Claxton, MA; (2015) Can Caregiving Experiences be Understood Using an Attachment Framework in Early Psychosis? Doctoral thesis , UCL (University College London).

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Abstract

This thesis is presented in three parts with an overall focus on caregiving relationships and responses in early psychosis. Part one presents a systematic review of the literature examining the efficacy of family interventions within early psychosis. The evidence reviewed suggests that family interventions can improve symptoms and general functioning in service users and may enhance relatives’ overall experience of caregiving. However, there was equivocal evidence for relapse reduction or changes in the family environment. Further research is required to establish the key therapeutic components of family interventions that are most effective for whom. Part two is an empirical paper examining the role of caregiver attachment style on caregiving behaviours, attitudes and responses. The data suggests that attachment theory can contribute to our understanding of caregiving experiences, particularly caregiver distress, although further research is recommended. Finally, part three presents a critical appraisal of the investigation presented in the empirical paper. Consideration is given to a number of conceptual and methodological issues pertinent to this study and to caregiving and attachment research in general. The appraisal concludes with some personal reflections on the experience of conducting the project.

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