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Attachment Theory

John Bowlby 1907-1990
Maternal deprivation
   This presentation outlines attachment
    theory, the terms ‘mother’, ‘parent’ and
    ‘primary caregiver’ are used
    throughout this presentation and
    reflect the nature of the studies which
    are referred to. The notion of
    ‘maternal deprivation’ should be
    considered carefully for seminar 6
Bowlby’s theory – early concepts
drawn from biology
 Attachment behaviour adaptive – has
  survival value
 Attachment behaviours directed
  towards one person in particular – the
  mother – monotropy
                     (Birch, 1997)
Bowlby’s views on monotropy are
  controversial – find some evidence
  which contradicts this notion
Definitions of Attachment

 ‘An attachment is a bond or tie between
  an individual and an attachment figure’
  (Prior and Glaser, 2006. p 15)
 ‘The bond that develops between an
  infant and caregiver’ (Egeland, 2004)
 Cassidy & Shaver (1999) emphasise that
  attachment is a pattern of emotional and
  behavioural interaction which develops
  over time as the infant and caregiver
  interact, especially in response to the
  infant’s needs for attention and comfort
Characteristics of attachment
 Bowlby (1969, 1973, 1980) suggested that
  there are four defining features of the
  attachment bond:
 1. proximity maintenance (wanting to be
     physically close to the attachment figure)
 2. separation distress (separation from the
     caregiver causes upset and distress to the
     child)
 3. safe haven (retreating to the caregiver
     when sensing danger)
 4. secure base (the provision of a secure and
     dependable base for the child to explore
     the world)
Contingent responsiveness
   It is from this secure base that the child
    gains the confidence to gradually explore
    the wider environment, knowing that the
    attachment figure is still available for
    protection and security. This requires
    what is described as ‘contingent
    responsiveness’ - the ‘sensitive-enough
    mother’ who understands when the
    infant is becoming anxious or
    experiencing danger and provides
    reassurance through responsiveness
    (Ainsworth et al, 1986)
Difficulties with responsiveness
Some parents may:
 Chronically over stimulate their child
 Be inconsistent with responsiveness
 Neglect their children’s needs
Consider factors which may
  influence these situations
Styles of Attachment

 Children develop and display either
  one of the two basic attachment styles
  which are termed as ‘secure’ or
  ‘insecure’ (Porter, 2003)
 The quality and sensitivity of the
  mother-infant face-to-face interaction
  from as early as a few months through
  and beyond the first year of life has
  been shown to predict attachment
  style (Smith et al, 2003).
Secure attachment
 Children who experience warm, sensitive and
  responsive parenting or early care they will
  develop a secure attachment (Golding, 2008)
 This provides children with the opportunity to
  develop positive expectations about future
  relationships; to develop trust in others
 Self-confidence which enables the child to
  feel safe and explore the wider world
  (Bomber, 2008)
 Child develops basic trust that others will be
  helpful and supportive when asked
  (Delaney, 2009)
Insecure attachment
   Identified by features of
    instability, including ambivalent
    behaviour, preoccupation, avoidant
    responses and a lack of co-operative
    communication in the mother-child
    relationship (Golding, 2008;
    Porter, 2003).
Insecure attachment
 Thought to occur when the attachment figure
  (mother) is not emotionally available to the
  infant on a significant and repeated basis
  (Ayers et al, 2000)
 Child lacks of confidence to explore the wider
  world
 Are thought to not feel safe enough with the
  attachment figure to truly express their
  negative emotions towards this primary
  caregiver
 Is believed to influence future
  behaviours, especially the child’s ability to
  form other positive attachments
Patterns (or styles) of
Attachment – Mary Ainsworth
(1967, 1974) ‘The Strange
Situation’

 Secure
 Avoidant
 resistant-ambivalent
 Disorganised
Avoidant attachment pattern
 The child expresses an emotional need such as
  physical closeness. The parent(s) experiences difficulty
  in responding and withdraws (Golding, 2008)
 The mother is perceived as less sensitive, or neglectful,
  of the emotional needs of the child, displaying what is
  termed ‘rejection syndrome’ (Geddes, 2008)
 The child becomes conscious of the mothers withdrawal
  behaviour and tries to prevent its re-occurrence through
  passive and withdrawn behaviour with minimal display
  of any emotional distress (Heard, 1987)
 During childhood, the child becomes increasingly self-
  reliant and independent, because he/she has
  experienced their parents as resentful, rejecting. This
  fear of rejection creates an inner-struggle for the child
  between the desire for and the dread of physical
  acceptance (Hopkins, 1987)
Ambivalent-resistant pattern
 Emerges when parents are inconsistent and
  insensitive to the child’s needs
 The child tries to compensate for the
  unpredictability of the parents by maximising
  their use of attachment behaviour, such as
  clinginess and, crying being over-demanding.
 Some of these children will become extremely
  distressed at the absence of the primary
  caregiver(s), but will behave ambivalently on the
  reunion by a combination of seeking contact and
  interaction, but rejecting it when it is offered The
  child can quickly fluctuate from anger and
  resistance to total clinginess and dependence
  (Ding & Littleton, 2005)
Disorganised and/or
disorientated pattern
   The infants concerned show undirected movements and
    seem confused or apprehensive about approaching their
    parents (Main and Solomon, 1990)
   Can be associated with neglect or feeling fearful of the parent
    Golding, 2008)
   As a consequence, the child becomes confused - child is
    naturally drawn to want comfort from the actual source of the
    fear. Hence, the infant may move towards the mother but
    keep their eye-gaze averted and express unexpected and
    unrelated emotions (Bee, 1992)
   It has been claimed that 80% of children with disorganised
    attachments have been maltreated, and as such have an
    inability to use caregivers for soothing (Burnell and
    Archer, 2003)
   A minority will suffer from Reactive Attachment Disorder (Van
    Spedoorn & Bakermans-Kranenburg, 2003)
Reactive Attachment Disorder
 Diagnostic Manual – Intellectual Disability (DM-ID, 2007)
  describes RAD as a clinical syndrome characterised by a
  ‘severe’ disruption in the development and expression of
  emotional attachments. So much so, that the severity affects
  all areas of the child’s development and results in him/her
  having an lack of concern for maintaining close relationships
  with any adult caregivers
There are thought to be two forms of attachment disorder:
 Inhibited/reactive - failure by the child to initiate or respond to
  most social interactions, and is manifested by excessively
  inhibited responses (Prior & Glaser, 2006)
 Disinhibited - characterised by indiscriminate sociability and
  excessive familiarity with relative strangers.
  Although, effective in getting his/her needs met, the child is
  not selective from whom he/she receives comfort and re-
  assurance (Prior & Glaser, 2006)
References
   Ainsworth, M. D. S. Bell. S. M. and Stayton, D. J. (1974) Infant mother attachment
    and social development: @socialisation as a product of reciprocal responsiveness
    to signals’, in M. P. M. Richards (ed) The integration of a child into a social world.
    Cambridge: Cambridge University Press
   Archer, C. and Burnell, A. Eds. (2003) Trauma, Attachment and Family
    Permanence: fear can stop you loving, London, Jessica Kingsley Publishers
   Ayers, H., Clarke, D. & Murray, A. (2000). Perspectives on Behaviour: A Practical
    Guide to Effective Interventions for Teachers – Second Edition. London, David
    Fulton Publishers
   Bee, H. (1992). The Developing Child – Sixth Edition. New York, Harper Collins
    College Publishers
   Bomber, L.M. (2008). Inside I’m Hurting: Practical Strategies For Supporting
    Children With Attachment Difficulties In Schools. London, Worth Publishing
   Bowlby, J, (1969). Attachment and Loss, Vol. 1 Attachment. New York, Basic
    Books & Hogarth Press
   Bowlby, J. (1973). Attachment and Loss, Vol. 2: Separation: Anxiety & Anger. New
    York, Basic Books
   Bowlby, J. (1980). Attachment and Loss, Vol. 3: Loss: Sadness & Depression.
    New York, Basic Books
References
   Cassidy, J. & Berlin, L. (1994). The Insecure Ambivalent
    Pattern of Attachment: Theory and Research. Child
    Development, 65, 971-991
   Delaney, M. (2009). Teaching The Unteachable: Practical
    Ideas To Give Teachers Hope And Help When Behaviour
    Management Strategies Fail. London, Worth Publishing
    Limited
   Diagnostic Manual – Intellectual Disability: A textbook of
    Diagnosis of Mental Disorders in Persons with Intellectual
    Disability (2007). New York, National Association for the
    Dually Diagnosed (NADD)
   Ding, S. & Littleton, K. (2005). Children’s Personal and Social
    Development. London, Blackwell Publishing
   Egeland, B. (2004). Attachment Based Interventions and
    Prevention Programs for Young Children. Encyclopaedia on
    Early childhood Development. Centre of Excellence for Early
    childhood development, Minnesota
References
   Geddes, H. (2008). Attachment In the Classroom: the Links
    Between Children’s Early Experience, Emotional Well-being
    And Performance In School. London, Worth Publishing
   Golding, K. (2008). Nurturing Attachments: Supporting
    Children who are Fostered or Adopted. London, Jessica
    Kingsley Publishers
   Hardy, L. T. (2007). Attachment Theory and Reactive
    Attachment Disorder. Theoretical Perspectives and Treatment
    Implications. Journal of Clinical and Adolescent Psychiatric
    Nursing, 20, 1, 27 – 39
   Heard, D. (1987). The Relevance of Attachment Theory To
    Child Psychiatric Practice: An Update, 28, 1, 25 – 28
   Main, M. & Solomon, J. (1990). Procedures for identifying
    disorganized/disoriented infants during the Ainsworth Strange
    Situation. In M. Greenberg, D. Cicchetti & M. Cummings
    (Eds), Attachement in the pre-school years, pp. 121 – 160.
    Chocago: University of Chicago Press.
References
   Prior, V. & Glaser, D. (2006). Understanding
    Attachment and Attachment Disorders:
    Theory, Evidence and Practice. London, Jessica
    Kingsley Publishers
   Snoufe, L. A. (1995). Emotional Development: The
    Organisation of Emotional Life in the Early Years.
    New York, Cambridge University Press
   Van Spendoorn, M. H. & Bakermans-
    Kranenburg, M. J. (2003). Attachment disorders
    and disorganised attachment. Similar and Different.
    Attachment and Human Development, 53, 313 –
    320

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Attachment theory

  • 2. Maternal deprivation  This presentation outlines attachment theory, the terms ‘mother’, ‘parent’ and ‘primary caregiver’ are used throughout this presentation and reflect the nature of the studies which are referred to. The notion of ‘maternal deprivation’ should be considered carefully for seminar 6
  • 3. Bowlby’s theory – early concepts drawn from biology  Attachment behaviour adaptive – has survival value  Attachment behaviours directed towards one person in particular – the mother – monotropy (Birch, 1997) Bowlby’s views on monotropy are controversial – find some evidence which contradicts this notion
  • 4. Definitions of Attachment  ‘An attachment is a bond or tie between an individual and an attachment figure’ (Prior and Glaser, 2006. p 15)  ‘The bond that develops between an infant and caregiver’ (Egeland, 2004)  Cassidy & Shaver (1999) emphasise that attachment is a pattern of emotional and behavioural interaction which develops over time as the infant and caregiver interact, especially in response to the infant’s needs for attention and comfort
  • 5. Characteristics of attachment Bowlby (1969, 1973, 1980) suggested that there are four defining features of the attachment bond: 1. proximity maintenance (wanting to be physically close to the attachment figure) 2. separation distress (separation from the caregiver causes upset and distress to the child) 3. safe haven (retreating to the caregiver when sensing danger) 4. secure base (the provision of a secure and dependable base for the child to explore the world)
  • 6. Contingent responsiveness  It is from this secure base that the child gains the confidence to gradually explore the wider environment, knowing that the attachment figure is still available for protection and security. This requires what is described as ‘contingent responsiveness’ - the ‘sensitive-enough mother’ who understands when the infant is becoming anxious or experiencing danger and provides reassurance through responsiveness (Ainsworth et al, 1986)
  • 7. Difficulties with responsiveness Some parents may:  Chronically over stimulate their child  Be inconsistent with responsiveness  Neglect their children’s needs Consider factors which may influence these situations
  • 8. Styles of Attachment  Children develop and display either one of the two basic attachment styles which are termed as ‘secure’ or ‘insecure’ (Porter, 2003)  The quality and sensitivity of the mother-infant face-to-face interaction from as early as a few months through and beyond the first year of life has been shown to predict attachment style (Smith et al, 2003).
  • 9. Secure attachment  Children who experience warm, sensitive and responsive parenting or early care they will develop a secure attachment (Golding, 2008)  This provides children with the opportunity to develop positive expectations about future relationships; to develop trust in others  Self-confidence which enables the child to feel safe and explore the wider world (Bomber, 2008)  Child develops basic trust that others will be helpful and supportive when asked (Delaney, 2009)
  • 10. Insecure attachment  Identified by features of instability, including ambivalent behaviour, preoccupation, avoidant responses and a lack of co-operative communication in the mother-child relationship (Golding, 2008; Porter, 2003).
  • 11. Insecure attachment  Thought to occur when the attachment figure (mother) is not emotionally available to the infant on a significant and repeated basis (Ayers et al, 2000)  Child lacks of confidence to explore the wider world  Are thought to not feel safe enough with the attachment figure to truly express their negative emotions towards this primary caregiver  Is believed to influence future behaviours, especially the child’s ability to form other positive attachments
  • 12. Patterns (or styles) of Attachment – Mary Ainsworth (1967, 1974) ‘The Strange Situation’  Secure  Avoidant  resistant-ambivalent  Disorganised
  • 13. Avoidant attachment pattern  The child expresses an emotional need such as physical closeness. The parent(s) experiences difficulty in responding and withdraws (Golding, 2008)  The mother is perceived as less sensitive, or neglectful, of the emotional needs of the child, displaying what is termed ‘rejection syndrome’ (Geddes, 2008)  The child becomes conscious of the mothers withdrawal behaviour and tries to prevent its re-occurrence through passive and withdrawn behaviour with minimal display of any emotional distress (Heard, 1987)  During childhood, the child becomes increasingly self- reliant and independent, because he/she has experienced their parents as resentful, rejecting. This fear of rejection creates an inner-struggle for the child between the desire for and the dread of physical acceptance (Hopkins, 1987)
  • 14. Ambivalent-resistant pattern  Emerges when parents are inconsistent and insensitive to the child’s needs  The child tries to compensate for the unpredictability of the parents by maximising their use of attachment behaviour, such as clinginess and, crying being over-demanding.  Some of these children will become extremely distressed at the absence of the primary caregiver(s), but will behave ambivalently on the reunion by a combination of seeking contact and interaction, but rejecting it when it is offered The child can quickly fluctuate from anger and resistance to total clinginess and dependence (Ding & Littleton, 2005)
  • 15. Disorganised and/or disorientated pattern  The infants concerned show undirected movements and seem confused or apprehensive about approaching their parents (Main and Solomon, 1990)  Can be associated with neglect or feeling fearful of the parent Golding, 2008)  As a consequence, the child becomes confused - child is naturally drawn to want comfort from the actual source of the fear. Hence, the infant may move towards the mother but keep their eye-gaze averted and express unexpected and unrelated emotions (Bee, 1992)  It has been claimed that 80% of children with disorganised attachments have been maltreated, and as such have an inability to use caregivers for soothing (Burnell and Archer, 2003)  A minority will suffer from Reactive Attachment Disorder (Van Spedoorn & Bakermans-Kranenburg, 2003)
  • 16. Reactive Attachment Disorder  Diagnostic Manual – Intellectual Disability (DM-ID, 2007) describes RAD as a clinical syndrome characterised by a ‘severe’ disruption in the development and expression of emotional attachments. So much so, that the severity affects all areas of the child’s development and results in him/her having an lack of concern for maintaining close relationships with any adult caregivers There are thought to be two forms of attachment disorder:  Inhibited/reactive - failure by the child to initiate or respond to most social interactions, and is manifested by excessively inhibited responses (Prior & Glaser, 2006)  Disinhibited - characterised by indiscriminate sociability and excessive familiarity with relative strangers. Although, effective in getting his/her needs met, the child is not selective from whom he/she receives comfort and re- assurance (Prior & Glaser, 2006)
  • 17. References  Ainsworth, M. D. S. Bell. S. M. and Stayton, D. J. (1974) Infant mother attachment and social development: @socialisation as a product of reciprocal responsiveness to signals’, in M. P. M. Richards (ed) The integration of a child into a social world. Cambridge: Cambridge University Press  Archer, C. and Burnell, A. Eds. (2003) Trauma, Attachment and Family Permanence: fear can stop you loving, London, Jessica Kingsley Publishers  Ayers, H., Clarke, D. & Murray, A. (2000). Perspectives on Behaviour: A Practical Guide to Effective Interventions for Teachers – Second Edition. London, David Fulton Publishers  Bee, H. (1992). The Developing Child – Sixth Edition. New York, Harper Collins College Publishers  Bomber, L.M. (2008). Inside I’m Hurting: Practical Strategies For Supporting Children With Attachment Difficulties In Schools. London, Worth Publishing  Bowlby, J, (1969). Attachment and Loss, Vol. 1 Attachment. New York, Basic Books & Hogarth Press  Bowlby, J. (1973). Attachment and Loss, Vol. 2: Separation: Anxiety & Anger. New York, Basic Books  Bowlby, J. (1980). Attachment and Loss, Vol. 3: Loss: Sadness & Depression. New York, Basic Books
  • 18. References  Cassidy, J. & Berlin, L. (1994). The Insecure Ambivalent Pattern of Attachment: Theory and Research. Child Development, 65, 971-991  Delaney, M. (2009). Teaching The Unteachable: Practical Ideas To Give Teachers Hope And Help When Behaviour Management Strategies Fail. London, Worth Publishing Limited  Diagnostic Manual – Intellectual Disability: A textbook of Diagnosis of Mental Disorders in Persons with Intellectual Disability (2007). New York, National Association for the Dually Diagnosed (NADD)  Ding, S. & Littleton, K. (2005). Children’s Personal and Social Development. London, Blackwell Publishing  Egeland, B. (2004). Attachment Based Interventions and Prevention Programs for Young Children. Encyclopaedia on Early childhood Development. Centre of Excellence for Early childhood development, Minnesota
  • 19. References  Geddes, H. (2008). Attachment In the Classroom: the Links Between Children’s Early Experience, Emotional Well-being And Performance In School. London, Worth Publishing  Golding, K. (2008). Nurturing Attachments: Supporting Children who are Fostered or Adopted. London, Jessica Kingsley Publishers  Hardy, L. T. (2007). Attachment Theory and Reactive Attachment Disorder. Theoretical Perspectives and Treatment Implications. Journal of Clinical and Adolescent Psychiatric Nursing, 20, 1, 27 – 39  Heard, D. (1987). The Relevance of Attachment Theory To Child Psychiatric Practice: An Update, 28, 1, 25 – 28  Main, M. & Solomon, J. (1990). Procedures for identifying disorganized/disoriented infants during the Ainsworth Strange Situation. In M. Greenberg, D. Cicchetti & M. Cummings (Eds), Attachement in the pre-school years, pp. 121 – 160. Chocago: University of Chicago Press.
  • 20. References  Prior, V. & Glaser, D. (2006). Understanding Attachment and Attachment Disorders: Theory, Evidence and Practice. London, Jessica Kingsley Publishers  Snoufe, L. A. (1995). Emotional Development: The Organisation of Emotional Life in the Early Years. New York, Cambridge University Press  Van Spendoorn, M. H. & Bakermans- Kranenburg, M. J. (2003). Attachment disorders and disorganised attachment. Similar and Different. Attachment and Human Development, 53, 313 – 320