Degree Date

7-2020

Document Type

Dissertation - Public Access

Degree Name

Psy.D. Doctor of Clinical Psychology

Academic Discipline

Clinical Psychology - Florida School of Professional Psychology

First Advisor

Lisa Costas, Ph.D.

Second Advisor

Eric Rosen, Ph.D.

Abstract

The current body of research literature appears to lack adequate studies focused on individuals who possess an insecure attachment, potential cluster B personality pathology, and who are engaged in couple discord. The following clinical research project explored how insecure attachments impact the trajectory of both cluster B pathology and adult couples’ relationship discord. Studies reviewed included adults diagnosed with mood disorders, personality pathology, and those engaged in couples therapy due to dissatisfaction and discord. Developing an insecure attachment in childhood appears to place adults at risk for higher rates of personality pathology and risky romantic relationships fraught with discord. Evidence-based treatments are reviewed to determine efficacious means to treat this cluster of presenting concerns. Gaps within the literature for future study are considered, including the need to expand current models and studies to accommodate a greater diversity when determining attachment styles, cluster B personality pathology, and couple discord. Finally, an initial treatment decision tree model is suggested for future studies and clinicians to consider when working with individuals and couples presenting with insecure attachment, potential cluster B personality pathology, and couple discord.

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