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The relevance of professionals’ attachment style, expectations and job attitudes for therapeutic relationships with young people who experience psychosis

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posted on 2023-06-09, 12:11 authored by Clio BerryClio Berry, Kathryn GreenwoodKathryn Greenwood
Background: 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 Psychiatry

ISSN

0924-9338

Publisher

Elsevier

Volume

34

Page range

1-8

Department 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

2018-02-16

First Open Access (FOA) Date

2018-02-16

First Compliant Deposit (FCD) Date

2018-02-16

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