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Creating a report based on the results of an Adult Attachment Interview (AAI):

1. Introduction: Briefly explain the purpose of the AAI and its relevance to
the client’s situation1.
2. Methodology: Describe the process of conducting the AAI, including the
types of questions asked and the duration of the interview1.
3. Analysis of the Transcript: Discuss the client’s responses to the interview
questions. Highlight key themes or patterns that emerged during the
interview1. Remember, the analysis should consider both the content of the
responses and the manner in which they were delivered1.
4. Classification of Attachment Style: Based on the analysis, classify the
client’s attachment style into one of the categories: secure-autonomous (F),
dismissing (D), preoccupied (E), or disoriented/disorganized (U/d)1.
5. Implications for Therapy: Discuss how the client’s attachment style might
impact their therapeutic process. This could include potential challenges,
areas of focus, or strategies for intervention2.
6. Recommendations: Provide recommendations for future therapy sessions
based on the findings from the AAI2.
7. Conclusion: Summarize the key findings from the AAI and reiterate the
importance of considering attachment styles in therapeutic work2.

1. Introduction: “This report presents the findings from your recent Adult
Attachment Interview (AAI). The AAI is a tool used to understand your
experiences and feelings about early relationships, which can provide
valuable insights for our therapeutic work together.”
2. Methodology: “The AAI was conducted in a quiet, private setting and
lasted approximately one hour. The interview consisted of a series of
questions about your childhood experiences with your primary caregivers.”
3. Analysis of the Transcript: “During the interview, you shared a number of
memories about your early relationships. One recurring theme was the sense
of independence you felt growing up, often taking on responsibilities
beyond your years.”
4. Classification of Attachment Style: “Based on your responses and the
themes that emerged during the interview, your attachment style can be
classified as ‘dismissing’. This style is often associated with a tendency to
downplay the importance of close relationships and a high degree of self-
reliance.”
5. Implications for Therapy: “Understanding your attachment style can help
us tailor our therapeutic approach. For instance, recognizing your self-
reliance, we can work on strategies that allow for vulnerability and
interdependence in relationships.”
6. Recommendations: “Moving forward, it may be beneficial to focus on
exploring your early experiences in more depth, understanding how they
have shaped your current relationships, and developing strategies to foster
healthier and more satisfying relationships.”
7. Conclusion: “The insights gained from the AAI are a valuable starting point
for our work together. By understanding your attachment style, we can
better understand your needs and patterns in relationships, which will guide
our therapeutic journey.”
PSYCHOLOGICAL EVALUATION REPORT

Client Information

 Name: FYU
 Age: 36 years
 Marital Status: Married
 Family Background: Middle socioeconomic status (MSES)
 Presenting Problem: Marital discord and problems with intimacy

Assessment Tools Used

1. Adult Attachment Interview (AAI)


2. Millon Clinical Multiaxial Inventory III (MCMI-III)

Findings

Adult Attachment Interview (AAI) The AAI suggests an anxious attachment


style. FYU frequently revisited complaints about his upbringing, particularly the
way his mother raised him. He expressed themes of academic pressure from his
parents and a fear of disapproval. He also acknowledged problems with social
situations and assertiveness. After some reflection, FYU agreed that his social
skills issues might stem from his mother’s lack of instruction in this area.

Millon Clinical Multiaxial Inventory III (MCMI-III) The MCMI-III results


suggest that the test was valid. FYU scored high on the anxiety, narcissism, and
compulsive scales, suggesting a tendency towards worry, self-centeredness, and a
preoccupation with orderliness and control. He also scored moderately high on the
borderline scale, indicating potential instability in self-image, moods, and
interpersonal relationships.

Integrated Analysis FYU’s anxious attachment style, as suggested by the AAI,


appears to be influenced by his early experiences with his family. The frequent
relocations due to his father’s job may have contributed to feelings of instability
and insecurity, which are characteristic of an anxious attachment style. His close
relationship with his father and the academic pressure he experienced may have
further shaped his attachment style and coping mechanisms.

The high scores on the anxiety, narcissism, and compulsive scales of the MCMI-III
align with the themes that emerged from the AAI. His high anxiety could be linked
to the fear of disapproval he expressed during the AAI. His high score on the
narcissism scale may reflect a defense mechanism developed in response to the
academic pressure from his parents. The high score on the compulsive scale could
be related to his need for control and orderliness, possibly as a way to cope with
the frequent relocations during his childhood.

Implications The findings suggest that FYU’s anxious attachment style and high
scores on the anxiety, narcissism, and compulsive scales of the MCMI-III may be
contributing to his current struggles. These issues could be contributing to his
marital discord and struggles to have children.

Recommendations Therapeutic interventions should focus on helping FYU


understand and explore his anxious attachment style and its impact on his
relationships and self-perception. Techniques aimed at improving social skills,
assertiveness, and coping with anxiety could also be beneficial. Given his high
scores on the narcissism and compulsive scales, interventions that address issues of
self-esteem and control may also be helpful.

Emotionally Focused Therapy (EFT) could potentially be beneficial for FYU. EFT
helps individuals understand and manage their emotions, improve communication
between partners, address and overcome fears, create a more secure emotional
attachment between two people, and integrate past experiences in shaping current
behaviors and emotions. This could help FYU and his wife strengthen their marital
bond, potentially alleviating some of their marital discord.

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