Robson, GE; (2012) Attachment an interpersonal processes in hearing voices. Doctoral thesis , UCL (University College London).

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Abstract

Aims: This study investigated the link between attachment anxiety/avoidance, interpersonal aspects of the voice relationship, and distress whilst considering the impact of beliefs about voices and paranoia. Method: A cross sectional correlational method was employed and participants were recruited mainly via online forums for people who hear voices. 44 participants who heard voices completed a number of self-report measures tapping attachment, interpersonal processes in the voice relationship, beliefs about voices, paranoia, distress and depression. Results: As predicted, associations were found between attachment avoidance and voice intrusiveness, hearer distance and distress. Associations were also found between attachment anxiety and voice intrusiveness, hearer dependence and distress. A series of simple mediation analyses were conducted which suggest that the relationship between attachment and voice related distress may be mediated by interpersonal dynamics in the voice – hearer relationship, beliefs about voices and paranoia. Conclusions: Results are considered within existing theory whilst acknowledging the limitations of the study. Clinical implications are considered and it is concluded that this preliminary investigation would suggest that attachment is important to consider in therapy with people who hear voices.

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