Unresolved attachment, PTSD, and dissociation in women with childhood abuse histories.

K. Chase Stovall-McClough · Marylène Cloître

226 citations0/0 files storedJournal of Consulting and Clinical Psychology

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Posttraumatic Stress Disorder Research Psychoanalysis and Psychopathology Research Child Abuse and Trauma

Abstract

The primary objective of this study was to examine unresolved trauma as assessed by the Adult Attachment Interview and current psychiatric symptoms, focusing on posttraumatic stress disorder (PTSD) and dissociation, in a group of adult female childhood abuse survivors. The authors examined psychiatric symptoms and attachment representations in a group with (n = 30) and without (n = 30) abuse-related PTSD. The findings revealed that unresolved trauma carried a 7.5-fold increase in the likelihood of being diagnosed with PTSD and was most strongly associated with PTSD avoidant symptoms rather than dissociative symptoms. The utility of a PTSD framework for understanding unresolved trauma and the role of intentional avoidance of trauma cues in the maintenance of traumatized states of mind are discussed.

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References

2013Diagnostic and Statistical Manual of Mental Disorders 1995Posttraumatic Stress Disorder in the National Comorbidity Survey 1986Emotional processing of fear: Exposure to corrective information.1999Handbook of attachment: theory, research, and clinical applications 1995The development of a Clinician-Administered PTSD Scale 1997Structured Clinical Interview for DSM-IV Axis I Disorders 1986Impact of child sexual abuse: A review of the research.1990Attachment in the preschool years: Theory, research, and intervention.

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