Disorganized Attachment Relationships Research Articles

Attachment relationship quality with mothers and fathers and child temperament: An individual participant data meta-analysis.

A growing body of research suggests that, compared with single parent-child attachment relationships, child developmental outcomes may be better understood by examining the configurations of child-mother and child-father attachment relationships (i.e., attachment networks). Moreover, some studies have demonstrated an above-chance level chance of concordance between the quality of child-mother and child-father attachment relationships, and child temperament has been offered as a plausible explanation for such concordance. To assess whether temperament plays a role in the development of different attachment network configurations, in this preregistered individual participant data meta-analysis we tested the degree to which the temperament dimension of negative emotionality predicts the number of secure, insecure-avoidant, insecure-resistant, and disorganized attachment relationships a child has with mother and father. Data included in the linear mixed effects analyses were collected from seven studies sampling 872 children (49% female; 83% White). Negative emotionality significantly predicted the number of secure (d = -0.12) and insecure-resistant (d = 0.11), but not insecure-avoidant (d = 0.04) or disorganized (d = 0.08) attachment relationships. Nonpreregistered exploratory analyses indicated higher negative emotionality in children with insecure-resistant attachment relationships with both parents compared to those with one or none (d = 0.19), suggesting that temperament plays a small yet significant role in child-mother/child-father insecure-resistant attachment relationships concordance. Taken together, results from this study prompt a more in-depth examination of the mechanism underlying the small yet significantly higher chance that children with increased negative emotionality have for developing multiple insecure-resistant attachment relationships. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Effectiveness of a video-feedback intervention to promote positive parenting for foster children

Foster children are at risk for developing disorganized attachment relationships (Van den Dries et al., 2009; Vasileva & Petermann, 2018) and behavioural problems (Goemans et al., 2015; Vanschoonlandt et al., 2012). Video-feedback Intervention to promote Positive Parenting and Sensitive Discipline – Foster Care/Adoption (VIPP-FC/A) is an intervention aimed at improving sensitive parenting in order to promote secure attachment relations and reduce behavioural problems. In this study, a Randomized Controlled Trial (RCT) was used in order to examine the effectiveness of VIPP-FC/A in a Flemish foster care sample ( n = 100), using questionnaires at three measurement moments. The hypothesis was that VIPP-FC/A would increase foster mothers’ sensitive parenting and decrease the externalizing behavioural problems and insecure attachment behaviour of the foster children and parenting stress of the foster mothers. The intervention effects on these four outcome variables were analysed by constructing four multilevel models. After controlling for the baseline measurement, there was no significant main effect of condition for sensitive parenting, externalizing problems, insecure attachment behaviour and parenting stress. There was however a significant effect of condition and age on insecure attachment behaviour: within the group of youngest foster children (under 30 months), children in the intervention group scored lower insecure attachment scores than children in the control group. Additionally, there was a significant effect of condition and type of foster care on externalizing behaviour problems. In the group of children placed in kinship foster care, children in the intervention group had lower external behavior scores than children in the control group.

Childhood Trauma and Its Link to Adult Dissociation: The Role of Mentalizing and Disorganized Attachment in a Chinese Adult Sample

ABSTRACT Based on previous findings in a U.S. sample, the present study validated the relationship between childhood trauma and dissociation, as well as the mediating role of disorganized attachment and the moderating role of mentalizing (i.e. self-concept clarity and reflective functioning) in a group of 569 Chinese adults (i.e. a community sample). Results demonstrated a mediating role for disorganized attachment relationships in linking childhood maltreatment and dissociative symptoms. Moreover, self-concept clarity moderated this mediating relationship. An interesting finding that differs from the U.S. sample is that reflective functioning did not play a moderating role between insecure attachment and dissociation in Chinese adults. Chinese culture places greater emphasis on collectivism, altruism, and other-oriented, and thus the protective effect of the reflective function may not be as effective as in an individualistic culture. This study provides evidence for a better understanding of the relationship between childhood trauma, attachment, dissociation, and the moderating role of mentalizing in an Eastern culture, and it opens the door to further research examining whether more Western (such as the U.S.) and Eastern (particularly Chinese) relationships are similar in both social and clinical psychology.

Configurations of mother-child and father-child attachment as predictors of internalizing and externalizing behavioral problems: An individual participant data (IPD) meta-analysis.

An unsettled question in attachment theory and research is the extent to which children's attachment patterns with mothers and fathers jointly predict developmental outcomes. In this study, we used individual participant data (IPD) meta-analysis to assess whether early attachment networks with mothers and fathers are associated with children's internalizing and externalizing behavioral problems. Following a pre-registered protocol, data from 9 studies and 1,097 children (mean age: 28.67 months) with attachment classifications to both mothers and fathers were included in analyses. We used a linear mixed effects analysis to assess differences in children's internalizing and externalizing behavioral problems as assessed via the average of both maternal and paternal reports based on whether children had two, one, or no insecure (or disorganized) attachments. Results indicated that children with an insecure attachment relationship with one or both parents were at higher risk for elevated internalizing behavioral problems compared with children who were securely attached to both parents. Children whose attachment relationships with both parents were classified as disorganized had more externalizing behavioral problems compared to children with either one or no disorganized attachment relationship with their parents. Across attachment classification networks and behavioral problems, findings suggest (a) an increased vulnerability to behavioral problems when children have insecure or disorganized attachment to both parents, and (b) that mother-child and father-child attachment relationships may not differ in the roles they play in children's development of internalizing and externalizing behavioral problems.

Development and validation of the Attachment Relationship Inventory-Caregiver Perception 2-5 years (ARI-CP 2-5): Psychometric structure, external validity, and norms.

ABSTRACTThere is a lack of instruments assessing child–caregiver attachment relationships in early childhood to be used in attachment‐based practice, in particular from a caregiver's perception, which is an important factor of clinical importance to take into account in parenting interventions targeting young children. Therefore, the 48‐item Attachment Relationship Inventory—Caregiver Perception 2–5 years (ARI‐CP 2–5) was developed. Survey data of 446 caregivers of 2‐ to 5‐year‐old children were collected, and a subsample of 83 caregivers participated in an observation study. Confirmatory factor analysis confirmed a four‐factor structure of secure, avoidant, ambivalent, and disorganized attachment relationship. Indications of configural, metric, and scalar invariance were found for caregivers’ and children's sex, children's age, and population (clinical vs. general population). The four scales showed sufficient internal consistency and significant associations with children's psychopathology, caregivers’ general attachment representations, caregivers’ mind‐mindedness, and population type. Moreover, preliminary evidence for convergent validity with observational attachment measures was found. It is concluded that the ARI‐CP 2–5 is a valid instrument that can be used as part of the screening and assessment of insecure attachment relationships.

Treating Externalizing Behaviors in Toddlers with ASD Traits Using Parent-Child Interaction Therapy for Toddlers: A Case Study

Up to 27% of children with autism spectrum disorder (ASD) experience clinically significant externalizing behavior. Child emotional dysregulation is thought to be one of the main reasons for the manifestation of externalizing behaviors during toddlerhood and has also been associated with insecure and disorganized parent-child attachment relationships. Parent-Child Interaction Therapy for Toddlers (PCIT-T) is an attachment and behavioral based parent training program targeted at children aged 12 to 24 months with externalizing behavior. This study assessed the effectiveness of PCIT-T in reducing child externalizing behavior as well as improving child emotional regulation and the parent-child attachment relationship in a child with moderate-to-severe ASD traits, low intellectual and adaptive functioning, externalizing behaviors within the clinical range, and a disorganized/insecure mother-child attachment relationship. The intervention occurred over a 12-week period and focused on improving positive parenting skills, parent emotional regulation, and child emotional regulation. Treatment progress was tracked using the Child Behavior Checklist Externalizing Behavior subscale, the Deverux Early Childhood Assessment for Toddlers Attachment/Relationship and Self-Regulation subscales, the Dyadic Parent-Child Interaction Coding System, version 4, and the Strange Situation Procedure. Study results provide preliminary support for the use of PCIT-T in reducing externalizing behavior, improving the parent-child attachment relationship and child emotional regulation. These results indicate that PCIT-T can be beneficial for children with ASD traits, however, further research with a larger sample size is needed to strength these findings.

Mother-infant cortisol attunement: Associations with mother-infant attachment disorganization.

This study explores the conceptualization of mother-infant cortisol attunement both theoretically and empirically, and its association with mother-infant attachment disorganization. In a community sample (N = 256), disorganization and cortisol were assessed during the Strange Situation Procedure (SSP) at infant age 17 months. Salivary cortisol was collected at baseline, and 20 and 40 min after the SSP. We utilized three statistical approaches: correlated growth modeling (probing a simultaneous conceptualization of attunement), cross-lagged modeling (probing a lagged, reciprocal conceptualization of attunement), and a multilevel model difference score analysis (to examine the pattern of discrepancies in mother-infant cortisol values). Correlated growth modeling revealed that disorganized, relative to organized, dyads had significant magnitude of change over time, such that, among disorganized dyads, as mothers had greater declines in cortisol, infants had greater increases. The difference score analysis revealed that disorganized, relative to organized, dyads had a greater divergence between maternal and infant cortisol values, such that maternal values were lower than infant values. Disorganized attachment status was not significantly associated with attunement when conceptualized as reciprocal and lagged in the cross-lagged model. Findings suggest that mother-infant dyads in disorganized attachment relationships, who are by definition behaviorally misattuned, are also misattuned in their adrenocortical responses.

Links between early baseline cortisol, attachment classification, and problem behaviors: A test of differential susceptibility versus diathesis-stress

The purpose of the current study was to predict concurrent levels of problem behaviors from young children’s baseline cortisol and attachment classification, a proxy for the quality of caregiving experienced. In a sample of 58 children living at or below the federal poverty threshold, children’s baseline cortisol levels, attachment classification, and problem behaviors were assessed at 17 months of age. We hypothesized that an interaction between baseline cortisol and attachment classification would predict problem behaviors above and beyond any main effects of baseline cortisol and attachment. However, based on limited prior research, we did not predict whether or not this interaction would be more consistent with diathesis-stress or differential susceptibility models. Consistent with diathesis-stress theory, the results indicated no significant differences in problem behavior levels among children with high baseline cortisol. In contrast, children with low baseline cortisol had the highest level of problem behaviors in the context of a disorganized attachment relationship. However, in the context of a secure attachment relationship, children with low baseline cortisol looked no different, with respect to problem behavior levels, then children with high cortisol levels. These findings have substantive implications for the socioemotional development of children reared in poverty.

Unresolved attachment and agency in women victims of intimate partner violence: A case-control study.

Women victims of IPV are more likely insecurely attached and have experienced childhood abuse, which according to the attachment theory is deeply related to disorganized attachment. This case-control study was performed with the aim to compare the attachment status and the defensive processing patterns of women victims of IPV (cases) with women with no experiences of IPV (controls). Cases were 16 women with an age range from 26years to 51years. The control group included 16 women with an age range from 26years to 59years. Women's states of mind in regard to attachment were evaluated with the Adult Attachment Projective PictureSystem, which allows classifying attachment status and defensive mechanisms. Compared with control group, most IPV women resulted having an unresolved attachment status and describing characters less capable to draw upon internal resources, that is, internalized secure base, and less capable to act than controls. Women victims of IPV used significantly more words referring danger and failed protection than controls. The results evidenced the strong effectiveness of the AAP on analysing the psychological attitudes of women victims of IPV. The dramatic events lived by the women victims of IPV are so dominant in their minds that they invade their stories. This could represent a clue of emotional dysregulation. The use of AAP improves the understanding of the agency of self and of the specific levels of trauma experienced by IPV victims, on clarifying their frightening/frightened dynamic, typical of the disorganized attachment relationship, which undermines their activity of mentalization. The therapist will assume the stance of a secure base and then both promoting exploration and contrasting impotence, humiliation, and subordination that IPV women have experienced. This therapeutic interpersonal context will be functional to reach two different but related therapeutic goals: (1) to facilitate the rebuilding of agency (through an activation of subject to explore concrete strategies for exiting from IPV), (2) to explore attachment-related segregated systems from awareness, and to integrate them in memory.

It takes two to talk: Longitudinal associations among infant–mother attachment, maternal attachment representations, and mother–child emotion dialogues

Research on the attachment-dialogue link has largely focused on infant–mother attachment. This study investigated longitudinal associations between infant–mother attachment and maternal attachment representations and subsequent mother–child emotion dialogues (N = 50). Maternal attachment representations were assessed using the Adult Attachment Interview when children were 3 months, infant–mother attachment was assessed using the Strange Situation Procedure at 13 months, and mother–child emotion dialogues were assessed using the Autobiographical Emotional Events Dialogue at 3.5 years. Consistent with past research, the three organized categories of infant–mother attachment relationships were associated with later mother–child emotion dialogues. Disorganized attachment relationships were associated with a lack of consistent and coherent strategy during emotion dialogues. Autonomous mothers co-constructed coherent narratives with their children; Dismissing and Preoccupied mothers created stories that were less narratively organized. Although the Unresolved category was unrelated to classifications of types of mother–child discourse, mothers’ quality of contribution to the dialogues was marginally lower compared to the quality of their children’s contributions to the emotion discussion. Secure children showed highest levels of child cooperation and exploration. Autonomous mothers displayed highest levels of maternal sensitive guidance during emotion dialogues. We provide preliminary evidence for role reversal in dialogues between Preoccupied and Unresolved mothers and their children.

A threshold approach to understanding the origins of attachment disorganization.

Disorganized attachment in infancy is known to predict a wide range of maladaptive outcomes, but its origins are poorly understood. Parental lack of resolution concerning loss or trauma has been proposed to result in atypical parenting behaviors, which in turn have a disorganizing effect on the parent-child relationship. The authors review the evidence for this transmission pathway, considering other factors (e.g., social environment, child characteristics) that might enrich understanding of the antecedents of disorganization. A threshold approach is proposed to explain (a) why different parental behaviors are linked to disorganization depending on prevailing social conditions and (b) why certain children appear more vulnerable to forming a disorganized attachment relationship.

Understanding the transmission of attachment using variable- and relationship-centered approaches

The interrelations of maternal attachment representations, mother-infant interaction in the home, and attachment relationships were studied in 99 adolescent mothers and their 12-month-old infants. A q-factor analysis was used to identify emergent profiles of mother and infant interaction. Traditional multivariate statistical analyses were complemented by a relationship-based approach utilizing latent class analysis. The results confirmed many theoretical predictions linking interaction with autonomous maternal representations and secure attachment, but failed to support a mediating role for maternal sensitivity. Strong associations were found between mothers displaying nonsensitive and disengaged interaction profiles, infants who did not interact harmoniously with the mother and preferred interaction with the visitor, unresolved maternal representations, and disorganized attachment relationships. Moreover, maternal nonsensitive and disengaged interaction in the home mediated the association between unresolved representations and disorganization. The results of the latent class analysis were consistent with these findings and revealed additional, empirically derived associations between attachment classifications and patterns of interactive behavior, some of which prompt a reconsideration of our current understanding of attachment transmission in at-risk populations.

Unresolved states of mind, anomalous parental behavior, and disorganized attachment: A review and meta-analysis of a transmission gap

The current meta-analysis examines the links between unresolved representations of attachment, anomalous parental behavior, and disorganized attachment relationships in 12 studies including 851 families. We found moderate effect sizes for the associations between unresolved states of mind and anomalous behavior (r = .26), unresolved states of mind and infant disorganized attachment relationships (r = .21), and anomalous behavior and disorganized attachment relationships (r = .34). Sample characteristics, observational context, and observational measure were not associated with differences in effect sizes. Only a small part of the association between unresolved states of mind and disorganized attachment relationships was explained by the mediation of anomalous parental behavior (.26* .34 = .09). Other factors yet to be uncovered must mediate the influence of unresolved states of mind on infant disorganized attachment; thus, further exploration of infant, parental, ecological, and genetic factors are warranted.

Unresolved states of mind, disorganized attachment relationships, and disrupted interactions of adolescent mothers and their infants.

The links between unresolved maternal attachment status, disrupted maternal interaction in play situations, and disorganized attachment relationships were examined in a study of 82 adolescent mother-infant dyads. Maternal interactive behavior was measured using the Atypical Maternal Behavior Instrument for Assessment and Classification coding system. Additional rating scales were developed to correspond to the 5 dimensions of disrupted maternal behavior outlined by E. Bronfman, E. Parsons, and K. Lyons-Ruth (1999). A robust association was observed between disrupted maternal behavior and disorganized attachment. Ratings of disrupted maternal behavior revealed that disorganized attachment relationships were strongly related to ratings of fearful/disoriented behavior. Moreover, mothers who were unresolved were more likely than not-unresolved mothers to show disrupted patterns of interaction with their infants. Regression analyses suggested that disrupted behavior statistically mediated the association between unresolved status and disorganized attachment relationships.

Mentalizing Language Development in a Longitudinal Attachment Sample: Implications for Alexithymia

Background: The construct of alexithymia implies a deficit in symbolization for emotional, somatic, and mental states. However, the etiologic factors for alexithymia have not yet been fully elucidated. The present study investigated the use of mentalizing language, i.e. the utterance of internal states, from a developmental perspective according to attachment organization and disorganization. Methods: A longitudinal design across 4 time points was applied to a volunteer sample of 42 children. At 12 months, children were tested with the strange situation procedure, the standard measure of attachment at the optimal age, and attachment classifications were taken of videotapes. At ages 17, 23, 30 and 36 months, mother and child were observed in simplified separation episodes of 30 min duration. Transcripts of the sessions were subject to coding of internal state words. Results: During the investigated span, securely attached children rapidly acquired emotion, physiology, cognition and emotion-regulatory language, whereas insecurely attached and disorganized children either completely lacked internal state language or displayed a considerable time lag in the use of emotion and cognition vocabulary. Conclusion: The results raise the possibility that alexithymia might be a consequence of deficits in the development of internal state language in the context of insecure or disorganized childhood attachment relationships.

Emotion Socialization as a Framework for Understanding the Development of Disorganized Attachment

AbstractRecent years have seen the emergence of accounts of the origins of the Disorganized attachment relationship in early mother–infant interaction, each building on the pioneering work of Main and Hesse—dysfunctional emotional processes figure prominently in all these accounts. This paper applies a framework based on two complementary theories of emotion socialization, Gianino and Tronick's (1992) Mutual Regulation Model and Gergely and Watson's (1996) Social Biofeedback Theory, to suggest an emotion‐based mechanism consistent with recently proposed models of the development of Disorganized attachment. The framework is used to generate hypothetical accounts of the role of dysfunctional emotional processes and maladaptive emotion socialization in early mother–infant interaction in the development of Disorganized attachment along two distinct pathways, one associated with actual abuse of the infant and the other associated with maternal unresolved trauma.

Strengthening the capacity of reference in response to violence in society and within the family

Results of longitudinal studies in developmental psychology have shown the importance of protective factors especially within high risk samples for adaptive development as they serve as puffers against many risks. An outstanding protective factor is a secure parent-child attachment relationship. This article outlines the different ways how attachment relationships can serve as protective mechanisms and especially how disorganized attachment relationships are leading to maladaptation and hostile attitudes and behaviors. In doing so it underscores the special importance of attachment experiences in early infancy. The concept of attachment relationship is described as opposed to the bonding concept with regard to its implications for practice. One of the first is to intervene early. In the final part the evidence based early intervention program "STEEP" is described as an application of attachment research on a poverty sample and as a response to violence.

Infant attachment strategies, infant mental lag, and maternal depressive symptoms: predictors of internalizing and externalizing problems at age 7.

The predictive relations between assessments in infancy and parent- and teacher-reported behavior problems at age 7 were investigated within a low-income sample. Infancy assessments indexed family adversity, parent-infant interaction at home, infant attachment, infant anger-distress at home, gender, and cognitive functioning. Among children at age 7 identified by teachers as highly externalizing, 83% were both disorganized in their attachment behavior in infancy and below the national mean in mental development scores at 18 months, compared with 13% of nonexternalizing children. Avoidant attachment behavior in infancy was associated with later internalizing symptoms rather than with externalizing symptoms. The behavior problem data reported by mother suggested the possibility of attachment-related biases in maternal report data. The results indicate that child mental lag in the context of a disorganized attachment relationship constitutes 1 early step on the pathway to school-age externalizing behavior.