Attachment Differences Across Close Relationships Among Inpatients With Avoidant or Obsessive‐Compulsive Personality Pathology

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Main Authors: John T. Rucker, Katrina A. Rufino
Format: Artículo Open Access
Published: Wiley 2025
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author John T. Rucker
Katrina A. Rufino
author_facet John T. Rucker
Katrina A. Rufino
John T. Rucker
Katrina A. Rufino
collection Wiley Open Access
contents Attachment Differences Across Close Relationships Among Inpatients With Avoidant or Obsessive‐Compulsive Personality Pathology John T. Rucker Katrina A. Rufino Clinical Psychology & Psychotherapy ABSTRACT Two pathologies frequently presenting to treatment are the fear‐based Cluster C variants of avoidant and obsessive‐compulsive personality disorders. Despite their distinctive syndromes, the literature has noted similar presentations and therapist–patient interactions that challenge diagnostic and treatment efforts. This study used a large sample ( N  = 1728) of psychiatric inpatients to observe differences in attachment styles across important persons (e.g., mom, dad, partner and friends) for those with avoidant or obsessive‐compulsive personality pathology. Results demonstrated variety in attachment style across important persons, particularly for those with avoidant personality disorder. A discussion of these results conveys their distinction as clinical syndromes, despite their grouping under the Cluster C category. Further, clinical implications are discussed to advocate for my tailored approaches to treating these conditions in psychotherapy and inpatient practice. Summary Inpatients with avoidant personality pathology demonstrated insecure attachment across more important figures than those with obsessive‐compulsive personality pathology. Both avoidant and obsessive‐compulsive PD inpatients share a maternal insecure attachment. The current DSM‐5 categorization may overemphasize the degree of overlap between these Cluster C conditions. 10.1002/cpp.70108 http://onlinelibrary.wiley.com/termsAndConditions#vor
doi_str_mv 10.1002/cpp.70108
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license_str_mv http://onlinelibrary.wiley.com/termsAndConditions#vor
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publisher Wiley
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spellingShingle Attachment Differences Across Close Relationships Among Inpatients With Avoidant or Obsessive‐Compulsive Personality Pathology
John T. Rucker
Katrina A. Rufino
Clinical Psychology & Psychotherapy
Attachment Differences Across Close Relationships Among Inpatients With Avoidant or Obsessive‐Compulsive Personality Pathology John T. Rucker Katrina A. Rufino Clinical Psychology & Psychotherapy ABSTRACT Two pathologies frequently presenting to treatment are the fear‐based Cluster C variants of avoidant and obsessive‐compulsive personality disorders. Despite their distinctive syndromes, the literature has noted similar presentations and therapist–patient interactions that challenge diagnostic and treatment efforts. This study used a large sample ( N  = 1728) of psychiatric inpatients to observe differences in attachment styles across important persons (e.g., mom, dad, partner and friends) for those with avoidant or obsessive‐compulsive personality pathology. Results demonstrated variety in attachment style across important persons, particularly for those with avoidant personality disorder. A discussion of these results conveys their distinction as clinical syndromes, despite their grouping under the Cluster C category. Further, clinical implications are discussed to advocate for my tailored approaches to treating these conditions in psychotherapy and inpatient practice. Summary Inpatients with avoidant personality pathology demonstrated insecure attachment across more important figures than those with obsessive‐compulsive personality pathology. Both avoidant and obsessive‐compulsive PD inpatients share a maternal insecure attachment. The current DSM‐5 categorization may overemphasize the degree of overlap between these Cluster C conditions. 10.1002/cpp.70108 http://onlinelibrary.wiley.com/termsAndConditions#vor
title Attachment Differences Across Close Relationships Among Inpatients With Avoidant or Obsessive‐Compulsive Personality Pathology
topic Clinical Psychology & Psychotherapy
url https://onlinelibrary.wiley.com/doi/10.1002/cpp.70108