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PubMedDate not supplied

Research to practice: emotional development and maternal/infant attachment.

A mother's responsiveness to her infant's signals is important for developing their personal relationship and the child's social and cognitive competence. While interacting, both mother and infant emit signals to capture each other's attention and to indicate whether to join, sustain, or terminate their interaction. Maternal sensitivity to these signals is a central feature in the development of optimal or secure attachment. However, a mother's perceptions and expectations of her infant's behavior affects her sensitivity to infant signals. Because of the effect of these parental perceptions, modifying the parent's cognitive sets and coping strategies to help them better deal with the challenge of responding to infant distress can be beneficial.

Adult↗

PubMed1999

Attachment style, traumatic bonding, and developing relational capacities in a long-term trauma group for women.

Adults with histories of severe childhood abuse often experience considerable difficulties with interpersonal trust. At the same time, they may strongly desire to be less alone with the painful aftereffects of their traumatic pasts. Psychotherapy groups have often been recommended as important components of treatment for reducing survivors' feelings of isolation and shame. We propose that an understanding of attachment styles and of traumatic bonding helps to clarify the specific manifestations of interpersonal distrust as they may emerge in a survivors' group. In addition, we suggest guidelines for determining what kind of group may be appropriate for a given individual at a particular point in treatment.

Adult↗

PubMedDate not supplied

Human violence: a treatable epidemic.

Domestic violence is common, afflicting at least one in 15 of the population. The victims are usually women and children and the perpetrators often the traditional male head of the family. It commonly leads to a form of post-traumatic stress disorder manifested as psychiatric illness in women and violent crime in men. It is proposed that a major underlying factor is a failure of attachment in infancy. This form of violence can be prevented by better health care before and after birth, particularly in the inner cities and with reduction of inequality; education for parenting; free nursery education; and diminishing 'legitimate' violence, in the media, by government (capital or corporal punishment) and as violent sporting activities.

Adult↗

PubMed2006

Predictors of maternal sensitivity during the early postpartum period.

AIM: This paper reports a study examining the relationship of maternal sensitivity to maternal identity, social support, maternal-fetal attachment and demographic variables. BACKGROUND: Maternal sensitivity is a mother's ability to perceive and interpret accurately her infant's signals and communications, and then respond appropriately. It is one of the major influencing factors of mother-infant attachment, and needs to be promoted for effective mother-infant interaction. However, limited information is available on the factors that influence postpartum maternal sensitivity. The study was guided by Roy's adaptation model. METHODS: A cross-sectional, descriptive design was used. A convenience sample of 196 Korean mothers within 6 weeks of delivery were recruited during July-November 2003 and completed a self-report questionnaire. The data were analysed using descriptive statistics and stepwise multiple regression analysis. RESULTS: We found that maternal-fetal attachment, self-identity as a mother, mother's employment status, identification with her baby, support from others, and infant's gestational age at birth were statistically significant predictors of maternal sensitivity postpartum. These variables explained 60% of the variance in maternal sensitivity. CONCLUSION: Providing social support, enhancing maternal identity, and facilitating maternal-fetal attachment in the antepartum period are recommended to improve postpartum maternal sensitivity. Also, in future research, a path-type model or structural equation model including other variables, such as postnatal depression, needs to be developed and tested for optimal adaptation to becoming a mother.

Adult↗

PubMed1997

Psychopathology in infancy.

The first three years of life present unique challenges to the study of psychopathology. We highlight four of the issues in a selective review of the developmental psychopathology of early childhood, including lack of specificity of risk and outcome variables, measurement difficulties, rapid developmental changes and the centrality of the relationship context in early childhood. We also highlight issues relevant to conceptualizations of disorders of infancy, emphasizing especially the need for efforts to validate clinical disorders. We consider two major domains of infant development that we believe are especially relevant to a discussion of psychopathology, namely, regulation of emotion and infant-caregiver attachment. Discussions of these two domains of infant development and their psychopathological extremes allow us to consider conceptualizations of psychopathology from the dual perspectives of developmental psychopathology and clinical disorders. We conclude by suggesting a number of strategies to build upon previous research.

Affective Symptoms↗

PubMed2005

Individual differences in emotional memory: adult attachment and long-term memory for child sexual abuse.

In the present study, attachment-related differences in long-term memory for a highly emotional life event, child sexual abuse (CSA), were investigated. Participants were 102 documented CSA victims whose cases were referred for prosecution approximately 14 years earlier. Consistent with the proposal that avoidant individuals defensively regulate the processing of potentially distressing information (Bowlby, 1980), attachment avoidance was negatively associated with memory for particularly severe CSA incidents. This finding was not mediated by the extent to which participants reported talking about the abuse after it occurred, although post abuse discussion did enhance long-term memory. In addition, accuracy was positively associated with maternal support following the abuse and extent of CSA-related legal involvement. Attachment anxiety was unrelated to memory accuracy, regardless of abuse severity. Implications of the findings for theories of avoidant defensive strategies and emotional memory are discussed.

Adolescent↗

PubMed2005

Developmental precipitants of borderline personality disorder.

Traditional theories regarding the etiology of borderline personality disorder have focused on poor attachment figures and/or traumatic experience. The present review posits an additional pathogenic course for this disorder. Specifically, the proposed mechanism involves a basic disruption of the neural hardware that supports the formation and maintenance of unconscious emotional memory, hardware essential for the formation of early attachments. It is further theorized that this early disruption has ongoing effects on both behavioral and concomitant neural development. Within this model, adolescence is described as a period of intense change that serves as the tipping point for the onset of borderline personality disorder.

Adaptation, Psychological↗

PubMed2005

Assortative mating and marital quality in newlyweds: a couple-centered approach.

Using a couple-centered approach, the authors examined assortative mating on a broad range of variables in a large (N = 291) sample of newlyweds. Couples showed substantial similarity on attitude-related domains but little on personality-related domains. Similarity was not due to social homogamy or convergence. The authors examined linear and curvilinear effects of spouse similarity on self and observer indicators of marital quality. Results show (a) positive associations between similarity and marital quality for personality-related domains but not for attitude-related domains, (b) that similarity on attachment characteristics were most strongly predictive of satisfaction, (c) robust curvilinear effects for husbands but not for wives, (d) that profile similarity remained a significant predictor of marital quality even when spouses' self-ratings were controlled, and (e) that profile-based similarity indices were better predictors of marital quality than absolute difference scores.

Adult↗

PubMed2003

Implications of attachment theory and research for developmental-behavioral pediatrics.

This article presents a basic overview of attachment theory, concepts, and research. The review includes a discussion of the nature of the attachment relationship, its origins in human evolutionary history, and common misconceptions about attachment. We describe phases in the development of attachment relationships and review research on factors that influence attachment variations. We discuss the implications of variations in early attachment relationships for later development (adaptation and maladaptation). And finally, we review briefly the implications of attachment theory and research for pediatric practice. Some key points are that (1) virtually all infants become attached to caregivers regardless of quality of care; (2) attachment relationships evolve in phases over time; (3) children with disabilities form attachment relationships in ways comparable to nondisabled children but manifest attachment somewhat differently; (4) the consequences for attachment of out-of-home care, separations, and significant disruptions (e.g., adoption) depend on timing and circumstances; (5) many infant regulatory difficulties, as well as child behavior problems, originate in the caregiving relationship; and finally, (6) change in parent-child relationship disturbances is complex and requires time and effort.

Caregivers↗

PubMed1999

The psychosocial effects of torture, mass human rights violations, and refugee trauma: toward an integrated conceptual framework.

Torture is a complex trauma that often occurs within the context of widespread persecution and human rights violations. In addition, the nature of modern warfare is such that whole populations are at risk of suffering extensive trauma, injustices, loss, and displacement. Refugees, in particular, experience sequential stresses that may compound each other over prolonged periods of time. The present overview examines whether contemporary notions of trauma, and especially a focus on the category of posttraumatic stress disorder (PTSD), are adequate in assessing the multiple effects of such experiences. Recent studies are reviewed to indicate the strengths and limitations of current research approaches. Rates of PTSD in such studies have varied with relatively low rates being found in recent epidemiologic studies undertaken on refugee populations. It is suggested that a focus on intervening psychosocial adaptive systems may assist in delineating more clearly the pathways that determine whether traumatized persons achieve psychosocial restitution or are at risk of ongoing psychiatric disability. A model is proposed which suggests that torture and related abuses may challenge five core adaptive systems subserving the functions of "safety," "attachment," "justice," "identity-role," and "existential-meaning." It is argued that a clearer delineation of such adaptive systems may provide a point of convergence that may link research endeavors more closely to the subjective experience of survivors and to the types of clinical interventions offered by trauma treatment services.

Adaptation, Psychological↗

PubMed2005

Maternal-fetal attachment: an integrative review.

AIMS: This paper presents an integrative review of the literature that aimed to (a) review, categorize and critique the published research on maternal-fetal attachment (MFA), (b) analyse and interpret the MFA findings and (c) evaluate the state of knowledge on MFA and provide directions for future research. BACKGROUND: Previous researchers have examined MFA in independent studies using a variety of research designs. There was a need to synthesize the findings across studies in order to evaluate the knowledge developed about MFA since the construct was created. METHODS: Five stages for conducting an integrative review were carried out. The research problem was identified; data were collected; data were evaluated; findings were analysed and interpreted. Forty-one studies of MFA were located using the online databases of Medline, International Nursing Index, Cumulative Index of Nursing and Allied Health Literature, and Psychological Information. The keywords for the search were MFA, parental-fetal attachment, and prenatal attachment. FINDINGS: Of the 41 studies reviewed, there were 152 findings relevant to the analysis. Of the 152 findings, 70 were statistically significant, while 82 were not. CONCLUSIONS: Research focusing on MFA has begun to create a body of scientific knowledge. This needs to be expanded through continued research using a variety of designs.

Adult↗

PubMed2006

Relational outcomes of childhood sexual trauma in female survivors: a longitudinal study.

This longitudinal study examines the effects of childhood sexual abuse (CSA) on the intimate and marital relationships of adult survivors from a sample composed primarily of African American women. In addition, the authors explore the protective role of maternal support. Interview data are collected on 136 women with documented histories of CSA who indicate the quality and nature of their current marital relationships and other interpersonal connections. Results suggest that CSA survivors with poor maternal attachment are more likely to enter into marital or cohabiting relationships. However, more severe sexual trauma in childhood correlates with greater marital dissatisfaction. Good maternal attachment during childhood has a negative main effect on adult interpersonal problems and a buffering effect on the relationship between abuse and marital dissatisfaction. These data can help guide future research on the adult relational outcomes of female CSA survivors, especially among minority populations.

Adult↗

PubMed1995

The time of first holding of the infant and maternal self-esteem related to feelings of maternal attachment.

This study tested the hypotheses that the earlier the mother holds her infant after delivery the sooner she will develop feelings of maternal attachment, and the more positive her self-esteem the sooner she will develop feelings of maternal attachment. A voluntary sample of 67 mothers completed self-administered questionnaires including the Rosenberg Self-Esteem Scale and three tools designed for use in this study. Findings from Pearson product-moment correlations supported the first hypothesis but not the second. Implications for health care practice and research are discussed.

Adolescent↗

PubMed1975

A systems approach toward the functional connections of attachment and fear.

Proceeding from J. Bowlby's attachment theory and W.A. Mason's arousal theory, a control model is developed that is capable of accounting for basic processes of mammalian social behavior. In particular, the model simulates the transition from a state of attachment to familiar conspecifics and fear of strangers to a stage of detachment from the familiar and exploration of the stranger. Some of the model's predictions were tested in animal experiments and proved to be in satisfactory correspondence with the behavior actually observed.

Adaptation, Psychological↗

PubMed1990

Adolescent problem behaviors: the influence of attachment and autonomy.

This article reviews current literature on adolescent problem behaviors and suggests that a model based on attachment theory and theories of adolescent autonomy and relatedness can help explain the development of these behaviors. When adolescents hold models of relationships with parents that are characterized by anger and insecurity and face increased pressures to seek autonomy, a high risk of problem behaviors ensues. Treatment implications flowing from this model are discussed.

Adolescent↗

PubMed1989

Continuities and discontinuities in the development of 64 very small premature infants to 4 years of age.

The psychiatric, psychological, school and overall family functioning of 64 very small premature infants was assessed from birth up to 48 mnths of age. Results indicated that 43% of infants scored in the abnormal range on a behaviour rating scale filled in by the mothers and 24% on a teacher rating scale at age 4. However, only 11% of the children received a psychiatric diagnosis. Traditional attachment ratings at 1 yr were not related to psychiatric status at age 4, but family functioning was. Disturbed children had also suffered more perinatal difficulties.

Brain Damage, Chronic↗

PubMed1997

A psychoeducational program for patients with trauma-related disorders.

The authors describe the development and implementation of a psychoeducational program for patients with a wide range of trauma-related symptoms and disorders. The psychoeducational intervention is designed to facilitate coping, promote self-understanding, and enhance reflectiveness. Using attachment theory as the overarching conceptual framework, the authors educate patients about the nature of trauma, the effects of trauma on development, trauma-related psychiatric disorders, and a range of treatment approaches to trauma. They describe groups for adult inpatients and adults in partial hospital treatment, and for adolescents in either inpatient, residential, or outpatient treatment.

Adolescent↗

PubMed1998

Effects of early stress on adult affiliative behavior.

The recently evolved mammalian species preservative behavior as opposed to the ancient self preservative behavior involves parental care, nursing, social interaction, pair bonding and mutual defense. Gonadal steroids together with oxytocin are critical for this affiliative, attachment behavior. When there is stressful loss of control, gonadotrophins are diminished, and the self preservative, fight-flight catecholamine coping response takes priority. It is suggested that self preservation is associated with left hemispheric brain function and that species preservation is associated with right hemispheric function. Stress during infancy that is severe enough to create insecure attachment has a dissociative effect, disrupting right hemispheric emotional functioning and species preservative behavior, and a permanent bias towards self preservation can become an adult trait. In such a person with impaired affiliation, corticoid responses may be deficient. The coronary type A behavior pattern common in our society exhibits some of this deficiency in species preservative activity.

Animals↗