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The reliability of clinical, history-based attachment classifications: an exploratory study.
Journal of Child & Adolescent Mental Health Pub Date : 2020-03-15 , DOI: 10.2989/17280583.2019.1698431
Renate Gericke 1 , Katherine Bain 1
Affiliation  

Objective: Mental health professionals frequently classify children's attachment style using a combination of the parent/caregiver interview, an interview with the child, the interviewer's clinical impressions, and at times, the child's responses to projective tests not aimed at eliciting attachment specific information. However, no studies have been conducted on the validity or reliability of attachment classifications based on developmental histories. This study aimed to investigate the accuracy of history-based attachment classifications. Method: Attachment classifications based on intake interviews, administered to 35 eight to twelve-year- old children and their caregivers attending an outpatient mental clinic service in a government hospital in Johannesburg, were compared to classifications obtained through the Attachment Story Completion Test (ASCT). The level of agreement between rates and across assessment measures was analysed. Results: The association between ASCT and history-based attachment classifications was poor. Conclusion: The possible misclassification of children's attachment styles according to histories has implications for both diagnosis and treatment.

中文翻译:

基于历史记录的依恋分类的可靠性:一项探索性研究。

目标:心理健康专业人员经常使用父母/照顾者访谈,对孩子的访谈,访调员的临床印象以及有时孩子对投射测试的反应来对孩子的依恋方式进行分类,这些目的并非旨在获取依恋的特定信息。但是,尚未对基于发展历史的依恋分类的有效性或可靠性进行任何研究。这项研究旨在调查基于历史的附件分类的准确性。方法:根据摄入量访谈对依恋进行分类,对在约翰内斯堡一家政府医院中参加门诊心理诊所服务的35名8至12岁的儿童及其看护人进行管理,将其与通过“附件故事完成测试”(ASCT)获得的分类进行比较。分析了费率与各项评估措施之间的一致性水平。结果:ASCT与基于历史的依恋分类之间的关联很差。结论:根据历史可能对儿童依恋方式进行错误分类对诊断和治疗均具有影响。
更新日期:2020-03-15
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