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Related Experiment Videos

Attachment studies with borderline patients: a review.

Hans R Agrawal1, John Gunderson, Bjarne M Holmes

  • 1Department of Psychiatry, Harvard Medical School; McLean Hospital, Belmont, MA, USA.

Harvard Review of Psychiatry
|June 19, 2004
PubMed
Summary

Borderline personality disorder (BPD) is strongly linked to insecure attachment styles. Specific insecure types like unresolved, preoccupied, and fearful attachments are common in BPD, highlighting disturbed relationships.

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Area of Science:

  • Psychology
  • Psychiatry
  • Attachment Theory

Background:

  • Disturbed attachments are theorized as central to borderline personality disorder (BPD) psychopathology.
  • Understanding attachment patterns in BPD is crucial for psychopathological theories.

Purpose of the Study:

  • To review empirical studies examining attachment types in individuals with BPD.
  • To identify characteristic insecure attachment patterns associated with BPD.

Main Methods:

  • Systematic review of 13 empirical studies.
  • Analysis of attachment measures and types employed across studies.

Main Results:

  • A strong association between BPD and insecure attachment was found in all reviewed studies.

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  • Unresolved, preoccupied, and fearful attachment types were most characteristic of BPD subjects.
  • These attachment types involve a conflict between desiring intimacy and fearing dependency/rejection.
  • Conclusions:

    • Insecure attachment is prevalent and severe in adult BPD samples, supporting its central role in BPD theories.
    • Specific insecure attachment types may serve as phenotypic markers for BPD vulnerability.
    • Future research directions include exploring these markers further.