Does insecure attachment lead to psychosis via dissociation? A systematic review of the literature
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2024
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| author | Joseph Puckett Monica Sood Katherine Newman‐Taylor |
| author_facet | Joseph Puckett Monica Sood Katherine Newman‐Taylor Joseph Puckett Monica Sood Katherine Newman‐Taylor |
| collection | Wiley Open Access |
| contents | Does insecure attachment lead to psychosis via dissociation? A systematic review of the literature Joseph Puckett Monica Sood Katherine Newman‐Taylor Psychology and Psychotherapy: Theory, Research and Practice Abstract Purpose Insecure attachment may constitute a vulnerability factor for psychosis, and dissociation may be a key mechanism in the development of auditory hallucinations specifically. While there is good evidence for the role of these processes in isolation, it is unclear whether dissociation accounts for the association between insecure attachment and psychosis. This systematic review takes a theory‐driven approach to examine proposed causal relationships across the clinical and nonclinical literature. Methods We searched five databases (PubMeD, Web of Science, PsycINFO, CINAHL and ETHOS) for published and unpublished research examining attachment, dissociation and psychosis. Two independent reviewers extracted the data and assessed the quality of all included studies. Results We identified 242 potential articles and included 13 in the final review (2096 participants). We found that (1) disorganised attachment was consistently associated with dissociation and inconsistently associated with voices and paranoia, (2) dissociation was associated with voices and paranoia, and these links were stronger in clinical samples, and (3) dissociation played a role in the impact of insecure attachment on voice hearing and paranoia in clinical groups. Conclusions This is the first review to synthesise the research examining attachment, dissociation, and psychosis. The evidence is consistent with proposed causal hypotheses and raises conceptual and measurement issues, for example, the need to clarify the relative contributions of different insecure attachment styles, and utilise behavioural/observational measures to strengthen study designs. Most importantly, we need experimental and longitudinal studies to confirm causal links and targets for treatment. 10.1111/papt.12521 http://creativecommons.org/licenses/by/4.0/ |
| doi_str_mv | 10.1111/papt.12521 |
| format | Artículo Open Access |
| id | wiley_oa_10_1111_papt_12521 |
| institution | Wiley Open Access |
| license_str_mv | http://creativecommons.org/licenses/by/4.0/ |
| publishDate | 2024 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | Does insecure attachment lead to psychosis via dissociation? A systematic review of the literature Joseph Puckett Monica Sood Katherine Newman‐Taylor Psychology and Psychotherapy: Theory, Research and Practice Does insecure attachment lead to psychosis via dissociation? A systematic review of the literature Joseph Puckett Monica Sood Katherine Newman‐Taylor Psychology and Psychotherapy: Theory, Research and Practice Abstract Purpose Insecure attachment may constitute a vulnerability factor for psychosis, and dissociation may be a key mechanism in the development of auditory hallucinations specifically. While there is good evidence for the role of these processes in isolation, it is unclear whether dissociation accounts for the association between insecure attachment and psychosis. This systematic review takes a theory‐driven approach to examine proposed causal relationships across the clinical and nonclinical literature. Methods We searched five databases (PubMeD, Web of Science, PsycINFO, CINAHL and ETHOS) for published and unpublished research examining attachment, dissociation and psychosis. Two independent reviewers extracted the data and assessed the quality of all included studies. Results We identified 242 potential articles and included 13 in the final review (2096 participants). We found that (1) disorganised attachment was consistently associated with dissociation and inconsistently associated with voices and paranoia, (2) dissociation was associated with voices and paranoia, and these links were stronger in clinical samples, and (3) dissociation played a role in the impact of insecure attachment on voice hearing and paranoia in clinical groups. Conclusions This is the first review to synthesise the research examining attachment, dissociation, and psychosis. The evidence is consistent with proposed causal hypotheses and raises conceptual and measurement issues, for example, the need to clarify the relative contributions of different insecure attachment styles, and utilise behavioural/observational measures to strengthen study designs. Most importantly, we need experimental and longitudinal studies to confirm causal links and targets for treatment. 10.1111/papt.12521 http://creativecommons.org/licenses/by/4.0/ |
| title | Does insecure attachment lead to psychosis via dissociation? A systematic review of the literature |
| topic | Psychology and Psychotherapy: Theory, Research and Practice |
| url | https://bpspsychub.onlinelibrary.wiley.com/doi/10.1111/papt.12521 |