Insecure attachment states: their relationship to borderline and narcissistic personality disorders and treatment process in cognitive analytic therapy

Relatively little has been written about one group of infants identified with Ainsworth's "Strange Situation" assessment of infant-parent attachment, those classified insecure/ambivalent. Although virtually all samples contain some insecure/ambivalent infants, these infants are uncommon, comprising 7%-15% of most American samples. Recently developed assessments of attachment in children and adults have identified attachment groups of older individuals thought to parallel the insecure/ambivalent infant group. Empirical work in which insecure/ambivalent individuals are examined as a separate group is reviewed within the context of attachment theory, and a coherent picture emerges of the antecedents (relatively low or inconsistent maternal availability; biological vulnerability) and sequelae (limited exploratory competence) of this group. This picture is used as the basis for additional theoretical proposals, and suggestions for future research are presented.

Three studies examined the association between adult attachment and anger. Study 1 examined attachment-style differences in self-reports of anger-proneness, anger expression, anger goals, and responses to anger. Study 2 assessed attachment style, physiological signs of anger, and attribution of hostile intent. Study 3 used a lexical-decision task for studying attachment-style differences in expected anger outcome. Secure persons scored lower in anger-proneness, endorsed more constructive anger goals, reported more adaptive responses and more positive affect in anger episodes, attributed less hostile intent to others, and expected more positive outcomes than insecure persons. For ambivalent persons, the anger experience also included lack of anger control and anger-in. For avoidant persons, it included high hostility, escapist responses, and lack of awareness of physiological signs of anger. The underlying action of working models is emphasized in the discussion.