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Assessing attachment status in adults with intellectual disabilities: the potential of the Adult Attachment Projective Picture System

Deanna J Gallichan (Community Learning Disabilities Team, Plymouth Community Healthcare CIC, Plymouth, UK)
Carol George (Department of Psychology, Mills College, Oakland, California, USA)

Advances in Mental Health and Intellectual Disabilities

ISSN: 2044-1282

Article publication date: 3 March 2014

517

Abstract

Purpose

The purpose of this paper is to explore the potential of the Adult Attachment Projective Picture System (AAP) as a measure of attachment state of mind in adults with intellectual disabilities. The AAP is a free response picture system method of assessing patterns of adult attachment with established validity and reliability in community and clinical samples.

Design/methodology/approach

The paper reports on five cases of adults with intellectual disabilities who were administered the AAP as part of routine clinical work. The AAP administration procedure was modified to take account of the participants’ intellectual disabilities.

Findings

It was possible to code and classify each AAP using the established coding and classification system. The authors coded four cases blind to each other ' s classification; they agreed on classifications for three cases and reached consensus on the fourth. The AAP analysis showed strong correspondence with case history material.

Originality/value

The AAP demonstrates the potential to assess attachment state of mind in adults with intellectual disabilities and is the first developmental measure of attachment status that has shown potential in this population. The paper discusses clinical application of the AAP and directions for future research.

Keywords

Acknowledgements

Plymouth Community Healthcare (CIC) was formerly part of NHS Plymouth. The authors wish to thank; Dr Judith McBrien, who arranged funding for the first author ' s AAP training via the Developmental Disabilities Research and Education Group (hosted by Plymouth University); Professor Malcolm West, who co-facilitated the AAP training seminar with Dr George; Ms Kay Hughes who has supported the first author in maintaining research time; all of the clients who consented to participate in this study.

Citation

Gallichan, D.J. and George, C. (2014), "Assessing attachment status in adults with intellectual disabilities: the potential of the Adult Attachment Projective Picture System", Advances in Mental Health and Intellectual Disabilities, Vol. 8 No. 2, pp. 103-119. https://doi.org/10.1108/AMHID-10-2012-0004

Publisher

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Emerald Group Publishing Limited

Copyright © 2014, Emerald Group Publishing Limited

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