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Maternal sensitivity during infancy and subsequent life events relate to attachment representation at early adulthood.

A prospective longitudinal research study of 86 prematurely born children from birth to age 18 years provided empirical evidence for continuity from infancy experience to representations of attachment at age 18 years. Young adults whose representation of attachment was dismissing had been objectively observed during infancy, 16-17 years earlier, to receive less sensitive maternal care than those infants who were later judged at early adulthood to have secure or preoccupied representations. Infancy experience alone did not differentiate young adults with secure representations from those with preoccupied representations. Rather, adverse life events through age 12, particularly parental divorce, reduced the likelihood of secure representations and increased the likelihood of preoccupied representations. The absence of adverse life events did not increase the likelihood of security for those who had not experienced early sensitive caregiving.

Adolescent↗

Early maladaptive schemas and adult attachment in a UK clinical population.

OBJECTIVES: Both insecure attachment style and early maladaptive schemas have been associated with mental health difficulties. This study aimed to investigate how schemas relate to attachment style classification in mental health service users. A further aim was to investigate the nature of the relationship between psychological distress, common psychological difficulties, and attachment style. METHOD: Participants were 72 people in contact with mental health services who completed the short form of Young's schema questionnaire, a measure identifying their attachment style (experience of close relationships), and the clinical outcomes in routine evaluation (CORE; Evans et al., 1998) outcome measure. RESULTS: Overall, 81% of the participants had an insecure attachment style. The fearful group were the most distressed across several domains of the CORE, followed by the preoccupied group. Schemas differed significantly according to attachment style grouping, with the fearful group possessing the greatest degree of maladaptive schemas, followed by the preoccupied group. Discriminant function analysis identified differing patterns of schemas associated with attachment style. CONCLUSIONS: The results supported the relevance of both attachment style and maladaptive schemas to individuals with mental health difficulties. Importantly, several aspects of the individuals' symptoms and difficulties and their schemas were meaningfully related to their adult attachment style. Limitations included the small number of dismissing individuals identified, the problems of self-report in this area, and the absence of information about the quality of participants' current relationships.

Adjustment Disorders↗

The attachment structure of the guinea pig tympanic membrane.

OBJECTIVE: The attachment structure between the tympanic membrane and the surrounding structures, the annular ring and the manubrial part, has not been described fully. We examined the relationship between the tympanic membrane and the tympanic annulus or the handle of the malleus in guinea pigs using light microscopy as well as transmission and scanning electron microscopy (SEM). METHODS: We used the temporal bone of the guinea pig and examined the relationship between the tympanic membrane and the surrounding structures using light microscopy and transmission electron microscopy. In the examination of scanning electron microscopy, we used the special method such as alkali-water maceration/SEM method. RESULTS: The results showed that the radial fibers of the tympanic membrane continued directly into the annular ring and the manubrial part. The histological structure of the annular ring was amorphous and collagen fibers were seen in the amorphous matrix. The manubrial part histologically resembled the annular ring. These structures were associated with the cartilage structure. Our observations indicated that the collagen fibers of the tympanic membrane are a special type of cartilage collagen fibers. CONCLUSION: In conclusion, we propose that the surrounding structures of the tympanic membrane such as the tympanic annulus and manubrial part play an important role in the maintenance and the vibration of the tympanic membrane.

Animals↗

Perceived relationship with the father of the baby and maternal attachment in adolescents.

OBJECTIVE: To examine the perceived relationship with the father of the baby and maternal attachment in pregnant adolescents. DESIGN: Exploratory, longitudinal, using a convenience sample. SETTING: Four antepartum clinics for low-income women. PATIENTS/PARTICIPANTS: Seventy-nine adolescents, ages 12-19 years, < 20 weeks gestation; follow-up assessments at 20-29 weeks (n = 64), 30-40 weeks (n = 54), and within 1 week after birth (n = 47). Chi-square analysis showed no differences in demographic characteristics or major variables of those who completed the study and those who dropped out (p > or = .89). MAIN OUTCOME MEASURES: An investigator-developed Father of the Baby Scale, Cranley's Maternal-Fetal Attachment Scale, and Avant's Maternal Attachment Assessment Strategy. RESULTS: A close and satisfying relationship with the father of the baby was positively correlated with some aspects of maternal-fetal attachment (r = .24 to .33, p < .05) and maternal-infant attachment (r = .38, p < .05). CONCLUSIONS: The findings of this study lend tentative support to Rubin's theory of maternal identity formation. A close and satisfying relationship with the father of the baby has a positive influence on maternal attachment behaviors. Additional research related to the adolescent's relationship with the father of the baby is needed. Fathers of the babies of adolescent mothers should be included, where appropriate, in ongoing care of the mother and infant.

Adolescent↗

Older people and attachment to things, places, pets, and ideas.

A model of older adult to environment interactions is proposed that moves beyond the perspective of environment as safety hazard to environment as supportive resource the framework encourages health professionals to look for ways to incorporate positive environmental influences into individualized plans of care with older adults. Research is reviewed on the attachments formed by older adults to things, places, companion animals, ideas, and beliefs-which alongside people-to-people attachments comprise the "attachment structure." Research on attachments of older people to environmental objects identifies important sources of security, belonging, and self-identity. Further research is needed to define the nature of environmental connections in later life, their developmental characteristics, and their potential to influence the health of older people.

Aged↗

The threshold of the male Oedipus complex.

The transition into the male Oedipus complex is complicated by the fact that there is no "change of object" as in female development. For the boy, the mother is both the object of preoedipal attachment to an omnipotent internal object and of oedipal desire for an external whole object. The psychological-interpersonal movement into triangulated oedipal object relations is mediated by the elaboration of mature forms of primal scene fantasies in conjunction with the development of a "transitional oedipal relationship" to the mother.

Adult↗

Maternal serum screening and psychosocial attachment to pregnancy.

OBJECTIVE: The purpose of this study was to examine whether maternal serum screening (MSS) is associated with lower maternal attachment to pregnancy. METHODS: One hundred one pregnant women identified as at risk for fetal anomaly due to advanced maternal age completed a survey targeting their decisions regarding prenatal testing and their psychological attachment to their pregnancy. Of these women, 38 opted for no prenatal testing, 32 underwent MSS, and 31 had amniocentesis in their current pregnancy. RESULTS: The results indicate that, throughout their pregnancy, the women who underwent MSS reported lower bonding levels as compared with those who chose either amniocentesis or no testing procedures. CONCLUSION: The results suggest that MSS may disrupt the developmental trajectory of the maternal-fetal bond even after favorable results are known. This may be due in part to the fact that the probabilistic nature of MSS results creates feelings of confusion rather than reassurance for many women following receipt of favorable results.

Adult↗

Stressful life events and use of physician services among the elderly: the moderating role of pet ownership.

The physician utilization behavior of 938 Medicare enrollees in a health maintenance organization was prospectively followed for 1 year. With demographic characteristics and health status at baseline controlled for, respondents who owned pets reported fewer doctor contacts over the 1-year period than respondents who did not own pets. Furthermore, pets seemed to help their owners in times of stress. The accumulation of prebaseline stressful life events was associated with increased doctor contacts during the study year for respondents without pets. This relationship did not emerge for pet owners. Owners of dogs, in particular, were buffered from the impact of stressful life events on physician utilization. Additional analyses showed that dog owners in comparison to owners of other pets spent more time with their pets and felt that their pets were more important to them. Thus, dogs more than other pets provided their owners with companionship and an object of attachment.

Adaptation, Psychological↗

Contextualizing the effects of childhood sexual abuse on adult self- and social functioning: an attachment theory perspective.

OBJECTIVE: This retrospective survey study explored the hypothesis that multiple maltreatment and loss experiences in early childhood would interfere with the formation of secure attachments, creating (1) an increased vulnerability to childhood sexual abuse (CSA), and (2) adult problems in self- and social functioning. METHOD: Data were collected from 687 undergraduates on an urban, commuter campus. They were analyzed by means of between group (individuals with and without CSA histories) and within group (individuals with CSA histories) path analytic models. RESULTS: The number of maltreatment and loss experiences encountered in early childhood predicted greater CSA frequency in childhood and increased maltreatment in adulthood in the form of more frequent reports of sexual, physical, and emotional abuse. Childhood maltreatment and loss experiences also predicted poor adult self-functioning in the form of higher levels of depression and lower levels of self-esteem. Self-blame in response to CSA and maltreatment in adult relationships also predicted poorer adult self- and social functioning for individuals with CSA histories. CONCLUSIONS: Findings support both direct and mediational effects of childhood maltreatment and loss experiences on adult self- and social functioning and are consistent with predictions derived from attachment theory.

Adaptation, Psychological↗

Childhood attachment and loss experiences affect adult cardiovascular and cortisol function.

OBJECTIVE: This study proposes to test the hypothesis that early loss of a parent, coupled with poor quality family relationships, would result in long-term increased cardiovascular and cortisol reactivity to stress. METHODS: Subjects included 30 university students who lost one parent before age 16, and 31 control subjects. Blood pressure (BP) was measured continuously during 5-minute baseline and recovery periods, and during each of 2 tasks--viewing a 7-minute video clip depicting the death of a parent, and giving a 3-minute impromptu speech (1-hour rest between tasks). Salivary cortisol samples were collected immediately before each task, and at 5 and 20 minutes posttask. Quality of family relationships (FR) was measured using the Moos Family Environment Scale. RESULTS: Repeated-measures analysis of covariance revealed significant main effects on BP of both parental loss and FR for both tasks (all p values < .05) such that subjects who lost a parent or reported poor quality FR showed higher BP across all periods. The loss by FR by period interaction was not significant. An FR by period interaction was found for cortisol during the movie, in which poor quality FR subjects showed increased cortisol, whereas all others showed decreases. A loss by period interaction was found for cortisol during the speech, in which cortisol increased in loss subjects and decreased in non-loss subjects. CONCLUSIONS: These findings indicate that both childhood loss of a parent and poor quality of caretaking are associated with long-term increases in BP and altered neurohormonal responses to stress.

Adult↗

[On attachment].

Explore the source record for details and available documents.

Humans↗

Biological aspects of social bonding and the roots of human violence.

The brain systems that motivate humans to form emotional bonds with others probably first evolved to mobilize the high-quality maternal care necessary for reproductive success in placental mammals. In these species, the helplessness of infants at birth and their dependence upon nutrition secreted from their mothers' bodies (milk) and parental body heat to stay warm required the evolution of a new motivational system in the brain to stimulate avid and sustained mothering behavior. Other types of social bonds that emerged subsequently in placental mammals, in particular monogamous bonds between breeding pairs, appear to have evolved from motivational brain systems that stimulate maternal behavior. This chapter focuses on aspects of the evolution and neurobiology of maternal and pair bonding and associated behavioral changes that may provide insights into the origins of human violence. The roles of the neuropeptides oxytocin and vasopressin as well as the neurotransmitter dopamine will be emphasized. Maternal and pair bonding are accompanied by increased aggressiveness toward perceived threats to the object of attachment as well as diminished fear and anxiety in stressful situations. The sustained closeness with mother required for the survival of infant mammals opened a new evolutionary niche in which aspects of the mother's care became increasingly important in regulating development in offspring. The quantity and quality of maternal care received during infancy determines adult social competence, ability to cope with stress, aggressiveness, and even preference for addictive substances. Indeed, the development of neurochemical systems within the brain that regulate mothering, aggression, and other types of social behavior, such as the oxytocin and vasopressin systems, are strongly affected by parental nurturing received during infancy. Evidence will be reviewed that the neural circuitry and neurochemistry implicated in studies of lower mammals also facilitate primate/human interpersonal bonding. It is hypothesized that neural bonding systems may also be important for the development in individuals of loyalty to the social group and its culture. Neglect and abuse during early life may cause bonding systems to develop abnormally and compromise capacity for rewarding interpersonal relationships and commitment to societal and cultural values later in life. Other means of stimulating reward pathways in the brain, such as drugs, sex, aggression, and intimidating others, could become relatively more attractive and less constrained by concern about violating trusting relationships. The ability to modify behavior based on negative experiences may be impaired. Unmet needs for social bonding and acceptance early in life might increase the emotional allure of groups (gangs, sects) with violent and authoritarian values and leadership. Social neurobiology has the potential to provide new strategies for treating and preventing violence and associated social dysfunction.

Adolescent↗

[Developmental psychopathology and psychoanalysis].

In face of the apparent contradiction between psychoanalysis and observational-experimental methods, the author briefly summarizes the input of direct observation to the knowledge of child development and suggests that the reservations of many psychoanalysts to these methods may be explained by the greater importance given to external events in such research, as if the causal role of fantasy was thus being questioned. The author further reviews most recent experimental works, particularly those around the concepts of "competence of the infant", "self", "attachment and security", and suggests that the main object of these research endeavors more and more concerns the foundations and origins of the child's fantasy life. Other recent experimental works bring out the continuity between the observations made during the first year of the child's life and those made of these children now up to the age of six. The author comes to the conclusion that the whole of these observational and experimental works, far from contradicting psychoanalytic hypotheses based on reconstruction, confirms institutions and hypotheses which have become essential to psychoanalysis, particularly concerning the importance of the child's first year of life and of mother-child interaction.

Child↗

Homogamous and heterogamous marriages.

This paper explores two marital constructs set forth by Peter Giovacchini. The first is based on a symbiotic reenactment in which the investment of both partners is tenacious and reciprocal, an attachment which Giovacchini refers to as a "character object" relationship. It represents intrapsychic homogramy. In the second construct, this deep form of attraction is absent and the dyadic bond is superficial, frequently transitory. The latter couples do not require an elementary, intrapsychic bond but do share particular defensive traits or symptoms. Thus these unions are termed "symptom object" relationships and are characterologically heterogamous. By means of a group case study approach, this distinction was statistically supported. Furthermore, it was found that homogamous marriages stay in treatment longer, maintain a lower divorce rate, and respond best to individual psychoanalytic psychotherapy. Heterogamous marriages, by contrast, show a higher divorce rate and tend to leave therapy prior to termination. The research also suggests that the initial treatment of choice for this type of marriage may well be conjoint or group psychotherapy.

Compulsive Personality Disorder↗

Adolescent survivors of childhood sexual abuse: the mediating role of attachment style and coping in psychological and interpersonal functioning.

OBJECTIVE: To examine attachment style and coping strategies as potential mediating variables between childhood sexual abuse (CSA) and psychological and interpersonal functioning in an attempt to explain variability in extent of disorder and level of functioning. METHOD: Eighty adolescent females, aged 14-16 years, answered questions regarding abuse history, attachment style, coping with an interpersonal stressor, depression and trauma symptomatology, and conflict with a best friend. RESULTS: Structural equation modeling analyses indicated that attachment style mediates the effects of CSA and child abuse and neglect on coping and psychological distress. The indirect effects of CSA and other abuse through attachment accounted for most of the effects on coping and psychological distress. Avoidant and cognitive coping strategies also served as mediators in the models, accounting for most of the effects of the other variables on interpersonal conflict. CONCLUSIONS: The findings indicate that attachment style and coping strategies influence psychological and interpersonal functioning, mediating the direct effects of CSA and other types of child abuse and neglect. These results have implications for therapeutic intervention with children and adolescents who have experienced child abuse.

Adaptation, Psychological↗