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PubMed1994

Depression, working models of others, and relationship functioning.

Two studies examined depressives' working models of others and the relative contribution of these models and depression to relationship functioning. Respondents reported on their childhood relationships, adult attachment style, and relationship functioning. Study 1 compared mildly depressed and nondepressed college women, and Study 2 compared married women recovering from clinical depression with nondepressed married women. Mildly depressed college women evidenced greater preoccupation and fearful avoidance in romantic relationships than did nondepressed women; recovering depressed women evidenced greater fearful avoidance. In both studies, relationship functioning was predicted more strongly by adult attachment style than by depression status. Among college women, positive experiences with mother also were linked to better relationship functioning; however, attachment style and depression status mediated this effect.

Adolescent↗

PubMed2005

The relationship of preschool and early school age attachment to mother-child interaction.

This article focuses on the description and meaning of attachment relationships and their relation to patterns of caregiver-child interaction. Concepts fundamental to coding separation-reunion behavior in older children (J. Cassidy & R. S. Marvin, 1992; M. Main & J. Cassidy, 1988) are discussed and then applied to delineating the distinct patterns characterizing secure, avoidant, dependent, and disorganized/controlling at preschool and school age. A scale for rating the quality and relationship structure of adult-child interaction is described. Analyses comparing the interactive patterns of 121 mother-child (ages 5-7 years) dyads revealed a significant difference among the 4 attachment groups and specifically distinguished disorganized/controlling dyads. The study validates current school age attachment measures as well as a new taxonomy suitable for further research in naturalistic or clinical settings.

Adult↗

PubMed2000

Attachment-based assessments of parent-child relationships in middle childhood.

Although a number of measures have been developed to assess parent-child attachments, validity data on middle-childhood measures are lacking. The present study tested attachment-based measures of parent-child relationships designed for the later middle-childhood years (9-12 years of age). Self-reports from children assessed perceptions of security and avoidant and preoccupied coping. Some children also completed a projective interview assessing attachment state of mind. Mothers and fathers reported their willingness to serve as an attachment figure and were rated for responsiveness. Data were collected from a cross-sectional sample of 3rd and 6th graders and their parents. A 2-year follow-up on the younger sample provided data on the stability of the measures. There were modest associations across the different measures and moderate to high stability. The attachment-based measures were also related to teacher ratings of children's school adaptation.

Child↗

PubMed2004

Attachment to parents and psychological well-being: an examination of young adult college students in intact families and stepfamilies.

Numerous studies have shown that compared to individuals from intact, biological families, individuals in stepfamilies tend to fare worse emotionally, socially, physically, and psychologically (e.g., Amato & Keith, 1991). Several studies have attempted to account for the discrepancy, but the research has not yielded definitive results. The current study evaluated attachment to parents as a possible explanation for discrepancies in psychological well-being. The results confirmed that attachment was a significant predictor of well-being. Additionally, individuals from stepfamilies were found to have less secure attachment to their parents than individuals from intact, biological families. Consistent with our hypothesis, we found that attachment (operationalized as maternal and paternal care) partially mediated the relationship between family type (intact, biological family vs. stepfamily) and psychological well-being.

Adult↗

PubMed1994

The physical restraint of children: is it therapeutic?

Restraint and seclusion are compared as responses to dangerous aggression, and a number of theoretical warrants for the use of physical restraint with children are reviewed, with a primary focus on its attachment-promoting possibilities. Parallels are drawn between sound physical restraint procedures and the temporal phases upon which the holding therapies are based.

Aggression↗

PubMed2000

The relationship of parental attachment and psychological separation to the psychological functioning of young adults.

The authors explored the interrelations between attachment patterns and psychological separation from parents as well as the contribution of these variables to adaptive psychological functioning. Among 153 university students in Greece, there was a positive association between security of attachment and freedom from guilt, anxiety, and resentment toward one's parents (conflictual independence); in contrast, there was an inverse relation between security of attachment and independence from parents in relation to emotional, functional, and attitudinal independence. Compared with the insecurely attached students, the securely attached students also scored higher on measures of self-esteem and lower on measures of anxiety and loneliness.

Adaptation, Psychological↗

PubMed2000

Attachment and developmental psychopathology.

This article describes the case of an 8-year-old boy who was first brought to clinical attention at age 2 1/2. He was followed by several clinicians over a 6-year period and was assigned a wide variety of diagnoses. From the first assessment to hospitalization at age 8, a pattern of mother-child relationship disturbance is evident. The use of principles and recent research derived from attachment theory provides a useful basis for formulation in this complex case. This report focuses on the relationship between the patient's mother's internal working models of attachment and his behavior in infancy and early childhood.

Child↗

PubMed2001

The development and preliminary validation of a new measure of adult attachment: the adult attachment projective.

In this paper, we describe the development of and our preliminary work to empirically validate the Adult Attachment Projective (AAP), a new adult attachment classification system that is based on the analysis of individuals' responses to a set of seven attachment-related drawings. The AAP classification system uses evaluations of three dimensions (Discourse, Content and Defensive Processing) to designate four major adult classification groups: Secure, Dismissing, Preoccupied, and Unresolved. Preliminary validation of the AAP is based on 75 participants drawn from three separate samples. The results indicate strong interjudge reliability and convergent agreement between the AAP and Adult Attachment Interview (AAI) classifications. The AAP, thus, appears to be a promising developmental measure for assessing the representation of attachment in adults. Contributions of the AAP to attachment theory and research are discussed. The similarities and differences between AAP stories and other child and adult representational measures are also discussed.

Adult↗

PubMed2005

Maternal reflective functioning, attachment, and the transmission gap: a preliminary study.

The notion that maternal reflective functioning, namely the mother's capacity to hold her baby and his mental states in mind, plays a vital role in the intergenerational transmission of attachment is investigated (Fonagy, Gergely, Jurist, & Target, 2002; Fonagy et al., 1995; Slade, this volume). A parent's capacity to understand the nature and function of her own as well as her child's mental states, thus allowing her to create both a physical and psychological experience of comfort and safety for her child, is proposed. In this study of 40 mothers and their babies, maternal reflective functioning is measured using the Parent Development Interview (PDI; Aber, Slade, Berger, Bresgi, & Kaplan, 1985), and scored for reflective functioning using an addendum to Fonagy, Target, Steele, & Steele's (1998) reflective functioning scoring manual (Slade, Bernbach, Grienenberger, Levy, & Locker, 2004). The relations between maternal reflective functioning and both adult (measured in pregnancy) and infant attachment (measured at 14 months) are examined. The findings indicate that relations between adult attachment and parental reflective functioning are significant, as are relations between parental reflective functioning and infant attachment. A preliminary mediation analysis suggests that parental reflective functioning plays a crucial role in the intergenerational transmission of attachment.

Adult↗

PubMed2006

Attachment style, empathy, and helping following a collective loss: evidence from the September 11 terrorist attacks.

This study examined the relationships between avoidant and ambivalent attachment dimensions, empathy, and helping behavior in the context of one of the most tragic examples of collective loss in the USA. US college students (314 total: 219 females, 95 males) completed questionnaires between 20 and 42 days after the September 11 terrorist attacks. Results from this correlational study confirm previous laboratory experiments finding that attachment style may be related to people's ability to experience empathy and engage in helping behavior. Following the terrorist attacks, those with lower scores on avoidant attachment (i.e., more secure individuals) reported greater empathy with the bereaved. No association was found between the anxious attachment dimension and empathy, most likely due to a curvilinear relationship. Empathy for the bereaved was significantly correlated with helping behavior. Although neither attachment dimension was directly associated with collective helping behavior, avoidant attachment was negatively and indirectly related to collective helping behavior via its relationship with empathy for the bereaved.

Adolescent↗

PubMed2004

Attachment representations of deaf adults.

The primary goal of this study was to examine the feasibility of using the Adult Attachment Interview (AAI) with 50 culturally Deaf adults. Modifications to the standard protocol included using a visual-spatial language (American Sign Language) rather than a spoken language (English), as well as coding and procedural variations from the standardized protocol. Results suggested that the adapted AAI interview and coding processes provided an effective assessment of the state of mind regarding the attachment of Deaf individuals. The expectation that Deaf participants would be less coherent in their AAI transcripts and therefore less likely than hearing individuals to be classified as Autonomous was not supported. The distribution of the classifications of this Deaf sample was not different from existing normative distributions. Moreover, there was no evidence that early separation from parents associated with attendance at a residential school for the Deaf resulted in attachment formations with residential counselors or teachers at the school.

Adult↗

PubMed2000

Personality, relationship closeness, and loneliness of oldest old adults and their children.

This study examined the effects of personality, attachment, and dimensions of family solidarity on the loneliness of oldest old adults (i.e., 85 years and older) and their adult children. Parent-child dyads were formed with data collected from 100 parents and their children. Results from path analyses indicated that oldest old adults' loneliness was reduced by affection both for and from their children. Although an anxious personality decreased affection, perceptions of attachment to children increased feelings of affection. In addition, parents and children who had anxious personalities were more likely to be lonely, whereas loneliness was decreased for those with an extraverted personality. Children's loneliness also was decreased by association with their parents and by the quality of their friendships. Perceptions of childhood attachment to parents increased current affection and association with and fulfillment of parents' expectations.

Adult↗

PubMed1997

Relationships between social support, social coping and life events in the relapse of schizophrenic patients.

The vulnerability-stress model for schizophrenia posits that relapses are at least partly determined by interacting triggering and protecting psychosocial factors. This study examined social support and general coping style in 42 consecutively admitted DSM:III schizophrenic patients, who were followed prospectively for up to four years. In a second part of the study, a subgroup of the patients were interviewed using the Life Event and Difficulty Schedule 9 months after discharge or at relapse. Patients contented with low social integration had a higher relapse rate over four years than patients lacking of social provisions, but wanting more. We found an excess of life events three weeks before relapse compared to events reported in the non-relapsing group. Suggesting a buffering effect of social factors, time between life event and relapse was significantly extended among patients with a high availability of attachment and a coping strategy characterised of active support seeking.

Adaptation, Psychological↗

PubMed2002

Maternal predictors of children's social cognition: an attachment perspective.

BACKGROUND: This paper assumes that the capacities to (1) openly acknowledge, and (2) elaborate a resourceful plan for coping with distress in the self and others are central features of social cognition. METHOD: These capacities were assessed in a sample (N = 51) of 11-year-old children whose mothers and fathers had previously provided Adult Attachment Interviews (AAIs) before their children were born. The children were shown six line-drawn sequences of child(ren), with peer(s) and/or family in diverse situations involving some moderate distress. The experimenter described the adversity shown in the sequence (e.g., bully pushing over another school-aged child in the presence of onlookers) and then invited the child to attribute thoughts and feelings to the characters, and comment upon what might happen next. RESULTS: Children whose responses scored highly for acknowledgement of the distress, and elaborating a resolution, were significantly more likely to have had mothers (but not fathers) whose AAIs were judged autonomous-secure as opposed to insecure (i.e., dismissing, preoccupied and/or unresolved). The significant influence of maternal representations of attachment upon the 11-year outcome remained even after taking account of concurrent parenting attitudes, children's verbal intelligence, as well as the previously assessed infant-parent attachment patterns. CONCLUSIONS: Discussion concerns the differential predictive power of maternal responses to the Adult Attachment Interview as related to the domain of children's social and emotional understanding.

Adaptation, Psychological↗

PubMed2002

Annotation: attachment disorganisation and psychopathology: new findings in attachment research and their potential implications for developmental psychopathology in childhood.

BACKGROUND: The past 10 years have seen a fruitful line of enquiry building on identification of previously unclassifiable patterns of infant-mother interaction. A critical review of these new findings in attachment theory, highlighting their potential relevance to child psychopathology, is presented. METHOD: Selective literature review relating to disorganised attachment in childhood. RESULTS: Disorganised patterns of attachment have only relatively recently been described. They show characteristic patterns of evolution in development. There is evidence that disorganised attachments are associated with specific forms of distorted parenting, which are distinct from general parental insensitivity and are associated with unresolved loss or trauma in the caregiver. There are also links with aspects of neurodevelopment vulnerability in the child. Attachment disorganisation is a powerful predictor of a range of later social and cognitive difficulties and psychopathology. CONCLUSIONS: The identification of disorganised attachment has greatly increased the potential relevance of attachment theory to general clinical work. However, the concept raises many methodological and theoretical issues. Among issues needing further exploration is the way in which attachment disorganisation relates to children's general mental states and may be affected by cognitive functioning and developmental impairment.

Adolescent↗

PubMed1994

Infant day-care, attachment, and the "file drawer problem".

The research literature on infant day-care and attachment may be biased by the unavailability of "file drawer" studies, unpublished data showing no statistically significant effects. Replication studies, whether showing an effect or not, are essential to clarify the relation between day-care and attachment. This study of 105 12-month-olds is an attempt to replicate four similar studies summarized and combined by Belsky to show that infants in day-care are at risk for insecure attachment. In the present study, no results were robust enough to emerge consistently, although there was a trend for more negative attachment outcomes to be associated with little or part-time day-care rather than with full-time day-care. In general, the results suggest that the specific measures, definitions of full- and part-time, and statistical techniques used in studies examining the relation between day-care and attachment are likely to affect the outcome of such studies.

Day Care, Medical↗

PubMed1989

The lesbian childbearing experience: assessing developmental tasks.

Selected nursing theories about the childbearing experience are examined as they apply to the assessment of the pregnant lesbian couple. A review of the women's health literature suggests that the lesbian pregnancy experience is characterized by the use of donor insemination, social discrimination and a dependence on peer rather than family networks for social support. Based on these sociocultural constraints, the authors propose that the lesbian couple is faced with greater barriers than are heterosexual parents to achieving the developmental tasks of "safe passage" and acceptance by others of the pregnancy. Future research should document how a lesbian identity affects the pregnant woman's relationship with her mother, her partner's psychosocial development as a parent and the maternal-infant attachment process. Nursing guidelines for assessing parental role development are presented.

Attitude of Health Personnel↗

PubMed1997

Attachment, autonomy, intimacy: some clinical implications of attachment theory.

This paper reviews the origins and current state of attachment theory, especially as relevant to the practice of psychotherapy. It is suggested that attachment experience becomes internalized as self-narrative around the age 3-5, and that these self-narratives form the basis of reflexive self-function and autobiographical competence in later life, as revealed by the Adult Attachment Interview. It proposes that the fundamental aims of psychotherapy can be characterized as the search for intimacy and autonomy, arising on the basis of parental attunement and containment of healthy protest, of which analogues are to be found in adult psychotherapy. A 'triangle of attachment' is introduced at whose apices are attachment, detachment and 'non-attachment' respectively. Attachment, which arises out of a secure base, provides the starting point for intimacy; the capacity for healthy protest and therefore detachment is the basis of autonomy; from non-attachment comes the capacity to reflect on oneself and so to disidentify with painful or traumatic experience.

Adult↗