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Infant proneness-to-distress temperament, maternal personality, and mother-infant attachment: associations and goodness of fit.

66 mother-infant pairs were examined when the infants were 9 and 13 months. The purpose of this report was to examine relations between infant proneness-to-distress temperament, maternal personality characteristics, and mother-infant attachment. There were no main-effect relations between infant proneness-to-distress temperament as assessed at 9 months and infant attachment classification at 13 months. This was true whether security of attachment (A and C vs. B) or proposed temperament (A1-B2 vs. B3-C2) groupings of attachment classifications were examined. Infant proneness-to-distress temperament, however, was associated with maternal behavior and personality. Furthermore, security of attachment could be predicted by an interaction between maternal personality and infant proneness-to-distress. The importance of considering goodness-of-fit relations in predicting attachment security is discussed.

Affect↗

Attachment and severely handicapped children: implications for intervention.

This report provides a selected overview of the concept of attachment and its formation in handicapped children. The implications of attachment development in more severely impaired children are discussed. The presentation of preliminary data on attachment from 50 mother-child dyads suggests that this phenomenon does exist and can be assessed in very impaired children. Child attachment responses formed a continuum ranging from bland or neutral behaviors to subtle acknowledgment of mother's presence or absence (e.g., by nodding or glancing) to a more pronounced response (e.g., smiling, crying, sitting up, locomoting). Compared to nonhandicapped children of similar developmental age, the responses of the children in this study were less complex, provocative, and differentiated. The implications of these data for pediatric practice and promoting attachment in families of severely impaired children are discussed.

Child↗

Traumatic loss in a one-year-old girl.

This Grand Rounds presents the case of a girl who, at the age of 1 year, witnessed her mother's violent death. She was first seen by a child psychiatrist at age 4 years and has remained symptomatic for more than 5 years after the traumatic event. The case is discussed from the standpoint of the interrelationships among posttraumatic stress, memory, attachment, and mourning.

Adoption↗

Borderline disorder and attachment pathology.

In this paper, the authors investigate the theoretical and empirical association between dysfunctions of the attachment system and borderline personality disorder. Attachment theory focuses on the maintenance of a sense of safety and security through a close personal relationship with a particular person. Based on a biological behavioural system, functional attachment relationships in adulthood rely on experiences and expectations of security within the relationship. These issues are also important to the definition and dynamics of borderline personality disorder. The dimensions and patterns of reciprocal attachment were compared with other scales measuring components of psychopathology and interpersonal relationships. In a sample of 85 female outpatients, only four of the attachment scales--feared loss, secure base, compulsive care-seeking and angry withdrawal--identified patients with high scores on a measure of borderline disorder. Of these four scales, feared loss had the predominant effect. These empirical results support the hypothesized relationship between dysfunctions of the attachment system and borderline disorder.

Adult↗

What do adult attachment scales measure?

Research suggests that attachment patterns can be measured as early as 12 months of age and that in the absence of major environmental change, they persist into adulthood. Evolving from three traditions, a number of assessment tools have been developed to study adult attachment. They range from semiclinical interviews to brief questionnaires and explore different relationship domains, from retrospective accounts of childhood experience to current romantic relationships. After exploring the theoretical background of the study of adult attachment, the authors review the format and the psychometric properties of several measures. Studies that compare measures are described. The article concludes with a discussion of unresolved questions about adult attachment that emerge from various measurement perspectives.

Adult↗

Measures of mental representation: clinical and theoretical considerations.

The authors explored the strengths and limitations of measures of mental representation from attachment theory and object relations theory. Using a study of adolescent mothers' mental representations while pregnant and their association to later mother-infant attachment (Levine, Tuber, Slade, & Ward, 1991), they compared the Adult Attachment Interview (AAI) (George, Kaplan, & Main, 1985) and the Krohn Object Representation Scale (KORS) (Krohn & Mayman, 1974) in terms of their clinical and theoretical utility. The authors argue that the AAI does not sufficiently explicate less adaptive object-representations, and that attachment research must address a broader clinical population to have a greater heuristic impact on clinical theory and practice. The AAI relies less on clinical inference than the KORS, however, thus providing a more viable mechanism for predicting parent-child relationship patterns. Clinical examples are provided to illustrate the process and content of the two scoring systems.

Adolescent↗

Effects of maternal interference on the attachment and exploratory behavior of one-year-olds.

Effects of maternal interference on social behavior toward mother and exploratory play were examined in a laboratory experimental paradigm. Subjects were 40 1-year-olds and their mothers. Mothers of the 20 interference-group infants were instructed periodically to physically interfere with their child's independent object play during the first half of the observation session. A postinterference free-play period immediately followed. The 20 control-group infants were permitted by mother to play freely throughout the session. Groups were matched for exposure to play materials. Despite its aversiveness, interference had no subsequent effect on infant social initiatives to mother, responsiveness to mother's social bids, or exploratory play.

Exploratory Behavior↗

Psychopathology and relationship measures in children with inflammatory bowel disease and their parents.

Children with inflammatory bowel disease and their parents were assessed for DMS-III diagnoses, maternal attachment, marital relationship, life stresses, illness severity and cognitive/affective profile. Eleven of 15 children and 21 of 27 parents had psychiatric diagnoses. Three children were suicidal. Thirteen of 15 mothers had insecure attachment. Marital difficulties and medical severity correlated with life stress. The higher prevalence of psychiatric disorders than epidemiologically and of insecure attachment suggest at-risk relationships.

Adolescent↗

The relative efficacy of two interventions in altering maltreated preschool children's representational models: implications for attachment theory.

A narrative story-stem task was used to evaluate the efficacy of two competing, developmentally informed preventive interventions for maltreated preschoolers and their mothers designed to modify children's internal representations of self and of self in relation to other. One hundred and twenty-two mothers and their preschoolers (87 maltreated and 35 nonmaltreated) served as participants. Maltreating families were randomly assigned to either the preschooler-parent psychotherapy (PPP, n = 23), psychoeducational home visitation (PHV, n = 34), or community standard (CS, n = 30) intervention group at baseline. Thirty-five nonmaltreating (NC) families served as comparisons. Narratives were administered to children at baseline and at the postintervention evaluation. Children in the PPP intervention evidenced more of a decline in maladaptive maternal representations over time than PHV and CS children and displayed a greater decrease in negative self-representations than CS, PHV, and NC children. Also, the mother-child relationship expectations of PPP children became more positive over the course of the intervention, as compared to NC and PHV participants. These results suggest that an attachment-theory informed model of intervention (PPP) is more effective at improving representations of self and of caregivers than is a didactic model of intervention directed at parenting skills. Findings are discussed with respect to their implications for developmental theory, with a specific focus on attachment theory and internal working models of relationships.

Child Abuse↗

Emotional availability and attachment representations in kibbutz infants and their mothers.

Three components of the attachment transmission model were examined in 48 kibbutz dyads from 2 kibbutz sleeping arrangements: communal and home-based. Concurrent assessments used the Strange Situation procedure (M. D. Ainsworth, M. C. Blehar, E. Waters, & S. Wall, 1978) for infants' attachment relations, the Adult Attachment Interview (C. George, N. Kaplan, & M. Main, 1985) for mothers' attachment representations, and the Emotional Availability Scales (Z. Biringen, J. L. Robinson, & R. N. Emde, 1993) for emotional availability in the dyads. Security of infants' attachment relations as well as autonomy of mothers' attachment representations were associated with higher emotional availability scores. In addition, significantly poorer emotional availability was found in dyads in which infants were insecurely attached and mothers were nonautonomous. Results also indicate that in the ecology of collective sleeping, the associations between the experience of emotional availability in the dyads and infants' and mothers' attachment may have been disrupted.

Adult↗

Perceived parental social support and academic achievement: an attachment theory perspective.

The study tested the extent to which parental social support predicted college grade point average among undergraduate students. A sample of 418 undergraduates completed the Social Provisions Scale--Parent Form (C.E. Cutrona, 1989) and measures of family conflict and achievement orientation. American College Testing Assessment Program college entrance exam scores (ACT; American College Testing Program, 1986) and grade point average were obtained from the university registrar. Parental social support, especially reassurance of worth, predicted college grade point average when controlling for academic aptitude (ACT scores), family achievement orientation, and family conflict. Support from parents, but not from friends or romantic partners, significantly predicted grade point average. Results are interpreted in the context of adult attachment theory.

Adolescent↗

Working models of attachment: implications for explanation, emotion and behavior.

Two studies examined attachment style differences in social perception. In Study 1, participants wrote open-ended explanations for hypothetical relationship events and described how they would feel and behave in response to each event. Compared with secure participants, preoccupied participants explained events in more negative ways; they also reported more emotional distress and behaviors that were likely to lead to conflict. Avoidant participants also provided negative explanations, but did not report emotional distress. Path analysis indicated that attachment style differences in behavior were mediated by explanation patterns and emotional distress. Study 2 was designed to replicate Study 1 and test the relative importance of attachment style and relationship quality to predicting each outcome. Results indicated that both variables were significant predictors of explanations, but only attachment style predicted emotional responses. These findings are consistent with the idea that adults with different working models of attachment are predisposed to think, feel, and behave differently in their relationships.

Adolescent↗

[The adult attachment projective (AAP) - psychometric properties and new reserach results].

George, West and Pettem developed a new measure, the Adult Attachment Projective (AAP) to assess attachment representation in adults. The AAP is comprised of a set of eight drawings, one neutral scene and seven scenes of attachment situations. Although the pictures were drawn as projective stimuli, the method of administration combines projective and interview techniques in the form of a semi-structured interview. In this paper the coding procedure and attachment classifications of the AAP will shortly be described. The current results on reliability and convergent validity are reported. Developmental studies examining correlates of attachment during the preschool-age years, as well as adult attachment classification and foster mothers' perceptions of their relationship with their at risk foster children give first evidence for the predicitve validity of the AAP. The results of a recent study with dysthymic women using the AAP add to the increasing number of studies that have identified an association between preoccupied attachment and depression. This study encourages the use of the AAP in a broader clinical context. The modified application of the AAP using functional MRI opens a new approach to assess neural correlates of attachment representation in patients with a Borderline Personality Disorder compared to controls, and other clinical groups.

Adult↗

Adolescents' attachment representations and moral reasoning.

Theoretical speculations and empirical data on the relation between attachment and moral reasoning are presented. An autonomous attachment representation was hypothesized to be an important personality dimension facilitating higher levels of moral (Type B) reasoning in adolescence. A sample of 47 U.S. college students (mean age 19.5 years) completed the Adult Attachment Interview (Main & Goldwyn, 1985-1993) and the Sociomoral Reflection Measure-Short Form (Gibbs, Basinger, & Fuller, 1992). Although the overall score for sociomoral reflection was not associated with attachment representation, moral Type B reasoning was more prevalent in respondents with an autonomous attachment representation; thus, autonomous attachment may be at the core of mature moral reasoning.

Adolescent↗