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PubMed2005

Perceptions of conflict and support in romantic relationships: the role of attachment anxiety.

Guided by attachment theory, a 2-part study was conducted to test how perceptions of relationship-based conflict and support are associated with relationship satisfaction/closeness and future quality. Dating partners completed diaries for 14 days (Part 1) and then were videotaped while discussing a major problem that occurred during the diary study (Part 2). Part 1 reveals that more anxiously attached individuals perceived more conflict with their dating partners and reported a tendency for conflicts to escalate in severity. Perceptions of daily relationship-based conflicts negatively impacted the perceived satisfaction/closeness and relationship futures of highly anxious individuals, whereas perceptions of greater daily support had positive effects. Part 2 reveals that highly anxious individuals appeared more distressed and escalated the severity of conflicts (rated by observers) and reported feeling more distressed. The authors discuss the unique features of attachment anxiety and how changing perceptions of relationship satisfaction/closeness and stability could erode commitment over time.

Adult↗

PubMed2006

Dating couples' attachment styles and patterns of cortisol reactivity and recovery in response to a relationship conflict.

This study investigated theoretically predicted links between attachment style and a physiological indicator of stress, salivary cortisol levels, in 124 heterosexual dating couples. Cortisol was assessed at 7 points before and after an experimental conflict negotiation task, creating a trajectory of stress reactivity and recovery for each participant. Growth modeling of cortisol data tested hypotheses that (a) insecurely attached individuals show patterns of greater physiological stress reactions to interpersonal conflict than do securely attached individuals and (b) people with insecurely attached partners show patterns of greater stress in reaction to relationship conflict than those with securely attached partners. Hypothesis 1 was supported, but men and women differed in the type of insecure attachment that predicted stress trajectories. Hypothesis 2 was supported for men, but not for women. The discussion emphasizes the role of gender role norms and partner characteristics in understanding connections between adult attachment and patterns of cortisol responses to interpersonal stress.

Adaptation, Psychological↗

PubMed1994

Preventive intervention groups for parentally bereaved children.

A model of time-limited intervention groups for parentally bereaved children is described, and common emergent themes are discussed. These suggest that youngsters continue to struggle with death-related stress well beyond the time of the loss. The need to maintain an emotional attachment to internal representations of the deceased parent appears to be an important component of the bereavement process.

Adaptation, Psychological↗

PubMed2000

The Adolescent Unresolved Attachment Questionnaire: the assessment of perceptions of parental abdication of caregiving behavior.

This article reports on the Adolescent Unresolved Attachment Questionnaire (AUAQ), a brief questionnaire that assesses the caregiving experiences of unresolved adolescents (as recipients of caregiving). The AUAQ was developed and validated in a large normative sample (n = 691) and a sample of 133 adolescents in psychiatric treatment. It is a self-report questionnaire consisting of 3 scales with Likert-type responses ranging from strongly disagree to strongly agree. The Aloneness/Failed Protection Scale assesses the adolescent's perception of the care provided by the attachment figure. The Fear Scale taps the fear generated by the adolescent's appraisal of failed attachment figure care. The Anger/Dysregulation Scale assesses negative affective responses to the perceived lack of care from the attachment figure. All scales demonstrated satisfactory internal reliability and agreement between scores for adolescents (n = 91) from the normative sample who completed the AUAQ twice. Adolescents in the clinical sample also completed the Adult Attachment Interview (AAI; C. George, N. Kaplan, & M. Main, 1984/1985/1996); the AUAQ demonstrated high convergent validity with the AAI.

Adolescent↗

PubMedDate not supplied

Attachment studies with borderline patients: a review.

Clinical theorists have suggested that disturbed attachments are central to borderline personality disorder (BPD) psychopathology. This article reviews 13 empirical studies that examine the types of attachment found in individuals with this disorder or with dimensional characteristics of BPD. Comparison among the 13 studies is handicapped by the variety of measures and attachment types that these studies have employed. Nevertheless, every study concludes that there is a strong association between BPD and insecure attachment. The types of attachment found to be most characteristic of BPD subjects are unresolved, preoccupied, and fearful. In each of these attachment types, individuals demonstrate a longing for intimacy and--at the same time--concern about dependency and rejection. The high prevalence and severity of insecure attachments found in these adult samples support the central role of disturbed interpersonal relationships in clinical theories of BPD. This review concludes that these types of insecure attachment may represent phenotypic markers of vulnerability to BPD, suggesting several directions for future research.

Adolescent↗

PubMed2003

A picture is worth a thousand words: children's representations of family as indicators of early attachment.

To ascertain whether attachment representations at age 7 are related to early attachment behaviour, family drawings of 123 7-year-olds of known infant attachment status (25 avoidant, 80 secure, 18 resistant) were scored in four ways. Three of these were based in previous attachment research and one was based on a clinical method. The attachment-based coding schemes included specific markers for each attachment pattern (Kaplan & Main, 1985), global ratings (Fury, Carlson, & Sroufe, 1997) and efforts to classify each drawing as belonging to one of the three primary infant attachment groups (secure, avoidant, resistant). In the clinical scheme, children who had been resistant infants were distinguished from the others by use of overlapping and encapsulated figures. For the attachment based schemes, although individual markers were not successful in discriminating attachment groups, the more global approaches (aggregation of markers, global rating scales and judgments of attachment classification) succeeded in this task. In regression analyses controlling for concurrent child and parent measures, infant attachment did not make a significant contribution to predicting insecurity markers in drawings, although child current emotional functioning did. These findings linking attachment relationships with later representations of family relationships were in accord with the conception that avoidant attachment strategies de-emphasize intimate relationships, while resistant attachment strategies are preoccupied with close relationships. These links are most evident in global interpretive strategies rather than those that rely on specific markers.

Art↗

PubMed2004

Relations between young children's responses to the depiction of separation and pain experiences.

This study examined relations between young children's representations of separation and pain experiences in 60, 4- and 5-year-old children. Separation representations were assessed with the Separation Anxiety Test (SAT) and pain representations were assessed by examining responses to pictures of children about to experience pain in the presence of parent figures. Results showed that representations of separation and pain experience were systematically related and the patterns were not accounted for by the child's ability to differentiate emotional states, language ability, or reports of emotional regulation. These findings are consistent with Bowlby's (1982) concept of secure base behaviour in response to a variety of distress, and support the hypothetical construct of an internal working model of attachment which organizes children's behaviours, thoughts, and feelings in response to both separation experience and painful events.

Adult↗

PubMed2006

Adult social attachment disturbance is related to childhood maltreatment and current symptoms in borderline personality disorder.

We characterized borderline personality disorder (BPD) along two fundamental dimensions of adult social attachment and evaluated attachment associations with childhood maltreatment and current symptoms using self-report measures in 40 outpatients with DSM-IV BPD. The BPD group had significantly greater dimensional attachment impairment and rate of fearful attachment type compared with a healthy control group. Among BPD subjects, dimensional attachment-anxiety was specifically associated with sexual abuse, whereas attachment-avoidance was associated with all five maltreatment types. The two attachment dimensions showed divergent associations with current interpersonal problems, impulsivity subtypes and mood symptoms. We conclude that (1) BPD is characterized by adult attachment disturbance; (2) these attachment problems are strongly related to childhood maltreatment, and to current interpersonal problems and clinical symptoms that are considered core features of BPD; and (3) the diverse problems of BPD patients may arise from two basic mechanisms, each tied to a different type of attachment disturbance, developmental history, and clinical outcome.

Adolescent↗

PubMedDate not supplied

Attachment over time.

Continuity in attachment classification from infancy to late adolescence was examined and related to autobiographical memories of childhood, divorce, and maladjustment. Eighty-four White middle-class children (48 girls) were seen in a modified Strange Situation at 12 months and given the Adult Attachment Interview at 18 years. In addition, data were collected on 13-year-olds' childhood recollections as well as adolescent, mother, and teacher ratings of maladjustment at 13 and 18 years of age. Divorce status of parents also was obtained. Results indicated no continuity in attachment classification from 1 to 18 years of age and no relation between infant attachment status and adolescent maladjustment. Divorce was related to 13-year-olds' childhood recollections as well as to insecure attachment status at 18 years. Eighteen-year-olds with insecure attachment classification were more likely to rate themselves as maladjusted. The results support the idea of attachment as an evolving representation dependent upon the nature of the family environment as indexed by divorce.

Adolescent↗

PubMed1990

The effect of hearing impairment on the quality of attachment and mother-toddler interaction.

In the present study, 41 hearing impaired and 41 hearing toddlers together with their hearing mothers were observed in Ainsworth's Strange Situation and during free play. Both security of attachment and ratings of maternal and toddler behavior during free play were remarkably similar for the hearing impaired and hearing dyads. In addition, security of attachment was related to the ratings of maternal and toddler behavior in a similar way for the hearing impaired and hearing toddlers. The results suggest that development of a secure attachment and maintaining a good mother-toddler relationship does not depend on normal language development during the toddler years.

Child, Preschool↗

PubMed2003

The Adult Attachment Interview and observed couple interaction: implications for an intergenerational perspective on couple therapy.

One of the assumptions of intergenerational family therapy is that how a person thinks and talks about family-of-origin experiences has important implications for current family relationships. The Adult Attachment Interview (AAI) is a measure of attachment security based on how coherently the person can discuss attachment experiences in childhood. This study examined the relationship between attachment security, as measured by the AAI, and couple interaction, as measured by the Georgia Marriage Q-Sort (GMQ), in a sample of 28 couples in therapy for relationship problems. During a conflict resolution discussion, those individuals who were less coherent in discussing their family of origin expressed more negative affect, less respect, less openness, more avoidance, and less willingness to negotiate when interacting with their partner. No evidence of intra-couple effects or "buffering" was found. The findings support a key assumption of intergenerational approaches to family therapy and suggest that applying attachment theory is a promising direction for refining and developing new interventions for couples.

Adult↗

PubMed1986

The place of attachment in the life events model of stress and illness.

Recent evidence indicates that perceived adequacy of support has substantial predictive power for the subsequent onset of minor psychiatric symptoms. Such findings suggest that social support is not purely a property of the environment, but is also a function of personality. The problem, however, with a re-emphasis on personality variables is that any one of scores of dimensions can be chosen for study. This paper argues that precision may be gained by conceptualizing personality variables in terms of basic behavioral systems that have been extensively investigated in ethological and developmental studies. One such basic system is attachment. The present paper discusses the relevance of attachment theory for understanding susceptibility to stress and individual differences in the use of social support during times of stress.

Adaptation, Psychological↗

PubMed2006

Attachment as an organizer of behavior: implications for substance abuse problems and willingness to seek treatment.

BACKGROUND: Attachment theory allows specific predictions about the role of attachment representations in organizing behavior. Insecure attachment is hypothesized to predict maladaptive emotional regulation whereas secure attachment is hypothesized to predict adaptive emotional regulation. In this paper, we test specific hypotheses about the role of attachment representations in substance abuse/dependence and treatment participation. Based on theory, we expect divergence between levels of maladaptive functioning and adaptive methods of regulating negative emotions. METHODS: Participants for this study consist of a sample of adoptees participating in an ongoing longitudinal adoption study (n = 208). The Semi-Structured Assessment of the Genetics of Alcohol-II 41 was used to determine lifetime substance abuse/dependence and treatment participation. Attachment representations were derived by the Adult Attachment Interview [AAI; 16]. We constructed a prior contrasts reflecting theoretical predictions for the association between attachment representations, substance abuse/dependence and treatment participation. RESULTS: Logistic regression was used to test our hypotheses. As predicted, individuals classified as dismissing, preoccupied or earned-secure reported the highest rates of substance abuse/dependence. Individuals classified as dismissing reported significantly lower rates of treatment participation despite their high rates of substance abuse/dependence. As expected, the continuous-secure group reported lowest rates of both substance abuse/dependence and treatment participation. CONCLUSION: The findings from this study identify attachment representations as an influential factor in understanding the divergence between problematic substance use and treatment utilization. The findings further imply that treatment may need to take attachment representations into account to promote successful recovery.

Adaptation, Psychological↗

PubMed2004

Attachment predicts treatment completion in an eating disorders partial hospital program among women with anorexia nervosa.

The goal of this study was to examine if attachment theory can provide a framework for understanding treatment completion in an eating disorders partial hospital program among women with anorexia nervosa (AN). Attachment was measured using the Attachment Styles Questionnaire (Feeney, Noller, & Hanrahan, 1994). As hypothesized, self-reports of high avoidant attachment predicted noncompletion of treatment for those with AN binge-purge subtype (ANB). However, this relationship did not emerge for those with AN restricting subtype (ANR). Also as hypothesized, self-reports of high anxious attachment predicted completing treatment for those with ANB but not for those with ANR. For completers with ANB and ANR, the program was helpful in increasing body weight and lowering drive for thinness, body dissatisfaction, interpersonal problems, and depression. Attachment avoidance, characterized by devaluing one's need for relationships, may be a contraindication for group-based partial hospital treatment of ANB. Attachment anxiety, characterized by high preoccupation with relationships, may facilitate remaining in treatment for those with ANB.

Adult↗

PubMed2002

Adolescent peer relationships and mental health functioning in families with domestic violence.

Examined the impact of domestic violence, child abuse, and attachment style on adolescent mental health and relationship functioning. Data were collected on 111 adolescents, ages 14 to 16, and their mothers. Results indicate that both attachment and family violence experiences negatively impact mental health. In addition, family violence significantly predicted attachment style. Significant protective and vulnerability factors included maternal psychological functioning, maternal positive parenting, and perceived social support from friends. However, findings provided only limited support for the model of attachment as a mediator of the impact of family violence on adolescent relationships.

Adolescent↗

PubMed1999

[Transgenerational promotion of binding: correlation between mental binding models of mothers, binding patterns of their infants and perception and behavior of mothers in transition to parenthood].

The Adult Attachment Interview (AAI; George et al. 1996) was conducted with 28 mothers in order to assess their mental representations of attachment 4 years after giving birth to their first child. The interviews were coded and classified according to the method of Main and Goldwyn (1994). Using longitudinal data from the "Heidelberg Study on Transition to Parenthood", a significant correspondence was found between mothers' attachment representations and their childrens' patterns of attachment in the Ainsworth Strange Situation procedure after the first year of life. Additionally, further connections emerged between the mothers' attachment representation, their pre and post natal conceptions of their first child, their early bonding behavior, and their sensitive behavior with their 5-month-old infant in family interactions at home. These findings support the assumption of a transgenerational transmission of attachment quality and moreover indicate the usefulness of the Adult Attachment Interview in German-speaking countries, especially for studies on the transition to parenthood.

Adult↗

PubMed2001

Child-care and family predictors of preschool attachment and stability from infancy.

This study used multinomial logistic regression to examine relationships between child-care experience (in the context of overall family functioning) and preschool attachment. Attachment behavior was assessed at 36 months with the Strange Situation, and A, B, C, and D attachment classifications were assigned using the MacArthur coding system. Maternal sensitivity was the strongest predictor of preschool attachment classification. With respect to child-care effects, as at 15 months, no child-care factors (quantity, quality, or type) predicted. in and of themselves, attachment security at 36 months. However, 1 of 3 interactions involving child care that were detected at 15 months reemerged at 36 months: When maternal sensitivity was low, more hours per week in care somewhat increased the risk of the insecure-ambivalent (C) classification. There was significant but modest stability of attachment classifications from 15 to 36 months, especially for children with A and C classifications.

Adult↗

PubMed2004

[Attachment and brain development].

Significant achievements of neuroscience point out a role of stimulation in infant brain development. Attachment style is found to reflect in development of cortex--limbic system functional structures having this way fundamental influence on emotional development of the child and its future mental health. Styles of attachment are in this way transmitted from generation to generation. Before treatment methods based on these finding will be developed, prevention in a form of infant care and psychotherapy should be introduced.

Brain↗