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Le modèle de l'attachement adulte dans la perturbation de la régulation émotionnelle et des liens affectifs des femmes hospitalisées souffrant de dépression

Abstract : The purpose of our research is to show that the model of adult attachment constitute a factor of psychological vulnerability that explain women depression and its evolution on two levels: the disturbance of the emotional regulation (attachment strategies) and the insecurity of the representation of the past links of attachment (parental experiences), and the current ones (love and interpersonal attachment). The aim is also to determine the existing links between the personality of the depressed women and adult attachment. We have a more interest more specific in the study of the evolution between the depression and the patterns of attachment (stability or alteration) during hospitalization. The main results of our study show significant links between the depression and the insecurity of attachment strategies (mainly preoccupied), representations of the past experiences (preoccupied and unresolved) and love and interpersonal attachment styles (mainly fearful). As regards to depressed women suffering from a personality disorder, they are more preoccupied in the representations of the current attachment relations. At least; the results show than only interpersonal attachment styles modified according to the decrease of the depression during hospitalization, while all loving attachment styles remain stable.These results obviously allow to specific psychopathological characteristics in depressed women concerning the disturbance of the emotional regulation (hyper-activation of the affects, linked with internalizing psychopathological disorders, defensive strategies of detachment, and difficulties of mentalization) and the insecure representations of the past links of attachment (excessive focus of the parental relations, ambivalence, dependence, traumatic experiences) and present (relational and affective anxiety, but mistrust for fearof being rejected). The study of the attachment allows us to bring comprehensive elements about the insecure relationship to the other in the depressed women with a pathological personality. We also discuss about links between depressive vulnerability and stability or the modification of the attachment styles. At least we evoke the therapeutic perspectives (in particular the work of the mentalization) of the study and the limits.
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https://tel.archives-ouvertes.fr/tel-00873019
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Matthieu Reynaud. Le modèle de l'attachement adulte dans la perturbation de la régulation émotionnelle et des liens affectifs des femmes hospitalisées souffrant de dépression. Psychologie. Université de Bourgogne, 2011. Français. ⟨NNT : 2011DIJOL019⟩. ⟨tel-00873019⟩

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