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PubMed2005

Using Structural Analysis of Social Behavior (SASB) measures of self- and social perception to give interpersonal meaning to symptoms: anxiety as an exemplar.

Current symptom-based diagnosis, although important, lacks theoretical underpinning that might give meaning to psychiatric symptoms. The structural analysis of social behavior (SASB) fills this void, operationalizing interpersonal theory for investigation of relational aspects of psychopathology. To provide an example of how SASB may be utilized to this end, participants with (n = 40) and without (n = 40) uncontrollable worry and anxiety completed SASB Intrex Questionnaires to explore self-perceptions and perceptions of strangers in a social interaction task. Based on SASB principles and past research on familial factors in childhood anxiety, it was hypothesized that self- and other perceptions would discriminate participant groups along the lines of disrupted and normal attachment. To demonstrate the versatility of SASB, analyses incorporated indexes of varying specificity. Largely, results supported predictions, suggesting the sensitivity of SASB Intrex to assess social perceptions even in a first-meeting context, extending its known possible uses.

Adolescent↗

PubMed2003

Gene-environment interactions and the neurobiology of social conflict.

Recent research has disclosed marked individual differences in biobehavioral responses to social conflicts exhibited by rhesus monkeys across the life span. For example, approximately 5-10% of rhesus monkeys growing up in the wild consistently exhibit impulsive and/or inappropriately aggressive responses to mildly stressful situations throughout development; those same individuals also show chronic deficits in their central serotonin metabolism. These characteristic patterns of biobehavioral response emerge early in life and remain remarkably stable from infancy to adulthood. Laboratory studies have demonstrated that although these characteristics are highly heritable, they are also subject to major modification by specific early experiences, particularly those involving early social attachment relationships. Moreover, genetic and early experience factors can interact, often in dramatic fashion. For example, a specific polymorphism in the serotonin transporter gene is associated with deficits in early neurobehavioral functioning and serotonin metabolism, extreme aggression, and excessive alcohol consumption among monkeys who experienced insecure early attachment relationships, but not in monkeys who developed secure attachment relationships with their mothers during infancy. Because daughters tend to develop the same type of attachment relationships with their own offspring that they experienced with their mothers early in life, such early experiences provide a possible nongenetic mechanism for transmitting these patterns to subsequent generations.

Animals↗

PubMed2000

Disturbances of attachment in young children adopted from institutions.

In this article, the author describes a discrepancy between popular media accounts of reactive attachment disorder (RAD) and its clinical and scientific description. The literature on serious disturbances of attachment in children adopted out of institutions is reviewed. The author concludes that children adopted from institutions are at dramatically increased risk for disturbances, although the majority of such children do not demonstrate problems. Both the duration of deprivation and the postinstitutional caregiving environment seem to be importantly related to outcome. Inhibited/withdrawn RAD is exceedingly uncommon in children adopted from institutions (at least after 1 or more years), but disinhibited/indiscriminate RAD is quite persistent. Long after children become attached to adoptive parents, a number of them continue to exhibit indiscriminate sociability. Three explanations for this divergence of recovery curves are considered. It is likely that future systematic studies will illuminate many areas that are unclear at this time.

Adaptation, Psychological↗

PubMed1986

Late adolescents' home-leaving strategies: predicting ego identity and college adjustment.

A definition of leaving home, derived from previous theoretical and empirical conceptualizations, was used to predict late adolescents' ego identity and college adjustment. Four interrelated yet distinct variables, economic independence, separate residence, personal control, and emotional attachment to parents, were highly significant predictors of both ego identity and college adjustment. The results confirm earlier preliminary investigations and support a broader definition of leaving home than those typically discussed in the theoretical literature.

Adaptation, Psychological↗

PubMed1995

Experienced and inexperienced mothers' maternal competence during infancy.

In an exploratory study 136 experienced (multiparous) mothers and 166 inexperienced (primiparous) mothers were studied to determine differences in their self-reported maternal role competence, and variables predicting their competence at postpartal hospitalization, 1, 4, and 8 months following birth. The two groups did not differ in their maternal role competence over the 8 months. Inexperienced mothers' competence was higher at 4 and 8 months than at early postpartum and 1 month, indicating a developmental process in maternal role achievement, but no change was observed in experienced mothers' maternal competence. From 45% to 56% of the variance in experienced mothers' maternal competence was explained over the four test periods, and from 43% to 50% among inexperienced mothers. Self-esteem was a consistent, major predictor of maternal competence for both groups. Maternal fetal attachment, readiness for pregnancy, and pregnancy risk variables were explanatory of experienced mothers' maternal competence only. Sense of control was explanatory only of inexperienced mothers' competence at 1, 4, and 8 months.

Adolescent↗

PubMedDate not supplied

The perinatal death of a twin. Karla's story of attaching and detaching.

This article examines the attaching and detaching experience of a mother encountering the perinatal death of a twin. Her experience is related to the relevant theoretical and research literature pertaining to prebirth and postbirth maternal-infant attachment and detachment (grieving). Literature for both single infants and twins is considered. The experience of this mother suggests that elements of postbirth attachment may have been accelerated into the prebirth period. In addition, her postbirth attaching and detaching experience suggests that an attachment and detachment to the twins as a unit preceded detachment from the twin who died. The health care provider's role in promoting maternal well-being, and indirectly the well-being of the surviving infant, is described.

Adult↗

PubMedDate not supplied

Posttraumatic stress disorder reactions among children with learning disabilities exposed to terror attacks.

Posttraumatic stress disorder (PTSD) reactions were examined among adolescents exposed to terror attacks. In the first stage, 56 children with learning disabilities (LDs) were compared with 48 nonclinical controls aged 14 to 18 years. Posttraumatic stress disorder in children with LD was significantly higher than in the control group. Next, hierarchic regression predicting PTSD reactions among children with LD was performed. Results revealed that personal exposure to terror, past personal threatening life events, avoidant and anxious attachment, and the anxious attachment x threatening past events interaction contributed significantly to the explained variance of PTSD. Examination of the source of this interaction revealed that adolescents high in anxious attachment who underwent more threatening past life events were more prone to PTSD when exposed personally to terror attacks. The findings suggest that adolescents with LD have difficulties in cognitive processing of traumatic events. This group of adolescents is in double jeopardy for developing PTSD symptoms if they personally experienced threatening events in the past and are characterized by anxious attachment. The anxious attachment damages their self-regulation, intensifies their distress, and exacerbates the risk for PTSD. Hence, special attention and specific intervention are needed for youth with LD to enhance their coping strategies.

Adolescent↗

PubMed2000

Severe maternal psychopathology and infant-mother attachment.

Eighty-two mother-infant dyads, comprising women with psychiatric disorder and individually matched controls, were followed up over the children's 1st year of life. The mothers with mental illness consisted of two subgroups: first, 25 severely mentally ill mothers who had been admitted to a psychiatric unit with their infants; and second, 16 mothers from a community sample meeting research diagnostic criteria for unipolar, nonpsychotic depression. With the exception of six dyads in the in-patient group, observations were made of the mother-infant interaction and the quality of the infant-mother attachment relationship at 12 months. The nature and course of the mothers' illness was also documented. Although few residual symptoms of maternal mental illness were detected at 1 year postpartum, interactional disturbances were evident among the case group dyads. A strong association was revealed between infant-mother attachment quality and maternal diagnosis; a manic episode of illness in the postpartum period was related to security in the attachment relationship, and psychotic or nonpsychotic depression was related to insecurity. Concurrent patterns of mother-infant interaction provided support for this finding.

Adult↗

PubMed1991

Temperament and attachment revisited: origin and meaning of separation intolerance at age three.

A study of 98 mother-child pairs investigated separation intolerance at age three in terms of temperament and attachment security. Results suggested that interaction of temperamental proneness to distress and secure attachment history leads to intolerance of a lengthy laboratory separation at this age. A hypothesis that intolerance of separation in such a context represents adaptive coping for distress-prone children was tested and received support.

Anxiety, Separation↗

PubMed2006

Loneliness and depression in middle and late childhood: the relationship to attachment and parental styles.

In this study, the author analyzed the relationship between (a) parenting and attachment and (b) self-competence, loneliness, and depression in children aged 8-12 years. The author administered (a) the Argentine Scale of Perception of the Relationships with Parents (M. C. Richaud de Minzi, 2004), (b) the Kerns' Security Scale (K. A. Kerns, L. Klepac, & A. K. Cole, 1996; M. C. Richaud de Minzi, C. Sacchi, & J. E. Moreno, 2001, Argentine adaptation), (c) the Self-Perception Profile for Children (S. Harter, 1985; M. C. Richaud de Minzi et al.), (d) the Dimensions of Depression Profile for Children and Adolescents (S. Harter & M. Nowakowski, 1987), and (e) the Louvain Loneliness Scale for Children and Adolescents (A. Marcoen, L. Goossens, & P. Caes, 1987; M. C. Richaud de Minzi et al.) to 1,019 children (8-12 years of age, 483 boys, 536 girls). Results indicated that attachment and parent-child relationship styles were differentiated constructs. Parents' acceptance promoted secure attachment and positive outcomes in children. Moreover, fathers' lack of interest had a marked negative effect. The author found differences in the perceptions and influences of fathers and mothers, which follow the cultural patterns of gender attribution.

Child↗

PubMed2003

Integrating mental illness prevention into community-based undergraduate education.

Including preventive models of health care in undergraduate education is essential as the nursing profession moves increasingly to community-based care. Traditionally, mental health curricula have focused primarily on psychopathology. This article presents current research in the attachment and temperament literature, which provides sound evidence for the need to synthesize prevention of mental illness concepts into undergraduate education. A curriculum model that integrates concepts from psychiatry and public health to prepare nursing students to promote mental health is described.

Community Health Nursing↗

PubMed1994

Childhood abuse and neglect and loss of self-regulation.

Secure attachments with caregivers play a critical role in helping children develop a capacity to modulate physiological arousal. Loss of ability to regulate the intensity of feelings and impulses is possibly the most far-reaching effect of trauma and neglect. It has been shown that most abused and neglected children develop disorganized attachment patterns. The inability to modulate emotions gives rise to a range of behaviors that are best understood as attempts at self-regulation. These include aggression against others, self-destructive behavior, eating disorders, and substance abuse. The capacity to regulate internal states affects both self-definition and one's attitude toward one's surroundings. Abused children often fail to develop the capacity to express specific and differentiated emotions: Their difficulty putting feelings into words interferes with flexible response strategies and promotes acting out. Usually, these behaviors coexist, which further complicates diagnosis and treatment. Affective dysregulation can be mitigated by safe attachments, secure meaning schemes, and pharmacological interventions that enhance the predictability of somatic responses to stress. The ability to create symbolic representations of terrifying experiences promotes taming of terror and desomatization of traumatic memories.

Adult↗

PubMed1993

[Psychic discrepancies between animals and humans. A new light on the "autistic monad"].

Beyond obvious contrasts, cognitivist and psychoanalytical conceptions according to which austistic subjects suffer from cognitive deficiencies or from "lack of access to symbolic order", appear to meet at two points. First, they characterize autists by their lack rather than by their structure or modalities of psychological functioning. Secondly, the deficiencies they reveal--"lack of theory of mind", "absence of second order representation" or "failure of access to symbolic order"--bear witness of a particular kind of relationship the autists establish with members of their family are in relation. Comparisons between animal and human relationships allow us to specify their own characteristics: those which distinguish between "the attachment bond" (on a dyadic level) among animals and the "love bond" between humans (on a triadic level). Moreover, these comparisons allow us to specify the "autistic monad" or the kind of avoidance of all relationships autistic subjects show.

Animal Population Groups↗

PubMed1997

Sensitivity and attachment: a meta-analysis on parental antecedents of infant attachment.

This meta-analysis included 66 studies (N = 4,176) on parental antecedents of attachment security. The question addressed was whether maternal sensitivity is associated with infant attachment security, and what the strength of this relation is. It was hypothesized that studies more similar to Ainsworth's Baltimore study (Ainsworth, Blehar, Waters, & Wall, 1978) would show stronger associations than studies diverging from this pioneering study. To create conceptually homogeneous sets of studies, experts divided the studies into 9 groups with similar constructs and measures of parenting. For each domain, a meta-analysis was performed to describe the central tendency, variability, and relevant moderators. After correction for attenuation, the 21 studies (N = 1,099) in which the Strange Situation procedure in nonclinical samples was used, as well as preceding or concurrent observational sensitivity measures, showed a combined effect size of r(1,097) = .24. According to Cohen's (1988) conventional criteria, the association is moderately strong. It is concluded that in normal settings sensitivity is an important but not exclusive condition of attachment security. Several other dimensions of parenting are identified as playing an equally important role. In attachment theory, a move to the contextual level is required to interpret the complex transactions between context and sensitivity in less stable and more stressful settings, and to pay more attention to nonshared environmental influences.

Adult↗

PubMed2002

Three degrees of security: attachment and forensic institutions.

Attachment theory can be a useful tool for understanding management problems in forensic institutions, where staff and residents are involved in long-term dependency relationships that involve both care and control. The author discusses the relationship between security and violence, and how the forensic institution needs to become a ' secure base'.

Female↗

PubMed2006

Adult attachment style as mediator between childhood neglect/abuse and adult depression and anxiety.

BACKGROUND: There has been little prospective investigation of the relationship between adult attachment style and clinical levels of anxiety and major depression. This paper seeks to address this, as well as examining the potentially mediating role of adult insecure attachment styles in the relationship between childhood adverse experience and adult disorder. METHODS: 154 high-risk community women studied in 1990-1995, were followed-up in 1995-1999 to test the role of insecure attachment style in predicting new episodes of anxiety and/or major depressive disorder. The Childhood Experience of Care and Abuse (CECA) and the Attachment Style Interview (ASI) were administered at first interview and the Structured Clinical Interview for DSM-IV (SCID) administered at first and follow-up interview. Major depression and clinical level anxiety disorders (GAD, Social Phobia or Panic and/or Agoraphobia) were assessed at first contact and for the intervening follow-up period. RESULTS: 55% (85/154) of the women had at least one case level disorder in the follow-up period. Only markedly or moderately (but not mildly) insecure attachment styles predicted both major depression and case anxiety in follow-up. Some specificity was determined with Fearful style significantly associated both with depression and Social Phobia, and Angry-Dismissive style only with GAD. Attachment style was unrelated to Panic Disorder and/or Agoraphobia. In addition, Fearful and Angry-Dismissive styles were shown to partially mediate the relationship between childhood adversity and depression or anxiety. CONCLUSION: In order to correctly interpret lifespan models of adult psychiatric disorder, it is necessary to test for mediating factors. Attachment theory provides a framework for explaining how dysfunctional interpersonal style arising from early childhood perpetuates vulnerability to affective disorders. This has implications for intervention and treatment to break cycles of risk.

Adult↗

PubMed2002

Adult attachment style. II: Its relationship to psychosocial depressive-vulnerability.

BACKGROUND: A range of studies show adult attachment style is associated with depressive-vulnerability factors such as low self-esteem, poor support and childhood adversity. However, there is wide inconsistency shown in the type of insecure style most highly associated. Few studies have examined attachment style in relation to clinical depression together with a range of such factors in epidemiological series. The present study uses an interview measure of adult attachment which differentiates type of attachment style and degree of insecurity of attachment, to see: (a) if it adds to other vulnerability in predicting depression and (b) if there is specificity of style to type of vulnerability. METHOD: Two hundred and twenty-two high-risk and 80 comparison women were selected from questionnaire screenings of London GP patient lists and intensively interviewed. The Attachment Style Interview (ASI) differentiated five styles (Enmeshed, Fearful, Angry-dismissive, Withdrawn and Standard) as well as the degree to which attitudes and behaviour within such styles were dysfunctional ('non-standard'). Attachment style was examined in relation to low self-esteem, support and childhood experience of neglect or abuse, and all of these examined in relation to clinical depression in a 12-month period. RESULTS: The presence of any 'non-standard' style was significantly related to poor support, low self-esteem and childhood adversity. Some specificity of type of style and type of vulnerability was observed. Logistic regression showed that non-standard Enmeshed, Fearful and Angry-dismissive styles, poor support and childhood neglect/abuse provided the best model for clinical depression. CONCLUSION: Non-standard attachment in the form of markedly Enmeshed, Fearful or Angry-dismissive styles was shown to be associated with other depressive-vulnerability factors involving close relationships, self-esteem and childhood adversity and added to these in modelling depression.

Adult↗

PubMed1996

Adolescent attachment and psychopathology.

The relationships among attachment classification, psychopathology, and personality traits were examined in a group of 60 psychiatrically hospitalized adolescents. The concordance of attachment classification was examined in 27 adolescent-mother pairs. Both adolescent and maternal attachment status were overwhelmingly insecure and were highly concordant. Adolescents showing a dismissing attachment organization were more likely to have a conduct or substance abuse disorder, narcissistic or antisocial personality disorder, and self-reported narcissistic, antisocial, and paranoid personality traits. Adolescents showing a preoccupied attachment organization were more likely to have an affective disorder, obsessive-compulsive, histrionic, borderline or schizotypal personality disorder, and self-reported avoidant, anxious, and dysthymic personality traits. The results support a model of development of psychopathology based partially on relational experiences with parents.

Adolescent↗