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PubMedDate not supplied

Attachment and attention: protection in relation to gender and cumulative social-contextual adversity.

Data from 918 children from the National Institute of Child Health and Human Development (NICHD) Study of Early Child Care were examined to test the interrelation of attachment and attentional performance and 2 known risks for poor attentional performance: male gender and social-contextual adversity. Attachment was measured using the Strange Situation at 15 months, attentional performance by a Continuous Performance Test (CPT) and maternal questionnaires at 54 months, and social-contextual adversity by a variety of measures from birth to 54 months. Findings indicated (a) that children with secure attachment were less susceptible to the effects of cumulative risk and gender on CPT attentional performance than their insecure counterparts and that (b) no such differential risk susceptibility was evident for maternal reports of attention-related behavior problems.

Affect↗

PubMed1982

Mother-to-infant bonding.

The concept of maternal 'bonding', i.e. rapid mother-to-neonate attachment, appears frequently in psychiatric, paediatric and social work discussions of childhood psychopathology and child abuse. 'Bonding' is used as a diagnostic concept, and one which has to bear the weight of important explanatory, descriptive and predictive statements. In turn, it is related aetiologically to post-partum contact and separations of mother and infant. The authors present a critical review of the concept, exploring its empirical basis, and the implications (logical and illogical) that flow from its application in practice. They conclude that the usage of the term 'bonding' is often misleading, because of a tendency to reify and simplify attachment phenomena; in addition, there are no indications from animal investigations and no evidence from human studies which directly support the notion of a 'sensitive period' in the formation of mother-to-infant attachments. They also describe the negative and pessimistic implications of using this concept in social work and clinical practice. Alternative ways of conceptualising these early parent-child events are suggested.

Adoption↗

PubMed1993

Attachment and the emotional unit.

Until recently, the mother-child relationship was assumed to be the primary relationship affecting the outcome of an individual. This resulted in the mother-child dyad being seen and studied as separate from the family system in which it is embedded. This article asserts that, in order to understand this dyad adequately, one must understand "how" the family functions as an emotional unit that is guided by processes found in evolution and in relationships between living things. It goes beyond describing the family as a system of influence and seeks to account for the universal processes that occur in natural systems. It posits that the triangle is the basic building block of the emotional unit, and proposes a new theoretical dimension for understanding how attachment extends beyond dyads (such as parent-child) to include the emotional unit as a whole. Through triangles, the parent-child relationship is continually influenced by relationship forces operating within the system as a whole.

Adult↗

PubMed1984

Side preference in women and men when holding their newborn child: psychological background.

In a prospective study 81 randomly selected parents awaiting their first baby were interviewed early during pregnancy and again during the week after delivery. About 80% of the women and their partners were found to hold their child to the left, and 20% to the right, irrespective of handedness. There was no relation between side preference in child holding in the couples. Common to both sexes is the trend that left-holders are more attached to and identified with the parent of their own sex whereas right-holders are more attached to and identified with the parent of the opposite sex. Right-holders have also more often had mental symptoms prior to pregnancy and were concerned about the pregnancy, delivery and health of the child at birth.

Coitus↗

PubMed1981

A two-track model of bereavement: theory and application in research.

Much remains to be learned about the long-term effects of adult bereavement. A two-track model, considering both affective attachment to the deceased and extent of personality change, is used in the present study to examine aspects of the maternal reaction to sudden infant death. It is suggested that this two-track perspective offers greater specificity in studying the nature and duration of the effects of loss.

Adult↗

PubMed1988

Immunological consequences of acute and chronic stressors: mediating role of interpersonal relationships.

This review presents recent studies examining the relationship between acute and chronic stressors, changes in immune function, and interpersonal relationships. Data are given which document immunosuppressive effects of commonplace, short-term stressors, as well as more prolonged stressors, such as marital disruption and caregiving for a relative with Alzheimer's disease. Immune changes included both quantitative and qualitative changes in immune cells, including changes in herpes virus latency, decreases in the percentages of T-helper lymphocytes and decreases in the numbers and function of natural killer cells. These effects occurred independently of changes in nutrition. Psychological variables, including loneliness, attachment and depression were related to the immune changes. The data are discussed in a framework in which quality interpersonal relationships may serve to attenuate the adverse immunological changes associated with psychological distress, and may have consequences for disease susceptibility and health.

Female↗

PubMed1995

Factor structure of social support and its relationship to minor psychiatric disorders among Japanese adolescents.

Although social support has been one of the preferred topics in health psychology for the past two decades, there still remains controversy about its construct and the measurement model for it. The People In Your Life (PIYL) scale, a self-report adaptation of Henderson et al.'s Interview Schedule for Social Interactions (1980), appears to be an outgrowth of the recent developments in this domain. We administered PIYL to two samples, 550 and 434 each, of Japanese adolescents and examined its factor structure, its psychometric properties and its concurrent relationship to minor psychiatric disorders. Of the original four subscales, the presence of two subscales called availability of social integration and availability of attachment was confirmed, while the remaining subscales called adequacy of social integration and adequacy of attachment were found to form one general factor of perceived adequacy. Such a three-factor model appeared to fit the data better, psychometrically more sound and externally more valid in accounting for the minor psychiatric disorders.

Adolescent↗

PubMed2003

Interpersonal analysis of grandiose and vulnerable narcissism.

This article examines the validity of grandiose and vulnerable subtypes of narcissistic character styles through an analysis of personality disorder criteria, interpersonal problems, and adult attachment styles in a nonclinical population. The grandiose personalities in this sample were rated high in the dramatic traits associated with narcissistic, antisocial, and histrionic personality disorders based on a diagnostic interview, and they reported domineering and vindictive interpersonal problems. However, despite the observation of narcissistic personality pathology, they denied interpersonal distress related to their interpersonal problems and the majority reported adult attachment styles reflective of positive self-representations (Secure, Dismissive). Vulnerable narcissistic individuals were represented by high ratings on avoidant personality disorder based on a diagnostic interview. They reported high interpersonal distress and greater domineering, vindictive, cold, and socially avoidant interpersonal problems. The majority reported adult attachment styles reflective of negative self-representations (Fearful, Preoccupied). The validity of grandiose and vulnerable narcissism based upon the results of this study was discussed in terms of clinical theory and with reference to the implications of two subtypes of narcissism for diagnosis and treatment.

Adolescent↗

PubMedDate not supplied

[Early attachment experiences and behavioral problems in young children in a social and cognitive test situation].

In this article, the influence of quality of attachment (Ainsworth Strange Situation at 21 months) and of the intensity of attachment insecurity on test performance and emotional state in the test situation (Bayley-test at 20 months) are analyzed. The quality of attachment of 75 infants was classified according to Crittenden's PAA (Preschool Assessment of Attachment) as: secure (B), insecure defended (A) and insecure-coercive (C). Alternately, the infants were classified according to their intensity of insecurity of attachment across subtypes of qualities (secure, insecure, highly insecure). Securely attached (B) infants had the best Bayley Mental scores, were socially open and bodily relaxed. The insecure-defended (A) infants had moderate test results, were moderately open and tense, whereas the insecure-coercive (C) infants showed not only the worst test-results but were often withdrawn, fearful, tense, and poorly coordinated. Additional clinical signs of disorganization were spread unspecifically over all attachment groups particularly those of the insecure children. In the classification of children according to intensity of insecurity, these signs of disorganization accumulated particularly in the group of highly insecure infants. Children with highly insecure attachment who also exhibited unusual test situation behavior also had the lowest Bayley-test scores in the Mental Scale. These results are interpreted in the sense of balance between test engagement and emotional cost.

Arousal↗

PubMed1998

Close relationships of violent and nonviolent African American delinquents.

One hundred and one incarcerated African American adolescent delinquents, 51 violent and 50 nonviolent were contrasted on background variables and measures of close relationships. Violent delinquents were found to be older, have a greater number of arrests, lower reading achievement scores, and were more likely to have a criminal parent in the home. Violent, as compared with nonviolent delinquent, showed differences in close relationships. Violent delinquents were more likely to perceive their mothers as showing more rejection/undifferentiated behavior and their attachments, mainly to hetero-sexual partners, were more anxious. The results were interpreted in terms of both quantitative and qualitative distinctions between violent and nonviolent delinquents, with violent delinquents showing greater impairment.

Achievement↗

PubMed2003

Association of D4 dopamine receptor gene and serotonin transporter promoter polymorphisms with infants' response to novelty.

Effects of DRD4 and 5-HTTLPR length polymorphisms have been reported on neonatal and infant temperament as well as adult personality traits. The 7-repeat form of the DRD4 III exon VNTR polymorphism has been associated with childhood ADHD, and recently we have reported its link with attachment disorganization in a nonclinical population of infants. Here, we report associations of these polymorphisms with infant temperament at 12 months of age. Maternal accounts of temperament and observed response to novelty were investigated for 90 infants, who were independently genotyped for the DRD4 III exon, and for 5-HTT-linked promoter region length polymorphisms. Maternal rating of temperament was not affected by these polymorphisms, but we found combined genotype effects for infants' observed responses to a novel, anxiety-provoking stimulus: the appearance of, and approach by, a stranger. Infants with at least one copy of both the 7-repeat DRD4 allele and the long variant of 5-HTTLPR (7(+), l/l&l/s) responded with significantly less anxiety than infants with other genotypes. However, infants with the 7-repeat DRD4 allele and homozygous for the short form of 5-HTTLPR (7(+), s/s) showed more anxiety and resistance to the stranger's initiation of interaction. These genotype effects were not redundant with the previously reported association between the 7-repeat DRD4 allele and disorganized attachment behavior. Although both temperament and attachment behavior were affected by the DRD4 repeat polymorphism, the effect on temperament measures was modified by the infants' 5-HTTLPR genotype.

Carrier Proteins↗

PubMedDate not supplied

Depression in the mother and maternal attachment--results from a follow-up study at 1 year postpartum.

Although evidence exists pointing to the impact of maternal depression in puerperium upon mother-child interaction, longitudinal studies on this perspective are rare. Hence, this study was designed to examine the association between maternity blues and maternal attachment in the puerperium with depression in the mother and attachment after 1 year together with the factors involved. A questionnaire survey consisting of Zung's Self-Rating Depression Scale (ZSDS) and a 'maternal attachment' scale, comprised of subscales on 'core maternal attachment' and 'anxiety regarding children', was conducted on mothers who had participated in a previous puerperium survey. The mean ZSDS score of 42.1 +/- 7.45 after 1 year did not differ significantly from puerperium results. 'Maternity blues' was found to influence the maternal depression after 1 year, which was in turn associated with 'core maternal attachment' and 'anxiety regarding children', supporting the need for early intervention in maternity blues starting in the perinatal period for the mental health of mother and child.

Adult↗

PubMed2004

Ambivalence of nonoffending guardians after child sexual abuse disclosure.

A concern in the intervention with sexually abused children is the support of their nonoffending guardians after disclosure of the abuse. Approximately a third of nonoffending guardians respond with vacillation in support, and these nonoffending guardians are at greater risk for having their children removed. This article reconceptualizes vacillation in support as an ambivalent response. Drawing on the interdisciplinary literature, this article suggests that ambivalence in support reflects the confluence between the nonoffending guardian's valence toward the child and perpetrator. This article further proposes that ambivalence is normative when the costs of disclosure are high and when the nonoffending guardian is ambivalent/preoccupied in attachment. Ambivalence may also be both a precursor to and an effect of the traumatic experience of the disclosure on the nonoffending guardian. In a study of 30 nonoffending mothers whose partners sexually abused their children, these relationships were supported.

Child↗

PubMed1992

Classification of adult attachment: an integrative taxonomy from attachment and psychoanalytic theories.

Developmental and psychoanalytic theorists have focused increasingly on empirically determined early childhood antecedents of adult attachments, with several resulting taxonomic models. This article suggests a theoretically based and clinically based model of attachment consistent with both psychoanalytic and attachment theories, resulting in an integrative taxonomy of four adult attachment styles: dependent, avoidant, hostile, and resistant-ambivalent. These styles reflect behavioral manifestations of dependence and anger, as derived from the interaction of primitive relational drives, defenses, and interpersonal experience. In addition to theoretical construction, brief clinical examples are presented to facilitate discussion of the model.

Adult↗

PubMed2003

Memory, narrative and the search for identity in psychoanalytic psychotherapy: a second chance.

The need to create order out of chaos is a driving force, ethologicalty determined, and part of the human condition. Narrative, especially autobiography and self narrative, helps us sort out myriad fantasies, events, and images, weaving them into a cohesive whole that eventually promotes self-awareness. The narratives of Virginia Woolf, St. Augustine, and Samuel Beckett are briefly described. Attachment theory and current research demonstrates that secure attachment is a first step in the socialization process and helps put one's life in perspective. The therapeutic use of narrative is demonstrated by three clinical vignettes of patients with various psychiatric disorders who had successful therapeutic outcomes.

Adolescent↗

PubMed2006

Parents and children: facts and fallacies about attachment theory.

John Bowlby's attachment theory has had a profound effect on the way we think about parent-child relationships and the way young babies are cared for. Bowlby observed that children appear to do better if they grow up with a sense that someone cares about them and that someone will be there to help them when they are anxious or distressed. He explained why attachment relationships are so important for social and emotional wellbeing, and argued that good maternal care was essential for psychological health. Bowlby's ideas have been gaining strong support again recently, although it is important to distinguish between what he actually wrote and the many myths and misunderstandings about his work.

Child↗

PubMed1996

The impact of postnatal depression and associated adversity on early mother-infant interactions and later infant outcome.

The impact of maternal depression and adversity on mother-infant face-to-face interactions at 2 months, and on subsequent infant cognitive development and attachment, was examined in a low-risk sample of primiparous women and their infants. The severe disturbances in mother-infant engagement characteristic of depressed groups in disadvantaged populations were not evident in the context of postpartum mood disorder in the present study. However, compared to well women, depressed mothers were less sensitively attuned to their infants, and were less affirming and more negating of infant experience. Similar difficulties in maternal interactions were also evident in the context of social and personal adversity. Disturbances in early mother-infant interactions were found to be predictive of poorer infant cognitive outcome at 18 months. Infant attachment, by contrast, was not related to the quality of 2-month interactions, but was significantly associated with the occurrence of adversity, as well as postpartum depression.

Adult↗

PubMed2005

Individual differences in biobehavioral organization during problem-solving in toddlers: the influence of maternal behavior, infant-mother attachment, and behavioral inhibition on the attachment-exploration balance.

The aim of the study was to investigate the influence of maternal behavior, infant-mother attachment, and behavioral inhibition on the biobehavioral organization of toddlers during a primary non-attachment-related challenging context. In a sample of 76 toddlers, quality of attachment (secure, avoidant, ambivalent, disorganized) was assessed at 12 months. At 22 months, the subjects were observed in a challenging task according to [Matas et al. (1978) Child Development 49: 547-556], and salivary cortisol was assessed before and afterwards. Behavioral analyses included child task orientation and exploration, help seeking, proximity seeking, and attachment-exploration-balance as well as maternal supportive presence and quality of assistance. Behavioral inhibition was assessed from maternal reports. Findings from concurrent analyses indicate relations between toddler behavior and adrenocortical function and the importance of concurrent maternal support for toddler behavior. Longitudinal analyses showed that quality of attachment predicted task orientation, help seeking behavior, and the quality of the attachment-exploration-balance, while behavioral inhibition was related to approach to the task. In line with previous findings, adrenocortical activation was found only in insecure infants with high behavioral inhibition indicating the function of attachment security as a social buffer against less adaptive temperamental dispositions. Finally, within-group analyses indicated a social regulation pattern in secure toddlers while the behavior of insecure ones was additionally linked to behavioral inhibition and physiological reactivity.

Adaptation, Psychological↗