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The relevance of professionals’ attachment style, expectations and job attitudes for therapeutic relationships with young people who experience psychosis
journal contribution
posted on 2023-06-09, 12:11 authored by Clio BerryClio Berry, Kathryn GreenwoodKathryn GreenwoodBackground: Therapeutic relationships are a central component of community treatment for psychosis and thought to influence clinical and social outcomes, yet there is limited research regarding the potential influence of professional characteristics on positive therapeutic relationships in community care. It was hypothesised that professionals’ relating style and attitudes toward their work might be important, and thus this exploratory study modelled associations between these characteristics and therapeutic relationships developed in community psychosis treatment. Methods: Dyads of professionals and young patients with psychosis rated their therapeutic relationships with each other. Professionals also completed measures of attachment style, therapeutic optimism, outcome expectancy, and job attitudes regarding working with psychosis. Results: Professionals’ anxious attachment predicted less positive professional therapeutic relationship ratings. In exploratory directed path analysis, data also supported indirect effects, whereby anxious professional attachment predicts less positive therapeutic relationships through reduced professional therapeutic optimism and less positive job attitudes. Conclusions: Professional anxious attachment style is directly associated with the therapeutic relationship in psychosis, and indirectly associated through therapeutic optimism and job attitudes. Thus, intervening in professional characteristics could offer an opportunity to limit the impact of insecure attachment on therapeutic relationships in psychosis.
History
Publication status
- Published
File Version
- Accepted version
Journal
European PsychiatryISSN
0924-9338Publisher
ElsevierExternal DOI
Volume
34Page range
1-8Department affiliated with
- Psychology Publications
Research groups affiliated with
- Developmental and Clinical Psychology Research Group Publications
Full text available
- Yes
Peer reviewed?
- Yes
Legacy Posted Date
2018-02-16First Open Access (FOA) Date
2018-02-16First Compliant Deposit (FCD) Date
2018-02-16Usage metrics
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