ADDENDUM: ADULT ATTACHMENT INTERVIEW

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This chapter’s purpose is to review and illustrate some self-report assessment instruments commonly used with couples. Obviously, other assessment modes besides self-report can be utilized with couples as noted in chapter 3and chapter 5. A semistructured interview method called the Adult

COUPLES ASSESSMENT 155 Attachment Interview (AAI) bears specific mention in this chapter although it is covered in more detail in chapter 3.

The effects of failed or problematic infant–mother attachment on person- ality development, identity formation, and ability to form and sustain intimate interpersonal relationships as an adult have been receiving much attention recently (Cassidy & Shaver, 1999). Assessing the type of attachment an individual is capable of forming is important to take into consideration when a therapist is attempting to treat marital struggles that revolve around issues of intimacy and interpersonal closeness and separateness. The AAI (George, Kaplan, & Main, 1996) is a clinical procedure that may be used by therapists to help individuals and couples identify their unique attachment patterns and dynamics that may be causing difficulties in forming committed, long-term intimate relationships.

The AAI allows the trained interviewer to identify four types of adult attachment patterns that have been shown to correspond to the four types of infant–mother attachment patterns identified by Ainsworth, Blehar, Waters, and Wall (1978): secure/autonomous (secure); dismissing (avoidant); preoc- cupied (resistant or ambivalent); and unresolved/disorganized (disorganized/

disoriented). The interview is a semistructured, 1-hour protocol consisting of 18 open-ended questions. The entire interview is recorded verbatim. A scoring and classification system is then used to type individual attachment styles.

The interviewee is asked to give a general description of relationships with parents during childhood and then to give five adjectives or descriptive phrases that best describe the relationship with each parent. He is also asked to recall specific memories that can be used to illustrate and support why each descriptor was chosen; he is also asked to describe how his parents responded to unsettling events in his life such as being emotionally upset, physically hurt, or ill. Significant losses, separations, rejections, threats regarding disci- pline, incidents of abuse, or any other negative experiences that might have affected the interviewee’s development are also investigated.

The central task of the interviewer is to determine whether the inter- viewee can recall and reflect upon memories related to attachment while simultaneously maintaining coherent conceptualizations and a consistent and collaborative discourse with the interviewer. Based upon this interview, the interviewee’s state of mind is determined. From the interviewer’s determina- tion of this state, attachment style is inferred and categorized. Scales have been devised for each category; for example, two scales—coherence of transcript and metacognitive monitoring—make up the secure/autonomous category. Idealization of the speaker’s primary attachment figures; insistence on lack of memory for childhood; and active and derogating dismissal of attachment-related experiences and/or relationships are associated with dismissing adult attachments. Anger-involved attachment to a primary attach- ment figure and passivity or vagueness in discourse are scales associated with preoccupied adult attachments.

Empirical work regarding the Adult Attachment Interview is substantial and cannot be reviewed adequately in this addendum. For a detailed discus- sion of AAI research findings, the reader should consult Hesse (1999).

Research on the AAI can be broken down into four categories: psychometric properties; predictive validity studies; comparison group studies showing discriminant validity; and longitudinal studies. Rigorous training is required before one can become proficient in this highly sophisticated interviewing, scoring, and classification system. Only a handful of individuals are certified to conduct the special 2-week training institutes offered.

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CHAPTER 8

Child and Family Assessment

Strategies and Inventories

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