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Updated: Jun 1, 2026

Functional Near-Infrared Spectroscopy Hyperscanning Study in Psychological Counseling
Published on: January 17, 2025
Service user attachments to psychiatric key workers and teams
Robert Arbuckle1, Katherine Berry, Jayne-Louise Taylor
1School of Psychological Sciences, University of Manchester, 2nd Floor Zochonis Building, Brunswick Street, Manchester, M13 9PL, UK. robarbuckle@hotmail.com
Attachment styles in individuals with psychosis were consistent across self-reported general and therapeutic relationships. However, self-ratings showed poor agreement with key worker and team assessments, highlighting the need to involve service users in care decisions.
Area of Science:
- Psychiatry
- Clinical Psychology
- Attachment Theory
Background:
- Attachment styles influence therapeutic relationships.
- Understanding attachment in psychosis is crucial for effective mental healthcare.
Purpose of the Study:
- To assess consistency of self-reported attachment styles in individuals with psychosis.
- To evaluate concordance between self-reported and informant-reported attachment in therapeutic settings.
Main Methods:
- Utilized the Psychosis Attachment Measure (PAM) with self-report, key worker, and team informant versions.
- Administered PAM to 24 individuals diagnosed with psychosis in psychiatric rehabilitation.
- Collected data on general attachment, and attachment to key workers and mental health teams.
Main Results:
- Strong correlations found among three self-reported PAM measures.
- Limited correlations between key worker ratings and self-reported attachment.
- Non-significant correlations between team ratings and self-reported attachment.
Conclusions:
- Self-reported attachment is consistent across general and specific therapeutic relationships.
- Significant discrepancies exist between self-ratings and informant-ratings, especially from teams.
- Emphasizes the importance of consulting service users directly in care planning.
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