ENNEAGRAM Attachment Styles
ENNEAGRAM Attachment Styles
ENNEAGRAM Attachment Styles
Doctor of Philosophy
In
Human Development
ABSTRACT
This study developed and tested a new typology for use in Marriage and Family Therapy. The
typology was created by integrating two already established typologies currently in use in MFT,
the attachment style typology and the Enneagram typology. The attachment typology is based on
attachment theory, a theory of human development that focuses on how infants and adults
establish, monitor and repair attachment bonds. Differences in attachment style are associated
with different kinds of relationship problems. The Enneagram typology categorizes people
according to differences in attention processes. These differences in attention processes are also
associated with different kinds of relationship problems, but also with different kinds of spiritual
problems and talents. Support was found for both the internal and external validity of the
integrated typology. The results were discussed in terms of relationship satisfaction and
attachment based therapy. Implications for using the integrated typology to address spirituality in
My husband, Jeff,
And my sons,
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ACKNOWLEDGEMENTS
I would like to thank my committee, as a group and individually, for their interest in, and
patience with, the somewhat long and convoluted path I took to the completion of this
dissertation. In particular, I would like to thank Dr. Dolbin-MacNab for bringing attention to the
importance of methodological and analytic clarity, in a way that made the work seem energizing
and interesting; I would like to thank Dr. Keeling for bringing attention to the importance of
seeing and valuing every individual as a unique, irreplaceable entity, and the possibility of
integrating this perspective with the abstraction of typologies; I would like to thank Dr. Piercy
for bringing attention to the importance of thinking beyond the immediate in research, and
towards future directions and contributions; and finally, I would like to thank my chair, Dr.
Allen, for bringing attention, by her own example, to the importance and possibility of engaging
in every stage of a research project with courage, honesty, and compassion for self and others.
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TABLE OF CONTENTS
Abstract ii
Dedication iii
Acknowledgements iv
Attachment Styles 3
Enneagram Typology 5
Enneagram Types 6
Effective Typologies 7
Research Questions 10
Typological Analysis 13
Methodological Procedures 14
Philosophical Assumptions 16
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Dual Consciousness and Attention 17
Development of Consciousness 17
Nature of Reality 19
Attachment Theory 21
Exclusion of Information 25
The Enneagram 30
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The Enneagram Prototypes 36
Summary 47
Development of Hypotheses 50
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Characteristics of EnneaAttach Group 3 59
Research Instrument 62
Enneagram Type 64
Sample Selection 65
Sample Characteristics 67
Data Analysis 70
Descriptive Statistics 71
Avoidance 76
Anxiety 77
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Patterns of Anxiety and Avoidance 77
Attachment Security 82
Clinical Implications 84
Future Research 94
Conclusion 95
References 96
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LIST OF TABLES AND FIGURES
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Chapter One: Introduction
The recognition and treatment of systemic patterns of thoughts, emotions and behaviors
comprise the essence of a family systems approach to therapy (Nichols & Schwartz, 2001).
Typologies allow for the observation and organization of information about complex systems, so
they are frequently used in Marriage and Family Therapy theory and research. Early examples of
typological approaches in MFT include Bowen Family Systems Therapy (Kerr & Bowen, 1988),
which is based on a typology of interaction styles (fused, cut-off, and autonomous) and
Structural Family Therapy (Minuchin, 1974) which organizes information about families using a
clear/normal).
More recent examples of MFT research using typological approaches is found in Allen
and Olson (2001) who used cluster analysis to identify different types of African-American
marriages; Ball and Hiebert (2006) who used a qualitative methodology to develop a typology of
pre-divorce marriages; Bayer and Day (1995) who created a typology of married couples based
al. (2006) who developed a typology of how people orient themselves in relationships using the
The attachment style typology (Johnson & Whiffen, 1999; Shaver & Mikulincer, 2005) is
another well known typology that is frequently used in MFT. Perhaps its most familiar
application is found in the Emotion Focused Therapy (EFT) model (Johnson, 2007; Johnson &
Whiffen, 2003), but it is also used in a wide variety of other applications (e.g. Erdman &
Caffery, 2003; Johnson & Whiffen, 2003; Rholes & Simpson, 2004).
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One of the most important strengths of the attachment typology is that it has grown out of
a theory of human development, attachment theory (Bowlby, 1969/1982, 1973, 1980), which has
yielded an astonishing range of research findings in many different disciplines (Cassidy &
Shaver, 1999; Mikulincer & Shaver, 2007).This heritage means that the field of MFT is linked,
through the attachment typology, with a broad community of theory and research. For example,
through the attachment typology, the field of MFT has the ability to integrate family systems
knowledge with knowledge from the fields of biology and evolution science (Bowlby,
1969/1982), developmental psychology and social psychology (Shaver & Mikulincer, 2005),
religious studies (Mikulincer & Shaver, 2007) and religious studies (Miner, 2007).
Despite the strengths of the attachment typology both in terms of clinical and research
applications, the typology’s usefulness is limited by a lack of rich, nuanced descriptions of the
similarities and differences among the categories that comprise the typology (Mandara, 2003).
Johnson and Whiffen (1999) highlight the necessity of addressing individual differences in
attachment based therapies, but note that more research is needed in order to fully understand the
clinical significance of these differences. In addition, there has been a call among attachment
researchers for more attention to the possible clinical importance of subgroup differences among
the four attachment styles (Mikulincer & Shaver, 2007). The purpose of this dissertation was to
respond to these calls for a more complex, nuanced attachment typology for use in MFT.
Attachment theory is a theory of human development that focuses on how infants and
adults establish (Main, 1999), monitor (Bowlby, 1969/1982), and repair (Siegel, 1999) close
relationships with others. Because attachment relationships are vital to survival, human
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selectively exclude non relevant information (Shaver & Mikulincer, 2002). However, what
constitutes relevant attachment information varies from person to person, and from situation to
While all humans engage in attachment relationships, individual differences in how these
relationships are organized in childhood enhance the adaptive value of attachment relationships
close relationships, and encoded in internal working models, which give rise to the relatively
stable patterns of thought, emotion and sensations that are recognized as attachment types, or
personalities (Shaver & Mikulincer, 2005), and alternatively referred to as styles (Mandara,
2003).
Attachment Styles
In the attachment typology, types are defined by the patterns created by the intersection
of the two components that comprise the attachment system: attachment related anxiety and
attachment related avoidance (Mikulincer & Shaver, 2007). The anxiety component functions to
availability, and responsiveness in which a person engages. A highly anxious person engages in
more monitoring and appraising of attachment related information than a less anxious person.
The avoidance component functions to regulate the direction of attachment related behavior
(towards or away from) that a person engages in with regard to the attachment figure. A highly
avoidant person engages in more “moving away” behavior than a less avoidant person
The intersection of the attachment anxiety dimension and the avoidance dimension
produces four prototypes (Mandara, 2003). The high anxiety, low avoidance type engages in a
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lot of monitoring and appraising of attachment figures, but does not engage in high levels of
behaviors that serve to create distance from the attachment figure. The high anxiety, high
avoidance type engages in both high levels of monitoring and appraising behavior, as well as
high levels of distance creating behavior. The low anxiety, high avoidance type does not engage
in high levels of monitoring and appraising behavior, but does engage in a lot of distancing
behavior. The low anxiety, low avoidance type does not engage in high levels of either
monitoring and appraising behavior, or distancing behavior (Mikulincer & Shaver, 2003).
Because most of the research on attachment theory has been conducted in the positivistic
tradition that is the hallmark of modern, western science (Miller, 2004), there are well developed
measures of attachment styles that make it possible to integrate clinical research from MFT
studies with research from other fields. For example, Makinen and Johnson (2006) used the
Waller & Brennan, 2000), developed in the social psychology tradition, in order to investigate
the effectiveness of EFT. The findings from Makinen and Johnson’s study contribute to clinical
knowledge about EFT, but they also contribute to knowledge in the field of social psychology,
An important limitation of the attachment typology derives from the same source as the
typology’s primary strength – its reliance on a positivist perspective (Miller, 2004) as the
primary source of knowledge. While the research that has been generated by attachment theory
has been used to address important clinical questions, there has been very little research
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This lack of research on subjective experiences limits the usefulness of the attachment style
model for MFT, because a commitment to the existence, and clinical importance, of subjective
reality is one of the defining hallmarks of the MFT field, and a unique strength that MFT brings
to the larger psychotherapy community (Nichols & Schwartz, 2001). Commitment to the
importance of subjective experience has led to the development of important clinical theories and
models in MFT, including narrative therapy (White, 2004) and solution focused therapy (Miller,
R. B.; Hubble & Duncan, 1996). In addition to these established models, attention to subjective
experience has also allowed the field of MFT to develop clinical models for addressing spiritual
experience in therapy (Walsh, 1999). Given the centrality of subjective experience in MFT
theory and practice, the lack of research on subjective experiences of people in attachment
relationships, both within the field of MFT, and in the larger attachment theory research
Enneagram Typology
The Enneagram (pronounced any-a-gram) has developed over the course of centuries
primarily as a folk psychology (Castillo, 2001; Mills, S., 2001; White, 2004) concerned with the
categorization and treatment of spiritual difficulties (Palmer, 1988). The development of the
Enneagram in a folk psychology tradition has resulted in a personality typology that provides
rich, vivid, and nuanced descriptions of the different types of people. This tradition has also
served to develop detailed and complex descriptions of different types of challenges and
strengths that accompany the development of the different types, particularly with regard to
spiritual talents and challenges (Palmer, 1988). Recently, psychotherapists, including MFTs,
have begun to find the Enneagram a useful tool for working with individuals, couples, and
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families (Bettinger, 2005; Callahan, 1992; Eckstein, 2002; Grodner, 2002; Huber, 1999; Matise,
2007; Schneider & Schaeffer, 1997; Tolk, 2006; Totton & Jacobs, 2001; Wyman, 1998).
Enneagram Types
The construct of Enneagram type that is developed in the present study is derived from
Palmer (1988, 1995; Palmer & Brown, 1997). In Palmer’s model, each Enneagram type is
defined by a distinct focus of attention that develops in childhood in the context of close
relationships with caregivers. For each type, the focus of attention is conceptualized as an
emotional regulation strategy, and is associated with a core emotion, or passion, and a
characteristic thought pattern, or mindset. Additionally, each focus of attention is also associated
Palmer’s model of the Enneagram is unique in the field of Enneagram studies because the
model overtly incorporates a methodology for continuing the tradition of self observation and
sharing of personal narratives that gave rise to the Enneagram, and allows for retention of the
Palmer’s model is termed the “narrative tradition” (AET, 2008), and focuses on the development
of narrative practices that facilitate the sharing and recording of different individual’s stories
about what it is like to be a specific Enneagram type. The power of this approach has been
documented in a separate field by Mills, J. (2001) who explored how semi-structured interviews
facilitate a shared construction of meaning between the interviewer and the interviewee. The
foundation of this methodology is the belief that the best way to learn about another person is to
hear their story. The organization of these stories in terms of the Enneagram typology allows for
the recognition and appreciation of the similarities and differences in the experiences of different
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Enneagram types, and similarities and differences of experience within groups of the same
Enneagram type.
The Enneagram’s long, slow development, in the tradition of folk psychology (Bruner,
1990; Castillo, 2001; Mills, S., 2001) has resulted in a personality typology that provides rich,
vivid, and nuanced descriptions of different types of people. This tradition has also contributed to
the development of detailed and complex descriptions of different kinds of challenges and
strengths that are associated with the different types, especially in the area of spiritual
development (Palmer, 1988, 1995; Palmer & Brown, 1997). In contrast to the attachment
typology, the Enneagram typology links different patterns of suffering with particular forms of
personal and spiritual strengths. This linkage results in broader, more encompassing portrayals of
While the Enneagram’s unique history has resulted in a typology that is rich in
knowledge about subjective experiences of people in both spiritual and human relationships, its
unorthodox (from the perspective of the positivistic tradition) development has also resulted in a
typology that is based on language, concepts, and practices that are foreign to western
psychotherapy traditions. The reliance on language, concepts, and practices drawn from ancient
spiritual knowledge systems and traditions limits the usefulness of the Enneagram as an MFT
Effective Typologies
Typologies are cultural constructions that allow for the categorization of objects
according to relevant variables. Humans construct typologies because they are useful tools for
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gathering, comprehending, and applying information about complex systems, including human
systems (Mandara, 2003; Robins, John & Caspi, 1998). Personality typologies are used in MFT
and other branches of psychotherapy because some clinicians find that they increase the
effectiveness of the therapeutic process (Totton & Jacobs, 2001). When typologies are useful,
they reveal patterns of characteristics that would not be visible in the absence of the
complex systems such as individuals, couples, and families are the subject of investigation,
because change in these systems are often non-linear, and cannot be fully understood using non-
systemic approaches (Mandara, 2003). While both the attachment typology and the Enneagram
typology are effective models for use in MFT, the effectiveness of each is limited in different
ways.
Totton and Jacobs (2001) identify five characteristics that a typology should possess if it
is likely to be an effective tool for use in psychotherapy. Most importantly, a typology should
have the power to reveal relevant patterns of characteristics in clients. It is the recognition of
differences in patterns of characteristics among different categories that provides the explanatory
power of typologies. The second criterion for an effective typology is that it should be coherent.
When a typology is coherent, the categories that comprise the typology are distinct, yet clearly
related to each other in a meaningful way. An important component of coherence is the number
of categories making up the typology. If there are either too many or too few categories,
The third criterion is that the typology should contribute to a greater understanding of the
individuals being categorized than would be possible in the absence of the categorization. This
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increased understanding occurs because the typology adds the new knowledge about relevant
patterns to everything that is already known about the individual. This point is important because
simplification of individuals (Totton & Jacobs, 2001). When use of a typology results in a loss of
information about the individual (including stereotyping), this would be an indication of either an
The final two criteria are closely linked. An effective typology should contribute to an
increased ability to predict clinically relevant information, and by extension, should serve to
generate useful treatment strategies. The ability to predict relevant information arises out of the
revelation of patterns created by the typology. In this sense, an effective typology is used like a
trail map. If the client’s current location on the map can be located, then the pattern shows where
the client was previously, and where the client is going to be next, unless the pattern is changed.
Totton and Jacobs (2001) organized their discussion of effective typologies around the
requirements of clinical practice, and did not address research implications. However, a typology
that is not constructed in such a way as to allow for scientific research will be limited in its
usefulness as a clinical tool. This is because the process of scientific research allows for linkages
to be made between the knowledge gained from the typology with knowledge gained from other,
related research agendas. Therefore, a sixth criterion should be included when evaluating the
methods.
Using Totton and Jacob’s (2001) criteria, both the attachment typology and the
Enneagram typology are complete, coherent, and useful. Both typologies reveal patterns of
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characteristics that therapists have found to be useful clinically. Both typologies contribute to
increased understanding of individuals, couples, and families. Both typologies provide maps that
assist therapists in assessing clients, making clinical predictions, and devising appropriate
treatment strategies.
positivistic (Miller, 2004) research agenda that has led to a neglect of attention to subjective
qualities associated with the different styles. In contrast, the Enneagram typology is limited by a
non-traditional history that has established very few links with traditional qualitative or
quantitative research. This has led to an isolation of the field of Enneagram studies from the
larger community of psychotherapy practice and research, including MFT practice and research.
Research Questions
The purpose of this dissertation was to develop a more complex, nuanced attachment
typology for use in MFT by integrating the existing attachment typology with the Enneagram
typology. Two research questions were developed to guide this research. The first question
addressed the internal validity of the integrated typology. In typological analyses, internal
conceptual model occur more frequently in a sample than would be expected by chance (von
Eye, 2002). Therefore, the research question that was developed to investigate the internal
validity of the integrated typology was, “Do patterns of characteristics of the attachment types
The second research question addressed the external validity of the integrated model. In
typological analyses, one way of assessing external validity is by using the integrated typology to
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make predictions about a variable of interest that is not part of the conceptual model (Mandara,
2003; Smith & Foti, 1998; von Eye, 2002). The issue of external validity also addresses the
clinical usefulness of the integrated typology. If the integrated typology contributes to increased
understanding of an unrelated variable, then the model has the potential for being clinically
useful in a way that neither of the original typologies could be alone. The question that was
developed to guide the assessment of external validity of the integrated typology was, “Does the
integrated typology contribute to knowledge about different patterns of anxiety and avoidance
some kind (Mandara, 2003; von Eye, 2002). For example, Lienert, Reynolds, and Lehmacher
(1990) integrated Eysenck’s (1953) personality typology with Cattell’s (1972) personality
In the present study, the attachment typology and the Enneagram typology appear to
share an underlying structure based on attentional processes that develop in the context of early
childhood relationships with caregivers. In addition to this shared focus on attentional processes,
there are striking similarities among some of the prototypes used in the two typologies.
Prototypes are abstract exemplars, or constructs, that identify the essential qualities that are
necessary for membership in each of the categories of the typology (Mandara, 2003). Members
of a category need not share all the qualities of the prototype, but they must share the essential,
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[A] German Sheppard-like dog may represent the prototype for the concept dog. Dogs
vary to the degree that they fit the prototype. However, there are core factors that are
most important for being a member of a type. Therefore, every dog may not be an
exemplar of the dog concept, but they do have the core properties that make them a
dog. (p.133)
Bartholomew and Horowitz (1991) developed four prototypes of attachment styles based
on the work of Hazan and Shaver (1987) in the context of their research on adult attachment
processes. Bartholomew’s prototypes are widely used as a foundation for research on attachment
styles (Bartholomew & Shaver, 1998). Daniels and Price (2000), Palmer (1988), and Palmer and
Daniels (2003), have developed prototypes of the nine Enneagram types for didactic use. Table 1
summarizes the similarities between Bartholomew and Horowitz’s prototypes for the Dismissing
Avoidant type, the Preoccupied type, and the Fearful Avoidant type, and Palmer’s Observer
(Enneagram Type Five), Giver (Enneagram Type Two), and Loyal Trooper (Enneagram Type
Six).
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Table 1
Attachment Style (Bartholomew & Horowitz, Enneagram Attention Style (Palmer, 1988)
1991)
Dismissing Avoidant The Observer (Type 5)
I am comfortable without close emotional Detached from love and charged emotion. Needing
relationships. It is very important to me to feel privacy to discover what they feel. Separated from
independent and self-sufficient, and I prefer not to people in public, feeling more emotional when
depend on others or have others depend on me. they’re by themselves…As a psychological strategy,
detachment minimizes contact
The similarities among some of the prototypes of the two typologies, in addition to a
shared emphasis on attentional processes that develop in the context of childhood relationships
with caregivers, suggest that the two typologies may be compatible (Mandara, 2003; Smith &
Typological Analysis
This study used a typological analysis approach (Mandara, 2003; Robins, John, & Caspi,
1998; von Eye, 2002) as a way to conceptually integrate the attachment typology and the
Enneagram typology, and to empirically test the resulting integrated typology. Typological
analysis methods are especially appropriate when the researcher wants to view the study subject
(individual, dyad, or family) as a whole, indivisible system. This is because typological analysis
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is a person centered approach, as opposed to a variable centered approach (Mandara, 2003;
Robins, et al., 1998; von Eye, 2002). Person centered approaches focus on patterns of variables
within subjects with the goal of categorizing subjects based on similarities and differences
arising from these internal patterns (Mandara, 2003; Robins, et al., 1998; von Eye, 2002).
Variable centered approaches focus on the relationship between variables, with the goal of
categorizing clusters of patterns of relationships among variables. The Five Factor Model (FFM)
in psychology is a familiar example of the variable centered approach (Robins, et al., 1998).
While typologies have been used for thousands of years in folk psychology traditions
(Koss-Chioino & Hefner, 2006), the typological approach is also well established as a method of
approach is useful in cases such as the present study, when the researcher wants to integrate
knowledge accumulated by traditional scientific methods, as is the case with the attachment style
model (Castillo, 2001; Fischer, Jome, & Atkinson, 1998; Mandara, 2003).
Methodological Procedures
and more effective typology (Mandara, 2003). In the present study, the typological analysis
brought together the characteristics of the attachment typology categories, defined by anxiety and
avoidance, with the characteristics of the Enneagram categories, defined by focus of attention.
The categories that comprised the resulting integrated typology were richer and more complex
because they integrate two separate, differentiated patterns into one more complex, integrated
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Configural Frequency Analysis. The methodology that was used in this dissertation was
based on Configural Frequency Analysis (CFA) (von Eye, 2002). CFA focuses on
conceptualizing and testing similarities and differences of configurations of variables within and
between groups of subjects. In CFA, a configuration is defined as, “the ensemble of categories
that describe a cell of a cross-tabulation” (von Eye, 2002, p. 5). In the present study, the
categories that were cross-tabulated were the categories of the attachment typology and the
Enneagram typology. Three separate CFA hypotheses were developed to test the internal validity
of the integrated typology. The first two hypotheses addressed the pattern of configurations of
focus of attention and avoidance, and focus of attention and anxiety. The third hypothesis
addressed the pattern of configurations of focus of attention, anxiety, and avoidance combined.
The first two hypotheses were tested using Analysis of Variance (ANOVA) tests, and the third
The final step in a typological analysis is to explore the utility (Smith & Foti, 1998) or
external validity (von Eye, 2002) of the integrated typology. Whether conceptualized in terms of
utility or external validity, the point of this final step is to investigate whether the newly defined
effectiveness as a psychotherapeutic tool (Totton & Jacobs, 2001), the new typology should yield
therapist’s ability to predict clinically relevant information, and should contribute to the
generation of new treatment strategies. In the present study, the issue of the clinical relevance of
the integrated typology was addressed by investigating differences among the categories with
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Philosophical Assumptions
Attachment theory and the Enneagram were developed at different points in history, for
different purposes, and under different philosophical assumptions about epistemology and
ontology. However, the two typologies share an underlying agreement about human
development processes and the nature of human consciousness. Specifically, both typologies,
The model of consciousness that has most influenced western thought, including
scientific thought, is Kant’s approach. Kant found that reality cannot be experienced directly.
Rather, humans construct a model of reality and interact with this model. As explained by
Forman (1999):
In his Critique of Pure Reason, Kant maintained that we cannot experience reality in
For Kant, human consciousness is not dual. Instead, duality exists in the structure of the
universe itself. Reality exists, but the human mind cannot experience reality directly, so there are
two things: reality, and consciousness of reality. In Kant’s model, there is no question of
experiencing reality directly, so there is no discussion of what part of the human would do such a
thing.
Other philosophers, while not holding the influence on western thought that Kant has,
have identified human consciousness, rather than reality itself, as inherently dualistic. Forman
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[I]n his analysis of the human situation, Sartre suggests that in every perception there
nonpositional self-awareness. The two are always encountered together, yet are of
mistake: we are not truly our roles, and we all intuitively know it (p.155).
Consciousness is double. By one and the same consciousness, you are aware of some
object and simultaneously aware of yourself as the aware subject”. (p. 20)
awareness, Helminiak finds reflecting and non-reflecting consciousness. Both are addressing
consciousness as having two distinctly different, yet intimately linked parts. One part is aware of
being aware. The other part is aware of objects of consciousness. In this dualistic model of
consciousness, attention describes the ability to identify which part of consciousness is currently
being inhabited. The ability to shift back and forth between awareness of objects and awareness
of being aware is an important part of both the attachment typology and the Enneagram
typology, though it is more heavily emphasized in the Enneagram model (Mikulincer & Shaver,
2003).
Development of Consciousness
consciousness is assumed to occur along two lines, in accordance with its dual nature. In each
case, the type, which actively constructs reality, is conceptualized as a relatively stable pattern of
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thoughts, emotions, and sensations (Funder, 2001) that develops in early childhood and that
almost all people are capable of recognizing as a “me” separate and unique from other people
(Habermas & Bluck, 2000). This personality type is socially constructed in that it develops in the
context of social relationships and its development is inseparable from the development of
unconstructed, or greater, reality (Helminiak, 2001). The witnessing observer is the non-
constructed, non-active part of human consciousness. The witnessing observer is the part of
human consciousness that is capable of observing the personality itself (Siegel, 1999).
consciousness takes the form of the conscious and the unconscious mind, shaped by evolutionary
forces to enhance survival (Bowlby, 1969/1982). From an attachment theory perspective, human
consciousness is thought to have been shaped by evolution to support attachment processes at all
costs, much like breathing. Like breathing, attachment processes operate in the unconscious
mind, because they are so essential to survival. Just as attention can be brought to the breath,
attention can be brought to attachment processes. Just as the breath can be regulated once
attention has been brought to it, so can the attachment processes be regulated by bringing them
under attention. In both cases, once attention moves on, the processes continue as before, outside
consciousness takes the form of the personality and the observer. The personality is
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behavior that are determined by the focus of attention. The observer is conceptualized as the part
of a person that has the capacity to observe the personality as it engages with the world (Palmer,
1988).
Nature of Reality
The two typologies being integrated in this dissertation can be categorized as occupying a
middle ground (Held, 2007) between the social constructivist and positivistic conceptualizations
of reality. This is because both typologies emphasize the role of attention management in the
development and maintenance of the types. From a social-constructivist perspective, the filtering
of information that results from different attention management strategies acts to shape the
reality that people inhabit, and as a consequence, each person’s reality is at least partially unique
(Werner-Wilson & Davenport, 2003). At the same time, there are universal attachment needs,
and universal strategies for meeting these needs. This means that the reality that humans inhabit
is also shared, in that reality for all humans is shaped by the need to attend to attachment
This chapter presented an explanation of the research problem and the purpose of the
study. This chapter also presented an overview of the methodology that was used to address the
research problem. Finally, this chapter presented the research questions and a discussion of the
The remainder of the dissertation is organized into four chapters. The second chapter
reviews literature on the development of attachment styles and Enneagram types, with a focus on
implications for relationship satisfaction. In the third chapter, hypotheses are developed to
address the research questions. The third chapter also presents the methodology that was used to
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collect and analyze the data. The fourth chapter presents the results of the data analysis. The fifth
chapter discusses the results in terms of the new integrated typology and addresses clinical
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Chapter Two: Literature Review
The purpose of this chapter is to review relevant literature on the attachment typology
and the Enneagram typology. This review focuses on highlighting similarities between the two
traditions in terms of their shared focus on attentional processes as an underlying structure of the
types.
Attachment Theory
relationships through the identification, categorization and remediation of problems that people
encounter in their love and work lives. Just as Freud’s work marked a drastic departure from
marked a drastic departure from the established psycho-analytic approach to psychology that was
paramount in western culture when Bowlby did his original work (Ainsworth & Bowlby, 1991;
Main, 2000). Prior to Bowlby’s work, the field of psychology, in the tradition of Freud, had
organized models of human health and suffering around a belief that children’s inner worlds
What made Bowlby’s work an important break with established psychological science
was his insistence on, and evidence for, the reality of children’s (and by extension) adults’
experiences. Bowlby insisted that what went on in a person’s internal world was systematically
linked, through the imaginative capacity, with real things in the objective world (Ainsworth &
Bowlby, 1991). Both Freud’s and Bowlby’s theories put the child’s imagination at the center of
development. But the Freudian tradition was organized around the necessity of helping adults to
see that the imagination was disconnected from reality. In contrast, in Bowlby’s theory, the
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imagination is the mechanism that allows the child to maintain proximity to his or her caregivers,
Over the course of thousands of emotional interactions between the child and the parent,
an attachment style develops. Attachment styles are stable patterns of interrelated thoughts,
emotions, and behaviors that have been empirically linked with differences in childhood
relationships with caregivers (Shaver & Mikulincer, 2005). Attachment styles first develop as a
shared pattern between the caregiver and the child, such that the baby may have different
attachment styles with different caregivers. As the child matures, the attachment style coalesces
into a stable personality pattern that is less susceptible to change from one relationship to the
next (Shaver & Mikulincer, 2005). Although attachment styles in adults are intrapersonal
patterns, they can be influenced by the attachment styles of others an individual is in close
relationship with (Mikulincer & Shaver, 2007). In this sense, attachment based therapies are truly
systemic, because changing the attachment pattern at any level of the family creates change at
behavior in these early relationships is characterized by “safe haven behavior” in which the
infant turns to the parent when afraid or distressed, and “secure base behavior” in which the
infant uses the parent as a base from which to explore the environment (Cassidy, 1999). Even in
these very early relationships, the baby actively chooses its attachment partner, and actively
22
The baby is able to engage in attachment behavior by developing internal working
models. Internal working models are attentional filters that develop in the course of repeated
interactions with caregivers to allow for rapid and largely unconscious monitoring of the parent’s
whereabouts, availability, and state of mind toward the baby (Bretherton & Munholland, 1999).
While a young child has independent working models for each caregiver, by later childhood
these working models coalesce into a generalized internal model of attachment that is carried
forward into adulthood. This generalized internalized working model then shapes the adult’s
experience of the self, of attachment partners, and of adult romantic relationships (Crowell,
Fraley, & Shaver, 1999; Pietromonaco & Barrett, 2000). Ainsworth (1967)describes the essence
This internalized something that we call attachment has aspects of feelings, memories,
wishes, expectancies, and intentions, all of which…serves as a kind of filter for the
Bowlby developed the concept of internal working models out of his study of information
processing theory (Ainsworth & Bowlby, 1991; Bowlby, 1969/1982). Bowlby noted that all baby
animals are born with, or quickly learn, adaptive responses to danger. For very simple animals,
this response is very simple (move away from pain). For more complex animals, the responses
become more complex (e.g., run up a tree, keep up with the herd). For humans in particular,
Bowlby believed that the problem of responding to danger was especially complex. Bowlby
noted two key reasons for the special complexity of the human infant’s learned response to
23
danger: the necessity for future orientation and the necessity for exploring the environment
(Bowlby, 1969/1982).
Necessity for future orientation. Human infants, unlike most other baby animals, find
safety in being picked up and carried by their caregiver, rather than moving away from danger on
their own. Bowlby noted that this form of protection causes special problems because humans
are constantly moving around. This means that even more than knowing where a caregiver is in
the present moment, the baby must be able to anticipate where the mother will be in the next
Necessity for exploring environment. Bowlby also noted that humans, more than perhaps
any other animal, survive by being behaviorally adaptable. Humans are able to do this because
human brain development is oriented toward being greatly influenced by the context in which it
develops (Hrdy, 1999). This means that a young child’s brain integrates with its environment and
so is extremely well adapted to that particular environment. But in order for this integration to
occur, children must be able to actively explore the environment in which they are living and
The structure of internal working models reflects the dual and often contradictory
necessities of being future oriented in order to ensure protection from harm, and being present
oriented in order to be able to explore novel situations. The necessity for future orientation
results from the need to know where the parent is at all times, including anticipating where he or
she will be in the future. The necessity for present orientation results from the need to explore the
environment. Bowlby saw the attachment system as an elegant solution to this complex
attentional problem (Bowlby, 1973). The original attachment system, shared between the child
and the parent, is a homeostatic system, regulating the attention of both partners (but especially
24
the child’s) so that the child can simultaneously monitor the parent’s availability and also engage
toward the availability of the parent, while in relaxed situations the system is oriented more
relationships, Bowlby also noted that babies can learn to defensively exclude attachment related
information. Again drawing on information processing research, Bowlby noted that humans
selectively exclude available but irrelevant information as a way to cope with the infinite amount
of information that is constantly impinging on the system. Bowlby theorized that this capacity to
selectively exclude information is used in attachment relationship with, “the goal of warding off
perceptions, feelings, and thoughts that would otherwise cause unbearable anxiety and
manipulation of attention that a child must engage in when he or she is forced to “not know”
something that she or he does know. For example, when a child is forced to “not know” that she
or he is being abused, or that his or her parent is extremely unhappy (Bowlby, 1988). However,
Bowlby theorized that attention manipulation plays a role in all attachment relationships, not just
traumatic ones. Research by Mikulincer and Shaver (2003) on differences in attention according
to attachment style provides empirical support for Bowlby’s hypothesis that manipulation of
attention is used to regulate all attachment relationships (see also Hadley, 1985; Magai, 1999;
Main, 2000).
25
Childhood Attachment Patterns
Mary Ainsworth used Bowlby’s initial writings as an organizational framework for her
empirical work, conducting observational research on parent child interactions in both Uganda
(Ainsworth, 1967) and in the United States (Ainsworth, Blehar, Waters, and Wall,1978). In
addition, and more famously, she developed a now widely used laboratory based protocol for
assessing parent - child attachment, the Strange Situation Procedure (Ainsworth et al., 1978).
Through her naturalistic and laboratory work, Ainsworth was able to identify individual
differences in attachment styles. Ainsworth demonstrated that these differences fell into three
broad patterns of parent - child interactions which she labeled as secure, insecure-avoidant, and
variations on the basic types, but did not have a large enough sample size to quantitatively
attachment patterns, Ainsworth found that there were two underlying dimensions to the patterns.
Right from the start, Ainsworth’s three major attachment “types” could be conceptualized
closeness and dependency) and Anxiety (crying, failing to explore confidently in the
absence of mother, and angry protest directed at mother during reunions after what
These underlying dimensions are associated with complex strategies for attaining
attachment related goals (Shaver & Mikulincer, 2005).The avoidance dimension is associated
with a strategy used by a child who is overwhelmed, physically or emotionally, by the parent, or
26
alternatively, by a child who is consistently ignored (Ainsworth, et al., 1978; Siegel, 1999). Use
of this strategy involves “deactivation” of the attachment system (Magai, 1999). An avoidant
child appears to be paying attention to objects other than the mother (for example, the child
might appear to be absorbed with playing with a toy and oblivious of the parent). The logic of
this strategy is that it allows the child to maintain at least minimal contact with the parent
without being overwhelmed with emotion (Siegel, 1999). As can be seen from this example, the
deactivated, but rather is dampened, to allow for a minimal attachment connection. Shaver and
Mikulincer (2005) define this as a secondary strategy, which is used when the primary, secure
In contrast to the avoidant dimension, the anxiety dimension is associated with a strategy
employed by a child whose parent is inconsistently responsive to the child’s needs (Ainsworth et
al., 1978; Siegel, 1999), and use of this strategy involves “hyperactivation” of the attachment
system (Magai, 1999). This strategy is typically used by a child when the parent is inconsistent
with regard to meeting attachment needs. For example, sometimes the parent might notice that
the child needs attention, but other times the parent might be oblivious to the child’s needs. In
addition, this parent might also sometimes attempt to provide help or otherwise interfere with the
child when the child does not actually need anything at the moment. In response to this
inconsistency in the parent, the anxious child will basically remain anxious all the time,
constantly asking for attachment responses from the parent, whether anything is needed or not.
The logic of this strategy is that if the system is hyperactivated all the time, there might be a
chance of receiving attention when it is needed. Where the avoidant strategy is used by a child to
maintain attachment contact without being overwhelmed emotionally or physically, the anxiety
27
strategy is used by a child in an attempt to maximize attachment related attention at all times, in
In both cases, the strategies are organized around the management of attention. In the
avoidant strategy, attention is directed away from the attachment figure and attachment related
thoughts and feelings, and towards other objects such as toys. In the anxious strategy, attention is
kept on the attachment figure and the experience of distress, and away from other objects.
Research on adult attachment styles began with qualitative investigations into whether
there were adult styles that mirrored the parent-infant styles identified by Ainsworth et al.
(1978). In order to study possible relationships between parent - infant patterns of attachment
behavior and parent’s experiences as children, Mary Main and her colleagues developed the
Adult Attachment Interview (AAI) (Hesse, 1999). This instrument assesses an adult’s coherence
of mind when speaking about memories of childhood interactions with parents. This research
focuses on unconscious mental processes. Research using the AAI has found the same three
particular, research using the AAI reinforces the role of attention in different attachment styles.
– 428)
Building on the work of Bowlby and Ainsworth, Hazan and Shaver (1987) also began
experiences with their own parents, they focused on adult romantic relationships. Hazan and
28
Shaver demonstrated that adults have attachment styles regarding romantic relationships that
mirror the parent-infant patterns identified by Ainsworth (1978). Hazan and Shaver labeled these
three distinct adult attachment styles, “secure,” “insecure avoidant,” and “insecure preoccupied.”
This initial work led to an explosion of research on adult attachment styles using self-report
methods (see Bartholomew & Shaver, 1998; Hazan & Shaver, 2004; Shaver & Mikulincer, 2004,
for reviews).
Hazan and Shaver’s (1987) three style model was refined and expanded by Bartholomew
and Horowitz (1991) into a four category model, with the inclusion of the “insecure fearful
avoidant” type. This model was significant because it recast adult attachment into the same two
dimensional space that Ainsworth and her colleagues conceptualized for parent – infant
Brennan, Clark, and Shaver (1998) conducted a study of all available self-report
measures of adult attachment and found additional support for Bartholomew and Horowitz’s
(1991) four category model defined by the two orthogonal dimensions of anxiety and avoidance.
Brennan et al. found that the anxiety dimension taps an individual’s anxiety about abandonment
or insufficient love, while the avoidance dimension taps an individual’s avoidance of intimacy
and emotional expression, distrust of relationship partner’s goodwill, and desire to maintain self-
reliance.
Though Hazan and Shaver began their investigations into adult attachment styles by
focusing on romantic attachments, there is compelling evidence that adult attachment styles
apply to not just romantic relationships, but generalize to all important adult relationships (Hazan
& Shaver, 1990; Shaver & Mikulincer, 2005). Fraley, Waller, and Brennan (2000) have
developed a four quadrant model that can be used to map an individual’s anxiety and avoidance
29
regarding attachment relationships. Using this model, a person’s attachment style can be
described as high anxiety, low avoidance; high anxiety, high avoidance; low anxiety, high
The Enneagram
theory, focusing on how differences in the organization of attention in childhood in the service of
the relationship with the caregiver lead directly to specific challenges and problems in adulthood.
Unlike attachment theory, the Enneagram model also conceptualizes differences in childhood
development also giving rise to specific strengths and talents, including specific spiritual talents
the west by G. I. Gurdjieff (Blake, 1996). Like the attachment typology, the Enneagram
Blake states:
guises as goal-seeking, autonomous behavior, and discrete changes of order – and there is
because Gurdjieff did not have the concept of information, especially as it began to
While its origins remain much debated, there is evidence that the Enneagram was used by
nonliterate people in Middle Eastern culture as a way of sharing and preserving knowledge about
spiritual development that had been discovered through observations of self and nature (Bennett,
30
1914/1983; Blake, 1996; Rohr & Ebert, 2004). The passions of the Enneagram typology were
originally identified by Evagrius Ponticus, a Christian monk who lived in the Egyptian desert
around 300 C.E (Rohr & Ebert, 2004). Evagrius wanted to know why monks sometimes
abandoned their spiritual vows and their monastic communities, after making great sacrifices to
adopt the desert way of life. Evagrius conducted extensive interviews with monks in order to
determine the source of the problem. He succeeded in identifying and cataloguing eight specific
hindrances which he called “thoughts” (Harmless & Fitzgerald, 2001, p. 507) and referred to as
the “eight evil thoughts” (p. 507). The ninth hindrance, fear, was seen by Evagrius to be an
Evagrius believed these “evil thoughts” caused suffering for the monks because they
acted to “incite the passions” (Harmless & Fitzgerald, 2001 p. 516). Passion in this sense refers
to the emotional state that is the opposite of apatheia. Apatheia was a term that the desert fathers
borrowed from the Greek stoics. It does not hold the same meaning as the English “apathy”
Evagrius’ apatheia is not some Stoic ideal of imperturbability. It is a relative calm on the
far side of the storm- a realistic calm that still must face the daily upsets of life.
Although Evagrius’ evil thoughts were later reconceptualized by the Christian church as
the seven deadly sins, for Evagrius, these evil thoughts were not sins in the modern sense
because they were not the result of any action on the person’s part. Rather, they came unbidden
and served to pull the person’s attention off of contemplation of God and onto the troubling
experience of the passions. Evagrius’ remedy for these evil thoughts was “watchfulness” or self-
31
observation (Harmless, 2004; 2008; Harmless & Fitzgerald, 2001). This emphasis on self-
observation has continued into the present as a keystone of Enneagram theory and practice.
personality types when he placed the seven deadly sins, first identified by Evagrius Ponticus, and
the seven virtues of Christianity, onto the Enneagram symbol in the 1970s. This placement of the
passions and corresponding virtues onto the Enneagram symbol marks the beginning of the
In addition to placement of the seven passions and their corresponding virtues, Oscar
Ichazo also added two other passion/virtue combinations to complete the nine pointed symbol.
The two passion/virtue combinations that Ichazo added were deceit/hope and fear/faith. Deceit in
this case refers to the personality’s sense of itself as a unitary, complete whole, without a
witnessing observer. In Ichazo’s model, fear follows naturally from the basic deceit that the
personality exists in isolation. Fear refers to the personality’s natural (and accurate) knowledge
that ultimately, “I will cease to exist” (Palmer, 2000). Adding to the modern Enneagram
typology, Claudio Naranjo, a psychiatrist who learned the about the Enneagram from Ichazo,
The Enneagram depicts a nine pointed figure inscribed within a circle. The numbers
indicate the position on the symbol that each personality type is associated with. The placement
of the Enneagram types on the symbol represents the conceptualized relationship among the
types. For example, Type One is located between Type Nine and Type Two on the circle. This
32
placement indicates that the characteristics of Type One are similar to the characteristics of both
Type Nine and Type Two. In addition, the interconnecting lines of the symbol are conceptualized
as representing interconnections among the Enneagram types, and are used to account for the
observation that the Enneagram types are dynamic, changing in specific ways in response to
different contexts and situations. Using Type One as an example again, Type One is connected
by the inner lines of the symbol with Type Four and Type Seven. This represents the
conceptualization that under circumstances of stress, Type One will “look like” (in terms of
typical thought and emotion patterns) a Type Four, and under circumstances of security, Type
Enneagram and attention strategy. One of the assumptions of the Enneagram typology is
that there are only three attentional strategies a person can engage in unconsciously. A person’s
attention will unconsciously move toward, move away, or “zone out” with regard to objects of
consciousness (Palmer, 1988). This assumption is represented on the Enneagram symbol by three
triads, or groups of types. The triad on the right side of the Enneagram symbol is called the Heart
triad and includes Types Two, Three, and Four. This triad is associated with emotion-centered
information processing, and with the “moving toward” bias. The triad on the left side of the
33
Enneagram symbol is called the Head, or Mental, triad, and includes Types Five, Six, and Seven.
This triad relies especially on mental-centered information processing, and is associated with
“moving away”. Finally, the triad at the top of the Enneagram is called the Body triad and
includes Types Eight, Nine, and One. This triad is associated with body-based information
processing, and with a bias toward attentional “zoning out” or “falling asleep” (Palmer, 1988).
Body Triad:
Zoning Out
Palmer’s (1988, 1995; Palmer & Brown, 1997) conceptualization of the Enneagram
typology is based on the observation that each different type has a distinct focus of attention.
Palmer conceptualizes the types as developing around these foci of attention and corresponding
blind spots early in childhood in order to regulate strong emotions such as fear, anger, and grief
that the child experiences in the context of relationships with parents and other caregivers. The
focus of attention serves the purpose of filtering and shaping information, and ultimately of
In addition to the focus of attention and the corresponding blind spot, each type is also
associated with a particular passion and habitual thought pattern (Palmer 1988; Palmer & Brown,
34
1997). Together, these elements form a system that maintains the stability of the personality type
(Funder, 2001). The passion is conceptualized as a basic emotion that, for whatever reason
(including possibly genetic predisposition) was not adequately regulated in early attachment
relationships (Schore, 2000, 2002). In order to cope with this unregulated emotion, the child
develops a focus of attention that diverts thoughts, emotions, and behaviors away from the
unregulated emotion and onto something else. This focus of attention allows the child to
maintain close family relationships without being overwhelmed by the unregulated emotion
(Schore, 2000, 2002; Siegel, 1999). This focus of attention also leads to the development of a
stable pattern of thoughts (habitual thought pattern) that is conceptualized as a strategy for
attempting to solve the problem created by the unresolved emotion (Greenberg, 2008). Finally,
the focus of attention also leads to the development of a blind spot, defined as a sector of
attachment related experience which is excluded from consciousness. The blind spot is
conceptualized as a strategy for keeping the habitual thought pattern in place, looking for a
solution to the unresolved emotion, without actually ever accessing the problematic emotion
itself (see Greenberg, 2008, for a similar conceptualization of emotion and cognition used in
Emotion Focused Therapy). Table 2 summarizes the core emotion (or passion), focus of
attention, habitual thought pattern and blind spot for each of the nine types.
35
Table 2
As noted above, the Enneagram typology is centuries old, and has apparently been used
by nonliterate as well as literate cultures. Over time, a variety of different knowledge traditions
have developed around the Enneagram symbol (e.g. Blake, 1996; Naranjo, 1990; Palmer, 1988;
Riso & Hudson, 2006; Rohr & Ebert, 2004). As popular interest in the Enneagram has grown,
descriptions of the Enneagram typology have proliferated at a rapid pace in published literature
and on the internet. At the same time, relatively little traditional, scientific research has so far
been conducted on the Enneagram typology, leading to a somewhat chaotic state of the field of
Enneagram studies at the present time. However, despite the relative chaos of the field,
descriptions of the nine Enneagram prototypes are remarkably stable. In other words, a person
who learned the Enneagram typology in one tradition or source would not have much difficulty
36
in recognizing the nine types in the writings of other traditions and sources. Table 3 provides an
Table 3
Comparison of Descriptions of Enneagram Types
Palmer & Brown, Riso & Hudson Totton & Jacobs (2001) Wyman (1998)
(1997) (2006)
Type Diligent, ethical, Principled, Critical of self and Internal critical
One practical, angry purposeful, others; finds it hard to voice, black and
self-controlled, relax and enjoy; good white thinking
perfectionist organizer
Type Helpful, Demonstrative, Active, generous, Anticipates
Two empathetic, generous, optimistic; compulsive other’s needs,
manipulative, people-pleasing, carer who ignores own serving, giving,
prideful possessive needs helping
Type Efficient, Adaptive, High energy Image, facade,
Three persuasive, excelling, driven, workaholic; persuasive, goal
chameleon like, image-conscious competitive, success- oriented
deceptive oriented, good leader;
out of touch with
feelings
Type Dramatic, unique, Expressive, Artistic, passionate, Unique, longing,
Four melancholy, dramatic, self- empathic, feeling- self absorbed,
envious absorbed, centered; searching for concerned with
temperamental meaning and loss/abandonmen
partnership t
Type Private, Perceptive, Detached and Observer, simple
Five observant, innovative, objective; very private, needs, quiet
detached, secretive, isolated needing solitude; voice, withdraws
withholding compartmentalized,
intellectual
Type Six Loyal, Engaging, Anxious and suspicious Loyal, doubtful,
questioning, responsible, of life; dislikes and fearful, hyper
vigilant, fearful anxious, suspicious questions authority vigilant,
Type Optimistic, Spontaneous, Charming and elusive; Eternal optimist,
Seven futuristic, versatile, ‘Peter Pan’ type who playful,
scattered, distractible, excludes enthusiastic
gluttonous scattered unpleasantness
Type Territorial, Self-Confident, Assertive, all-or- Confrontational,
Eight confronting, decisive, willful, nothing approach; all or nothing,
protective, confrontational either a leader or controlling
trustful rugged individualist;
fighter for justice
Type Ambivalent, Receptive, Peacemaker who Merge with
Nine agreeable, reassuring, understands everyone’s others, peace at
stubborn, self- agreeable, point of view (except all costs,
forgetting complacent their own); busy but mediator,
procrastinating peacemaker
37
Strengths and Talents Associated with Differences in Attention
Although the foci of attention of the nine types are conceptualized as strategies for coping
with unregulated emotion in childhood relationships with caregivers, these foci of attention are
also conceptualized as giving rise to specific intuitive strengths and talents (Palmer, 1988).
Taking Type six as an example, a child who often felt frightened, but did not often feel reassured
by the parent, might develop a relationship pattern characterized by excessive doubt about the
ability or willingness of the parent to provide safety. As the relationship pattern between the
child and the parent solidified over thousands of interactions, the emotion of fear would recede in
awareness as the doubtful thoughts became more and more prominent. The emotion of fear
becomes the core passion when it becomes the central, but completely unconscious, focus of the
child’s experience of relationship with the parent. While the emotion of fear becomes less
accessible to consciousness, the accompanying doubtful thoughts become more accessible, to the
In the case of Type Six, this doubt would be accompanied by either a complete
the time this child becomes an adult, the doubtfulness will have become an integral part of the
personality. Typical problems that at Type Six might bring to therapy are difficulty trusting in
close relationships, difficulty with authority figures, difficulty acting for self, and difficulty
sustaining success (Palmer, 1988). Relationship strengths that a Type Six would typically bring
to therapy are a capacity for loyalty in close relationships even under very difficult
In addition to the personal difficulties, challenges, strengths, and talents that are
characteristic of each type, each type is also associated with specific emotional and mental
38
virtues. These mental and emotional virtues are seen to be separate from, but related to, the
personal strengths and talents the child develops in the context of early attachment relationships.
Staying with the example of Type Six, the fearful child’s constant preoccupation with issues of
danger and insecurity act to concentrate the child’s attention in a way that is similar to formal
practices of meditation or prayer. In formal meditation, attention is returned again and again to a
For a fearful child, attention is returned again and again to the attachment figure, in an
attempt to feel safe. While the personality develops in the context of this human relationship, the
child’s attention is also being trained to sustain attention on a transcendent object (safety), which
is a spiritual process. For the Type Six, this means that developing in parallel to the child’s
ability to sustain a personal relationship with an unreliable (from the child’s perspective) parent
(an attachment task), is the ability to sustain a personal relationship with a transcendent object (a
spiritual task). In the Enneagram model, the spiritual skills that the Type Six child develops are
courage and faith. In this model, personal strengths and problems are seen as developing as
coping mechanisms for dealing with the world of human attachments in which the child lives.
The spiritual skills develop in the same context, but are concerned with transcending the
constructed world, and being in relationship with a spiritual reality (Palmer, 2007).
The child’s placement of attention on one specific aspect of the attachment relationship
can be conceptualized as a form of meditation, in which attention is returned again and again to
the same object. As a side effect of this attachment related focus of attention, the child also
develops other attentional skills that are useful in everyday life, and are seen in the Enneagram
model as specific spiritual talents. Another side effect of the development of specific habits of
39
attention is the development of specific challenges and difficulties in relating to the self and
others. The clinical benefit of mapping these type-related strengths and challenges is that they
can be used in attachment based therapies to make sense of strong emotions that arise in the
process of working with attachment relationships (Greenberg, 2008; Johnson & Whiffen, 2003).
Table 4 summarizes examples of strengths and related challenges for each Enneagram type.
Table 4
40
Clinical Use of Typologies
Personality typologies have been used to understand and solve problems in human
relationships for thousands of years (Koss-Chioino & Hefner, 2006). While the beginning of
clinical use of typologies in modern western psychology is generally associated with Freud’s
personality categorization model (Koss-Chioino & Hefner, 2006), earlier cultures also developed
personality typologies in order to solve problems associated with spiritual relations, that is –
relationships with God or a greater reality. For example, ancient Buddhist psychology developed
a typology based on three basic actions that people can take: towards, away, or asleep. In
Buddhist psychology, these three basic types were identified by the different obstacles each type
faced in meditation (Goleman, 1996). Similarly, the history of Christianity includes detailed
investigations into how to categorize and treat human problems with relationships with God
(Harmless, 2004, 2008; Harmless & Fitzgerald, 2001). As with the Buddhist investigations of
typology, early Christian typologies were organized around categorizing human problems with
prayer or meditation.
Freud’s work marked a drastic departure from previous studies of psychology because he
took as his subject the improvement of relationships between people, rather than improving
human relationships with God. Freud identified the problems to be solved as problems that
people had in their love relationships and their work settings, rather than problems with prayer or
experiencing unity with a greater reality (Palmer, 1995). Yet Freud’s approach was the same as
many earlier spiritual psychologists. His study of psychology was organized around identifying
developed a personality typology that categorized people into types based on problems in the
original mother-child relationship, and described how each type faced unique obstacles
41
preventing the experience of mature, successful love and work relationships (Westen, Gabbard,
Depending on the problem being addressed, attachment typologies are used clinically to
address either intrapersonal patterns of thought, emotions, and behaviors, or changing patterns
shared by a couple, or patterns shared by a family (Byng-Hall, 1999). Attachment security has
been defined as, “the capacity to engage directly, flexibly, creatively, and actively in the solution
of interpersonal and intrapsychic attachment problems as they arise” (Bretherton & Munholland,
1999, p. 99), and secure patterns are patterns in which attachment related information is
accessible to members of the system without being minimized or magnified (Siegel, 1999). The
information that is most salient in most attachment based therapies is emotional information, and
secure patterns are characterized by an ability to identify and regulate intense attachment related
emotions as they arise (Johnson, 2004; Johnson & Whiffen, 2003). A key aspect to this secure
style of processing attachment related information is flexibility of attention, which allows for the
creation of coherent narratives about past and present attachment experiences (Kobak, 1999;
Main, 2000).
High anxiety, low avoidance pattern. For people who are highly anxious, attachment
related information is heightened and magnified (Mikulincer & Shaver, 2003). An example of a
highly anxious style is a person who continuously monitors his partner for signs that the partner
might leave, or might be dissatisfied with the relationship. This person might become very upset
over short periods of separation, and have difficulty receiving comfort and reassurance from the
partner.
42
High anxiety, high avoidance pattern. In the high anxiety, high avoidance pattern,
attachment related information is both excluded and magnified (Mikulincer & Shaver, 2003). An
example of a fearful-avoidant pattern is a person who is angry at his partner, wants to fight, but
also is afraid to fight. This person might deny being angry (an avoidant pattern) but at the same
time anxiously monitor the partner for signs that the partner is angry (an anxious pattern).
Low anxiety, high avoidance pattern. The avoidant style is one in which attachment
related information is excluded from the system (Mikulincer & Shaver, 2003). Awareness of
attachment related emotions is minimal, and narratives about attachment experiences are
is a person whose partner just left for a long overseas trip, but feels no sadness or anxiety about
being separated, and is perhaps contemptuous of another person who does experience those
Low anxiety, low avoidance pattern. While this pattern has traditionally been associated
with security (Johnson & Whiffen, 1999), this association is not fully supported by the literature
(Mikulincer & Shaver, 2007). It is possible that a low anxiety, low avoidance pattern may be an
attachment strategy, just like the other styles. If this were the case, then this style would be
characterized as neither actively monitoring nor appraising attachment related information, nor
actively moving away from attachment related experiences. Instead this style would involve
actively “zoning out” (Palmer, 1988) with regard to attachment related information. Because this
style still involves active management of attention with regard to attachment information, it is
not secure, in the sense described above. It is hoped that the integrated typology being developed
43
Attachment Style and Relationship Satisfaction
Traditionally, the low anxiety, low avoidance style has been conceptualized as the
normal, non-pathological state, while the other styles (high anxiety, low avoidance; low anxiety,
high avoidance; and high anxiety, high avoidance) have been conceptualized as problematic,
developing out of less than ideal attachment contexts, either in childhood, adulthood or both
(Ainsworth et al., 1978; Bowlby, 1973, 1987; Johnson, 2004; Makinen & Johnson, 2006). Thus,
the focus of clinical work has often been directed towards changing high avoidance, and/or high
anxiety attachment styles to a low anxiety, low avoidance style (Johnson & Whiffen, 1999).
In terms of empirical research, however, the picture is less clear. Following an exhaustive
review of the literature on attachment styles and relationship satisfaction, Mikulincer and Shaver
(2007) concluded that very little is yet known about how attachment style processes contribute to
relationship satisfaction. While it is clear that in general, insecure styles are associated with
lower relationship satisfaction, it is not yet clear what processes cause this association.
Researchers do not yet know whether attachment style influences relationship satisfaction, or
alternatively, whether relationship satisfaction influences attachment style (Mikulincer & Shaver,
2007).
Mikulincer and Shaver’s (2007) conclusion that relatively little is still known about the
relationship between attachment style and relationship satisfaction is important to the present
study because the integrated model being developed conceptualizes all individual attachment
styles, including the low anxiety, low avoidance style, as having potential for being associated
with relationship problems, because they are stable patterns of interacting that developed in
childhood, and may not be appropriate in the different attachment contexts encountered by the
adult. For example, a person with a low anxiety, low avoidance style who is in relationship with
44
a person who has a high anxiety style, might have low relationship satisfaction, even though their
own attachment style is considered to be non-problematic. This example reinforces the point
made by Johnson and Whiffen (1999) that both the individual styles of the partners, and the
relationship itself, must be addressed in attachment based therapies. This point provides some
context for the conceptualization, described above, of the low anxiety, low avoidance style as
also deriving from a particular form of restricted attention with regard to attachment related
information.
While attachment based approaches to therapy have been shown to be quite effective
(Johnson, 2007), in general this effectiveness is not strongly associated with change in
attachment styles. For example, Makinen and Johnson (2006) found that while couples who
completed treatment for attachment injuries improved in terms of trust and other outcome
measures, their anxiety and avoidance levels, or attachment styles (measured using the ECR-R),
did not change. Using a different measure of attachment security Levy, Meehan, Kelly, et al.
(2006) found that while borderline patients’ attachment narratives became more coherent after a
year of therapy, and thus were rated as secure, these patients were still rated as unresolved
regarding childhood trauma and loss. In addition, a study of how people with different
attachment styles make use of psychotherapy services found that people with secure styles use
psychotherapy services more than people with insecure styles (Riggs & Jacobovitz, 2002).
Taken together, these findings indicate that the relationship between attachment style and
clinical outcomes is still not well understood. Mikulincer and Shaver (2007) speculate that one
reason for this lack of clarity is that there may be important subgroup differences within the four
attachment styles that affect clinical outcomes. Mikulincer and Shaver give the example of the
45
high anxiety, high avoidance categorization: within the group of people who are categorized as
high anxiety, high avoidance, there may be two subgroups, one in which the high anxiety, high
avoidance configuration represents an organized personality pattern, and one in which the same
same logic, there could also be two subgroups within the low anxiety, low avoidance
categorization. One subgroup would consist of people who are secure in the sense that their low
anxiety and avoidance scores reflect comfort with attachment related emotions and the ability to
engage in relationship patterns that neither exclude nor magnify attachment related information
(Siegel, 1999). The other subgroup might consist of people for whom the low anxiety, low
avoidance pattern reflects an insecure strategy for manipulating attachment related information
to maintain a “zoned out” experience with regard to attachment information. The first three
hypotheses tested in this dissertation make use of this analysis of possible subgroup differences
Relatively little research has been conducted addressing use of the Enneagram as a
clinical tool. Among the studies that address clinical uses of the Enneagram, most are theoretical
works, without an empirical component. For example, Wyman (1998) developed a conceptual
model integrating the Enneagram typology with the Meyers-Briggs typology for use with
individuals. In Wyman’s model, the Enneagram types are thought to represent the darker aspects
of the personality, while the MBTI characteristics represent the strengths and talents of the
model of Energy psychotherapy. In this model knowledge of the different thought patterns
associated with different Enneagram types is seen as being a useful adjunct to the Energy model
46
of psychotherapy. Similarly, Tolk (2006) integrated the Enneagram typology with schema
therapy, in an effort to enhance the effectiveness of schema therapy. Bettinger (2005) uses the
relationship issues in polyamorous families of gay men. Finally, Matisse (2007) conceptualizes
the Enneagram typology as a tool that lends itself to integration with a wide range of counseling
theories.
Just two studies were identified that included an empirical component. Schneider and
Schaeffer (1997) conducted a qualitative study of sex addicts to explore relationships between
Enneagram type and addictive behavior, recovery, and therapeutic processes. Huber (1999)
examined relationships among Enneagram type, drug and alcohol abuse, and addictive and
depressive personality characteristics. Taken together, this literature indicates that the
Enneagram is being used clinically, and is being investigated empirically. However, the work
that has been done so far has barely scratched the surface of developing a coherent research
Summary
Although the attachment typology and the Enneagram typology were developed in very
different contexts, for different purposes, they share a focus on the importance of attentional
typologies, these attentional processes are identified as a primary force in the development and
maintenance of the patterns of thought, emotion, and behavior that define the types in each
system. While there are strong similarities between the two typologies, the Enneagram typology
is broader in the sense that it also describes strengths and talents associated with each different
47
type. In contrast, the attachment typology conceptualizes the low anxiety, low avoidance type as
being normal, while the insecure types are conceptualized as being problematic.
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Chapter Three: Methods
The purpose of this chapter is to present the research design that was chosen to
empirically develop, test, and explore the integrated typology that was introduced in Chapters
One and Two. After providing an overview of the research design, this chapter develops and
presents the hypotheses that were used to test and explore the new typology. Next, the rationale
for the sample selection and instrument is discussed, and a description of the data collection
procedure and data analysis is provided. The chapter concludes with a description of the sample
The research design for this study was divided into two parts. The first part focuses on
the development and testing of the integrated typology. The second part focuses on exploring the
utility of the new typology by using it to generate a hypothesis about the relationship between the
newly derived “EnneaAttach” categories and relationship satisfaction (Mandara, 2003; Smith &
In the typological approach being used in this study, the integrated typology to be tested
depicts the hypothesized relationship between two original typologies. The hypotheses about
how the two typologies fit together are derived using logic and existing knowledge about the
characteristics of the two typologies that are to be integrated (Mandara, 2003; Smith & Foti,
1998; von Eye, 2002). In the present study, the two typologies that are being integrated are the
attachment typology and the Enneagram typology. For the purposes of testing the integrated
typology, three hypotheses were developed. The first hypothesis predicts how the Enneagram
types vary in terms of avoidance. The second hypothesis predicts how the Enneagram types vary
in terms of anxiety. The third hypothesis builds on the first two hypotheses about anxiety and
avoidance to form a prediction about the overall categorization of the nine Enneagram types and
49
four attachment styles into four new categories, termed by the researcher EnneaAttach
categories.
Development of Hypotheses
Mikulincer and Shaver (2003) stress the importance of understanding that anxiety and
avoidance are two independent subsystems of the overall attachment system. As independent
subsystems, attachment and avoidance operate in parallel to each other, but can also have
feedback effects in which the action of one system affects the other system. For example, a
person might avoidantly withdraw from an emotionally charged attachment situation, but this
withdrawal could in turn increase attachment related anxiety. Mikulincer and Shaver (2003)
conceptualize the difference between anxiety and avoidance in terms of intensity and direction.
The anxiety dimension is associated with variations in the intensity with which a person monitors
and appraises attachment related information for relevance and meaning. The avoidance
dimension is associated with variations in the direction of movement, towards are away from,
avoidance as a function of movement serves as the foundation for the development of the first
two hypotheses.
the attachment system (Magai, 1999). People who are high on the avoidance dimension organize
their attachment related thoughts, emotions and behaviors in patterns that are organized to de-
emphasize the importance of attachment information. In addition, in the attachment typology, the
direction of attachment related behavior is specifically associated with the avoidance dimension.
People who are high on the avoidance dimension unconsciously manipulate their attention in
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ways that serve to move attention away from attachment related information (Shaver &
Mikulincer, 2003). As discussed in Chapter One, the Enneagram types are associated with
specific attentional directions (“toward,” “away from,” and “falling asleep”), regarding objects of
Enneagram symbol (Palmer, 1988). Translating these three attentional movements into the two
categories of high and low avoidance led to the prediction that Enneagram types positioned on
the left side of the symbol (associated with “moving away”) would be high in avoidance, while
Enneagram types positioned on the right side of the symbol (associated with “moving towards”)
Special case of categorizing Type Nine. In the Enneagram typology, Type Nine, “The
Peace Maker,” is a special case. Type Nine is located at the exact top of the Enneagram symbol.
In order to integrate the Enneagram typology, comprised of nine types, with the attachment
typology, comprised of four types, a decision had to be made about how to conceptualize Type
Nine in terms of the attachment style dimensions. The decision was made to conceptually split
Type Nine using the “wing” variable in the Enneagram symbol. The Enneagram wing refers to
the fact that each type has two adjoining types, one on the right and one on the left. While the
types are considered to be essentially categorical, the wings represent the dimensional aspect of
the Enneagram model, in that the characteristics of each type shade into the features of the
neighboring types (Palmer, 1988). For the present study, Type Nines with a One wing are
conceptualized as being on the right side of the Enneagram and are referred to as Type Nine
(wing One) while Type Nines with an Eight wing are conceptualized as being on the left side of
the Enneagram symbol and are referred to as Type Nine (wing Eight). Figure 3 illustrates Type
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Figure 3: Type Nine Wings
Type Nine
Because the types on the right side of the Enneagram are assumed to have a “moving
toward” bias and the types on the left side of the Enneagram are assumed to have a “moving
Figure 4 depicts the hypothesized relationship between Enneagram type and avoidance.
52
Hypothesis Two: Anxiety
attachment system. Individuals who are high on the anxiety dimension intensely engage in
mental, emotional, and physical monitoring and appraisal of information that is relevant to
concerns about whether attachment figures are available, close, and responsive. Availability,
High anxiety types. Qualitative descriptions of the Enneagram types indicate that some
types would be expected to be higher in attachment related anxiety than others. Types Two,
Four, Six, Eight, and Nine (wing Eight) have been identified as more likely to be high in anxiety
than Types One, Three, Five, Seven, and Nine (wing One).
On the right side of the Enneagram symbol (associated with “moving towards”) both
Type Two and Type Four are described as being highly interested in relationships, and
The world view of Type Two is: “people depend on my help; I am needed” (Palmer, 1995, p.
22). This world view is supported by a focus of attention on others’ needs, and a corresponding
lack of attention to the Two’s own needs. This focus on others’ needs involves intense
monitoring of others, in order to discern what is needed (Palmer, 1988). The world view of Type
Four is: “something is missing; others have it; I have been abandoned” (Palmer, 1995, p. 47).
This world view is supported by a focus of attention on what’s missing in the present, and a
corresponding lack of attention to what’s good in the present. This pattern of attention in Type
Four is also associated with hyper-vigilance about possible abandonment (Palmer, 1995). Both of
53
these attentional concerns suggest that Type Four would engage in high levels of monitoring and
On the left side of the Enneagram symbol (associated with “moving away”), Types Six
and Eight are both described as being concerned with issues of power and authority (Palmer,
1988, 1995). The key role of attachment figures as sources of authority was identified by Bowlby
(1979), but has received almost no research attention since then. Similarly, Palmer (1988) briefly
summarizes each Enneagram type’s relationship with authority, but does not provide a
discussion of why authority might play a central role in development of the types. While Bowlby
and Palmer seem to agree that authority plays an important role in development generally, in the
present analysis, Type Six and Type Eight stand out as having particularly distinct relationships
The world view of Type Six is: “the world is a threatening place; question authority”
(Palmer, 1995, p. 55). This world view is supported by a focus of attention on hazard. In
response, Type Six intensely monitors others in order to protect against being harmed or left
helpless by untrustworthy authority figures. This concern with authority in Type Six predicts
especially intense monitoring of attachment figures that are also seen as authority figures. The
world view of Type Eight is: “the world is an unjust place; I defend the innocent” (Palmer, 1995,
p. 71). This world view is supported by a focus of attention on power. Type Eight’s is intense
concern with issues of protection and justice predicts intense monitoring of attachment figures
that appear to be either in need of protection, or alternatively, threatening to dominate the Eight.
Low anxiety types. In contrast to Types Two, Four, Six, and Eight, prototype descriptions
of Types One, Three, Five, and Seven indicate that intense appraisal and monitoring of others is
not a key part of their attachment strategies. On the right side of the Enneagram symbol, Type
54
One and Type Three are both described as energetic, hard workers (Palmer, 1988, 1995). The
world view of Type One is: “the world is an imperfect place; I work towards improvement”
(Palmer, 1995, p. 14). This world view is supported by a focus of attention on error, and a
complimentary lack of attention to shades of grey. Type One works very hard to be perfect, and
by extension, to be worthy of love by attachment figures. This strategy involves intense focus on
work and tasks, as opposed to intense focus on the attachment figure. The world view of Type
Three is: “the world values a champion; avoid failure at all costs” (Palmer, 1995, p. 31). This
attention to issues involving failure. Type Three works very hard to be successful at whatever
role he or she inhabits, and by extension, to be valued by attachment figures. This strategy
involves intense monitoring of the self, in terms of presenting a successful image, but less
On the left side of the Enneagram symbol Type Five and Type Seven are both described
as being exceptionally unperturbed by the external world. The world view of Type Five is: “the
world is invasive; I need privacy to think and refuel my energies” (Palmer, 1995, p. 47). This
regarding having enough. In withdrawing from the external world, Type Fives report a strong
reliance on, and attachment to, a vivid, interesting, rewarding inner life (Palmer, 1988, 1995).
This indicates that Type Five would not be expected to intensely engage in monitoring and
appraising of attachment figures, and so would be expected to be low in anxiety. The world view
for Type Seven is: “the world is full of opportunity and options; I look forward to the future”
(Palmer, 1995, p. 63). This world view is supported by a focus of attention on pleasant future
55
involves intense appraisal and monitoring of pleasant future options, but does not involve intense
As with the avoidance dimension, Type Nine is split between a high anxiety
categorization and a low anxiety categorization. The world view of Type Nine is: “my efforts
won’t matter; don’t make waves; keep the peace” (Palmer, 1995, p. 79). This world view is
supported by the Nine’s focus of attention on other people’s agendas, and a complementary
exclusion of information about the Nine’s own agenda. The analysis of Type Nine with regard to
intensity of monitoring and appraising is that Nines who are more One-like (having a One wing)
will be more concerned with being worthy of love, like a One, and thus engage in lower levels of
monitoring of the attachment figure. Alternatively, Nines who are more Eight-like (having an
Eight wing) will be more concerned with attachment figures as sources of authority, like an
Eight, and thus engage in higher levels of monitoring of the attachment figure.
strategies, the following hypothesis was made about the categorization of Enneagram types with
Figure 5 depicts the hypothesized relationship between Enneagram types and anxiety.
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Figure 5: Enneagram and Anxiety
The first two hypotheses categorize the Enneagram types with regard to avoidance and
anxiety. The first categorization is based on avoidance, and results in two groups of Enneagram
types. The low avoidance group consists of Enneagram Types One, Two, Three, Four, and Nine
(wing One) and the high avoidance group consists of Enneagram Types Five, Six, Seven, Eight,
and Nine (Wing Eight). The second categorization is based on anxiety, and also results in two
groups. The low anxiety group consists of Enneagram Types One, Three, Five, Seven, and Nine
(wing One), while the high anxiety group consists of Enneagram Types Two, Four, Six, Eight,
Enneagram Types Two and Four are predicted to have high anxiety and low avoidance scores,
and are defined as “EnneaAttach Group 1”; Enneagram Types Six, Eight, and Nine (wing Eight)
are predicted to have both high anxiety and high avoidance scores, and are defined as
“EnneaAttach Group 2”; Enneagram Types Five and Seven are predicted to have low anxiety
and high avoidance scores, and are defined as “EnneaAttach Group 3”; and Enneagram Types
57
One, Three, and Nine (wing One) are predicted to have both low anxiety and low avoidance
scores, and are defined as “EnneaAttach Group 4”. Figure 6 depicts the conceptualized
attachment style characterized by a high anxiety, low avoidance pattern (Attach Style 1), should
other people’s needs (Enneagram Type Two) or what’s missing (Enneagram Type Four).
characterized by a high anxiety, high avoidance pattern (Attach Style 2) should also be
hazard (Enneagram Type Six), power (Enneagram Type Eight), or other people’s agendas (sub
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Characteristics of EnneaAttach Group 3. Subjects who have an attachment style
characterized by a low anxiety, high avoidance pattern (Attach Style 3) should also be
characterized by a low anxiety, low avoidance pattern (Attach Style 4) should also be
(Type One), success (Type Three), or other people’s agendas (sub focus on error) (Enneagram
H3: The overall association between attachment styles and Enneagram types is
An appropriate test for overall association of two typologies is a chi-square test for goodness of
The final step in the typological analysis approach being used in this study is to use the
integrated typology to generate and test a hypothesis about a related variable of interest. The
ability of a typology to reveal new patterns regarding an external variable provides evidence
In the present study, relationship satisfaction was chosen as the external variable of
interest. Relationship satisfaction is of central interest to marriage and family therapy researchers
and practitioners and yet relatively little is known about how attachment style affects relationship
satisfaction (Mikulincer & Shaver, 2007). In contrast to the attachment typology, the integrated
59
typology includes detailed information about differences in focus of attention among the
categories. This additional information is expected to improve the ability of the integrated
models of therapy (e.g. Johnson & Whiffen, 1999; Makinen & Johnson, 2006). Previous research
that has examined the relationship between attachment style and relationship satisfaction has
found that even though attachment styles are comprised of both anxiety and avoidance
dimensions, only the anxiety dimension was consistently found to be significantly related to
from the attachment typology with information about differences in focus of attention provided
by the Enneagram typology yields more complex and specific predictions about the relationship
between both the anxiety and avoidance dimensions and relationship satisfaction. For example,
both EnneaAttach Group 1 and EnneaAttach Group 2 are characterized as highly anxious.
Therefore, based on attachment research, the prediction would be that both groups should have a
similar negative relationship with relationship satisfaction. However, based on the integrated
typology, important differences among high anxiety individuals are predicted. Specifically,
EnneaAttach Group 1 intensely monitors attachment figures regarding issues of availability (e.g.
“I often worry that my partner doesn’t really love me”), but does not use attentional strategies
associated with the avoidance dimension (e.g., “It does not help to turn to my romantic partner in
times of need”). The focus of attention for individuals in EnneaAttach Group 1 is either on
“other people’s needs,” or “what’s missing/fear of abandonment.” Both of these attentional focus
points serve to orient individuals in this group toward the attachment relationship, rather than
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away, and to keep attention on attaining attachment related goals (e.g., pleasing the attachment
monitor attachment figures but also engage in avoidance strategies that serve to dampen the
impact of not attaining attachment goals. The focus of attention of individuals in this group is on
either hazard or power (or for type Nine, other people’s agendas with a sub focus on power). In
contrast to the focus of attention of EnneaAttach Group 1, the focus of attention for EnneaAttach
Group 2 serves to heighten negative aspects of the attachment relationship (e.g., attachment
related goals (avoidance) and with respect to differences in focus of attention are expected to be
associated with differences in the strength of the negative relationship between anxiety and
lower for individuals with high avoidance is that the effects of anxiety on relationship
Subgroup differences are also expected between the two low anxiety EnneaAttach
groups. Both EnneaAttach Group 3 and EnneaAttach Group 4 are characterized by low anxiety,
associated with less intense monitoring and appraising of attachment figures. Just as with
EnneaAttach Group 1 and 2, EnneaAttach Group 3 and 4 are distinguished not by differences in
levels of monitoring and appraising (anxiety), in combination with high levels of dampening of
attachment related goals (avoidance). In contrast, EnneaAttach Group 4 engages in low levels of
monitoring and appraising, but in combination with low levels of dampening of attachment
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related goals. This means that for EnneaAttach Group 4, any attachment anxiety that is
experienced will not be offset by the dampening effects of the high avoidance strategy. This
leads to the expectation that there will be a stronger negative relationship between anxiety and
Based on this analysis of differences in focus of attention for the two low avoidance
EnneaAttach groups (1 and 4), compared to the high avoidance EnneaAttach groups (2 and 3),
there are expected to be significant differences in the size of correlation coefficients between
H4: Individuals classified into EnneaAttach Groups 1 & 4 are expected to have a stronger
negative relationship between anxiety and relationship satisfaction than individuals classified
This hypothesis was investigated using a Z test for difference in correlation coefficients
(Howell, 2002), in which the correlation coefficients for anxiety and satisfaction were compared
Research Instrument
A paper and pencil questionnaire was developed for use in data collection (see Appendix
(Fraley, Waller, & Brennan, 2000) and the Kansas Marital Satisfaction Scale (KMSS) (Schumm,
1983). Both measures are in the public domain. In addition, the questionnaire also asked
respondents to identify their Enneagram type, Enneagram sub-type and Enneagram wing, and
answered “yes” to being in a committed relationship were instructed to complete the KMSS
items, while respondents who answered “no” were instructed to skip the KMSS items.
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Experiences in Close Relationships- Revised Questionnaire
Brennan, Clark, and Shaver (1998). The questionnaire is used to assess individual differences in
authors combined items from all published self-report adult attachment questionnaires available
at the time. Using factor analysis, the authors identified two dimensions that underlie all the
items. The authors labeled these dimensions anxiety (concerned with fear of rejection and
abandonment) and avoidance (concerned with discomfort with closeness and discomfort
depending on others).
Fraley, Waller, and Brennan (2000) revised the ECR by using Item Response Theory
(IRT) techniques on the original pool of items obtained by Brennan et al. (1998). The ECR-R is
very similar to the ECR, but is improved in its ability to assess anxiety and avoidance in terms of
both the amount and the uniformity of information that is obtained (Fraley, Waller, & Brennan,
2000). Internal consistency reliability for the ECR-R is reported to be .90 or higher for both
subscales (Sibley & Liu, 2005). Examples of anxiety items are, “I worry that romantic partners
won’t care about me as much as I care about them” and “I’m afraid that I will lose my partner’s
love.” Examples of avoidance items are, “I find it difficult to allow myself to allow myself to
depend on romantic partners” and “It helps to turn to my romantic partner in times of need”
(reverse scored).
The Kansas Marital Satisfaction Scale (KMSS) was developed by Schumm (1983) to fill
a need for a brief, easily administered measure of marital satisfaction. The three items that
comprise the KMSS scale are: “how satisfied are you with your relationship?”; “how satisfied
63
are you with your partner as a partner?”; and “how satisfied are you with your relationship
partner?”
The KMSS has proved to be a reliable and valid measure of marital satisfaction,
providing concurrent and discriminate validity (Schumm, Paff-Bergen, Hatch et al., 1986).
Burnett (1987) found that the KMSS is a good choice for researchers or clinicians who need a
brief, yet valid and reliable measure of marital satisfaction. Furthermore, the KMSS has been
shown to retain its reliability and validity when translated into languages and cultures that are
different from the context in which the measure was originally developed (e.g., Chung, 2004;
Despite extensive research documenting the KMSS’s usefulness in other languages and
cultures there is apparently no research documenting the KMSS’s validity and reliability with
non-traditional (e.g. not married, but committed heterosexual, gay or lesbian) couples. However,
because the sample used in the present study was likely to include people in committed, non-
traditional relationships, the decision was made to re-word the three items so that they could be
used with people who are in committed relationships, but not married. This decision was justified
on the basis of the KMSS’s long record of being a robust measure that has translated well into a
variety of cultures. Furthermore, research indicates that attachment relationship processes are
similar across different types of relationships, and that non-traditional couples are more like
traditional couples (in terms of attachment relationships) than they are different (Kurdek, 2006;
Means-Christensen, 2003).
Enneagram Type
assessing Enneagram type are still being developed and evaluated. Because relatively little is
64
known about assessing Enneagram types, choosing a sample in which Enneagram type could be
determined with a relatively high degree of confidence was crucial to the validity and reliability
of the study. Currently, the two "gold standards" (Daniels & Price, 2000, p.107) for assessing
Enneagram type are: a) a diagnostic typing interview by a certified Enneagram teacher; and b)
self-typing after completion of a ten-week Enneagram course, or equivalent training (Daniels &
Price, 2000). Daniels and Price (2000) have developed the Essential Enneagram Test, which is a
self-report instrument for assessing Enneagram type. The use of this instrument relies on a two-
part process that allows for a period of self-reflection and re-checking of one’s original choice of
Enneagram type. This assessment method is in keeping with the philosophy of the Enneagram
model which has developed around a belief in self-development as the paramount goal, over
development of a more efficient typing method that might be more suited to large scale empirical
research.
For the present study, the decision was made to address the difficulties with Enneagram
typing by choosing a sample of people who had already received extensive training in how to
self identify their type. This decision forced a reliance on a somewhat restricted population from
which to draw the sample, but was justified because of the high degree of confidence that could
be placed in the accuracy of the assessment of Enneagram type that was obtained by using this
population.
Sample Selection
Because the decision had been made to include only subjects who had already received
extensive training in how to self-identify their type, the sample selection for this study was
“purposeful” (Patton, 2002, p 40). While more commonly associated with qualitative research,
purposeful sampling has also been used in quantitative studies where the topic being studied is
65
relatively new and not well understood. For example, researchers on attention and mindfulness
have purposefully sampled highly trained Buddhist meditators in order to study different aspects
of human consciousness (e.g. Ekman, Davidson, Ricard, & Wallace, 2005; Lutz, Greischar,
Rawlings, Ricard, & Davidson, 2004; Nielsen, 2006). Similarly, Underwood (2005) used a
purposeful sample of Trappist monks in order to study intrapersonal processes associated with
compassionate love. Both of these studies used purposeful sampling of people who had
These capacities are assumed to be shared by other humans, but are not as easily accessible for
The current study used as subjects members of the Association of Enneagram Teachers in
the Narrative Tradition (AET). The AET is an international organization dedicated to the
development and teaching of the Enneagram in the Narrative Tradition. Membership is restricted
to people who have completed at least one week of Enneagram training with the Enneagram
Professional Training Program (EPTP). AET membership is approximately 400 people, from
approximately 24countries. Using AET members as subjects ensured that all participants in the
study had received enough training in the Enneagram to accurately self-identify their Enneagram
type. The logic here is the same as that underlying the studies described above: the ability to
observe one’s own thoughts and emotions is assumed to be a universal capacity of humans, but it
is more easily studied using a sample of people who have received training in how to do this. In
addition, this sampling method has been used successfully by previous Enneagram researchers,
all of whom were able to identify significant relationships between Enneagram types and other
personality measures (Brown & Bartram, 2005; Palmer, 1988; Wagner & Walker, 1983).
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Data Collection Procedures
After receiving IRB approval, (see Appendix B), data were collected in person at two
AET workshops (Dayton, OH, May 12 -15, 2007 and Colorado Springs, CO, July 5 – 8, 2007).
Workshop participants were asked to complete the paper and pencil instrument described above.
Participants were instructed to complete the questionnaire at their convenience and return the
observations made by the researcher, there did not appear to be any systematic differences in
terms of who chose to complete the survey and who chose not to.
Sample Characteristics
The sample consisted of 14Type Ones (19%); 6 Type Twos (8%); 5 Type Threes (7%); 8
Type Fours (11%); 2 Type Fives (3%); 6 Type Sixes (8%); 9 Type Sevens (12%); 5 Type Eights
(7%) and 14 Type Nines (19%). So far, there is no published research assessing the distribution
of Enneagram types in the general population, so there is no way of knowing whether the sample
distribution is representative of the general population. However, the sample does include at least
two responses from each of the nine types. In this regard, the sample of the present study is
similar to samples obtained in other Enneagram research. For example, Schneider and
Schaeffer’s (1997) sample consisted of 9 Type Ones; 2 each of Type Two, Three, Five, Six, and
Seven; 3 Type Fours; 6 Type Eights; and 5 Type Nines, for a total of 33.
Based on the observations of the researcher, the population that the sample was drawn
from can be characterized as predominately Caucasian, older, better educated and wealthier than
the general U.S. population. Samples used in other Enneagram studies are similar to the present
study in this regard (e.g., Brown & Bartram, 2005; Snyder & Ruderman, 1998; Wagner &
67
Walker, 1983). The anxiety and avoidance means and standard deviations for this sample were
found to be similar to statistics collected by Fraley (2008) in an on-going internet based study.
Overall, the sample appears to have a reasonable distribution of Enneagram types, and to be
similar to Fraley’s (2008) very large sample with regard to distribution of anxiety and avoidance
scores. Based on these observations, it was concluded that the sample could be considered
adequately representative of the nine Enneagram types, and of the general population in terms of
Data concerning demographic variables was not collected as part of this study. The
decision to not collect demographic data was justified on the basis that there are no indications
that gender or other demographic variables significantly affect attachment style (Mikulincer &
Shaver, 2007), or Enneagram type (Brown & Bartram, 2005; Snyder & Ruderman, 1998;
Wagner & Walker, 1983) and that demographic variables are not components of the
configurations that comprise the categories of either the original typologies. In addition, because
of the relatively small group size of the workshops at which the questionnaires were being
distributed, and the fact that many of the respondents were personally known to the researcher,
the decision was made that excluding demographic data would enhance the protection of
respondents’ anonymity. Because demographic variables were not integral to either of the
original typologies, priority was given to further protecting anonymity by not collecting any
demographic information. Gender has been found to be a factor in relationship satisfaction at the
dyad level (Mikulincer & Shaver, 2007). However, since this study does not address relationship
satisfaction at the dyad level, information on gender would not have been pertinent to this aspect
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An additional limitation concerns an error made in the production of the questionnaire.
One of the anxiety items was left out, and an avoidance item was included twice. This error was
discovered after the first round of data collection, but the decision was made to exclude the item
from analysis for the entire group. There were no significant differences in the descriptive
statistics for either the anxiety variable or the avoidance variable whether the item was included
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Chapter Four: Results
The purpose of this study was to develop a new typology for use in MFT by integrating
the attachment typology with the Enneagram typology. In Chapter Three, hypotheses were
developed to empirically test predictions derived from the integrated typology. These hypotheses
described the expected relationships between Enneagram types and attachment styles in terms of
patterns of anxiety, avoidance, and focus of attention. In addition to the hypotheses developed to
test the new typology, hypotheses were also developed to explore the utility of the model.
Data Analysis
The data from the questionnaires were entered into SPSS for analysis. Of the 75
questionnaires that were returned, 6 were excluded from analysis because only one side was
completed, or all the items were marked as “1.” This resulted in a sample size of 69.
Once the data were entered into SPSS, the anxiety and avoidance variables were created
following the instructions provided by Fraley (2008). First, items that had been reverse worded
for the questionnaire were reverse scored. Then, for each case, the scores for each anxiety item
were added together, and the sum was divided by 17, and the scores for each avoidance item
were added together, and the sum was divided by 18. The coefficient alpha for the anxiety scale
was .88 and for the avoidance scale was .89, indicating an acceptable level of internal reliability
In order to create the attachment style variable, the sample was first divided into four
subgroups based on high and low anxiety scores, and high and low avoidance scores. For the
anxiety subgroups, subjects were categorized as low anxiety if their anxiety score was less than
the midpoint of the anxiety scale (3.5). Subjects were categorized as high anxiety if their anxiety
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score was greater than or equal to 3.5. The same procedure was used to categorize subjects
according to high and low avoidance. After subjects were categorized according to high and low
anxiety and avoidance, the attachment style variable was created by assigning a value of 1 to
subjects who were categorized as high anxiety, low avoidance; a value of 2 to subjects who were
categorized as high anxiety, high avoidance; a value of 3 to subjects who were categorized as
low anxiety and high avoidance; and a value of 4 to subjects who were categorized as both low
The relationship satisfaction variable was created by adding the three relationship
satisfaction items together and dividing by three. The coefficient alpha for the KMSS scale was
.93, indicating an acceptable level of internal reliability for the relationship satisfaction measure
(Howell, 2002).
Descriptive Statistics
The sample consisted of 69 cases. The descriptive statistics with regard to anxiety and
avoidance scores for this sample are summarized in Table 5. Mean anxiety for the sample was
3.22 (s. d. = 99). The minimum anxiety score was 1.22 and the maximum anxiety score was
5.83. Mean avoidance for the sample was 3.02 (s.d. = .88). The minimum avoidance score was
1.14 and the maximum avoidance score was 5.35. These anxiety and avoidance statistics are
comparable to the statistics gathered by Fraley (2008) based on an on-line sample of over 22,000
people, in which 78% of the sample as female, and 15% of the sample was married. For Fraley’s
entire sample, mean anxiety was 3.64 (s.d. = 1.33) and mean avoidance was 2.93 (s.d. = 1.18). In
addition, the correlation between anxiety and avoidance for this sample was r = .42, similar to
Fraley’s group correlation of r = .41. The similarities between the descriptive statistics of this
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sample and Fraley’s much larger sample indicate that the sample was representative of the
general population with respect to anxiety and avoidance scores. Table 5 summarizes the
Table 5
In this sample, 20 subjects (29%) were categorized as AttachStyle 1 (high anxiety, low
avoidance). Mean anxiety for this group was 4.19, (s.d. = 57), and mean avoidance for this group
was 2.92, (s.d. = .53). Nine subjects (13%) were categorized as AttachStyle 2 (high anxiety, high
avoidance). Mean anxiety for this group was 4.05 (s.d. = 77) and mean avoidance for this group
was 4.26 (s.d. = 50). Nine subjects (13%) were categorized as AttachStyle 3 (low anxiety, high
avoidance). Mean anxiety for this group was 2.73 (s.d. = .51) and mean avoidance for this group
was 3.90 (s.d. = .30). Thirty-one subjects (45%) were categorized as AttachStyle 4 (low anxiety,
low avoidance). Mean anxiety for this group was 2.48 (s.d. = .58) and mean avoidance was 2.47
(s.d. = .69).
Bartholomew and Horowitz (1991), using a different measure of attachment style. Bartholomew
and Horowitz had a sample size of 77, with 14% categorized as preoccupied (corresponding to
high anxiety, low avoidance); 21% categorized as fearful (corresponding to high anxiety, high
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avoidance); 18% categorized as dismissing (corresponding to low anxiety, high avoidance); and
50% categorized as secure (corresponding to low anxiety, low avoidance). Table 6 summarizes
Table 6
No previous study has examined the attachment styles of different Enneagram types, so
there is no way of assessing whether the distributions of attachment style by Enneagram type
obtained in this sample are representative of the general population. However, there do appear to
be distinct patterns of anxiety and avoidance among the types, as summarized in Table 7.
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Table 7
The AttachStyle 1 group (high anxiety, high avoidance) had a mean satisfaction score of
4.95 (s.d. = .1.25). The AttachStyle 2 group (high anxiety, high avoidance) had a mean
satisfaction score of 5.24 (s.d. = 1.24). The AttachStyle 3 group (low anxiety, high avoidance)
had a mean satisfaction score of 5.75 (s.d. = .83). The AttachStyle 4 group (low anxiety, low
avoidance) had a mean satisfaction score of 5.73 (s.d. = 1.24). An ANOVA test of difference in
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means indicated that here were no significant differences in relationship satisfaction by
Table 8
N Satisfaction s.d.
Of the total sample of 69, 55 respondents (80%) indicated that they were currently in a
relationship. Of those 55, 11 (20%) were Type Ones, 4 (.07%) were Type Twos, 4 (.07%) were
Type Threes, 8 (15%) were Type Fours, 2 (.04%) were Type Fives, 6 (12%) were Type Sixes, 6
(12%) were Type Sevens, 3 (.06%) were Type Eights, and 11 (20%) were Type Nines. Of the 11
Type Nines who reported being in a relationship, 6 (.55%) reported having a One wing, and 5
(.45%) reported having an Eight wing. The mean relationship satisfaction for the group was 5.5
(s.d. = 1.21). The minimum satisfaction score was 1.00 and the maximum satisfaction score was
7.00.
Type Ones had a mean satisfaction score of 4.94, (s.d. = 2.1); Type Twos had a mean
satisfaction score of 5.83 (s.d. = .33); Type Threes had a mean satisfaction score of 6.08 (s.d. =
.49); Type Fours had a mean satisfaction score of 5.15 (s.d. = 1.05); Type Fives had a mean
satisfaction score of 5.57 (s.d. = .47);Type Sixes had a mean satisfaction score of 6.06 (s.d. =
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.65); Type Sevens had a mean satisfaction score of 5.56 (s.d.= 1.11); Type Eights had a mean
satisfaction score of 5.89 (s.d. = .77); and Type Nines had a mean satisfaction score of 5.40 (s.d.
Table 9
Avoidance. Hypothesis One predicted that Enneagram Types One, Two, Three, Four, and
Nine 9 (wing One) (Group 1) would have a significantly lower mean avoidance than Enneagram
Types Five, Six, Seven, Eight, and Nine (Wing Eight) (Group 2). This hypothesis was tested by
comparing mean levels of avoidance for the two groups using a t-test for difference in means
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(Howell, 2002). Mean avoidance for Group 1 was 2.78 and for Group 2 was 3.35. As predicted,
the t-test showed this difference was statistically significant (t = -2.67, p < .05).
Anxiety. Hypothesis Two predicted that Enneagram Types One, Three, Five, Seven, and
Nine (Wing One) (Group 3) would have a significantly lower mean anxiety than Enneagram
Types Two, Four, Six, Eight, and Nine (Wing Eight) (Group 4). This hypothesis was tested by
comparing mean levels of anxiety for the two groups using a t-test for difference in means
(Howell, 2002). The mean level of anxiety for Group 3 was 2.88 and for Group 4 was 3.63. As
predicted, the t-test showed this difference was statistically significant (t = -3.35, p < .01).
Patterns of anxiety and avoidance. The first two hypotheses tested in this study addressed
categorization of the Enneagram types in terms of the independent dimensions of anxiety and
avoidance. Hypothesis Three addressed the categorization of Enneagram types in terms of the
intersection of the two dimensions of anxiety and avoidance. Hypothesis Three was developed
(Hypothesis One and Hypothesis Two). The hypothesis predicted that there would be an
association between the attachment typology and the Enneagram typology such that knowing
how an individual was categorized using one of the typologies would provide information about
how that individual would be categorized using the second typology. The overall association
between attachment style and EnneaAttach group was tested using a chi-square test for goodness
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Table 10
Chi-square test for Goodness of Fit
AttachStyle 1 AttachStyle 2 AttachStyle 3 AttachStyle 4 Total
EnneaAttach Count 7 1 0 6 14
Group 1
Expected 4.1 1.8 1.8 6.3
Count
EnneaAttach Count 6 5 4 2 17
Group 2
Expected 4.9 2.2 2.2 7.6
Count
EnneaAttach Count 1 3 3 4 11
Group 3
Expected 3.2 1.4 1.4 4.9
Count
EnneaAttach Count 6 0 2 19 27
Group 4
Expected 7.8 3.5 3.5 12.1
Count
Total 20 9 9 31 69
The overall chi-square statistic for this table was 27.26 (df = 9, p < .005), indicating that
there is an overall association between the attachment typology and the Enneagram typology,
and leading to the acceptance of Hypothesis Three. In addition to the chi-square statistic, the
strength of association between the two typologies was tested using Goodman and Kruskal’s
lambda. Goodman and Kruskal’s lambda, “measures the proportional reduction in error achieved
when membership of a category on one attribute is used to predict category membership of the
other” (Kinnear & Gray, 2008, p. 397). The lambda value for this table was significant for both
attachment style dependent association (Value = .15, p < .001) and AttachGroup dependent
association (Value = .15, p < .001). Taken together, these results provide support for the internal
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Hypothesis Four: Integrated Typology and Relationship Satisfaction
The fourth hypothesis addressed the external validity of the integrated typology by
predicting that the strength of the negative association between anxiety and relationship
satisfaction should be affected by whether an individual is classified in one of the high avoidance
EnneaAttach groups (EnneaAttach Group 2 or Group 3) or one of the low avoidance groups
(EnneaAttach Group 1 or Group 4). This relationship was tested by dividing the sample into high
and low avoidance groups and then comparing the size of the correlation coefficients in the two
subgroups.
There were 33 individuals in the high avoidance groups and 22 in the low avoidance
group. As expected, the size of the Pearson correlation coefficient for the low avoidance group
was negative and significantly different from zero (r = -.391; p<.05). In contrast, the correlation
for the high avoidance group was not found to be significantly different from zero (r = -.109; p =
.630). A Z test for differences between independent correlations (Howell, 2002), however,
provided only marginal support for the hypothesized difference in correlations (z = 1.03; p =.15).
Taken together, the results are considered to provide partial support for Hypothesis 4. There is
some evidence that integrated typology adds to the findings from attachment research that there
is a negative relationship between anxiety and relationship satisfaction. Adding information from
the Enneagram typology about differences in the focus of attention for individuals based on their
level of avoidance allows for more complex and precise predictions of differences in levels of
relationship satisfaction than could be achieved with information from the attachment typology
alone.
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Chapter Five: Discussion
This study began by identifying a need for the development and testing of a new typology
for use in Marriage and Family Therapy. This need was described in terms of the lack of detailed
to this need, a new typology was developed by integrating two already established typologies:
the attachment typology and the Enneagram typology. The integration of these two typologies
resulted in a typology that retains the strengths of the original typologies, while also addressing
specific weaknesses of each. The present chapter first discusses the results of the data analysis in
terms of internal and external validity of the integrated typology, and in terms of future research
based on the new typology. The chapter concludes by addressing clinical implications of the
In the integrated typology, the nine Enneagram types, defined by differences in focus of
attention, are categorized as subtypes of the four attachment styles, defined by differences in
patterns of attachment related anxiety and avoidance. This sub classification produced a typology
of attachment styles that provides more detailed information about relevant differences among
people concerning how they experience attachment relationships, including attachment related
The internal validity of the integrated typology was examined by the development and
testing of three hypotheses that related to the categorization of Enneagram types with regard to
attachment styles. The first two hypotheses predicted differences among Enneagram types with
regard to attachment related anxiety and avoidance. The third hypothesis predicted that specific
Enneagram types would be associated with specific attachment styles at a rate higher than would
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be expected by chance. The results of the data analysis provided support for all three of these
hypotheses, providing support for the conclusion that the integrated typology is internally valid.
The fourth hypothesis addressed the external validity of the integrated typology by
predicting that the strength of the negative association between anxiety and relationship
satisfaction should be affected by whether an individual is classified in one of the high avoidance
EnneaAttach groups (EnneaAttach Group 2 or Group 3) or one of the low avoidance groups
(EnneaAttach Group 1 or Group 4). Taken together, the results are considered to provide partial
support for hypothesis 4. There is some evidence that the integrated typology adds to the findings
from attachment research that there is a negative relationship between anxiety and relationship
satisfaction. Adding information from the Enneagram typology about differences in the focus of
attention for individuals based on their level of avoidance allows for more complex and precise
Overall, the results of this dissertation provide support for a conceptualization of the
that are relevant with respect to related variables, such as relationship satisfaction. The
prototypes that are derived from the integrated typology can be conceptualized as displaying
specific patterns of anxiety, avoidance (from the attachment typology) and focus of attention,
and excluded information (from the Enneagram typology). In addition, each type is associated
with different attachment related relationship problems and challenges, and with different
attachment related strengths and talents. Table 11 summarizes the information about the
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Table 11
Integrated Typology
Attach Style Low Anxiety, Low High Anxiety, Low Anxiety, High Anxiety, High
Avoidance Low Avoidance High Avoidance Avoidance
Enneagram 1, 3, 9 (w1) 2, 4 5, 7 6, 8, 9 (w8)
Type
Focus of 1 – error 2 – other people’s 5 – intrusion 6 – hazard
Attention 3 – success needs 8 – power
9 - other people’s 4 – what’s 7 – pleasant future 9 – other people’s
position missing options position
Blind Spot 1 - Shades of grey 2 - Own needs 5 - Existing 6 - Actual power of
(excluded 3 - Failure 4 - What’s good abundance authority
information) 9 - Own agenda in present 7 - Actual 8 - Impact on others
limitations 9 - Own agenda
Relationship 1 - Dedicated to 2 - Aware of 5 - Aware of what 6 - Loyal
Talent working to other’s needs other’s want 8 - Protective
improve situation 4 - Able to share 7 - Aware of 9 - Aware of other’s
3 - Optimism intense emotions creative solutions position
9 - Aware of to problems
other’s position
Attachment Security
Increasing clients’ security in close relationships is a key goal in most attachment- based
therapies (Bowlby, 1979; Johnson, 2007; Makinen & Johnson, 2006). However, a wide array of
different understandings of what security means has led to many diverse approaches to
that current understandings of the relationship between therapy and enhanced security are still
not complete (e.g. Makinen & Johnson, 2006; Mikulincer & Shaver, 2007).
The attachment relationship is comprised of three basic components (Main, 1999; Siegel,
1999). These components involve the exchange and processing of attachment related information
in the attachment dyad. Since these components comprise a system, they occur cyclically and
simultaneously, but are presented linearly here. First, an individual receives attachment
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information (verbal and nonverbal) from the attachment partner. Next the individual processes
this information. This processing includes drawing on past attachment experiences (memories)
and information about the future (expectations derived from past and current experience).
Finally, the individual responds to the partner. Restrictions or diversions of attention in any of
these phases will result in an attachment experience that is incoherent and therefore less than
secure (Siegel, 1999). In both parent - child attachment relationships and adult attachment types,
attachment strategies are enacted by means of (primarily) unconscious habits of attention that
affect specific parts of this attachment cycle (receive-process-respond). These habits of attention
determine the intra- and interpersonal patterns of sensation, emotion and thought that constitute
people fail to think and speak coherently in terms of this receive, process, respond cycle, and to
these terms, a person who is “secure” with regard to attachment is, first, able to take in all
attachment related information (verbal and nonverbal) from the partner. Secondly, a secure
person is able to process this information with full access to relevant memories, and to relevant
expectations about the future. These expectations about the future, which are also included in the
processing, are based on current experience and complete processing of past events. Finally, the
person is fluent in verbal and nonverbal attachment language. This means the person can
communicate the results of the processing to the partner with precision and nuance (Siegel,
1999).
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Clinical Implications
Bowlby (1988) hypothesized that there are two ways to experience attachment security in
adulthood. One way was to be raised in an attachment relationship in which attachment needs
were consistently met. Bowlby believed this would result in an adult who was secure. The other
way, which Bowlby called “earned secure” was for an adult who had grown up insecure to
participate in corrective relationships in adulthood. This concept of earned security lies at the
heart of attachment related approaches to therapy. However, the research pathways that have
developed to study and treat adult security issues began with Ainsworth’s (1967; 1978) research
on parent-infant dyads.
Ainsworth noted that the word “secure” stems for the Latin sine cure, meaning without
care (Bowlby & Ainsworth, 1991). Bowlby (1973) expanded on this definition of security by
stating:
For not only young children, it is now clear, but human beings of all ages are found to be
at their happiest and to be able to deploy their talents to best advantage when they are
confident that, standing behind them, there are one or more trusted persons who will
come to their aid should difficulties arise. The person trusted provides a secure base from
In the parent-child dyads that Ainsworth studied, the secure children appeared to exist in
the happy state described by Bowlby, in which changing situations were met with changes in
attention, accompanied by changes in thoughts, emotions, and behaviors. In the Strange Situation
procedure, while the mother was with the child, the child’s attention turned to the toys in the
room. When the mother left the room, the secure child’s attention was focused entirely on the
missing mother, and this focus of attention was accompanied by crying and searching behavior.
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When the mother returned, the secure child asked for and received reassurance from the mother,
and then the child’s attention turned back to exploration of the toys in the room (Ainsworth et al,
1978). This is an example of existing “without care” not because the child was not dealing with
problems, but because the child’s attention was free to respond appropriately to the changing
situation.
The attention of the children who were partners in insecure dyads was limited by the
remained focused on the mother long after she returned and tried to provide reassurance. For the
avoidant child, attention remained focused away from the mother, even though the child was
experiencing distress. In both insecure styles, the child’s attention is bound to the attachment
relationship, rather than flowing freely to respond to the next development in the environment.
parent-child dyads, have taken several different approaches to conceptualizing adult security.
Developmental psychologists conceptualize adult security in terms of the mind’s ability to freely
remember and process childhood attachment experiences (Hesse, 1999). Social psychologists
conceptualize adult security in terms of low anxiety and avoidance, indicating that the adult is
not engaging in high levels of attachment related monitoring and appraising, nor is he or she
engaging in high levels of moving away from attachment related experiences (Kobak, 2002).
Finally, the Emotion Focused Therapy model, drawing on attachment theory, conceptualizes
security as resulting from the resolution of attachment injuries (Makinen & Johnson, 2006).
These different models share a common goal in their attempts to conceptualize and
operationalize security. Each model is trying to capture the sense of free attention that Ainsworth
et al. (1978) originally identified in parent-child dyads. This challenge is especially difficult
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because it require a translation from an interpersonal level (parent-child dyad) to an intrapersonal
The results of the present study support an alternative conceptualization of adult security,
and by extension, an alternative model of attachment based therapy, based on the integration of
attachment style and Enneagram type. In this model, security is conceptualized as flexible
attention (Main, 2000) accompanied by minimization of the blind spot (Palmer & Brown, 1997).
In this model, security is not derived from a particular pattern of attention with regard to one or a
few other human beings. Rather, security reflects, “the capacity to engage directly, flexibly,
creatively, and actively in the solution of interpersonal and intrapsychic attachment problems as
they arise” (Bretherton & Munholland, 1999. p 99) and is derived from the ability to process
summarizes the three major approaches to conceptualizing security, and the model that is derived
from the results of this dissertation. For each model, examples of how security is measured in
each tradition and the treatment implications that flow from these conceptualizations are
included.
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Table 12
therapy (e.g. Germer, Siegel, & Fulton, 2005) with Emotion Focused Therapy (e.g. Greenberg,
2008). Clinical practices associated with this model might focus on developing self-observation
skills, including learning how to work with the blind spot (which, by definition, is not easily
attachment relationship. Other aspects of the relationship are either ignored, or actively
suppressed. In this way, the person is actively constructing reality. This pattern is established
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early in life when the person begins to develop a strategy for managing his or her primary
attachment relationship. The person then internalizes this strategy, so that he or she is no longer
managing the relationship, but is instead managing him or herself, by controlling what
information is taken in and what is excluded. In the integrated model of therapy, clients learn to
voluntarily relax attention that has been unconsciously incorporated into habitual attachment
patterns, and instead allow attention to move freely, including into the blind spot. This process
being excluded nor magnified, and thoughts, emotions, and behaviors are attuned and resonant
with the needs of both the self and the attachment partner (Siegel, 1999; Sigel & Hartzell, 2003).
One reason that attachment theory has become so widely used in MFT is because it lends
itself to integration with existing models and theories of therapy (Johnson, 2004). However,
despite the wide variety of clinical applications that attachment theory has engendered, there has
been virtually no discussion in the MFT literature of spiritual and religious implications of using
attachment based therapies. While attachment processes in religious and spiritual experiences
have been studied (see Miner, 2007 for a review) there are apparently no MFT clinical models
that attempt to integrate attachment based approaches to therapy with spiritual or religious
orientations to therapy. This lack of an integrative model is surprising, given the growing calls to
address spiritual and religious dimensions of experience in MFT (Carlson & Erickson, 2002;
Onedera & Greenwalt, 2008, Walsh, 1999). In addition, there is increasing evidence that
incorporating spirituality into therapy approaches increases the effectiveness of the therapy
(Galanter, 2005; Pargament, 2007; Richards & Bergin, 2005; Worthington & Sandage, 2002).
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have been identified among adults (Granqvist, 2002; Granqvist, Ivarsson, Broberg, et al., 2007;
Kirkpatrick & Shaver, 1992; Rowatt & Kirkpatrick, 2002) and among children and adolescents
(Granqvist & Dickie, 2006). However, so far virtually no conceptual or empirical work has been
published that attempts to integrate a spiritual dimension with attachment based therapies.
Over the last several decades, there has been a surge of interest in religious and spiritual
issues, both in the general U.S. population and among marriage and family therapists (Grams,
Carlson, & McGeorge, 2007; Miller, Korinek, & Ivey, 2004). When Stander, Piercy, McKinnon,
and Helmeke. (1994) surveyed the marriage and family therapy literature over two decades ago,
they found very little attention was being paid to matters of spirit in family therapy. In
commenting on these findings eight years later, Carlson, Kirkpatrick, Hecker, and Kilmer (2002)
stated:
The silence in the literature as to these issues seemed to send a message that the topics
of spirituality and religion were inappropriate to address in therapy. During the past five
years, however, the silence has been broken and there has been a significant
increase in attention to the importance of addressing the spiritual and religious aspects of
important in their own personal and professional lives (Carlson et al., 2002). MFTs’ interest in
working with spiritual and religious issues in their clinical practices has been documented
(Miller, Korinek, & Ivey, 2004; Prest, Russel, & D’Souza, 1999; Wendel, 2003) and religion and
spirituality are considered important topics both personally and professionally by a majority of
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MFTs’ interest in religion and spirituality is in tune with the needs and desires of the
American public. A recent report by the Pew Research Center (2008) found that over 90% of
Americans believe in God or a universal spirit. In addition, Stewart and Gale (1994) found that
66% of clients “prefer a therapist with spiritual values….and [and 81%] desire a therapist who
would enable them to integrate their values and beliefs in therapy” (Prest et al. 1999, p. 61).
Until fairly recently, spiritual and religious resources were not considered appropriate
tools for clinicians to use (O’Hanlon, 2006; Pargament & Saunders, 2007; Stander et al., 1994).
However, over the past several decades therapists have become increasingly comfortable with
incorporating spiritual and religious components into models of therapy (Miller et al. 2004). Yet
despite the clear desire by both MFT clinicians and clients for therapeutic approaches that
include a religious or spiritual dimension, the field of MFT is divided over how to integrate
The field of MFT has been engaged since its inception with the challenge of including a
spiritual dimension in models of therapy. Bateson (1972) in particular saw his work as
grasping what it means to move back and forth between constructed and unconstructed reality
Let me say that I don’t know how to think that way. Intellectually, I can stand here
and I can give a reasoned exposition of this matter; but if I am cutting down a tree,
I still think “Gregory Bateson” is cutting down the tree. I am cutting down the tree.
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“Myself” is to me still an excessively concrete object, different from the rest of what I
However, Bateson apparently did not attempt to integrate any existing spiritual models with his
approach as a way to solve the problems he encountered in trying to move between map and
territory.
The work of Virginia Satir also holds examples of the importance of spirituality in the
early days of MFT (Brothers, 1993; Lee, 2002; McLendon, 2000). In general, early MFT
theorists seemed to agree that spirituality was important, that it had something to do with a
systemic approach to understanding and resolving human problems, but it was difficult, or
impossible to explain or even talk about. As the field of MFT matured, religious and spiritual
issues faded as appropriate topics to be addressed either in practice or research (Walsh, 1999). In
moving away from spirituality and religion, MFT clinicians and theorists were in step with other
branches of psychology and psychotherapy of that time, all of which did not view spiritual issues
By the mid nineties, critiques of this exclusionary stance were being articulated and
possible solutions for spiritually and religion to be re-integrated into the practice of MFT was
being offered. Doherty (1995) argued that in avoiding addressing spirituality and religion with
clients, therapists were abdicating their responsibility to address moral issues. Doherty made a
strong case for the importance of a moral dimension to MFT theory and practice. However, this
approach sidestepped the question of whether spiritual approaches had anything to offer other
than a moral dimension. In contrast to Doherty, Frame (1996) presented an approach to therapy
in which spiritual and religious issues were dealt with from a social constructionist perspective.
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Both of these approaches were challenged by Wendell (2003) who argued that neither a
generic morality approach, nor a social constructionist approach, could adequately address the
spiritual needs of clients. Wendell argued that in practice, spirituality cannot be separated from
religion. Based on this analysis, Wendell believes that therapists who want to work with spiritual
issues need to receive pastoral training in addition to their psychotherapy training. However, as
Doherty (2003) points out, this requirement would virtually ensure that the vast majority of
MFTs would not address spiritual issues in therapy. In addition, Wendell’s proposal argues
against the viability of incorporating a spiritual dimension into already existing clinical models.
approach is prevalent, it is not a complete solution, as Wendell notes. At the same time, there is
an increasing sense of the need of some kind of resolution. Spiritual directors recognize the
usefulness of traditional psychology in helping people with their spiritual life, and
psychotherapists recognize the usefulness of spirituality in helping people with their ordinary life
(Miller, 1999; Pargament, 2007; Sperry & Shafranske, 2005; Watson, 1997). Increasingly, there
is a need for integrative approaches that bring together sacred and secular psychologies in a way
addressing spirituality in MFT. In this model, attachment experience and spiritual experience are
understood to be two side of a coin (Forman, 1999). These two sides correspond to the double
faced nature of human consciousness, as discussed in Chapter One (Foreman, 1999; Helminiak,
2001). This model of spirituality asserts that both attachment experiences and spiritual
experiences are products of specific placements of attention. An infant learns the attachment
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placement unconsciously. In contrast, the placement of attention that results in spiritual
Attachment styles characterize differences in how infants and adults establish, monitor
and repair attachment bonds. This work is done through the management of attention.
Specifically, infants learn to withdraw attention from some aspects of reality and direct attention
to the attachment relationship in order to maintain the relationship. In this way, infants learn to
actively shape the relationship, as well as the context of the relationship (constructed reality).In
as they actually are. The integrated typology emphasizes that both of these states are founded on
specific placements of attention. Humans learn the active, constructive placement as infants, in
As noted above, in the attachment experience, attention is actively focused on one aspect
of the attachment relationship. Other aspects of the relationship are either ignored, or actively
suppressed. In this way, the person is actively constructing reality. A person begins life by
developing a strategy for managing his or her primary attachment relationship. The person then
internalizes this strategy, so that he or she is no longer managing the relationship, but is instead
managing him or herself, by controlling what information is taken in and what is excluded.
The key feature of the attachment experience is the focus of attention and the
corresponding blind spot (area of excluded information). The blind spot is the place where the
attention has been removed, in order to maintain the focus of attention on the attachment
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attachment related information (Siegel, 1999) and by extension, inherently insecure (Siegel,
1999).
relationship (this is the only active part of the experience), and allowed to return to the blind
spot, creating an experience of coherence. Once attention has been withdrawn from the
attachment mechanism, attention becomes passive and receptive, and the person is no longer
constructing reality. Instead, the person is experiencing unconstructed reality, which is a spiritual
experience (Palmer, 2000). In this model, adult attachment relationships are the “crucible”
(Schnarch, 1991) in which the shift from active to passive attention can occur. The attention is
actively engaged with the attachment relationship, and the focus of attention is relatively easy to
identify. The therapist can assist the clients in relaxing this focus of attention on the attachment
relationship, thus experiencing the self and other in unconstructed reality, or spiritual security.
Future Research
The most pressing issue for future research is to gather additional qualitative information
organized around the integrated typology. In keeping with the narrative tradition on which this
new typology draws, it is essential to collect narratives from different Enneagram types about
their subjective experiences of anxiety and avoidance in terms of both human relationships and
spiritual experiences.
In terms of quantitative research, this dissertation provides a way forward for Mikulincer
and Shaver’s (2007) agenda of learning more about sub group differences among the four
attachment styles. As Mikulincer and Shaver suggest, it would be worthwhile to continue work
with these scales in the context of the EnneaAttach groups, and the information about differences
94
in focus of attention provided by these groups, progress could be made in increasing the validity
Conclusion
This present study has developed and tested a new integrated typology for use in MFT.
This typology addresses the limitations of both the attachment typology and the Enneagram
typology on which it is based, and in addition, provides new perspectives on attachment based
models of therapy. Perhaps most importantly, this integrated typology provides an alternative
approach to spirituality in MFT. The main contribution made by this study is bringing attention
to the importance of the role of attachment related focus of attention in understanding and
working with both relationship problems and spiritual difficulties, and the role that MFT
95
REFERENCES
AET (2008). The narrative tradition: What is the Enneagram in the Narrative Tradition?
Retrieved August 10, 2008, from Association of Enneagram Teachers in the Narrative
Ainsworth, M. D. S. (1967). Infancy in Uganda: Infant care and the growth of love. Baltimore,
Ainsworth, M. D. S., Blehar, M. C., Waters, E., & Wall, S. (1978). Patterns of attachment: A
Associates.
Allen, W. D., & Olson, D. H. (2001). Five types of African-American marriages. Journal of
Ball, D., & Hiebert, W. (2006). Four pre divorce marital typologies that aid in clinical
assessment. In C. A. Everett & R. E. Lee (Eds.), When marriages fail: Systemic family
therapy interventions and issues (pp. 71 – 84). New York: Haworth Press.
Bartholomew, K., & Horowitz, L. M. (1991). Attachment styles among young adults: A test of a
four-category model. Journal of Personality and Social Psychology, 61, 226 – 244.
96
Bateson, G. (1972). Steps to an ecology of mind. NY: Ballantine.
Bayer, J. P., & Day, H. D. (1995). An empirical couple typology based on differentiation.
Bennett, J. G. (1914/1983). Enneagram studies. York Beach, ME: Coombe Springs Press.
Bettinger, M. (2005). Polyamory and gay men: A family systems approach. Journal of GLBT
Bowlby, J. (1969/1982). Attachment and loss: Vol. 1: Attachment. New York: Basic Books.
Bowlby, J. (1973). Attachment and loss: Vol. 2: Separation. New York: Basic Books.
Bowlby, J. (1979). The making and breaking of affectional bonds. London, England: Tavistock
Publications.
Bowlby, J. (1980). Attachment and loss: Vol. 3: Loss. New York: Basic Books.
Sacksteder, & Y. Akabane (Eds.), Attachment and therapeutic process: Essays in honor
of Otto Allen Will, Jr. (pp. 63 – 79). Madison, CT: Universities Press.
Bowlby, J. (1988). A secure base: Parent-child attachment and healthy human development.
Brennan, K. A., Clark, L., & Shaver, P. R. (1998). Self-report measurement of adult attachment:
97
Attachment: Theory, Research, and Clinical Applications (pp. 89-111). New York:
Guilford Press.
Brothers, B. (Ed.). (1993). Spirituality and couples: Heart and soul in the therapy process
Brown, A. & Bartram, D. (2005, June). Relationships between OPQ and Enneagram types:
Research report, Version 1.3. Surrey, England: SHL Group. Retrieved August 10, 2008
http://www.enneagraminstitute.com/articles/SHCresearch.
Burnett, P. (1987). Assessing marital adjustment and satisfaction: A review. Measurement &
Byng-Hall (1999). Family and couple therapy: Toward greater security. In J. Cassidy & P. R.
Byng-Hall, J. (2008). The crucial roles of attachment in family therapy. Journal of Family
Callahan, W. J. (1992). The Enneagram for youth. Chicago, IL: Loyola University Press.
Carlson, T., & Erickson, M. (2002). A conversation about spirituality in marriage and family
Carlson, T. D., Kirkpatrick, D., Hecker, L. & Kilmer, M. (2002). Religion, spirituality, and
marriage and family therapy: A study of family therapists’ beliefs about the
98
Cassidy, J. (1999). The nature of the child’s ties. In J. Cassidy & P. R. Shaver (Eds.). Handbook
of attachment: Theory, research, and clinical applications (pp. 3 - 20). New York:
Guilford Press.
Cassidy, J., & Shaver, P. R. (Eds.). (1999). Handbook of attachment: Theory, research, and
Castillo, R. J. (2001). Lessons from folk healing practices. In W. Tseng & J. Streltzer (Eds.),
Culture and psychotherapy: A guide to clinical practice (pp. 81 – 102). Washington DC:
Cattell, R. B. (1972). The 16 P. F. and basic personality structure: A reply to Eysenck. Journal of
Chung, H. (2004). Application and revision of the Kansas Marital Satisfaction Scale for use with
Crane, D. R., Middleton, K. C., & Bean, R. A. (2000). Establishing criterion scores for the
Kansas Marital Satisfaction Scale and the Revised Dyadic Adjustment Scale. The
Crowell, J. A., Fraley, R. C., & Shaver, P. R. (1999). Measurement of individual differences in
attachment: Theory, research, and clinical applications (pp. 434 - 465). New York:
Guilford Press.
Daniels, D. N., & Price. V. A. (2000). The essential Enneagram: The definitive personality test
99
Davila, J. (2003). Attachment processes in couple therapy: Informing behavioral models. In S.
M. Johnson & V. E. Whiffen (Eds.), Attachment processes in couple and family therapy
Davila, J., & Cobb, R. (2004). Predictors of change in self-reported and interviewer-assessed
adult attachment: Tests of the individual difference and life stress models of attachment
Doherty, W. J. (2003). A wake up call: Comment on “lived religion and family therapy.” Family
Eckstein, D. (2002). The couple’s Enneagram questionnaire (CEQ). The Family Journal:
Counseling and Therapy for Couples and Families, 10, 101 – 108.
Ekman, P., Davidson, R. J., Ricard, M., & Wallace, B. A. (2005). Buddhist and psychological
14, 59 -63.
Erdman, P., & Caffery, T. (2003). Attachment and family systems: Conceptual, empirical, and
100
Forman, R. K. (1999). Mysticism, mind, consciousness. Albany, NY: State University of New
York Press.
Adult Attachment Questionnaire. Retrieved August 10, 2008, from University of Illinois,
http://www.psych.uiuc.edu/~rcfraley/measures/ecrr.htm.
(Eds.) Adult Attachment: Theory, research, and clinical implications (pp. 86 – 132). New
Fraley, R. C., Garner, J. P., & Shaver, P. R. (2000). Adult attachment and the defensive
regulation of attention and memory: Examining the role of preemptive and postemptive
defensive processes. Journal of Personality and Social Psychology, 79, 816 – 826.
Fraley, R. C., Waller, N. G., & Brennan, K. A. (2000). An item-response theory analysis of self-
report measures of adult attachment. Journal of Personality and Social Psychology, 78,
350-365.
Frame, M. (1996). A social constructionist approach to counseling religious couples. The Family
Galanter, M. (2005). Spirituality and the healthy mind; Science, therapy, and the need for
Germer, C. K., Siegel, R. D., & Fulton, P. R. (Eds.). (2005). Mindfulness and psychotherapy.
101
Goleman, D. (1996). The meditative mind. New York: Jeremy P. Tarcher.
Grams, W., Carlson, T., & McGeorge, C. (2007). Integrating spirituality into family therapy
147 – 161.
Griffin, D. & Bartholomew, K. (1994). Models of self and other: Fundamental dimensions
Griffin, W. A., & Greene, S. M. (1999). Models of family therapy: The essential guide.
Granqvist, P., & Dickey, J. R. (2006). Attachment and spiritual development in childhood and
The handbook of spiritual development in childhood and adolescence (pp. 197 – 210).
Granqvist, P., Ivarsson, T., Broberg, A., & Hagekull, B. (2007). Examining relations among
attachment, religiosity, and new age spirituality using the Adult Attachment Interview.
Green, R. G., Woody, D., Maxwell, S., Mercer, R., Williams, S. (1998). Reliability and validity
102
Grodner, B. (2002). Using hypnotic language patterns to enhance energy psychotherapy. In F. P.
Habermas, T., & Bluck, S. (2000). Getting a life: The emergence of the life story in adolescence.
Harmless, W. & Fitzgerald, R. R. (2001). The sapphire light of the mind: The Skemmata of
Hazan, C., & Shaver, P. R. (1987). Romantic love conceptualized as an attachment process.
Hazan, C., & Shaver, P. R. (1990). Love and work: An attachment-theoretical perspective.
Hazan, C. & Shaver, P. R. (2004). Attachment as an organizing framework for research on close
York: W. W. Norton.
103
Held, B. S. (2007). Psychology’s interpretive turn. Washington DC: American Psychological
Association.
Helminiak, D. A. (1998). Religion and the human sciences: An approach via spirituality.
Hesse, E. (1999). The Adult Attachment Interview: Historical and current perspectives. In J.
Cassidy & P. R. Shaver (Eds.), Handbook of Attachment: Theory, research, and clinical
Hill, J., Fonagy, P., Safier, E., & Sargent, J. (2003). The ecology of attachment in the family.
Howell, D. C. (2002). Statistical methods for psychology, 5th edition. Pacific Grove, CA:
Duxbury.
Hrdy, S. (1999). Mother nature: A history of mothers, infants, and natural selection. New York:
Pantheon.
Rholes & J. A. Simpson, (Eds.), Adult attachment: Theory, research, and clinical
Johnson, S. M. (2007). A new era for couple therapy: Theory, research, and practice in concert.
104
Johnson, S. M. & Makinen, J. (2003). Posttraumatic stress. In D. K. Snyder & M. A. Whisman
(Eds.), Treating difficult couples: Helping clients with coexisting mental and relationship
new perspective on impasses in couples therapy. Journal of Marital and Family Therapy,
Johnson, S. M., & Whiffen, V. (1999). Made to measure: Adapting emotionally focused couple
therapy to partners’ attachment styles. Clinical Psychology: Science and Practice, 6, 366
– 381.
Johnson, S. M. & Whiffen, V. E. (Eds.). (2003). Attachment processes in couple and family
Josephson, A. M. & Peteet, J.R. (Eds.). (2004). Handbook of spirituality and worldview in
Kerr, M. E. & Bowen, M. (1988). Family evaluation. New York: W.W. Norton.
Kinnear, P. R. & Gray, C. D. (2008). SPSS 15 made simple. New York: Psychology Press.
Kirkpatrick, L. A., & Hazan, C. (1994). Attachment styles and close relationships: A four-year
and religious belief. Personality and Social Psychology Bulletin, 18, 266 – 275.
Implications for theory, research, and clinical intervention. In J. Cassidy & P. R. Shaver
105
Kobak, R. (2002). Building bridges between social, developmental, and clinical psychology.
Koss-Chioino, J. D., & Hefner, P. (Eds.). (2006). Spiritual transformation and healing:
Kurdek, L. A. (2002). On being insecure about the assessment of attachment styles. Journal of
Kurdek, L. A. (2006). Differences between partners from heterosexual, gay, and lesbian
Lee, B. (2002). Congruence in Satir’s model: Its spiritual and religious significance.
Leveridge, M., Stoltenberg, C., & Beesley, D. (2005). Relationship of attachment style to
personality factors and family interaction patterns. Contemporary Family Therapy, 27,
Levy, K. N., Meehan, K. B., Kelly, K. M., Reynoso, J. S., Weber, M., Clarkin, J. F., et al. (2006).
Lienert, G. A., Reynolds, J. H., & Lehmacher, W. (1990). Personality agreement identified by
configural frequency analysis. Personality and Individual Differences, 11, 497 – 501.
Lutz, A., Greischar, L. L., Rawlings, N. B., Ricard, M., & Davidson, R. J. (2004). Long-term
106
McLendon, J. (2000). The Satir system. In J. Carlson & L. Sperry (Eds.). Brief therapy with
individuals and couples (pp. 331 – 364). Phoenix, AZ: Zeig, Tucker, & Theisen.
Magai, C. (1999). Affect, imagery, and attachment: Working models of interpersonal affect and
attachment: Theory, research, and clinical applications (pp. 787 - 802). New York:
Guilford Press.
61.
Main, M. (1999). Attachment Theory: Eighteen points with suggestions for future studies. In J.
Cassidy & P. R. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical
Main, M. (2000). The organized categories of infant, child, and adult attachment: Flexible vs.
Makinen, J., & Johnson, S. M. (2006). Resolving attachment injuries in couples using
Mandara, J. (2003). The typological approach in child and family psychology: A review of
theory, methods, and research. Clinical Child and Family Psychology Review, 6, 129 –
146.
107
Means-Christensen, A. J. (2003). Assessing nontraditional couples: Validity of the Marital
Meyers, S. A., & Landsberger, S. A. (2002). Direct and indirect pathways between adult
Advances in experimental social psychology, Vol. 35 (pp. 53 -152). San Diego, CA:
Academic Press.
Miller, M. M., Korinek, A., & Ivey, D. C. (1994). Spirituality in MFT training: Development of
the spiritual issues in supervision scale. Contemporary Family Therapy, 26, 71-81.
Association.
Miller, S., Hubble, M., & Duncan, B. (1996). Handbook of solution-focused brief therapy. San
Mills, S. (2001). The idea of different folk psychologies. International Journal of Philosophical
108
Miner, M. (2007). Back to the basics in attachment to God: Revisiting theory in light of
Minuchin, S. (1974). Families and family therapy. Cambridge, MA: Harvard University Press.
Naranjo, C. (1990). Enneatype structures: Self-analysis for the seeker. Prescott, AZ: Hohm
Press.
Newgent, R. A., Parr, P. E., Newman, I., & Higgins, K. K. (2004). The Riso-Hudson Enneagram
Nichols, M. P., & Schwartz, R. C. (2001). The essentials of family therapy. Boston, MA: Allyn
and Bacon.
Onedera, J. D., & Greenwalt, B. (2008). Introduction. In J. D. Onedera (Ed.), The role of religion
in marriage and family counseling (pp. 3 – 15). New York: Routledge/Taylor & Francis
Group.
Palmer, H. (1988). The Enneagram: Understanding yourself and others in your life. San
Palmer, H. (1995). The Enneagram in love and work: Understanding your intimate & business
109
Palmer, H. (2000, May). The Enneagram and identification. Workshop at Esalen Institute. Big
Sur, CA.
Palmer, H., & Brown, P. B. (1997). The Enneagram advantage. New York: Three Rivers Press.
Palmer, H., & Daniels, D. (2003). Licensed teaching materials package for graduates of the
Enneagram Professional Training Program. The Trifold School for Enneagram Studies.
Palmer, H. (2007, March 18). The Enneagram: A psychological and spiritual addition to
Pargament, K., & Saunder, S. (2007). Introduction to the special issue on spirituality and
Patton, M. Q. (2002). Qualitative research & evaluation methods. 3rd edition. Thousand Oaks,
Pew Research Center (2008). U. S. religious landscape survey.. Retrieved August, 10, 2008,
http://www.religions.pewforum.org/reports/htm.
Pietromonaco, P. R., & Barrett, L. F. (2000). The internal working models concept: What do we
really know about the self in relation to others? Review of General Psychology, 4, 155 –
175.
Prest, L. J. A., Russel, R., & D’Souza, H. (1999). Spirituality and religion in training,
Richards P. S. & Bergin, A. E. (Eds.). (2005). A spiritual strategy for counseling and
110
Riggs, S. A., & Jacobovitz, D. (2002). Adult attachment and history of psychotherapy in a
normative sample. Psychotherapy: Theory, Research, Practice, Training, 39, 344 – 353.
Riso, D. R. & Hudson, R. (2006). Understanding the Enneagram. NY: Houghton & Mifflin.
Rholes, W. S. & Simpson, J. A. (Eds.). (2004). Adult attachment: Theory, research, and clinical
Robins, R. W., John, O. P., & Caspi, A. (1998). The typological approach to studying
personality. In R. B. Cairns, L. R. Bergman, & J. Kagan (Eds.), Methods and models for
studying the individual (pp. 135 -160). Thousand Oaks, CA: Sage.
Rohr, R., & Ebert, A. (2004). The Enneagram: A Christian perspective. NY: Cross Road Press.
Rowatt, W., & Kirkpatrick, L. (2002). Two dimensions of attachment to God and their relation to
affect, religiosity, and personality constructs. Journal for the Scientific Study of Religion,
Schnarch, D. M. (1991). Constructing the sexual crucible: An integration of sexual and marital
Schneider, J. & Schaeffer, B. (1997). The Enneagram typology: A tool for understanding and
Schore, A. N. (2000). Attachment and the regulation of the right brain. Attachment & Human
Development, 2, 23 – 47.
111
Schumm, W. R. (1983). Characteristics of the Kansas Marital Satisfaction Scale in a sample of
Schumm, W. R., Paff-Bergen, L. A., Hatch, R. C., Obiorah, F. C., Copeland, J. M., Meens, L. D.,
et al. (1986). Concurrent and discriminate validity of the Kansas Marital Satisfaction
Shaver, P. R., & Mikulincer. M. (2004). What do self-report attachment measures assess? In W.
S. Rholes & J. A. Simpson (Eds.), Adult attachment: Theory, research, and clinical
Shaver, P. R., & Mikulincer. M. (2005). Attachment theory and research: Resurrection of the
Shek, D. T. (1993). The Chinese version of the Kansas Marital Satisfaction Scale: Some
psychometric and normative data. Social Behavior and Personality, 21, 205 – 214.
Sibley, C. G., Fischer, R., & Liu, J. H. (2005). Reliability and validity of the revised experiences
Siegel, D. J. (2007). The mindful brain: Reflection and attunement in the cultivation of well-
Siegel, D. J. & Hartzell, M. (2003). Parenting from the inside out. New York: Jeremy P. Tarcher.
Silverstein, R., Bass, L., Buxbaum, L., Tuttle, A., Knudson-Martin, C., & Huenergardt, D.
(2006). What does it mean to be relational? A framework for assessment and ractice.
112
Family Process, 45, 391-405.
Smith, J., & Foti, R. (1998). A pattern approach to the study of leadership emergence.
Snyder, K. & Ruderman, V. (1998). The Enneagram and intimacy. Unpublished manuscript.
Stander, V., Piercy, F. P., MacKinnon, D. & Helmeke, K. (1994). Spirituality, religion and
Stewart, S. P. & Gale, J. E. (1994). On hallowed ground: Marital therapy with couples on
Tolk, L. S. (2006). Integrating the Enneagram and schema therapy: Bringing the soul into
Totton, N. & Jacobs, M. (2001). Character and personality types. Philadelphia, PA: Open
University Press.
methodology in the investigation of compassionate love. Journal for the Theory of Social
113
Varela, F., & Shear, J. (Eds.). (2002). The view from within: First-person approaches to the
von Eye, A. (2002). Configural frequency analysis: Methods, models and applications. Mahwah,
Wagner, J. & Walker, R. E. (1983). Reliability and validity study of a Sufi personality typology:
Walsh, F. (Ed.). (1999). Spiritual resources in family therapy. New York: Guilford Press.
Watson, W. (1997). Soul and system: The integrative possibilities of family therapy. Journal of
Westen, D., Gabbard, G. O., & Blagov, P. (2006). Back to the future: Personality structure as a
Wendell, R. (2003). Lived religion and family therapy: What does spirituality have to do with
Whiffen, V. & Johnson, S. (1998). An attachment theory framework for the treatment of
114
White, M. (2004). Folk psychology and narrative practice. In L.E. Angus & J. McLeod (Eds.),
The handbook of narrative and psychotherapy: Practice, theory, and research (pp. 15
Worthington, E.L. & Sandage, S.J. (2002). Religion and spirituality. In J.C. Norcross (Ed.),
Psychotherapy relationships that work (pp. 383 – 399). Oxford University Press.
Wyman, P. (1988). Integrating the MBTI and the Enneagram in psychotherapy: The core of
self and the defense system. Journal of Psychological Type, 46, 28 – 40.
115
Appendix A: Attachment Style Questionnaire
Enneagram type__________________
The statements below concern how you feel in emotionally intimate relationships. We are
interested in how you generally experience relationships, not just in what is happening in a
current relationship. Respond to each statement by circling the number that indicates how
much you agree or disagree with the statement.
2. I often worry that my partner will not want to stay with me.
4. I worry that romantic partners won’t care about me as much as I care about them.
5. I often wish that my partner's feelings for me were as strong as my feelings for him or her.
7. When my partner is out of sight, I worry that he or she might become interested in someone
else.
8. When I show my feelings for romantic partners, I'm afraid they will not feel the same about
me.
12. I find that my partner(s) don't want to get as close as I would like.
13. Sometimes romantic partners change their feelings about me for no apparent reason.
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15. I'm afraid that once a romantic partner gets to know me, he or she won't like who I really am.
16. It makes me mad that I don't get the affection and support I need from my partner.
20. I feel comfortable sharing my private thoughts and feelings with my partner.
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Please complete the following items if you are currently in a committed relationship (e.g.
married, living together, or living separately but committed to the relationship)
(Partner = husband, wife, lover, etc.)
How satisfied are you with your relationship with your partner?
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Appendix B: IRB Forms
Directions
Type responses to all questions / requests below. It is recommended that you read through this document
before completing.
Do not leave a question blank unless directed. If a required question is not applicable to your study, explain
why.
Do not restrict your responses to the space provided. Provide a thorough response to each question. Be as
specific as possible, keeping in mind that you are introducing the study to the IRB. Incomplete applications
will result in requests for clarification from researchers and will cause delays in review and final approval.
Type responses in the designated shaded boxes or check the designated check boxes.
Use non-technical language throughout your application. Federal regulations require IRB applications to
be written in lay language at an 8th grade reading level. Do not use jargon or scientific terms in your
explanations/descriptions.
Check for grammatical or typographical errors before submitting. Protocols with substantial errors will be
returned for corrections.
This form must be completed and submitted (as a Word document) electronically. Submit all required
documents (e.g., Review Form, Initial Review Application, all study forms requested within this
application, and bio-sketches) to [email protected]. For questions, contact Carmen Green, IRB Administrator, at
[email protected] or (540) 231-4358.
What is the Study Title: Attachment Styles and Enneagram Types: Development and Testing of an
Integrated Model of Personality for Use in Marriage and Family Therapy
[Note: If this protocol has been submitted to a federal agency for funding, the title of that application must match the title of this
submission.]
Check this box if this study only involves the collection or study of existing data, documents, records,
pathological specimens, or diagnostic specimens and respond only to the following sections within this
document: Section 1: General Information; Section 2: Justification; Section 8: Confidentiality / Anonymity; Section
14: Research Involving Existing Data; and Section 15: Additional Information below (Note: Section 15 is optional).
If yes,
B. Indicate the status of this research project with the other institution’s IRB:
Pending approval
Approved [submit approval letter with this IRB application]
Other institution does not have a human subject protections review board
Other, explain:
Section 2: Justification
2. Describe the background of this study, including supporting research: Attachment theory has a long
history of useful integrations with clinical research and practice (Cassidy & Shaver, 1999; Rholes &
119
Simpson, 2004). Specifically, attachment theory has been used successfully to enrich MFT research
and clinical work (Johnson, 2004; Wampler). Fraley, Brennan, & Waller (2000) developed an
instrument to measure attachment styles (the Experiences in Close Relationships - Revised (ECR-
R) that makes it possible to investigate possible relationships between attachment styles (Hazan &
Shaver, 1987; Brennan, Clark, & Shaver, 1998) and attention styles (Palmer, 1988; Daniels and
Price, 2000)
3. Describe the purpose / objectives of this study and the anticipated findings/contributions: Current
therapies based on attachment theory lack a rich base of knowledge about the inner experience
associated with different attachment strategies. This lack may limit therapists’ abilities to help
clients experience attachment security. The enneagram model of human development has
developed a wealth of knowledge about how people subjectively experience close relationships. The
enneagram model focuses on individual differences in attentional processes in close relationships.
However, there is as yet no theoretical model for how attachment styles and enneagram attention
types might be related. The proposed study will develop and empirically test an integrated model of
attachment style and enneagram attention type for use in marriage and family therapy.
4. Explain what the research team plans to do with the study results (e.g., publish, use for dissertation, etc.):
The study results will be used for my dissertation research.
5. Briefly describe the study design: Subjects will complete a paper and pencil questionnaire. The
questionnaire will be comprised of the Experiences in Close Relationship - Revised (ECR-R)
instrument and the Kansas Marital Satisfaction Scale (KMSS). In addition, subjects will be asked
to report their (self-identified) enneagram attention type. The data will be entered into SPSS and
analyzed.
Section 3: Recruitment
6. Describe the subject pool, including inclusion and exclusion criteria (e.g., sex, age, health status,
ethnicity, etc.) and number of subjects: The subject pool will consist of members of the Association of
Enneagram Teachers in the Narrative Tradition (AET). The AET is an international organization
dedicated to the development and teaching of the Enneagram in the Narrative Tradition.
Membership is restricted to people who have completed at least one week of enneagram training
with the Enneagram Professional Training Program. AET membership is approximately 400
people, from approximately 24 countries. This subject pool was chosen to ensure that all
participants have received enough enneagram training to be able to accurately self-identify their
enneagram attention type. Because of the purposeful sampling, there are no other inclusion or
exclusion criteria.
7. How will subjects be identified to participate in this research study (If searching existing records to
identify subjects, indicate whether the records are public or private. If private, describe the researcher’s
privileges to the data)? I have received permission to distribute the questionnaire at three different
AET workshops this spring and summer. At each workshop I will have the opportunity to
announce the study and distribute the questionnaires and pre-addressed, pre- stamped return
envelopes.
8. The IRB must ensure that the risks and benefits of participating in a study are distributed equitably among
the general population and that a specific population is not targeted because of ease of recruitment.
Provide an explanation for choosing this population: I chose to limit the study to AET members
because there is as yet no well validated self- report measure for assessing enneagram attention
type. Currently, the "gold standards" (Daniels & Price, 2000, p. 107) for assessing enneagram
attention type are: 1) a diagnostic typing interview by a certified enneagram teacher; 2) self-typing
after completion of a ten-week enneagram course, or equivalent training (Daniels & Price, 2000).
However, both of these methods are prohibitively time consuming for the sample size (200 - 300
participants) that I need for the statistical analyses required by the research design I have chosen.
120
9. Describe recruitment methods, including how the study will be advertised or introduced to subjects
[submit all advertising / recruitment forms (e.g., flyers/posters, invitation letter/e-mail, telephone
recruitment script, etc.) with this IRB application]: At each AET workshop, I will announce that I am
conducting research on the relationship between enneagram attention types and attachment styles.
I will explain that the questionnaires are anonymous, and that participation is completely
voluntary. Questionnaires and stamped return envelopes will be distributed after the
announcement. I will instruct participants to complete the questionnaire at their convenience and
mail the completed questionnaire back to me using the pre-addressed and stamped envelope.
Section 4: Requesting a Waiver for the Requirement to Obtain Signed Consent Forms from Participants
This section (Section 4) not required for studies qualifying for exempt review
Many minimal risk socio-behavioral research studies qualify for a waiver of the requirement for the
investigator(s) to obtain signed consent forms from subjects [i.e., researcher does obtain verbal or implied (i.e.,
consent implied from the return of completed questionnaire) consent from subjects; however, does not obtain
written consent from subjects]. Examples of types of research that typically qualify for this type of waiver are as
follows: internet based surveys, anonymous surveys, surveys not requesting sensitive information, and oral
history projects. You may request a waiver of signed consent for either some or all of the study’s procedures
involving human subjects.
10. Are you requesting a waiver of the requirement to obtain signed consent forms from participants?
No, consent forms will be signed by all research participants prior to participating in all research
procedures [submit consent document template(s) with this IRB application]
Yes
If yes,
A. Select one of the criteria listed below and describe how your research meets the selected
criteria:
Criteria 1: [Typically used for anonymous surveys] The only record linking the
subject and the research would be the consent document and the principal risk would be
potential harm resulting from a breach of confidentiality. Each subject will be asked
whether the subject wants documentation linking the subject with the research, and the
subject’s wishes will govern:
Or
Criteria 2: The research presents no more than minimal risk of harm to subjects and
involves no procedures for which written consent is normally required outside of the
research context (e.g., sitting down and talking with someone, calling someone at home
and asking everyday questions, mall survey, mail survey, internet survey, etc.):
Either selection of either Criteria 1 or Criteria 2 above, the IRB suggests and may
require the investigator to provide subjects with a written or verbal (for telephone
interviews) statement regarding the research, which should provide subjects with much
of the same information that is required within a consent document. This is typically
accomplished by providing subjects with an information sheet (i.e., a document similar
to a consent form; however, does not request signatures), supplying the information
within the invitation letter, or reading the information sheet to the subject over the
phone.
B. Will you be providing subjects with a written or verbal statement regarding the research?
Yes [submit supporting document(s) (e.g., information sheet, invitation letter) with
this IRB application]
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If yes, check all methods that will be utilized to provide subjects with a statement
regarding the
research:
Information sheet physically provided to subjects
Information sheet will be read to subject over the phone
Information captured within the invitation document
Other, describe:
No, provide justification for not supplying subjects with this information:
C. Does this waiver of written consent cover all study procedures involving human
subjects?
Yes
No, list the study procedures for which this waiver is being requested to cover (Note:
a consent document may be required for the study procedures not included under this
waiver):
11. Check all of the following that apply to this study’s consent process:
Verbal consent will be obtained from participants
Written consent will be obtained from participants
Consent will be implied from the return of completed questionnaire (if the study only involves implied
consent, skip to Section 6 below)
Other, describe:
12. Provide a general description of the process the research team will use to obtain and maintain informed
consent and respond specifically to A-D below:
. A. Who, from the research team, will be overseeing the process and obtaining consent from
subjects?
C. During what point in the study process will consenting occur (Note: unless waived,
participants must be consented before completing any study procedure, including
screening questionnaires)?
D. If applicable [e.g., for complex studies, studies involving more than one session, or
studies involving more of a risk to subjects (e.g., surveys with sensitive questions)],
describe how the researchers will give subjects ample time to review the consent
document before signing:
Not applicable to this study
Section 6: Procedures
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13. Provide a step-by-step thorough explanation of all study procedures expected from study participants,
including the length of sessions involved, and total time commitment: Study participants will complete
the paper and pencil questionnaire at a place and time of their own choosing. The questionnaire
consists of two parts. The first part asks the participants to report their enneagram attention type
and a limited amount of demographic information (age, gender, number of weeks of enneagram
training). The second part of the questionnaire consists of the 36 item ECR-R and the 3 item
KMSS, for a total of 39 items. For the ECR-R items, participants indicate amount of agreement on
a seven point scale. For the KMSS items, participants indicate level of satisfaction on a seven point
scale. Completion of the questionnaire was estimated to require approximately 20 - 30 minutes.
14. Describe how data will be collected and recorded [submit all data documents (e.g., questionnaire,
interview questions, etc.) with this IRB application]: Participants will complete a paper and pencil
questionnairre at time and place of their conveineance, and mail the completed questionnaire back
to me in pre-addressesd, pre-stamped envelopes (provided with the questionnaire). I will code the
questionnaires and enter the data into SPSS for analysis.
15. Where will the study procedures take place? I will distribute the questionnaires at three separate AET
workshops: Asheville, NC; Dayton, OH; and Colorado Springs, CO.
16. What are the potential risks (e.g., emotional, physical, social, legal, economic, or dignity) to study
participants? (do not state, “There are no risks involved.” Acceptable language = “There are no more than
minimal risks involved.”) There is a potential risk to study participants that the self-reflection
associated with completing the questionnaire could cause emotional pain that the participant did
not anticipate and did not want to experience. However, this risk is expected to be very low because
all study participants have completed at least one week of intensive training in self- observation and
self- reflection, including training and practice in coping with the emotional pain associated with
this type of work. In addition, both of the instruments included in the questionnaire are widely used
by researchers, and no adverse effects to study participants have been reported.
17. Does this study involve (check one box): minimal risk or more than minimal risk to study
participants?
Minimal risk means that the probability and magnitude of harm or discomfort anticipated in the research
are not greater in and of themselves than those ordinarily encountered in daily activities or during the
performance of routine physical or psychological examinations or tests.
18. Explain the study’s efforts to reduce the potential risks to subjects? The study will attempt to reduce
the potential risk of unanticipated, unwanted emotional pain associated with self-reflection by
explaining the nature of the questionnaire, and by stressing that participation is completely
voluntary. Furthermore, the potential risk will be reduced by instructing that participants complete
the questionnaire at a place and time of their own choosing.
19. What are the direct or indirect anticipated benefits to study participants and/or society? Study
participants will benefit from this study because the membership of the AET is dedicated to
development and teaching of the Enneagram in the Narrative Tradition, and the results of this
study will contribute to this organizational goal by increasing knowledge about the enneagram
model of personality. Society will benefit from this study because the results should contribute to
increased effectiveness of attachment-based therapies.
20. Will the study release personally identifying study results to anyone outside of the research team (e.g.,
participants identified in publications with individual consent)?
No
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Yes
If yes,
21. Will researchers be collecting and/or recording identifying information (e.g., name, contact information,
etc.) of study participants?
No (identifying information of participants will not be recorded in study files [including signature on
consent form])
Yes
If yes,
The IRB strongly suggests and may require that all data documents (e.g., questionnaire responses,
interview responses, etc.) do not include or request identifying information (e.g., name, contact
information, etc.) from participants. If you need to link subjects’ identifying information to
subjects’ data documents, use a study ID/code on all data documents.
B. If applicable, where will the linked code and identifying information document (i.e., John
Doe = study ID 001) be stored and who will have access (Note: this document must be
stored separately from subjects’ completed data documents and the accessibility should be
limited)?
22. Where will data documents (e.g., questionnaire, interview responses, etc.) be stored? In a fireproof lock
box in my home office
24. Describe the study’s plans for retaining or destroying the study data: I plan to retain the original
questionnaires until I have completed all analyses.
25. Does this study request information from participants regarding illegal behavior?
No
Yes
If yes,
Does the study plan to obtain a Certificate of Confidentiality [visit our website at
http://www.irb.vt.edu/pages/studyforms.htm#COC for information about these certificates]?
No
Yes (Note: participants must be fully informed of the conditions of the Certificate of
Confidentiality within the consent process and form)
Section 9: Compensation
If yes,
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Unless justified by researcher (in letter B below), compensation should be prorated based
on duration of study participation. Payment must not be contingent upon completion of
study procedures. In other words, even if the subject decides to withdraw from the study,
he/she must be compensated, at least partially, based on what study procedures he/she has
completed.
If yes,
If yes,
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will not be included:
B. Does this study involve conducting research with students of the researcher? (Note: If it is
feasible to use students from a class of students not under the instruction of the researcher,
the IRB recommends and may require doing so):
No
Yes, describe safeguards the study will implement to protect against coercion or undue
influence for participation:
C. Will the study need to access student records (e.g., SAT or GRE scores, or student GPA
scores)?
No
Yes [if yes, a separate signed consent/assent form (for student’s approval) and
permission form (for
parent’s approval if subject is a minor) must be obtained and submitted to the
Registrar’s office] [submit
consent form template(s) with this IRB application]
If yes,
A. Students not included in the study may view other students’ involvement with the research
during school time as unfair. Address this issue and how the study will reduce this outcome:
B. Missing out on regular class time or seeing other students participate may influence a
student’s decision to participate. Address how the study will reduce this outcome:
30. You will need to obtain school approval. This is typically granted by the Principal or Assistant
Superintendent and classroom teacher. Approval by an individual teacher is insufficient. School approval,
in the form of a letter or a memorandum should accompany the approval request to the IRB. Is the
approval letter(s) attached to this submission? Yes or No, if no, explain why:
If yes,
B. What will be offered to subjects as an equal alternative to receiving extra credit without
participating in this study?
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For more information about involving minors in research, visit our website at
http://www.irb.vt.edu/pages/newstudy.htm#Minors
32. Does your study involve minors (under the age of 18) (Note: age constituting a minor may differ in other
States)?
No
Yes
If yes,
A. The procedure for obtaining assent from these minors and permission from the minor’s
guardian(s) should have been described in Section 5 (Consent Process) in this form.
Researchers may request a waiver of parental permission if the study meets the criteria
specified under letter B below. Requesting a waiver for the requirement to obtain informed
permission from guardians may be helpful when recruiting college students for minimal risk
socio/behavioral research. Most studies involving minors must obtain parental permission
prior to the recruitment of minors.
C. Does your study reasonably pose a risk of reports of current threats of abuse and/or suicide?
No
Yes, thoroughly explain how the study will react to these reports (Note: subjects must be
fully informed of the fact that researchers must report reasonable threats of abuse or suicide
to the appropriate authorities/persons in the Confidentiality section of the Consent or
Permission documents):
If yes,
C. Describe the process of debriefing [submit your debriefing form with this IRB application]:
D. By nature, studies involving deception cannot provide subjects with a complete description
of the study during the consent process; therefore, the IRB must waive a consent process
which does not include, or which alters, some or all of the elements of informed consent.
Provide an explanation of how the study meets all the following criteria for an alteration of
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consent:
A) The research involves no more than minimal risk to the subjects:
B) The alteration will not adversely affect the rights and welfare of the subjects:
C) The research could not practicably be carried out without the alteration:
D) (Optional) Subjects will be provided with additional pertinent information after
participation (i.e., debriefing for studies involving deception):
The IRB requests that the researcher use the title “Information Sheet” instead of “Consent
Form” on the document used to obtain subjects’ signatures to participate in the research.
This will adequately reflect the fact that the subject cannot fully consent to the research
without the researcher fully disclosing the true intent of the research.
Section 14: Research Involving the Collection or Study of Existing Data Documents, Records, Pathological
Specimens, or Diagnostic Specimens
34. Will your study involve the collection or study of existing data?
No
Yes
If yes,
35. Provide additional information not captured within this worksheet here [response to this question not
required]:
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Institutional Review Board
Request for Exempt Review
Directions
This form must be typed and submitted (as a Word document) to the IRB office
electronically along with the other required documents (e.g., Initial Review Application, all
study forms relating to human subjects, and bio-sketches of investigators) to [email protected].
In addition to submitting electronically, this form, signed by all appropriate parties, must
be received by the IRB office before the submission is processed. Mail or deliver the
original signed copy of this form to: IRB, Virginia Tech, Office of Research Compliance,
1880 Pratt Drive, Suite 2006 (0497), Blacksburg, VA 24061. To speed up the approval
process, signed Review Forms may be scanned or faxed [(540) 231-0959] to the IRB office;
however, the original signatures must also be mailed or delivered to the IRB office for
documentation.
Principal Investigator [Faculty or Faculty Advisor] (all fields required) HST = Human
Subjects Training
Name: Dr. Katherine Allen PID: kallen HST completed
What is a PID? (scroll through:
over) VT in-class training
Department: Human Development Email: [email protected] Mail Code: 0416
___________________________________________
__________________
Signature of Principal Investigator Date
___________________________________________
__________________
Signature of Co-Investigator #1 Date
Co-Investigator #2
Name: PID: HST completed
Organization Name: Email: through: select source
___________________________________________
__________________
Signature of Co-Investigator #2 Date
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Co-Investigator #3
Name: PID: HST completed
Organization Name: Email: through: select source
___________________________________________
__________________
Signature of Co-Investigator #3 Date
Co-Investigator #4
Name: PID: HST completed
Organization Name: Email: through: select source
___________________________________________
__________________
Signature of Co-Investigator #4 Date
___________________________________________ __________________
Signature of Departmental Reviewer Date
Section 2: General Information
1. Project Title: Attachment Styles And Enneagram Types: Development And Testing Of
An Integrated Model Of Personality For Use In Marriage And Family Therapy
Enter title as you would like it to appear on the official IRB approval letter.
3. Do any of the investigators on this project have a reportable conflict of interest? No If yes,
explain:
All investigators of this project are qualified through completion of human subject
protections education. Visit our website at http://www.irb.vt.edu/pages/training.html to
view training opportunities accepted by the VT IRB. (Note: Do not submit your IRB
application until all investigators are qualified)
All investigators listed on this project, along with the departmental reviewer (if applicable),
have reviewed this IRB application and all requested revisions from these parties have been
implemented into this submission. (Note: Do not submit your application until all parties have
reviewed and signed off on the final draft of the materials)
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Sponsored Research, including VARIOUS funds & OSP/VT foundation funds [if Sponsored
Research, respond to letters A-D below]
A. Name of Sponsor [if NIH, specify department]:
B. Title of study as listed on OSP application:
C. OSP number: * Proposal # (enter 8 digit number, no dashes/spaces): , OR
* Grant # (enter 6 digit number, no dashes/spaces): , OR
* OSP # pending (check box if pending):
D. Is this project receiving federal funds (e.g., DHHS, DOD, etc.)? select one
5. Please mark/check the appropriate category or categories below which qualify the proposed
project for exemption:
1. Research will be conducted in established or commonly accepted educational settings,
involving normal educational practices, such as (a) research on regular and special
education instructional strategies, or (b) research on the effectiveness or the comparison
among instructional techniques, curricula, or classroom management methods.
2. Research will involve the use of educational tests (cognitive, diagnostic, aptitude,
achievement), survey procedures, interview procedures or observation of public behavior,
unless the subjects can be identified directly or through identifiers linked to the subjects
and disclosure of responses could reasonably place the subjects at risk or criminal or civil
liability or be damaging to the subjects’ financial standing, employability or reputation.
3. Research will involve the use of educational tests (cognitive, diagnostic, aptitude,
achievement), survey procedures, interview procedures, or observation of public behavior
that is not exempt under item (2) above, if (a) the subjects are elected or appointed public
officials or candidates for public office; or (b) Federal statute(s) require(s) that the
confidentiality or other personally identifiable information will be maintained throughout
the research and thereafter.
4. Research will involve the collection or study of existing data, documents, records,
pathological specimens, or diagnostic specimens, if these sources are publicly available
or if the information is recorded by the investigator in such a manner that subjects cannot
be identified directly or through identifiers linked to the subjects.
5. Research and demonstration projects which are conducted by or subject to the approval
of federal agency sponsoring the research, and which are designed to study, evaluate or
otherwise examine (a) public benefit or service programs, (b) procedures for obtaining
benefits or services under those programs, (c) possible changes in or alternatives to those
programs or procedures, or (d) possible changes in methods or levels of payment for
benefits or services under those programs.
6. Taste and food quality evaluation and consumer acceptance studies, if (a) wholesome
foods without additives are consumed, or if (b) a food is consumed that contains a food
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ingredient at or below the level and for a use found to be safe, by the Food and Drug
Administration or approved by the Environmental Protection Agency or the Food Safety
and Inspection Service of the U.S. Department of Agriculture.
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