Intimate Partner Stalking/Pursuit: A Pathophysiology of Attachment Style

AuthorCatherine J. Creamer,Christopher J. Hand
Published date01 April 2022
Date01 April 2022
DOIhttp://doi.org/10.1177/0306624X211010289
Subject MatterArticles
https://doi.org/10.1177/0306624X211010289
International Journal of
Offender Therapy and
Comparative Criminology
2022, Vol. 66(5) 604 –624
© The Author(s) 2021
Article reuse guidelines:
sagepub.com/journals-permissions
DOI: 10.1177/0306624X211010289
journals.sagepub.com/home/ijo
Article
Intimate Partner Stalking/
Pursuit: A Pathophysiology
of Attachment Style
Catherine J. Creamer1
and Christopher J. Hand1
Abstract
Approximately half of stalking victims were previously in an intimate relationship with
the perpetrator, and attachment style is strongly correlated with intimate partner
stalking (IPS). In the first study to investigate polyvagal theory in IPS, we examined 58
adult participants’ attachment style, sex, history of IPS, vagal tone activity (i.e., heart
rate variability; HRV), and cognitive processing disruptions (i.e., Stroop performance)
in either participants who wished a relationship or in those who wished to maintain
a relationship post-break-up. Results showed that males were more likely to
perpetrate IPS than females. Anxious-style participants were more likely to have
perpetrated IPS, showed greater cognitive disruption and HRV than avoidant-style
participants. Our results support theories that attachment is a biological imperative
with neurobiological implications that can be indexed physiologically and cognitively.
This study is the first to demonstrate a pathophysiology of attachment style to IPS,
in a replicable way. IPS is discussed as reflective of disordered arousal and related to
anxiety. Recommendations for further research and clinically-relevant interventions
are presented.
Keywords
attachment, stalking, vagal tone, intimate partner stalking, heart rate variability,
intimate partner violence, obsessive relational intrusion, autonomic nervous system,
anxiety, polyvagal theory
1Glasgow Caledonian University, UK
Corresponding Author:
Catherine J. Creamer, Department of Psychology, Glasgow Caledonian University, 70 Cowcaddens
Road, Glasgow G4 0BA, UK.
Emails: Catherine.Creamer@gcu.ac.uk; catherinejcreamer@gmail.com
1010289IJOXXX10.1177/0306624X211010289International Journal of Offender Therapy and Comparative CriminologyCreamer and Hand
research-article2021
Creamer and Hand 605
Introduction
In line with the difficulties in specific legislation, measuring the prevalence of stalking
is problematic and varies from jurisdiction to jurisdiction. In the United States, the
National Crime Victimization Survey (Baum et al., 2009) estimated that approxi-
mately 3.4 million Americans were stalked in the 12 months preceding the survey.
According to the Crime Survey for England and Wales, 4.6% of women and 2.5% of
men aged 16 to 74 were victims of stalking in 2019/2020. Difficulties tend to arise in
the definition of the term “stalking.” Cupach and Spitzberg (2004) have defined
another type of problematic behavior, which they term Obsessive Relational Intrusion
(ORI). Broadly speaking, ORI is defined as a “pattern of repeated, unwanted pursuit
and invasion of one’s sense of physical or symbolic privacy by another person, either
stranger or acquaintance, who desires and/or presumes an intimate relationship” (p.
358). They suggest this differs from the term “stalking” in that the legal criteria for
stalking in many jurisdictions includes repeated actions, victim fear and in some cases,
intent to produce fear, with either strangers, or non-strangers (Dutton & Winstead,
2006, 2011). In ORI, the term “relational” is important in defining the phenomenon,
since the main motivation is to initiate or maintain an intimate relationship, and not
necessarily to produce fear (Cupach & Spitzberg, 2004; Cupach et al., 2011).
Nevertheless, there is significant variation in the literature regarding the definitions of
stalking from both a legal and empirical perspective because of the highly subjective
nature of the perception and emotional reaction as to what constitutes unwanted
behavior (Patton et al., 2010). Notwithstanding the point on the subjective nature of
fear and unwanted behavior, in the US, the Centers for Disease Control and Prevention
and the Bureau of Justice Statistics have detailed definitions of stalking and recent
research is rooted more so in definitions that include a pattern of behavior that instills
fear in the victim. Given this divergence in the literature, for the purposes of this
research, the term relational refers to intimate partner pursuit (IPS), either wanting to
establish or to maintain an intimate relationship and the associated behaviors involved
in this pursuit. Acknowledging the divergence in the literature relating to the term
stalking, the terms IPS and pursuit/ORI are used interchangeably. However, it is this
relational term that has driven the development of theoretical assumptions and thus
drives the current research in testing these assumptions. This research is not so much
concerned with the definition of stalking, but more the dimensions of pursuit behavior
(McEwan et al., 2019) in those with disruptive infant attachment in later intimate rela-
tionships; desired or wished to maintain.
Whereas most stalkers are known to their victims, the number of people who report
being pursued in the context of relationship pursuit represents approximately 46% of
all stalking cases (Boehnlein et al., 2020; Metropolitan Police, 2020; Weller et al.,
2013). This is likely to be an underestimation of the extent of the problem, given that
individuals may be reluctant to disclose such experiences for a variety of different
reasons. Further, despite no contact or restraining orders, prosecuting perpetrators of
stalking does not always lead to the behavior stopping (Eke et al., 2011; McEwan
et al., 2019). One significant difference between stranger stalking and intimate partner

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