevant research methodology, this study focuses on differences (cross‐partner difference scores) in perceptions of attachment behaviors (emotional accessibility, responsiveness, and engagement) between partners in couples therapy. In general, findings suggest that higher levels of self‐enhancement attachment behaviors (participant perceives self as demonstrating more attachment behaviors than the partner's ratings of the participant) are associated with lower relationship satisfaction and greater relationship instability. The association between attachment behavior difference scores and measures of relationship health is mediated through partner perceived positive communication. These results suggest that differences in perceptions between partners’ level of attachment behaviors are an important clinical construct for therapy. As such, clinical recommendations for addressing self‐enhancing attachment behaviors, and the mediating role of positive communication, are discussed with recommendations for researchers.     

Is it really that important to you? How the topics of conflict and emotional reactions to conflicts explain the associations between attachment insecurities and relationship satisfaction

This study sought to examine the intermediary roles of different topics of conflict and negative emotions following conflicts in the associations between attachment insecurities and relationship satisfaction in a sample of 253 mixed-gender couples from the community. Results from path analyses based on the Actor–Partner Interdependence Model showed that attachment anxiety and attachment avoidance were associated with the perception, in both partners, of experiencing more conflicts in the relationship. In turn, the more participants perceived conflicts related to major issues and daily annoyances, the more they reported negative emotions following conflicts and lower relationship satisfaction. Participants’ report of conflicts related to major issues was also related to their partner's lower relationship satisfaction. Findings highlight the significance of accounting for the topics on which couples argue and of using an attachment-based framework to help couples deal with the negative emotions that they experience following conflicts.     

Predicting Change in Marital Satisfaction Throughout Emotionally Focused Couple Therapy

Emotionally focused couple therapy (EFT) is an empirically validated approach to couple therapy that uses attachment theory to understand the needs and emotions of romantic partners. EFT is recognized as one of the most effective approaches to couple therapy, but to guide therapists in their use of EFT, a theoretically based model to predict change is needed. This study tested such a model by recruiting 32 couples, and 14 therapists who provided approximately 21 sessions of EFT. Couples completed self‐report measures of marital satisfaction, attachment security, relationship trust, and emotional control at pre‐ and posttherapy and after each therapy session. Results of hierarchical linear modeling suggested that individuals higher on self‐report attachment anxiety and higher levels of emotional control had greater change in marital satisfaction across EFT sessions. Assessing attachment security at the start of therapy will inform therapists of the emotion regulating strategies used by couples and may help couples achieve positive outcomes from EFT.     

An Exploratory Study of the Role of Infidelity Typologies in Predicting Attachment Anxiety and Avoidance

Extradyadic involvement (EDI) is one of the greatest challenges that couples and couples therapists face. Many clinicians and researchers attempt to understand motivations for EDI; however, there is a lack of theory-driven research to support claims of infidelity typologies. The current study explored the relationship between adult attachment dimensions of avoidance and anxiety and the attachment-based typology proposed by Woolley (2010). Results indicate significant differences in attachment anxiety in high anxiety affair types versus low anxiety affair types. Results confirmed significant differences in mean attachment anxiety for participants endorsing multiple affairs.     

The Association between the Parent–Child Relationship and Symptoms of Anxiety and Depression: The Roles of Attachment and Perceived Spouse Attachment Behaviors

Research shows that the parent–child relationship affects attachment security, which correlates with anxiety and depression in adulthood. Additional research shows that romantic attachment behaviors may supersede individual attachment security and buffer against negative processes. Using data from 680 married couples in the general population, we examined whether attachment mediates the link between the parent–child relationship and depressive and anxiety symptoms in adulthood. In addition, we tested whether perceived spouse attachment behaviors moderate the effects of attachment insecurity. There was an indirect effect of poor parent–child relationships on symptoms via insecure attachment. Perception of spouse's attachment behaviors was related to depression for both spouses, and they moderated the effect of attachment insecurity on depressive symptoms for husbands. Clinical implications are discussed.     

The Role of Attachment Behaviors in the Link between Relationship Satisfaction and Depression in Clinical Couples: Implications for Clinical Practice

Using dyadic, clinical data from 104 couples in committed relationships, the purpose of this study was to determine whether relationship satisfaction was associated with depression through perceived partner attachment behaviors—accessibility, responsiveness, and engagement—for both men and women. We found that one's satisfaction in the relationship was the lens through which they viewed their partner's attachment behaviors and—women's relationship satisfaction was the lens through which her male partner viewed her attachment behaviors. Finally, women's relationship satisfaction is associated with both individuals' depression through her perceived partner's accessibility, responsiveness, and engagement. The findings from this study are important because they provide clinically relevant and mutable constructs in which clinicians can intervene at an attachment level in distressed marriages with depressed partners.     

Jealousy and Couple Satisfaction: A Romantic Attachment Perspective

The overarching objective of this study was to examine a novel model investigating romantic attachment as a moderator of the relation between an individual's jealousy or an individual's perception of his or her partner's jealousy and one's couple satisfaction. The sample comprised of 502 university students currently involved in a relationship of at least 12 months. An original and comprehensive model concurrently investigating emotional, cognitive, and behavioral facets of jealousy was used. The implementation of hierarchical models revealed that cognitive jealousy was negatively associated with couple satisfaction, whereas emotional jealousy demonstrated a positive association; behavioral jealousy did not add incremental value in one's couple satisfaction. Results were applicable to both one's own and one's perception of his or her partner's jealousy for each respective facet. Cognitive jealousy was demonstrated to explain the greatest variance in one's couple satisfaction. Findings also revealed romantic attachment as a moderator of the relation between certain facets of jealousy and couple satisfaction, with attachment anxiety and avoidance leading to a strengthened or weakened relation, respectively. As such, results suggest that the negative and positive consequences of jealousy on couple satisfaction may be exacerbated among those exhibiting higher attachment anxiety. The applied and clinical implications of all findings are discussed.