The strange situation is a procedure devised by Mary Ainsworth in the 1970s to observe attachment in children, that is relationships between a caregiver and child. It applies to children between the age of 9 to 30 months. Broadly speaking, the attachment styles were (1) secure and (2) insecure (ambivalent and avoidance). Later, Mary Main and her husband Erik Hesse introduced the 4th category, disorganized. The procedure played an important role in the development of attachment theory.
In this procedure of the Strange Situation, the child is observed playing for 21 minutes while caregivers and strangers enter and leave the room, recreating the flow of the familiar and unfamiliar presence in most children's lives. The situation varies in stressfulness and the child's responses are observed. The child experiences the following situations:
Four aspects of the child's behavior are observed:
On the basis of their behaviors, the children were categorized into three groups, with a fourth added later. Each of these groups reflects a different kind of attachment relationship with the caregiver.
A child who is securely attached to its parent will explore and play freely while the caregiver is present, using them as a "secure base" from which to explore. The child will engage with the stranger when the caregiver is present, and may be visibly upset when the caregiver departs but happy to see the caregiver on their return. The child feels confident that the caregiver is available, and will be responsive to their attachment needs and communications.
Securely attached children are best able to explore when they have the knowledge of a secure base to return to in times of need. When assistance is given, this bolsters the sense of security and also, assuming the caregiver's assistance is helpful, educates the child in how to cope with the same problem in the future. Therefore, secure attachment can be seen as the most adaptive attachment style for learning and making use of resources in a non-threatening environment. According to attachment researchers, a child becomes securely attached when the caregiver is available and able to meet the needs of the child in a responsive and appropriate manner. Others have pointed out that there are also other determinants of the child's attachment, and that the behavior of the parent may in turn be influenced by the child's behavior.
A child with the anxious-avoidant insecure attachment pattern will avoid or ignore the caregiver, showing little emotion when the caregiver departs or returns. The child will not explore very much regardless of who is there. Infants classified as anxious-avoidant (A) represented a puzzle in the early 1980s. They did not exhibit distress on separation, and either ignored the caregiver on their return (A1 subtype) or showed some tendency to approach together with some tendency to ignore or turn away from the caregiver (A2 subtype). Ainsworth and Bell theorised that the apparently unruffled behaviour of the avoidant infants is in fact a mask for distress, a hypothesis later evidenced through studies of the heart rate of avoidant infants. [1] [2]
Ainsworth's narrative records showed that infants avoided the caregiver in the stressful Strange Situation Procedure when they had a history of experiencing rebuff of attachment behaviour. The child's needs are frequently not met and the child comes to believe that communication of needs has no influence on the caregiver. Ainsworth's student Mary Main theorised that avoidant behaviour in the Strange Situation Procedure should be regarded as "a conditional strategy, which paradoxically permits whatever proximity is possible under conditions of maternal rejection" by de-emphasising attachment needs. [3] Main proposed that avoidance has two functions for an infant whose caregiver is consistently unresponsive to their needs. Firstly, avoidant behaviour allows the infant to maintain a conditional proximity with the caregiver: close enough to maintain protection, but distant enough to avoid rebuff. Secondly, the cognitive processes organising avoidant behaviour could help direct attention away from the unfulfilled desire for closeness with the caregiver – avoiding a situation in which the child is overwhelmed with emotion ('disorganised distress'), and therefore unable to maintain control of themselves and achieve even conditional proximity. [4]
Children classified as Anxious-Ambivalent/Resistant (C) showed distress even before separation, and were clingy and difficult to comfort on the caregiver's return. [5] They showed either signs of resentment in response to the absence (C1 subtype), or signs of helpless passivity (C2 subtype). Hans et al. have expressed concern that "ambivalent attachment remains the most poorly understood of Ainsworth's attachment types". [6] In particular, the relationship between ambivalent/resistant (C) and disorganisation (D) is still to be clarified. [7] However, researchers agree that the Anxious-Ambivalent/Resistant strategy is a response to unpredictably responsive caregiving, and that the displays of anger or helplessness towards the caregiver on reunion can be regarded as a conditional strategy for maintaining the availability of the caregiver by preemptively taking control of the interaction. [8] [9]
Ainsworth herself was the first to find difficulties in fitting all infant behavior into the three classifications used in her Baltimore study. Ainsworth and colleagues sometimes observed "tense movements such as hunching the shoulders, putting the hands behind the neck and tensely cocking the head, and so on. It was our clear impression that such tension movements signified stress, both because they tended to occur chiefly in the separation episodes and because they tended to precede crying. Indeed, our hypothesis is that they occur when a child is attempting to control crying, for they tend to vanish if and when crying breaks through." [10] Such observations also appeared in the doctoral theses of Ainsworth's students. Patricia Crittenden, for example, noted that one abused infant in her doctoral sample was classed as secure (B) by her undergraduate coders because her strange situation behavior was "without either avoidance or ambivalence, she did show stress-related stereotypic headcocking throughout the strange situation. This pervasive behavior, however, was the only clue to the extent of her stress." [11]
Drawing on records of behaviors discrepant with the A, B and C classifications, a fourth classification was added by Ainsworth's graduate student Mary Main. [12] In the Strange Situation, the attachment system is expected to be activated by the departure and return of the caregiver. If the behaviour of the infant does not appear to the observer to be coordinated in a smooth way across episodes to achieve either proximity or some relative proximity with the caregiver, then it is considered "disorganised" as it indicates a disruption or flooding of the attachment system (e.g. by fear). Infant behaviours in the Strange Situation Protocol coded as disorganised/disoriented include overt displays of fear; contradictory behaviours or affects occurring simultaneously or sequentially; stereotypic, asymmetric, misdirected or jerky movements; or freezing and apparent dissociation. However, despite initial symptoms of disorganized/disoriented behaviors, Lyons-Ruth widely "recognized that 52% of disorganized infants continue to approach the caregiver, seek comfort, and cease their distress without clear ambivalent or avoidant behavior." [13]
There is "rapidly growing interest in disorganized attachment" from clinicians and policy-makers as well as researchers. [14] Yet the Disorganized/disoriented attachment (D) classification has been criticised by some for being too encompassing. [15] In 1990, Ainsworth put in print her blessing for the new "D" classification, though she urged that the addition be regarded as "open-ended, in the sense that subcategories may be distinguished", as she worried that the D classification might be too encompassing and might treat too many different forms of behaviour as if they were the same thing. [16] Indeed, the D classification puts together infants who use a somewhat disrupted secure (B) strategy with those who seem hopeless and show little attachment behaviour; it also puts together infants who run to hide when they see their caregiver in the same classification as those who show an avoidant (A) strategy on the first reunion and then an ambivalent-resistant (C) strategy on the second reunion. Perhaps responding to such concerns, George and Solomon have divided among indices of Disorganized/disoriented attachment (D) in the Strange Situation, treating some of the behaviours as a "strategy of desperation" and others as evidence that the attachment system has been flooded (e.g. by fear, or anger). [17] Crittenden also argues that some behaviour classified as Disorganized/disoriented can be regarded as more 'emergency' versions of the avoidant and/or ambivalent/resistant strategies, and function to maintain the protective availability of the caregiver to some degree. Sroufe et al. have agreed that 'even disorganised attachment behaviour (simultaneous approach-avoidance; freezing, etc.) enables a degree of proximity in the face of a frightening or unfathomable parent'. [18] However, 'the presumption that many indices of “disorganisation” are aspects of organised patterns does not preclude acceptance of the notion of disorganisation, especially in cases where the complexity and dangerousness of the threat are beyond children's capacity for response'. [19]
Main and Hesse [20] found that most of the mothers of these children had suffered major losses or other trauma shortly before or after the birth of the infant and had reacted by becoming severely depressed. [21] In fact, 56% of mothers who had lost a parent by death before they completed high school subsequently had children with disorganized attachments. [20] Subsequently studies, whilst emphasising the potential importance of unresolved loss, have qualified these findings. [22] For example, Solomon and George found that unresolved loss in the mother tended to be associated with disorganised attachment in their infant primarily when they had also experienced an unresolved trauma in their life prior to the loss. [23]
Michael Rutter describes the procedure in the following terms: [24]
It is by no means free of limitations (see Lamb, Thompson, Gardener, Charnov & Estes, 1984). [25] To begin with, it is very dependent on brief separations and reunions having the same meaning for all children. This may be a major constraint when applying the procedure in cultures, such as that in Japan (see Miyake et al., 1985), [26] where infants are rarely separated from their mothers in ordinary circumstances. Also, because older children have a cognitive capacity to maintain relationships when the older person is not present, separation may not provide the same stress for them. Modified procedures based on the Strange Situation have been developed for older preschool children (see Belsky et al., 1994; Greenberg et al., 1990) [27] [28] but it is much more dubious whether the same approach can be used in middle childhood. Also, despite its manifest strengths, the procedure is based on just 20 minutes of behavior. It can be scarcely expected to tap all the relevant qualities of a child's attachment relationships. Q-sort procedures based on much longer naturalistic observations in the home, and interviews with the mothers have developed in order to extend the data base (see Vaughn & Waters, 1990). [29] A further constraint is that the coding procedure results in discrete categories rather than continuously distributed dimensions. Not only is this likely to provide boundary problems, but also it is not at all obvious that discrete categories best represent the concepts that are inherent in attachment security. It seems much more likely that infants vary in their degree of security and there is need for a measurement system that can quantify individual variation.
Other researchers as well have raised concerns about the strange situation's construct validity [30] [31] and questioned its terminology as a "gold standard" measure of attachment. [31]
With respect to the ecological validity of the Strange Situation, a meta-analysis of 2,000 infant-parent dyads, including several from studies with non-Western language and/or cultural bases found the global distribution of attachment categorizations to be A (21%), B (65%), and C (14%) [32] This global distribution was generally consistent with Ainsworth et al.'s (1978) original attachment classification distributions.
However, controversy has been raised over a few cultural differences in these rates of "global" attachment classification distributions. In particular, two studies diverged from the global distributions of attachment classifications noted above. One study was conducted in North Germany [33] in which more avoidant (A) infants were found than global norms would suggest, and the other in Sapporo, Japan [34] where more resistant (C) infants were found. Of these two studies, the Japanese findings have sparked the most controversy as to the meaning of individual differences in attachment behavior as originally identified by Ainsworth et al. (1978).
In a study conducted in Sapporo, Behrens, et al., 2007. [35] found attachment distributions consistent with global norms using the six-year Main & Cassidy scoring system for attachment classification. [36] In addition to these findings supporting the global distributions of attachment classifications in Sapporo, Behrens et al. also discuss the Japanese concept of amae and its relevance to questions concerning whether the insecure-resistant (C) style of interaction may be engendered in Japanese infants as a result of the cultural practice of amae.
Regarding the issue of whether the breadth of infant attachment functioning can be captured by a categorical classification scheme, continuous measures of attachment security have been developed which have demonstrated adequate psychometric properties. These have been used either individually or in conjunction with discrete attachment classifications in many published reports [see Richters et al., 1998; [37] Van IJzendoorn et al., 1990). [38] ] The original Richter’s et al. (1998) scale is strongly related to secure versus insecure classifications, correctly predicting about 90% of cases. [38] Readers further interested in the categorical versus continuous nature of attachment classifications (and the debate surrounding this issue) should consult the paper by Fraley and Spieker [39] and the rejoinders in the same issue by many prominent attachment researchers including J. Cassidy, A. Sroufe, E. Waters & T. Beauchaine, and M. Cummings.
Attachment disorder is a broad term intended to describe disorders of mood, behavior, and social relationships arising from unavailability of normal socializing care and attention from primary caregiving figures in early childhood. Such a failure would result from unusual early experiences of neglect, abuse, abrupt separation from caregivers between three months and three years of age, frequent change or excessive numbers of caregivers, or lack of caregiver responsiveness to child communicative efforts resulting in a lack of basic trust. A problematic history of social relationships occurring after about age three may be distressing to a child, but does not result in attachment disorder.
Reactive attachment disorder (RAD) is described in clinical literature as a severe disorder that can affect children, although these issues do occasionally persist into adulthood. RAD is characterized by markedly disturbed and developmentally inappropriate ways of relating socially in most contexts. It can take the form of a persistent failure to initiate or respond to most social interactions in a developmentally appropriate way—known as the "inhibited form". In the DSM-5, the "disinhibited form" is considered a separate diagnosis named "disinhibited attachment disorder".
Attachment theory is a psychological and evolutionary framework concerning the relationships between humans, particularly the importance of early bonds between infants and their primary caregivers. Developed by psychiatrist and psychoanalyst John Bowlby (1907–90), the theory posits that infants need to form a close relationship with at least one primary caregiver to ensure their survival, and to develop healthy social and emotional functioning.
Dependency need is "the vital, originally infantile needs for mothering, love, affection, shelter, protection, security, food, and warmth."
Mary Dinsmore Ainsworth was an American-Canadian developmental psychologist known for her work in the development of the attachment theory. She designed the strange situation procedure to observe early emotional attachment between a child and their primary caregiver.
In psychology, an affectional bond is a type of attachment behavior one individual has for another individual, typically a caregiver for their child, in which the two partners tend to remain in proximity to one another. The term was coined and subsequently developed over the course of four decades, from the early 1940s to the late 1970s, by psychologist John Bowlby in his work on attachment theory. The core of the term affectional bond, according to Bowlby, is the attraction one individual has for another individual. The central features of the concept of affectional bonding can be traced to Bowlby's 1958 paper, "The Nature of the Child's Tie to his Mother".
Attachment in children is "a biological instinct in which proximity to an attachment figure is sought when the child senses or perceives threat or discomfort. Attachment behaviour anticipates a response by the attachment figure which will remove threat or discomfort". Attachment also describes the function of availability, which is the degree to which the authoritative figure is responsive to the child's needs and shares communication with them. Childhood attachment can define characteristics that will shape the child's sense of self, their forms of emotion-regulation, and how they carry out relationships with others. Attachment is found in all mammals to some degree, especially primates.
Attachment measures, or attachment assessments, are the various procedures used to assess the attachment system in children and adults. These procedures can assess patterns of attachment and individual self-protective strategies. Some assessments work across the several models of attachment and some are model-specific. Many assessments allow children and adults' attachment strategies to be classified into three primary attachment pattern groups: B-pattern, A-pattern, C-pattern. In most models, each pattern group is further broken down into several sub-patterns. Some assessments are capable of finding additional information about an individual, such as unresolved trauma, depression, history of family triangulation, and lifespan changes in the attachment pattern. Some assessments specifically or additionally look for caregiving behaviors, as caregiving and attachment are widely considered two separate systems for organizing thoughts, feelings, and behavior. Some methods assess disorders of attachment or romantic attachment.
Cupboard love is a popular learning theory of the 1950s and 1960s based on the research of Sigmund Freud, Anna Freud, Melanie Klein and Mary Ainsworth. Rooted in psychoanalysis, the theory speculates that attachment develops in the early stages of infancy. This process involves the mother satisfying her infant's instinctual needs, exclusively. Cupboard love theorists conclude that during infancy, our primary drive is food which leads to a secondary drive for attachment.
Attachment theory, originating in the work of John Bowlby, is a psychological, evolutionary and ethological theory that provides a descriptive and explanatory framework for understanding interpersonal relationships between human beings.
Attachment-based therapy applies to interventions or approaches based on attachment theory, originated by John Bowlby. These range from individual therapeutic approaches to public health programs to interventions specifically designed for foster carers. Although attachment theory has become a major scientific theory of socioemotional development with one of the broadest, deepest research lines in modern psychology, attachment theory has, until recently, been less clinically applied than theories with far less empirical support. This may be partly due to lack of attention paid to clinical application by Bowlby himself and partly due to broader meanings of the word 'attachment' used amongst practitioners. It may also be partly due to the mistaken association of attachment theory with the pseudo-scientific interventions misleadingly known as attachment therapy. The approaches set out below are examples of recent clinical applications of attachment theory by mainstream attachment theorists and clinicians and are aimed at infants or children who have developed or are at risk of developing less desirable, insecure attachment styles or an attachment disorder.
Mary Main was an American psychologist notable for her work in the field of attachment. A Professor at the University of California Berkeley, Main is particularly known for her introduction of the 'disorganized' infant attachment classification and for development of the Adult Attachment Interview and coding system for assessing states of mind regarding attachment. This work has been described as 'revolutionary' and Main has been described as having 'unprecedented resonance and influence' in the field of psychology.
Secure attachment is classified by children who show some distress when their caregiver leaves but are able to compose themselves quickly when the caregiver returns. Children with secure attachment feel protected by their caregivers, and they know that they can depend on them to return. John Bowlby and Mary Ainsworth developed a theory known as attachment theory after inadvertently studying children who were patients in a hospital at which they were working. Attachment theory explains how the parent-child relationship emerges and provides influence on subsequent behaviors and relationships. Stemming from this theory, there are four main types of attachment: secure attachment, ambivalent attachment, avoidant attachment and disorganized attachment.
Patricia McKinsey Crittenden is an American psychologist known for her work in the development of attachment theory and science, her work in the field of developmental psychopathology, and for creation of the Dynamic-Maturational Model of Attachment and Adaptation (DMM).
Maternal sensitivity is a mother's ability to perceive and infer the meaning behind her infant's behavioural signals, and to respond to them promptly and appropriately. Maternal sensitivity affects child development at all stages through life, from infancy, all the way to adulthood. In general, more sensitive mothers have healthier, more socially and cognitively developed children than those who are not as sensitive. Also, maternal sensitivity has been found to affect the person psychologically even as an adult. Adults who experienced high maternal sensitivity during their childhood were found to be more secure than those who experienced less sensitive mothers. Once the adult becomes a parent themselves, their own understanding of maternal sensitivity will affect their own children's development. Some research suggests that adult mothers display more maternal sensitivity than adolescent mothers who may in turn have children with a lower IQ and reading level than children of adult mothers.
Separation anxiety disorder (SAD) is an anxiety disorder in which an individual experiences excessive anxiety regarding separation from home and/or from people to whom the individual has a strong emotional attachment. Separation anxiety is a natural part of the developmental process. It is most common in infants and little children, typically between the ages of six to seven months to three years, although it may pathologically manifest itself in older children, adolescents and adults. Unlike SAD, normal separation anxiety indicates healthy advancements in a child's cognitive maturation and should not be considered a developing behavioral problem.
Attachment and health is a psychological model which considers how the attachment theory pertains to people's preferences and expectations for the proximity of others when faced with stress, threat, danger or pain. In 1982, American psychiatrist Lawrence Kolb noticed that patients with chronic pain displayed behaviours with their healthcare providers akin to what children might display with an attachment figure, thus marking one of the first applications of the attachment theory to physical health. Development of the adult attachment theory and adult attachment measures in the 1990s provided researchers with the means to apply the attachment theory to health in a more systematic way. Since that time, it has been used to understand variations in stress response, health outcomes and health behaviour. Ultimately, the application of the attachment theory to health care may enable health care practitioners to provide more personalized medicine by creating a deeper understanding of patient distress and allowing clinicians to better meet their needs and expectations.
Jude Anne Cassidy is Professor of Psychology and Distinguished Scholar-Teacher at the University of Maryland. Cassidy was awarded the American Psychological Association Boyd McCandless Young Scientist Award in 1991 for her early career contributions to Developmental Psychology. She is a Fellow of the American Psychological Association, Division 7 and the Association for Psychological Science.
Internal working model of attachment is a psychological approach that attempts to describe the development of mental representations, specifically the worthiness of the self and expectations of others' reactions to the self. This model is a result of interactions with primary caregivers which become internalized, and is therefore an automatic process. John Bowlby implemented this model in his attachment theory in order to explain how infants act in accordance with these mental representations. It is an important aspect of general attachment theory.
The dynamic-maturational model of attachment and adaptation (DMM) is a biopsychosocial model describing the effect attachment relationships can have on human development and functioning. It is especially focused on the effects of relationships between children and parents and between reproductive couples. It developed initially from attachment theory as developed by John Bowlby and Mary Ainsworth, and incorporated many other theories into a comprehensive model of adaptation to life's many dangers. The DMM was initially created by developmental psychologist Patricia McKinsey Crittenden and her colleagues including David DiLalla, Angelika Claussen, Andrea Landini, Steve Farnfield, and Susan Spieker.
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