Changes in Late Adolescents and Young Adults’ Attachment, Separation, and Mental Health During Wilderness Therapy

Abstract

The study explored changes in young adults’ mental health, attachment, and separation from parents during a seven-week wilderness therapy program. Utilizing a longitudinal one-group design, the study examined outcomes of 157 young adults in one wilderness therapy program. From pre to post treatment, participants reported significant improvement in mental health symptoms and interpersonal relationships, as well as increases in the belief that others can be depended upon. Participants reported less resentment and anger towards mothers from pre to post treatment, but an increase in their needs for approval from fathers. The study details a link between young adults’ attachment, independence from parents, and improvement in mental health, suggesting that treatment which targets these links may provide more effective intervention.

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References

  1. Armsden, G. C., & Greenberg, M. T. (1987). The inventory of parent and peer attachment: Individual differences and their relationship to psychological well-being in adolescence. Journal of Youth and Adolescence, 16, 427–454. doi:10.1007/BF02202939.

    Article  PubMed  Google Scholar 

  2. Bettmann, J. E., Demong, E., & Jasperson, R. A. (2008). Treating adolescents with adoption and attachment issues in wilderness therapy settings. Journal of Therapeutic Schools and Programs, 8, 117–138.

    Google Scholar 

  3. Bettmann, J. E., & Jasperson, R. A. (2008). Adults in wilderness treatment: A unique application of attachment theory and research. Clinical Social Work Journal, 36, 51–61.

  4. Bettmann, J. E., Gillis, L., Speelman, E. A., Parry, K. J., & Case, J. M. (2016). A meta-analysis of wilderness therapy program outcomes for private pay clients. Journal of Child and Family Studies, 25, 2659–2673. doi:10.1007/s10826-016-0439-0.

    Article  Google Scholar 

  5. Bettmann, J. E., & Jasperson, R. A. (2007). Adults in wilderness treatment: A unique application of attachment theory and research. Clinical Social Work Journal, 36, 51–61.

    Article  Google Scholar 

  6. Bettmann, J. E., & Karikari, I. (2013). Attachment processes in wilderness therapy. In J. E. Bettmann, & D. D. Friedman (Eds.), Attachment-based clinical work with children and adolescents (pp. 219–233). New York: Springer.

    Google Scholar 

  7. Bettmann, J. E., & Tucker, A. R. (2011). Shifts in attachment relationships: A study of adolescents in wilderness treatment. Child & Youth Care Forum, 40, 499–519.

    Article  Google Scholar 

  8. Bowen, D. J., & Neill, J. T. (2013). A meta-analysis of adventure therapy outcomes and moderators. The Open Psychology Journal, 6, 28–53.

    Article  Google Scholar 

  9. Bowlby, J. (1973). Attachment and loss. Vol. II: Separation. New York: Basic Books.

    Google Scholar 

  10. Bowlby, J. (1982). Attachment and loss: Retrospect and prospect. American Journal of Orthopsychiatry, 52, 664–678.

    Article  PubMed  Google Scholar 

  11. Bowlby, J. (1988). A secure base: Parent-child attachment and healthy human development. New York: Basic Books.

    Google Scholar 

  12. Bowlby, J., & Ainsworth, M. D. S. (1991). An ethological approach to personality development. American Psychologist, 46, 333–341.

    Article  Google Scholar 

  13. Cohen, J. (1977). Statistical power analysis for behavioral sciences. (revised ed.) New York: Academic Press.

    Google Scholar 

  14. Collins, N. L. (1996). Working models of attachment: Implications for explanation, emotion, and behavior. Journal of Personality and Social Psychology, 71, 810–832.

    Article  PubMed  Google Scholar 

  15. Collins, N. L., & Read, S. J. (1990). Adult attachment, working models, and relationship quality in dating couples. Journal of Personality and Social Psychology, 58, 644.

    Article  PubMed  Google Scholar 

  16. Frey, L. L., Beesley, D., & Miller, M. R. (2006). Relational health, attachment, and psychological distress in college women and men. Psychology of Women Quarterly, 30, 303–311.

    Article  Google Scholar 

  17. Hoag, M., Massey, K., Roberts, S., & Logan, P. (2013). Efficacy of wilderness therapy for young adults: A first look. Residential Treatment for Children & Youth, 30, 294–305. doi:10.1080/0886571X.2013.852452.

    Article  Google Scholar 

  18. Hoffman, J. A. (1984). Psychological separation of late adolescents from their parents. Journal of Counseling Psychology, 31, 170–178.

    Article  Google Scholar 

  19. Hoffman, J. A., & Weiss, B. (1987). Family dynamics and presenting problems in college students. Journal of Counseling Psychology, 34, 157–163.

    Article  Google Scholar 

  20. Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12–19.

    Article  PubMed  Google Scholar 

  21. Jennings, M. A., & Cribbie, R. A. (2016). Comparing pre-post change across groups. Guidelines for choosing between difference scores, ANCOVA and residual change scores. Journal of Data Science, 14, 205–230.

    Google Scholar 

  22. Jones, C. D., Lowe, L. A., & Risler, E. A. (2004). The effectiveness of wilderness adventure therapy programs for young people involved in the juvenile justice system. Residential Treatment for Children & Youth, 22, 53–67. doi:10.1300/J007v22n02.

    Article  Google Scholar 

  23. Josselson, R. (1988). The embedded self: I and thou revisited. In D. K. Lapsley, & F. C. Power (Eds.), Self, ego, and identity: Integrative approaches (pp. 91–108). New York: Springer.

    Google Scholar 

  24. Keiley, M. K. (2007). Multiple-family group intervention for incarcerated adolescents and their families: A pilot project. Journal of Marital and Family Therapy, 33, 106–124.

    Article  PubMed  Google Scholar 

  25. Lambert, M. J., Morton, J. J., Hatfield, D., Harmon, C., Hamiliton, S., Reid, R. C., Shimonkawa, K., Christopherson, C., & Burlingame, G. M. (2004). Administration and scoring manual for the OQ-45. Orem, UT: American Professional Credentialing Services.

  26. Lapsley, D. K., & Edgerton, J. (2002). Separation-individuation, adult attachment style, and college adjustment. Journal of Counseling & Development, 80, 484–492.

  27. Leondari, A., & Kiosseoglou, G. (2000). The relationship of parental attachment and psychological separation to the psychological functioning of young adults. Journal of Social Psychology, 140, 451–464.

    Google Scholar 

  28. Lopez, F. G., & Gover, M. R. (2001). Self-report measures of parent-adolescent attachment and separation-individuals: A selective review. Journal of Counseling and Development, 71, 560–569.

    Article  Google Scholar 

  29. Mallinckrodt, B., & Wei, M. (2005). Attachment, social competencies, social support, and psychological distress. Journal of Counseling Psychology, 52, 358–367.

    Article  Google Scholar 

  30. Marganska, A., Gallagher, M., & Miranda, R. (2013). Adult attachment, emotion dysregulation, and symptoms of depression for generalized anxiety disorder. American Journal of Orthopsychiatry, 83, 131–141. doi:10.1111/ajop.12001.

    Article  PubMed  Google Scholar 

  31. Mattanah, J. F., Hancock, G. R., & Brand, B. L. (2004). Parental attachment, separation-individuation, and college student adjustment: A structural equation analysis of mediational effects. Journal of Counseling Psychology, 51, 213–225.

  32. Mikulincer, M., & Shaver, P. R. (2007). Attachment in adulthood: Structure, dynamics, and change (pp. 369–404). New York: Guilford Press.

    Google Scholar 

  33. Rice, K. G., Cole, D., & Lapsley, D. K. (1990). Separation-individuation, family cohesion, and adjustment to college: Measurement validation and a test of a theoretical model. Journal of Counseling Psychology, 37, 195–210.

    Article  Google Scholar 

  34. Russell, K. C. (2000). Exploring how the wilderness therapy process relates to outcomes. Journal of Experiential Education, 23, 170–176.

  35. Russell, K. C. (2003). An assessment of outcomes in outdoor behavioral healthcare treatment. Child & Youth Care Forum, 32, 355–381.

    Article  Google Scholar 

  36. Russell, K. C. (2006). Brat camp, boot camp, or ….? Exploring wilderness therapy program theory. Journal of Adventure Education & Outdoor Learning, 6, 51–67.

    Article  Google Scholar 

  37. Ryan, R. M., & Lynch, J. H. (1989). Emotional autonomy versus detachment: Revisiting the vicissitudes of adolescence and young adulthood. Child Development, 60, 340–356.

    Article  PubMed  Google Scholar 

  38. Tucker, A., Zelov, R., & Young, M. (2011). Four years along: Emerging traits of programs in the NATSAP Practice Research Network (PRN). Journal of Therapeutic Schools and Programs, 5, 10–28.

  39. Vermeersch, D. A., Lambert, M. J., & Burlingame, G. M. (2000). Outcome Questionnaire: Item sensitivity to change. Journal of Personality Assessment, 74, 242–261.

    Article  PubMed  Google Scholar 

  40. Zastrow, C. H., & Kirst-Ashman, K. K. (2016). Understanding human behavior and the social environment. Boston: Cengage Learning.

    Google Scholar 

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Correspondence to Joanna E. Bettmann.

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Conflict of interest

The first author was a co-owner and employee of the WT program which served as the study site for this research. The remaining authors declare that they have no competing interests.

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Bettmann, J.E., Tucker, A., Behrens, E. et al. Changes in Late Adolescents and Young Adults’ Attachment, Separation, and Mental Health During Wilderness Therapy. J Child Fam Stud 26, 511–522 (2017). https://doi.org/10.1007/s10826-016-0577-4

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Keywords

  • Young adults
  • Separation-individuation
  • Attachment
  • Mental health