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    Chase Stovall-Mcclough

    Abstract 1. Presents partial findings on 5 patients, 2 of whom shifted to secure states of mind after 1 year of transference focused psychotherapy (TFP) on the Adult Attachment Interview (AAI) and 3 of whom did not. The authors also... more
    Abstract 1. Presents partial findings on 5 patients, 2 of whom shifted to secure states of mind after 1 year of transference focused psychotherapy (TFP) on the Adult Attachment Interview (AAI) and 3 of whom did not. The authors also present findings on the use of the Patient-...
    ... Dozier, Mary; Stovall-McClough, K. Chase; Albus, Kathleen E. Cassidy, Jude (Ed); Shaver, Phillip R. (Ed), (2008). Handbook of attachment: Theory, research, and clinical applications (2nd ed.), (pp. 718-744). New York, NY, US: Guilford... more
    ... Dozier, Mary; Stovall-McClough, K. Chase; Albus, Kathleen E. Cassidy, Jude (Ed); Shaver, Phillip R. (Ed), (2008). Handbook of attachment: Theory, research, and clinical applications (2nd ed.), (pp. 718-744). New York, NY, US: Guilford Press, xix, 1020 pp. Abstract. If we were to ...
    Young children in foster care have often experienced inadequate early care and separations from caregivers. Preclinical studies suggest that early inadequate care and separations are associated with long-term changes in regulation of the... more
    Young children in foster care have often experienced inadequate early care and separations from caregivers. Preclinical studies suggest that early inadequate care and separations are associated with long-term changes in regulation of the hypothalamic-pituitary-adrenal (HPA) axis. In this study, the daytime pattern of cortisol production was examined among 55 young children who had been placed into foster care and 104 children who had not. Saliva samples were taken at wake-up, in the afternoon, and bedtime for 2 days. Average salivary cortisol values for each time of day were computed. A group (foster vs. comparison) time (morning, afternoon, night) interaction emerged, reflecting less decline in levels across the day for foster than comparison children. Daytime patterns were categorized as typical, low, or high. Children who had been in foster care had higher incidences of atypical patterns of cortisol production than children who had not. These differences suggest that conditions associated with foster care interfere with children’s ability to regulate neuroendocrine functioning.
    This study investigated the development of attachment relationships in 38 foster infant-caregiver dyads over the first 2 months of placement. We used the Parent Attachment Diary to measure foster infants' daily attachment behaviors,... more
    This study investigated the development of attachment relationships in 38 foster infant-caregiver dyads over the first 2 months of placement. We used the Parent Attachment Diary to measure foster infants' daily attachment behaviors, the Adult Attachment Interview to examine foster parents' attachment states of mind, and Ainsworth's Strange Situation to capture attachment classifications. We examined differences in diary scales (secure, avoidant, resistant, and coherence) as they related to age at placement and foster parent attachment, using hierarchical linear modeling and analyses of variance. The results indicated infants with autonomous foster parents and infants placed at younger ages showed higher early and overall levels of secure behavior, less avoidant behavior, and more coherent attachment strategies compared to infants placed with nonautonomous foster parents. Changes in attachment behaviors over time were not predicted by the models; however, there was a sign...
    Bowlby (1969/1982, 1973, 1980) proposed a model of development with clearly articulated implications for psychopathology. According to this model, an infant’s formation of an attachment to a caregiver is a key developmental task that... more
    Bowlby (1969/1982, 1973, 1980) proposed a model of development with clearly articulated implications for psychopathology. According to this model, an infant’s formation of an attachment to a caregiver is a key developmental task that influences not only the child’s representations of self and other, but also strategies for processing attachmentrelated thoughts and feelings. Attachment-related events, such as loss and abuse, lead to modifications in these internal representations and affect a child’s strategies for processing thoughts and feelings. Bowlby (1973, 1980) suggested that when children develop negative representations of themselves or others, or when they adopt strategies for processing attachment-related thoughts and feelings that compromise realistic appraisals, they become more vulnerable to psychopathology. In this chapter, we consider how the quality of an infant’s attachment to his or her caregiver, subsequent attachment-related experiences, and concurrently assessed...
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    If we were to limit our discussion in this chapter to evidence linking attachment behavioral strategies in infancy with adult psychopathology, this would be a relatively brief chapter. The evidence specifically linking infants'... more
    If we were to limit our discussion in this chapter to evidence linking attachment behavioral strategies in infancy with adult psychopathology, this would be a relatively brief chapter. The evidence specifically linking infants' attachment behavioral strategies to psychopathology in adulthood is limited to a few longitudinal studies. In this chapter, therefore, we cast our net more broadly, looking at associations between attachment-relevant events in childhood and later psychopathology. In addition, we examine the association between concurrently assessed attachment states of mind and psychopathology. We limit our consideration of attachment states of mind to Main and colleagues' (Main & Goldwyn, 1984; Main et al, 2003) formulation and operationalization. Although the constructs of "attachment style" (Hazan & Shaver, 1987, 1994) and "attachment states of mind" share a conceptual framework, there are key differences that lead to different operationalizatio...
    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... more
    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.
    ... This reply to the comment by Cahill, Riggs, Zoellner, and Feeny (2004) on the article by Cloitre, Koenen, Cohen, and Han (2002) reiterates that an important goal of treatment research among chronically traumatized populations is to... more
    ... This reply to the comment by Cahill, Riggs, Zoellner, and Feeny (2004) on the article by Cloitre, Koenen, Cohen, and Han (2002) reiterates that an important goal of treatment research among chronically traumatized populations is to address problems that impair life functioning ...
    1. Presents partial findings on 5 patients, 2 of whom shifted to secure states of mind after 1 year of transference focused psychotherapy (TFP) on the Adult Attachment Interview (AAI) and 3 of whom did not. The authors also present... more
    1. Presents partial findings on 5 patients, 2 of whom shifted to secure states of mind after 1 year of transference focused psychotherapy (TFP) on the Adult Attachment Interview (AAI) and 3 of whom did not. The authors also present findings on the use of the Patient-...
    As part of an ongoing randomized clinical trial for childhood-abuse-related PTSD, this study examined the association between PTSD and unresolved attachment as measured by the Adult Attachment Interview in a sample of 52 female... more
    As part of an ongoing randomized clinical trial for childhood-abuse-related PTSD, this study examined the association between PTSD and unresolved attachment as measured by the Adult Attachment Interview in a sample of 52 female childhood-abuse survivors. Results revealed that 55% of the sample was classified as preoccupied and almost 75% was classified as unresolved with regard to trauma. In a preliminary sample of 18 women who completed treatment, 13 were unresolved before treatment and 8 lost their unresolved status following treatment. This effect was significantly more pronounced in the exposure condition compared to the skills training condition.