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This exploratory study compared the in\u2010session discourse of clients with dismissing and preoccupied attachment states of mind on Adult Attachment Interviews conducted prior to therapy in the context of a randomized clinical trial of psychoanalytic and cognitive\u2013behavioural psychotherapy for bulimia nervosa. In a subsample of six sessions from each of eight therapy dyads, preoccupied clients were found to talk more and have longer speaking turns than dismissing clients, who in turn generated more pauses. Using the Narrative Processes Coding System, preoccupied clients were found to show more narrative initiative; whereas, differences in terms of narrative process modes were not as clearly interpretable. Contrary to expectations, the two insecure states of mind were equally different in the relationship\u2010focused psychoanalytic therapy and in the symptom\u2010focused cognitive\u2013behavioural therapy. Suggestions for further investigations of the in\u2010session discourse of clients with different attachment states of mind are given.\u2002Copyright \u00a9 2010 John Wiley &amp; Sons, Ltd.<\/jats:p><jats:p><jats:bold>Key Practitioner Message:<\/jats:bold><\/jats:p><jats:p>\u2022 Client adult attachment patterns are likely to affect psychotherapeutic processes.<\/jats:p><jats:p>\u2022 Client insecure dismissing and insecure preoccupied attachment may be detectable in distinct in\u2010session discourse styles.<\/jats:p><jats:p>\u2022 More research is needed on in\u2010session manifestations of client attachment patterns and their relation to therapeutic outcome.<\/jats:p>","DOI":"10.1002\/cpp.704","type":"journal-article","created":{"date-parts":[[2010,5,27]],"date-time":"2010-05-27T06:51:54Z","timestamp":1274943114000},"page":"498-511","source":"Crossref","is-referenced-by-count":16,"title":["Adult attachment insecurity and narrative processes in psychotherapy: an exploratory study"],"prefix":"10.1002","volume":"18","author":[{"given":"Sarah I. 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