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{{short description|Psychological ethological theory about human relationships}}
'''Attachment theory''' is a theory (or group of theories) about the ] concept of attachment: the tendency to seek closeness to another person and feel secure when that person is present. Attachment theory has its origins in the observation of and experiments with animals. Much of the early research on attachment in humans was done by ] and his associates.
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'''Attachment theory''' is a ] and ]ary framework concerning the ], particularly the importance of early bonds between infants and their primary caregivers. Developed by psychiatrist and psychoanalyst ] (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.<ref name="Cassidy">{{cite encyclopedia |year=1999 |title=The Nature of a Child's Ties |encyclopedia=Handbook of Attachment: Theory, Research and Clinical Applications |publisher=Guilford Press |location=New York | veditors = Cassidy J, Shaver PR |pages= |isbn=1-57230-087-6 | vauthors = Cassidy J |url=https://archive.org/details/handbookofattach0000unse/page/3 }}</ref><ref name="Abrams Turner Baumann Karel 2013 pp. 149–155">{{cite book | last1=Abrams | first1=David B. | last2=Turner | first2=J. Rick | last3=Baumann | first3=Linda C. | last4=Karel | first4=Alyssa | last5=Collins | first5=Susan E. | last6=Witkiewitz | first6=Katie | last7=Fulmer | first7=Terry | last8=Tanenbaum | first8=Molly L. | last9=Commissariat | first9=Persis | last10=Kupperman | first10=Elyse | last11=Baek | first11=Rachel N. | last12=Gonzalez | first12=Jeffrey S. | last13=Brandt | first13=Nicole | last14=Flurie | first14=Rachel | last15=Heaney | first15=Jennifer | last16=Kline | first16=Christopher | last17=Carroll | first17=Linda | last18=Upton | first18=Jane | last19=Buchain | first19=Patrícia Cardoso | last20=Vizzotto | first20=Adriana Dias Barbosa | last21=Martini de Oliveira | first21=Alexandra | last22=Ferraz Alves | first22=Tania C. T. | last23=Cordeiro | first23=Quirino | last24=Cohen | first24=Lorenzo | last25=Garcia | first25=M. Kay | last26=Marcano-Reik | first26=Amy Jo | last27=Ye | first27=Siqin | last28=Gidron | first28=Yori | last29=Gellman | first29=Marc D. | last30=Howren | first30=M. 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Rick | last102=Pulgaron | first102=Elizabeth R. | last103=Wile | first103=Diana | last104=Baumann | first104=Linda C. | last105=Karel | first105=Alyssa | last106=Schroeder | first106=Beth | last107=Davis | first107=Mary C. | last108=Zautra | first108=Alex | last109=Stark | first109=Shannon L. | last110=Whang | first110=William | last111=Soto | first111=Ana Victoria | last112=Gidron | first112=Yori | last113=Wheeler | first113=Anthony J. | last114=DeBerard | first114=Scott | last115=Allen | first115=Josh | last116=Mitani | first116=Akihisa | last117=Mitani | first117=Akihisa | last118=Pulgaron | first118=Elizabeth R. | last119=Mitani | first119=Akihisa | last120=Carter | first120=Jennifer | last121=Whang | first121=William | last122=Schroeder | first122=Beth | last123=Hicks | first123=Angela M. | last124=Korbel | first124=Carolyn | last125=Baldwin | first125=Austin S. | last126=Spink | first126=Kevin S. | last127=Nickel | first127=Darren | last128=Richter | first128=Michael | last129=Wright | first129=Rex A. | last130=Thayer | first130=Julian F. | last131=Richter | first131=Michael | last132=Wright | first132=Rex A. | last133=Wiebe | first133=Deborah J. | title=Encyclopedia of Behavioral Medicine | chapter=Attachment Theory | publisher=Springer New York | publication-place=New York, NY | year=2013 | doi=10.1007/978-1-4419-1005-9_939 | pages=149–155| isbn=978-1-4419-1004-2 |quote=Bowlby (1969, 1988) described an attachment as an emotional bond that is characterized by the tendency to seek out and maintain proximity to a specific attachment figure, particularly during times of distress.}}</ref>
Attachment theory assumes that humans are social beings; they do not just use other people to satisfy their drives. In this way, attachment theory is similar to ].


Pivotal aspects of attachment theory include the observation that infants seek proximity to attachment figures, especially during stressful situations.<ref name="Abrams Turner Baumann Karel 2013 pp. 149–155"/><ref name="Brimhall Haralson 2017 pp. 1–3">{{cite book | last1=Brimhall | first1=Andrew S. | last2=Haralson | first2=David M. | title=Encyclopedia of Couple and Family Therapy | chapter=Bonds in Couple and Family Therapy | publisher=Springer International Publishing | publication-place=Cham | year=2017 | isbn=978-3-319-15877-8 | doi=10.1007/978-3-319-15877-8_513-1 | pages=1–3 | quote=Bond is an emotional attachment between one or more individuals. To be considered an attachment bond, the relationship must have four defining characteristics: proximity maintenance, separation distress, safe haven, and secure base.}}</ref> Secure attachments are formed when caregivers are sensitive and responsive in ]s, and consistently present, particularly between the ages of six months and two years. As children grow, they use these attachment figures as a secure base from which to explore the world and return to for comfort. The interactions with caregivers form patterns of attachment, which in turn create internal working models that influence future relationships.<ref name="Bretherton/Mul">{{cite encyclopedia |year=1999 |title=Internal Working Models in Attachment Relationships: A Construct Revisited |encyclopedia=Handbook of Attachment:Theory, Research and Clinical Applications |publisher=Guilford Press |location=New York | veditors = Cassidy J, Shaver PR |pages= |isbn=1-57230-087-6 |author=Bretherton I, Munholland KA |url=https://archive.org/details/handbookofattach0000unse/page/89 }}</ref> Separation anxiety or grief following the loss of an attachment figure is considered to be a normal and adaptive response for an attached infant.{{sfn|Prior|Glaser|2006|p=17}}
In a famous series of experiments on infant monkeys, Harlow and Harlow (1969) demonstrated that attachment is not a simple reaction to internal drives such as hunger. In these experiments, young monkeys were separated from their mother shortly after birth. After that, they were offered two dolls which were thought of as surrogates to the mother. The first doll had a body of wire mesh. The second doll had a body of terry cloth and foam rubber. Both of these dolls could be made a source of food by attaching a milk bottle to its chest. The objective of the experiment was to see what would determine to which doll the monkey would cling: the soft contact of the cloth or the source of food. It turned out that the monkeys would cling to the soft-clothed doll, irrespective of whether it provided food. The monkeys also explored more when the soft-cloth doll was near. Apparently, the doll provided them with a sense of security. However, the passive doll was not an adequate alternative for a real mother. Infant monkeys which were raised without contact with other monkeys showed abnormal behavior in social situations. They were either very fearful of other monkeys or responded with unprovoked aggression when they encountered other monkeys. They also showed abnormal sexual responses. Female monkeys who were raised in isolation often neglected or abused their infants. This abnormal behaviour is thought to demonstrate that a bond with the mother is necessary for further social development.


Research by ] ] in the 1960s and 70s expanded on Bowlby's work, introducing the concept of the "secure base", impact of maternal responsiveness and sensitivity to infant distress, and identified attachment patterns in infants: secure, avoidant, anxious, and disorganized attachment.<ref>{{Cite journal |last1=Bernard |first1=Kristin |last2=Meade |first2=Eb |last3=Dozier |first3=Mary |date=November 2013 |title=Parental synchrony and nurturance as targets in an attachment based intervention: building upon Mary Ainsworth's insights about mother–infant interaction |journal=Attachment & Human Development |language=en |volume=15 |issue=5–6 |pages=507–523 |doi=10.1080/14616734.2013.820920 |issn=1461-6734 |pmc=3855268 |pmid=24299132}}</ref><ref name="Bretherton">{{cite journal | vauthors = Bretherton I |year=1992 |title=The Origins of Attachment Theory: John Bowlby and Mary Ainsworth | url = https://archive.org/details/sim_developmental-psychology_1992-09_28_5/page/759 |journal=Developmental Psychology |volume=28 |issue=5 |pages=759–775 |doi=10.1037/0012-1649.28.5.759}}</ref> In the 1980s, attachment theory was extended to adult relationships and ], making it applicable beyond early childhood.<ref name="Hazan, Shaver, 1987">{{cite journal | vauthors = Hazan C, Shaver P | s2cid = 2280613 | title = Romantic love conceptualized as an attachment process | url = https://archive.org/details/sim_journal-of-personality-and-social-psychology_1987-03_52_3/page/511 | journal = Journal of Personality and Social Psychology | volume = 52 | issue = 3 | pages = 511–24 | date = March 1987 | pmid = 3572722 | doi = 10.1037/0022-3514.52.3.511 }}</ref> Bowlby's theory integrated concepts from ], ], ], ], and ], and was fully articulated in his trilogy, ''Attachment and Loss'' (1969–82).<ref name="simpson">{{cite encyclopedia |year=1999 |title=Attachment Theory in Modern Evolutionary Perspective |encyclopedia=Handbook of Attachment:Theory, Research and Clinical Applications |publisher=Guilford Press |location=New York |veditors = Cassidy J, Shaver PR |pages= |isbn=1-57230-087-6 |author=Simpson JA |url=https://archive.org/details/handbookofattach0000unse/page/115 }}</ref>
==Attachment of children to caregivers==


While initially criticized by academic psychologists and psychoanalysts,<ref name="Rutter 95" /> attachment theory has become a dominant approach to understanding early social development and has generated extensive research.<ref name="Schaffer" /> Despite some criticisms related to temperament, social complexity, and the limitations of discrete attachment patterns, the theory's core concepts have been widely accepted and have influenced therapeutic practices and social and childcare policies.<ref name="Rutter 95" /><ref name="BZL" />
Attachment theory led not only to increased attention to attachments as a ] process, it also led to a new understanding of ]. ] suggested that as ] drives fixed on different objects, former attachments would be broken; failure to break an attachment effectively would constitute a sort of trauma that could lead to later ]. Attachment theory, however, suggested that growing children did not break former attachments, but rather (1) learned to become more active (or sovereign) within previously established attachments, and (2) added new attachments, which did not necessarily require a break with (and are not necessarily substitutes for) previous attachments.


==Attachment==
===The Strange Situation===
]


Within attachment theory, ''attachment'' means an ] or tie between an individual and an attachment figure (usually a caregiver/guardian). Such bonds may be reciprocal between two adults, but between a child and a caregiver, these bonds are based on the child's need for safety, security, and protection—which is most important in infancy and childhood.<ref>{{Cite journal |last1=Murphy |first1=Anne |last2=Steele |first2=Miriam |last3=Dube |first3=Shanta Rishi |last4=Bate |first4=Jordan |last5=Bonuck |first5=Karen |last6=Meissner |first6=Paul |last7=Goldman |first7=Hannah |last8=Steele |first8=Howard |date=2014 |title=Adverse Childhood Experiences (ACEs) Questionnaire and Adult Attachment Interview (AAI): Implications for parent child relationships |url=https://linkinghub.elsevier.com/retrieve/pii/S0145213413002561 |journal=Child Abuse & Neglect |language=en |volume=38 |issue=2 |pages=224–233 |doi=10.1016/j.chiabu.2013.09.004|pmid=24670331 |s2cid=3919568 }}</ref> Attachment theory is not an exhaustive description of human relationships, nor is it synonymous with love and affection, although these may indicate that bonds exist. In child-to-adult relationships, the child's tie is called the "attachment" and the caregiver's reciprocal equivalent is referred to as the "care-giving bond".<ref name=pg15>] p. 15.</ref> The theory proposes that children attach to carers instinctively,<ref name="BrethQuote">{{cite news|author=Bretherton I|title=The Origins of Attachment Theory: John Bowlby and Mary Ainsworth|year=1992|quote= begin by noting that organisms at different levels of the phylogenetic scale regulate instinctive behaviour in distinct ways, ranging from primitive reflex-like "fixed action patterns" to complex plan hierarchies with subgoals and strong learning components. In the most complex organisms, instinctive behaviours may be "goal-corrected" with continual on-course adjustments (such as a bird of prey adjusting its flight to the movements of the prey). The concept of cybernetically controlled behavioural systems organized as plan hierarchies (Miller, Galanter, and Pribram, 1960) thus came to replace Freud's concept of drive and instinct. Such systems regulate behaviours in ways that need not be rigidly innate, but – depending on the organism – can adapt in greater or lesser degrees to changes in environmental circumstances, provided that these do not deviate too much from the organism's environment of evolutionary adaptedness. Such flexible organisms pay a price, however, because adaptable behavioural systems can more easily be subverted from their optimal path of development. For humans, Bowlby speculates, the environment of evolutionary adaptedness probably resembles that of present-day hunter-gatherer societies.}}</ref> for the purpose of survival and, ultimately, genetic replication.<ref name=pg15/> The biological aim is survival and the psychological aim is security.<ref name="Schaffer"/> The relationship that a child has with their attachment figure is especially important in threatening situations. Having access to a secure figure decreases fear in children when they are presented with threatening situations. Not only is having a decreased level of fear important for general mental stability, but it also implicates how children might react to threatening situations. The presence of a supportive attachment figure is especially important in a child's developmental years.<ref>{{Cite journal |last1=Stupica |first1=Brandi |last2=Brett |first2=Bonnie E. |last3=Woodhouse |first3=Susan S. |last4=Cassidy |first4=Jude |date=July 2019 |title=Attachment Security Priming Decreases Children's Physiological Response to Threat |url=https://onlinelibrary.wiley.com/doi/10.1111/cdev.13009 |journal=Child Development |language=en |volume=90 |issue=4 |pages=1254–1271 |doi=10.1111/cdev.13009|pmid=29266177 }}</ref> In addition to support, attunement (accurate understanding and emotional connection) is crucial in a caregiver-child relationship. If the caregiver is poorly attuned to the child, the child may grow to feel misunderstood and anxious.<ref>{{Cite web |date=2023-04-04 |title=Attunement |url=https://www.evolveinnature.com/blog/2023/3/7-attunement-the-real-language-of-love |access-date=2023-08-23 |website=Evolve In Nature |language=en-US}}</ref>
] is a ] who devised a procedure called ''The Strange Situation'', to observe attachment relationships between a human caregiver and child. In this procedure the child is observed playing for 20 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:


Infants form attachments to ''any'' consistent caregiver who is sensitive and responsive in social interactions with them. The quality of social engagement is more influential than the amount of time spent. The biological mother is the usual principal attachment figure, but the role can be assumed by anyone who consistently behaves in a "mothering" way over a period of time. Within attachment theory, this means a set of behaviours that involves engaging in lively social interaction with the infant and responding readily to signals and approaches.<ref>Bowlby (1969) p. 365.</ref> Nothing in the theory suggests that fathers are not equally likely to become principal attachment figures if they provide most of the child care and related social interaction.<ref>] p. 69.</ref><ref>{{Cite news|last=Cosentino|first=Ashley|date=5 September 2017|title=Viewing fathers as attachment figures|url=https://ct.counseling.org/2017/09/viewing-fathers-attachment-f%E2%80%8A%E2%80%8A%E2%80%8Aigures/|url-status=live|website=Counseling today|archive-url=https://web.archive.org/web/20170924022707/http://ct.counseling.org:80/2017/09/viewing-fathers-attachment-f%E2%80%8A%E2%80%8A%E2%80%8Aigures/ |archive-date=2017-09-24 }}</ref> A secure attachment to a father who is a "secondary attachment figure" may also counter the possible negative effects of an unsatisfactory attachment to a mother who is the primary attachment figure.<ref>{{Cite journal |last1=Lamb |first1=Michael E. |last2=Lamb |first2=Jamie E. |date=1976 |title=The Nature and Importance of the Father-Infant Relationship |url=https://www.jstor.org/stable/582850 |journal=The Family Coordinator |volume=25 |issue=4 |pages=379–385 |doi=10.2307/582850 |jstor=582850 |issn=0014-7214}}</ref>
:1.Mother and baby enter room.
:2.Mother sits quietly on a chair, responding if the infant seeks attention.
:3.A stranger enters, talks to the mother then gradually approaches infant with a toy. The mother leaves the room.
:4.The stranger leaves the infant playing unless he/she is inactive and then tries to interest the infant in toys. If the infant becomes distressed this episode is ended.
:5.Mother enters and waits to see how the infant greets her. The stranger leaves quietly and the mother waits until the baby settles, and then she leaves again.
:6.The infant is alone. This episode is curtailed if the infant appears to be distressed.
:7.The stranger comes back and repeats episode 3.
:8.The mother returns and the stranger goes. Reunion behaviour is noted and then the situation is ended.


Some infants direct attachment behaviour (proximity seeking) towards more than one attachment figure almost as soon as they start to show discrimination between caregivers; most come to do so during their second year. These figures are arranged hierarchically, with the principal attachment figure at the top.<ref>Bowlby (1969) 2nd ed. pp. 304–05.</ref> The set-goal of the attachment behavioural system is to maintain a bond with an accessible and available attachment figure.<ref name=kobmad>{{cite encyclopedia|author= Kobak R, Madsen S|year=2008|title= Disruption in Attachment Bonds|encyclopedia=Handbook of Attachment: Theory, Research and Clinical Applications| veditors = Cassidy J, Shaver PR | publisher= Guilford Press|location= New York and London|pages=23–47|isbn=978-1-59385-874-2}}</ref> "Alarm" is the term used for activation of the attachment behavioural system caused by fear of danger. "Anxiety" is the anticipation or fear of being cut off from the attachment figure. If the figure is unavailable or unresponsive, separation distress occurs.<ref name="pg16">] p. 16.</ref> In infants, physical separation can cause anxiety and anger, followed by sadness and despair. By age three or four, physical separation is no longer such a threat to the child's bond with the attachment figure. Threats to security in older children and adults arise from prolonged absence, breakdowns in communication, emotional unavailability or signs of rejection or abandonment.<ref name=kobmad/>
Two aspects of the child's behaviour are observed:


===Behaviours===
* The amount of exploration (e.g. playing with new toys) the child engages in throughout, and
]
* The child's reactions to the departure and return of its caregiver.


The attachment behavioural system serves to achieve or maintain proximity to the attachment figure.{{sfn|Prior|Glaser|2006|p=17}}
===Attachment styles===


Pre-attachment behaviours occur in the first six months of life. During the first phase (the first two months), infants smile, babble, and cry to attract the attention of potential caregivers. Although infants of this age learn to discriminate between caregivers, these behaviours are directed at anyone in the vicinity.
On the basis of their behaviours, the children can be categorized into three groups. Each of these groups reflects a different kind of attachment relationship with the mother. (It should be noted that Bowlby believed that mothers were the primary attachment figure in children's lives, but subsequent research has confirmed that children form attachments to both their mothers and their fathers. Bowlby, like many of his colleagues at the time, infused the gender norms of the day into otherwise "unbiased" scientific research.)


During the second phase (two to six months), the infant discriminates between familiar and unfamiliar adults, becoming more responsive toward the caregiver; following and clinging are added to the range of behaviours. The infant's behaviour toward the caregiver becomes organized on a goal-directed basis to achieve the conditions that make it feel secure.{{sfn|Prior|Glaser|2006|p=19}}
Modern studies use a variety of standardized interviews, questionnaires, and tests to identify attachment styles.<ref name="Bartholomew,Horowitz,1991">Bartholomew, K., & Horowitz, L. M. (1991). Attachment styles among young adults: A test of a four-category model. Journal of Personality and Social Psychology, 61, 226-244.</ref>
<ref name="Bartholomew,Shaver,1998">Bartholomew, K., & Shaver, P. R. (1998). Measures of attachment: Do they converge? In J. A. Simpson & W. S. Rholes (Eds.), Attachment theory and close relationships (pp. 25-45). New York: Guilford Press. </ref>
<ref name="Brennan,Clark,Shaver,1998">Brennan, K. A., Clark, C. L., & Shaver, P. R. (1998). Self-report measurement of adult romantic attachment: An integrative overview. In J. A. Simpson & W. S. Rholes (Eds.), Attachment theory and close relationships (pp. 46-76). New York: Guilford Press. </ref>
<ref name="Crowell,Treboux,1995">Crowell, J. A., & Treboux, D. (1995). A review of adult attachment measures: Implications for theory and research. Social Development, 4, 294-327. </ref>
<ref name="Fraley,Waller,Brennan,2000">Fraley, R. C., Waller, N. G., & Brennan, K. A. (2000). An item-response theory analysis of self-report measures of adult attachment. Journal of Personality and Social Psycology, 78, 350-365.</ref>


By the end of the first year, the infant is able to display a range of attachment behaviours designed to maintain proximity. These manifest as protesting the caregiver's departure, greeting the caregiver's return, clinging when frightened, and following when able.{{sfn|Karen|1998|pp=90–92}}
The most commonly used procedures for children are the Strange Situation Protocol and various narrative approaches and structured observational methods..<ref name="Ainsworth, M., et. al. 1978">Ainsworth, M., Blehar, M., Waters, E., & Wall, S.,(1978). Patterns of Attachment. Lawrence Erlbaum Assoc., Hillsdale, NJ., 1978.</ref>(Ainsworth, M., Blehar, M., Waters, E., & Wall, S., (1978).


With the development of locomotion, the infant begins to use the caregiver or caregivers as a "safe base" from which to explore.{{sfn|Prior|Glaser|2006|p=19}}<ref>{{cite book |title=Disorders of childhood : development and psychopathology | first1 = Robin Hornik | last1 = Parritz | first2 = Michael F | last2 = Troy |date=2017-05-24 |isbn=978-1-337-09811-3 |edition=Third |location=Boston, MA |oclc=960031712}}</ref>{{Rp|71}} Infant exploration is greater when the caregiver is present because the infant's attachment system is relaxed and it is free to explore. If the caregiver is inaccessible or unresponsive, attachment behaviour is more strongly exhibited.<ref name="ainsworth 67">{{cite book |title=Infancy in Uganda: Infant Care and the Growth of Love | vauthors = Ainsworth M |publisher=Johns Hopkins University Press |year=1967 |isbn=978-0-8018-0010-8 |location=Baltimore}}</ref> Anxiety, fear, illness, and fatigue will cause a child to increase attachment behaviours.{{sfn|Karen|1998|p=97}}
A frequently used method of assessing attachment styles in adults is the Adult Attachment Interview developed by Mary Main and Erik Hesse .<ref name="Hesse, Erik, 1999">Hesse, E., (1999). The Adult Attachment Interview in Jude Cassidy & Phillip Shaver (Eds.) Handbook of Attachment: Theory, Research, and Clinical Applications. Guilford Press, NY pp. 395-433.</ref>(Hesse, E., (1999). Attachment styles in adults can also be assessed using a questionnaire developed by Shaver and colleagues. All of these methods can be used to classify people into the classic attachment styles described below.


After the second year, as the child begins to see the caregiver as an independent person, a more complex and goal-corrected partnership is formed.{{sfn|Prior|Glaser|2006|pp=19–20}} Children begin to notice others' goals and feelings and plan their actions accordingly.
Readers curious about their own attachment style can take the questionnaire developed by Shaver and colleagues at http://www.web-research-design.net/cgi-bin/crq/crq.pl.


{{for-text|coverage of this topic in ]|]}}
====Secure attachment====


===Tenets===
A child who is securely attached to its mother will explore freely while the mother is present, will engage with strangers, will be visibly upset when the mother departs, and happy to see the mother return.
Modern attachment theory is based on three principles:<ref name=":9">{{cite book |title=Attachment Theory in Practice: Emotionally Focused Therapy (EFT) with Individuals, Couples and Families |last=Johnson |first=Susan M. |publisher=The Guildford Press |year=2019 |isbn=978-1-4625-3828-7 |location=New York |pages=5}}</ref>
# Bonding is an intrinsic human need.
# Regulation of emotion and fear to enhance vitality.
# Promoting adaptiveness and growth.
Common attachment behaviours and emotions, displayed in most social primates including humans, are ]. The long-term evolution of these species has involved selection for social behaviours that make individual or group survival more likely. The commonly observed attachment behaviour of toddlers staying near familiar people would have had safety advantages in the environment of early adaptation and has similar advantages today. Bowlby saw the environment of early adaptation as similar to current ] societies.{{sfn|Bowlby|1971|p=300}} There is a survival advantage in the capacity to sense possibly dangerous conditions such as unfamiliarity, being alone, or rapid approach. According to Bowlby, proximity-seeking to the attachment figure in the face of threat is the "set-goal" of the attachment behavioural system.<ref>{{Cite book|last=Bowlby|first=John|url=https://mindsplain.com/wp-content/uploads/2020/08/ATTACHMENT_AND_LOSS_VOLUME_I_ATTACHMENT.pdf|title=Attachment and loss|publisher=]|year=1969–1982|pages=11|language=English}}</ref>


Bowlby's original account of a ] during which attachments can form of between six months and two to three years has been modified by later researchers. These researchers have shown there is indeed a sensitive period during which attachments will form if possible, but the time frame is broader and the effect less fixed and irreversible than first proposed.<ref>{{Cite journal|last=McLeod|first=Dr. Saul|date=5 February 2017|title=Bowlby's Attachment Theory|url=https://www.simplypsychology.org/bowlby.html|website=]}}</ref>
Securely attached children are best able to explore when they have the knowledge of a secure base to return to in times of need (also known as "]", meaning in ] "bring together"). When assistance is given, this bolsters the sense of security and also, assuming the mother'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. According to some psychological researchers, a child becomes securely attached when the mother 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 ] of the child's attachment, and that behavior of the parent may in turn be influenced by the child's behavior.


With further research, authors discussing attachment theory have come to appreciate social development is affected by later as well as earlier relationships. Early steps in attachment take place most easily if the infant has one caregiver, or the occasional care of a small number of other people. According to Bowlby, almost from the beginning, many children have more than one figure toward whom they direct attachment behaviour. These figures are not treated alike; there is a strong bias for a child to direct attachment behaviour mainly toward one particular person. Bowlby used the term "monotropy" to describe this bias.{{sfn|Bowlby|1982|p=309}} Researchers and theorists have abandoned this concept insofar as it may be taken to mean the relationship with the special figure differs ''qualitatively'' from that of other figures. Rather, current thinking postulates definite hierarchies of relationships.<ref name="Rutter 95">{{cite journal | vauthors = Rutter M | title = Clinical implications of attachment concepts: retrospect and prospect | url = https://archive.org/details/sim_journal-of-child-psychology-and-psychiatry-and-allied-disciplines_1995-05_36_4/page/549 | journal = Journal of Child Psychology and Psychiatry, and Allied Disciplines | volume = 36 | issue = 4 | pages = 549–71 | date = May 1995 | pmid = 7650083 | doi = 10.1111/j.1469-7610.1995.tb02314.x }}</ref><ref name="Main">{{cite encyclopedia |year=1999 |title=Epilogue: Attachment Theory: Eighteen Points with Suggestions for Future Studies |encyclopedia=Handbook of Attachment: Theory, Research and Clinical Applications |publisher=Guilford Press |location=New York |url= https://archive.org/details/handbookofattach0000unse/page/845 |pages= |isbn=978-1-57230-087-3 |quote=although there is general agreement an infant or adult will have only a few attachment figures at most, many attachment theorists and researchers believe infants form 'attachment hierarchies' in which some figures are primary, others secondary, and so on. This position can be presented in a stronger form, in which a particular figure is believed continually to take top place ("monotropy")&nbsp;... questions surrounding monotropy and attachment hierarchies remain unsettled |author=Main M |veditors=Cassidy J, Shaver PR}}</ref>
====Anxious-ambivalent insecure attachment====


Early experiences with caregivers gradually give rise to a system of thoughts, memories, beliefs, expectations, emotions, and behaviours about the self and others. This system, called the "internal working model of social relationships", continues to develop with time and experience.{{sfn|Mercer|2006|pp=39–40}}
A child with an anxious-resistant attachment style is anxious of exploration and of strangers, even when the mother is present. When the mother departs, the child is extremely distressed. The child will be ambivalent when she returns - seeking to remain close to the mother but resentful, and also resistant when the mother initiates attention.


Internal models regulate, interpret, and predict attachment-related behaviour in the self and the attachment figure. As they develop in line with environmental and developmental changes, they incorporate the capacity to reflect and communicate about past and future attachment relationships.<ref name="Bretherton/Mul"/> They enable the child to handle new types of social interactions; knowing, for example, an infant should be treated differently from an older child, or that interactions with teachers and parents share characteristics. Even interaction with coaches share similar characteristics, as athletes who secure attachment relationships with not only their parents but their coaches will play a role in the growth of athletes in their prospective sport.<ref>{{Cite journal |last1=Davis |first1=Louise |last2=Brown |first2=Daniel J. |last3=Arnold |first3=Rachel |last4=Gustafsson |first4=Henrik |date=2021-08-02 |title=Thriving Through Relationships in Sport: The Role of the Parent–Athlete and Coach–Athlete Attachment Relationship |journal=Frontiers in Psychology |volume=12 |pages=694599 |doi=10.3389/fpsyg.2021.694599 |issn=1664-1078 |pmc=8366224 |pmid=34408711|doi-access=free }}</ref> This internal working model continues to develop through adulthood, helping cope with friendships, marriage, and parenthood, all of which involve different behaviours and feelings.<ref name="Bowlby 73">{{cite book |title=Separation: Anger and Anxiety | vauthors = Bowlby J |publisher=Hogarth |year=1973 |isbn=978-0-7126-6621-3 |series=Attachment and loss. Vol. 2 |location=London}}</ref>{{sfn|Mercer|2006|pp=39–40}}
According to some psychological researchers, this style develops from a mothering style which is engaged but on the mother's own terms. That is, sometimes the child's needs are ignored until some other activity is completed and that attention is sometimes given to the child more through the needs of the parent than from the child's initiation.


The development of attachment is a transactional process. Specific attachment behaviours begin with predictable, apparently innate, behaviours in infancy.<ref>{{Cite journal |last1=Pilkington |first1=Pamela D. |last2=Bishop |first2=Amy |last3=Younan |first3=Rita |date=2021 |title=Adverse childhood experiences and early maladaptive schemas in adulthood: A systematic review and meta-analysis |url=https://onlinelibrary.wiley.com/doi/10.1002/cpp.2533 |journal=Clinical Psychology & Psychotherapy |language=en |volume=28 |issue=3 |pages=569–584 |doi=10.1002/cpp.2533 |pmid=33270299 |s2cid=227258822 |issn=1063-3995}}</ref> They change with age in ways determined partly by experiences and partly by situational factors.{{sfn|Bowlby|1971|pp=414–21}} As attachment behaviours change with age, they do so in ways shaped by relationships. A child's behaviour when reunited with a caregiver is determined not only by how the caregiver has treated the child before, but on the history of effects the child has had on the caregiver.{{sfn|Bowlby|1971|pp=394–395}}<ref name="ainsworth 69">{{cite journal | vauthors = Ainsworth MD | title = Object relations, dependency, and attachment: a theoretical review of the infant-mother relationship | url = https://archive.org/details/sim_child-development_1969-12_40_4/page/969 | journal = Child Development | volume = 40 | issue = 4 | pages = 969–1025 | date = December 1969 | pmid = 5360395 | doi = 10.2307/1127008 | jstor = 1127008 }}</ref>
====Anxious-avoidant insecure attachment====


=== Cultural differences ===
A child with an anxious-avoidant attachment style will avoid or ignore the mother - showing little emotion when the mother departs or returns. The child will not explore very much regardless of who is there. Strangers will not be treated much differently from the mother. There is not much emotional range displayed regardless of who is in the room or if it is empty.
In Western culture child-rearing, there is a focus on single attachment to primarily the mother. This dyadic model is not the only strategy of attachment producing a secure and emotionally adept child. Having a single, dependably responsive and sensitive caregiver (namely the mother) does not guarantee the ultimate success of the child. Results from Israeli, Dutch and east African studies show children with multiple caregivers grow up not only feeling secure, but developed "more enhanced capacities to view the world from multiple perspectives."<ref name=":12">{{cite book |title=Mothers and Others-The Evolutionary Origins of Mutual Understanding |url=https://archive.org/details/mothersothersevo0000hrdy |last=Hrdy |first=Sarah Blaffer |publisher=The Belknap Press of Harvard University Press |year=2009 |isbn=978-0-674-03299-6 |location=United States of America |pages=, 131, 132}}</ref> This evidence can be more readily found in hunter-gatherer communities, like those that exist in rural Tanzania.<ref>{{Citation|last1=Crittenden|first1=Alyssa N.|title=Cooperative Child Care among the Hadza: Situating Multiple Attachment in Evolutionary Context|date=2013|work=Attachment Reconsidered|pages=67–83|publisher=Palgrave Macmillan US|isbn=978-1-137-38674-8|last2=Marlowe|first2=Frank W.|doi=10.1057/9781137386724_3}}</ref>


In hunter-gatherer communities, in the past and present, mothers are the primary caregivers, but share the maternal responsibility of ensuring the child's survival with a variety of different ]. So while the mother is important, she is not the only opportunity for relational attachment a child can make. Several group members (with or without blood relation) contribute to the task of bringing up a child, sharing the parenting role and therefore can be sources of multiple attachment. There is evidence of this communal parenting throughout history that "would have significant implications for the evolution of multiple attachment."<ref>{{cite book |title=Attachment Reconsidered: Cultural Perspectives on a Western Theory |last1=Quinn |first1=Naomi |last2=Mageo |first2=Jeannette Marie |publisher=Palgrave Macmillan |year=2013 |isbn=978-1-137-38672-4 |location=United States of America |pages=73, 74}}</ref>
This style of attachment develops from a mothering style which is more disengaged. The child's needs are frequently not met and the child comes to believe that communication of needs has no influence on the mother.


In "non-metropolis" India {{clarify span|text=(where "dual income nuclear families" are more the norm and dyadic mother relationship is)|
====Disorganized attachment====
explain=dyadic mother relationship is... what? is "and" supposed to be "than"?|date=July 2023}}, where a family normally consists of 3 generations (and sometimes 4: great-grandparents, grandparents, parents, and child or children), the child or children would have four to six caregivers from whom to select their "attachment figure". A child's "uncles and aunts" (parents' siblings and their spouses) also contribute to the child's psycho-social enrichment.<ref>{{Cite web |last=Parens |first=Henri |date=1995 |title=Parenting for Emotional Growth: Lines of Development |url=https://jdc.jefferson.edu/cgi/viewcontent.cgi?referer=&httpsredir=1&article=1003&context=parentingemotionalgrowth |access-date=March 14, 2024 |website=Thomas Jefferson University-Jefferson Digital Commons}}</ref>


Although it has been debated for years, and there are differences across cultures, research has shown that the three basic aspects of attachment theory are, to some degree, universal.<ref name="IJzendoorn MH 2008. pp. 880">{{cite book | vauthors = Van Ijzendoorn MH, Sagi-Schwartz A | chapter = Cross-cultural patterns of attachment: Universal and contextual dimensions. | veditors = Cassidy J, Shaver PR | title = Handbook of attachment: Theory, research, and clinical applications. | url = https://archive.org/details/handbookofattach0000unse_n9k8 | edition = 2nd | location = New York, NY | publisher = Guilford Press | date = 2008 | pages = –905 }}</ref> Studies in Israel and Japan resulted in findings which diverge from a number of studies completed in Western Europe and the United States. The prevailing hypotheses are: 1) that secure attachment is the most desirable state, and the most prevalent; 2) maternal sensitivity influences infant attachment patterns; and 3) specific infant attachments predict later social and cognitive competence.<ref name="IJzendoorn MH 2008. pp. 880" />
A fourth category termed disorganized attachment is actually the ''lack'' of a coherent style or pattern for coping. While ambivalent and avoidant styles are not totally effective, they are strategies for dealing with the world. Children with disorganized attachment experienced their caregivers as both frightened and frightening. Human interactions are experienced as erratic, thus children cannot form a coherent interactive template. If the child uses the caregiver as a mirror to understand the self, the disorganized child is looking into a mirror broken into a thousand pieces. It is more severe than ] as it is the model of the self rather than of a situation.


==Attachment in intimate relationships== ==Attachment patterns==


{{blockquote|The strength of a child's attachment behaviour in a given circumstance does not indicate the "strength" of the attachment bond. Some insecure children will routinely display very pronounced attachment behaviours, while many secure children find that there is no great need to engage in either intense or frequent shows of attachment behaviour.<ref>Howe, D. (2011) Attachment across the lifecourse, London: Palgrave, p.13</ref>}}
Building on the work of ] and ], Phillip Shaver, Cindy Hazan, and other adult attachment researchers have detected similar patterns of behavior in adult relations with romantic partners and spouses. Securely attached people are able to place trust in their partner which, in turn, means they can confidently spend time apart. People with an anxious ambivalent attachment style may have difficulties because their way of behaving in relationships can be seen as needy or clingy by their partner. They are prone to worry about whether their partner loves them or whether they are valued by their partner. People with an avoidant attachment style are uncomfortable being close to others. They have difficulties in trusting other people and do not like to depend on others.
{{blockquote|Individuals with different attachment styles have different beliefs about romantic love period, availability, trust capability of love partners and love readiness.<ref>{{cite journal | vauthors = Honari B, Saremi AA | year = 2015 | title = The Study of Relationship between Attachment Styles and Obsessive Love Style | journal = Procedia - Social and Behavioral Sciences | volume = 165 | pages = 152–159 | doi = 10.1016/j.sbspro.2014.12.617 | doi-access = free }}</ref>}}


===Secure attachment===
Such patterns are believed to be working models that develop in infancy, but can be modified as people enter into new relationships.
{{Main|Secure attachment}}


A toddler who is securely attached to his or her parent (or other familiar caregiver) will explore freely while the caregiver is present, typically engages with strangers, is often visibly upset when the caregiver departs, and is generally happy to see the caregiver return. The extent of exploration and of distress are affected, however, by the child's temperamental make-up and by situational factors as well as by attachment status. A child's attachment is largely influenced by their primary caregiver's sensitivity to their needs. Parents who consistently (or almost always) respond to their child's needs will create securely attached children. Such children are certain that their parents will be responsive to their needs and communications.<ref>] et al. (2009). Psychology, Second Edition. New York: Worth Publishers. pp.441</ref>
==Treatment==


In the traditional Ainsworth et al. (1978) coding of the ], secure infants are denoted as "Group B" infants and they are further subclassified as B1, B2, B3, and B4.<ref name="Ainsworth, M.D.S, Blehar, M. C., Waters, E., & Wall, S.">{{cite book | vauthors = Ainsworth MD, Blehar MC, Waters E, Wall S | date = 1978 | title = Patterns of attachment: A psychological study of the strange situation. | location = Hillsdale, NJ | publisher = Earlbaum }}</ref> Although these subgroupings refer to different stylistic responses to the comings and goings of the caregiver, they were not given specific labels by Ainsworth and colleagues, although their descriptive behaviours led others (including students of Ainsworth) to devise a relatively "loose" terminology for these subgroups. B1's have been referred to as "secure-reserved", B2's as "secure-inhibited", B3's as "secure-balanced", and B4's as "secure-reactive". However, in academic publications the classification of infants (if subgroups are denoted) is typically simply "B1" or "B2", although more theoretical and review-oriented papers surrounding attachment theory may use the above terminology. Secure attachment is the most common type of attachment relationship seen throughout societies.<ref name="Ainsworth,1978a" />
] has become the dominant theory used today in the study of infant and toddler behavior and in the fields of infant mental health, treatment of children, and related fields. Several evidence-based and effective treatments are based on attachment theory including ] and ].<ref name="Arthur Becker-Weidman, Ph.D., & Deborah Shell, MA">Arthur Becker-Weidman & Deborah Shell, MA, Eds., (2005). Creating Capacity For Attachment, Wood N Barnes, Oklahoma City:OK </ref>(Becker-Weidman & Shell, 2005). <ref name="Becker-Weidman, 2006">Becker-Weidman, A., (2006). Treatment for Children with Trauma-Attachment Disorders: Dyadic Developmental Psychotherapy, Child and Adolescent Social Work Journal. Vol. 13 #1, April 2006.</ref>(Becker-Weidman, A., 2006). Nearly all mainstream programs for the prevention and treatment of disorders of attachment ] use attachment theory. For example, the Circle of Security Program, (Dr. Robert Marvin, University of VA) is one such early intervention program with demonstrated effectiveness. Dr. Marvin and Dr. Siegel (University of California) both also endorse ] Other promising treatment methods remain under clinical investigation, for example, the Circle of Security Program of Dr. Robert Marvin at the University of Virginia, ''Developmental, Individual-difference, Relationship-based'' therapy (DIR or ''Floor Time'') by ].


Securely attached children are best able to explore when they have the knowledge of a secure base (their caregiver) to return to in times of need. When assistance is given, this bolsters the sense of security and also, assuming the parent's assistance is helpful, educates the child on how to cope with the same problem in the future. Therefore, secure attachment can be seen as the most adaptive attachment style. According to some psychological researchers, a child becomes securely attached when the parent is available and able to meet the needs of the child in a responsive and appropriate manner. At infancy and early childhood, if parents are caring and attentive towards their children, those children will be more prone to secure attachment.<ref name="Aronoff, J. 2012">{{cite journal | vauthors = Aronoff J |year=2012 |title=Parental Nurturance in the Standard Cross-Cultural Sample: Theory, Coding, and Scores | url = https://archive.org/details/sim_cross-cultural-research_2012-11_46_4/page/315 |journal=Cross-Cultural Research |volume=46 |issue=4 |pages=315–347 |doi=10.1177/1069397112450851|s2cid=147304847 }}</ref>
'''Dyadic developmental psychotherapy''' is an evidence-based treatment(1) approach for the treatment of ] and ]. Children who have experienced pervasive and extensive trauma, neglect, loss, and/or other dysregulating experiences can benefit from this treatment. Dyadic Developmental Psychotherapy is based on principles derived from ] and Research; see the work of ]. The treatment meets the standards of the American Professional Society on Child Abuse, The American Academy of Child Psychiatry, American Psychological Association, American Psychiatric Association, National Association of Social Workers, and various other groups' standards for the evaluation and treatment of children and adolescents. This is a non-coercive treatment.


===Anxious-ambivalent attachment===
Various organizations have adopted standards against the use of coercive interventions: APSAC, the American Academy of Child and Adolescent Psychiatry, the ], the ], the ]. All of the aforementioned organizations have adopted formal statements (in some cases practice parameters) opposing the coercive treatments. Recognized professional organizations have been unanimous in recommending against the use of coercive treatments. Circle of Security, Theraplay, ], and others being non-coercive approaches, meet these standards as evidenced by the support of ] by Dr. Daniel Siegel of the University of California at LA medical school and author of The Developing Mind, among many other articles and books and Dr. Robert Marvin of the University of Virginia Attachment Clinic.
Anxious-ambivalent attachment is a form of insecure attachment and is also misnamed as "resistant attachment".<ref name="Ainsworth,1978a">{{cite book |title=Patterns of Attachment: A Psychological Study of the Strange Situation |vauthors=Ainsworth MD, Blehar M, Waters E, Wall S |publisher=Lawrence Erlbaum Associates |year=1978 |isbn=978-0-89859-461-4 |location=Hillsdale NJ}}</ref><ref name="Plotka 2011 pp. 81–83">{{cite book | last=Plotka | first=Raquel | title=Encyclopedia of Child Behavior and Development | chapter=Ambivalent Attachment | publisher=Springer US | publication-place=Boston, MA | year=2011 | doi=10.1007/978-0-387-79061-9_104 | pages=81–83| isbn=978-0-387-77579-1 |quote=Ambivalent attachment is a form of insecure attachment characterized by inconsistent responses of the caregivers and by the child's feelings of anxiety and preoccupation about the caregiver's availability.}}</ref> In general, a child with an anxious-ambivalent pattern of attachment will typically explore little (in the Strange Situation) and is often wary of strangers, even when the parent is present. When the caregiver departs, the child is often highly distressed showing behaviours such as crying or screaming. The child is generally ambivalent when the caregiver returns.<ref name="Ainsworth, M.D.S, Blehar, M. C., Waters, E., & Wall, S." /> The anxious-ambivalent strategy is a response to unpredictably responsive caregiving, and the displays of anger (ambivalent resistant, C1) or helplessness (ambivalent passive, C2) 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.<ref>{{cite journal | vauthors = Solomon J, George C, De Jong A |year=1995 |title=Children classified as controlling at age six: Evidence of disorganized representational strategies and aggression at home and at school |journal=Development and Psychopathology |volume=7 |issue=3 |pages=447–463 |doi=10.1017/s0954579400006623|s2cid=146576663 }}</ref><ref>{{cite book | vauthors = Crittenden P | date = 1999 | chapter = Danger and development: the organization of self-protective strategies | title = Atypical Attachment in Infancy and Early Childhood Among Children at Developmental Risk | url = https://archive.org/details/atypicalattachme0000unse | veditors = Vondra JI, Barnett D | location = Oxford | publisher = Blackwell | pages = –171 | isbn = 978-0-631-21592-9 }}</ref>


The C1 (ambivalent resistant) subtype is coded when "resistant behavior is particularly conspicuous. The mixture of seeking and yet resisting contact and interaction has an unmistakably angry quality and indeed an angry tone may characterize behavior in the preseparation episodes".<ref name="Ainsworth, M.D.S, Blehar, M. C., Waters, E., & Wall, S." />
==See also==
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Regarding the C2 (ambivalent passive) subtype, Ainsworth et al. wrote:
==References==
<references />


{{blockquote|Perhaps the most conspicuous characteristic of C2 infants is their passivity. Their exploratory behavior is limited throughout the SS and their interactive behaviors are relatively lacking in active initiation. Nevertheless, in the reunion episodes they obviously want proximity to and contact with their mothers, even though they tend to use signalling rather than active approach, and protest against being put down rather than actively resisting release&nbsp;... In general the C2 baby is not as conspicuously angry as the C1 baby.<ref name="Ainsworth, M.D.S, Blehar, M. C., Waters, E., & Wall, S." />}}
* Ainsworth. Mary D. (1978) ''Patterns of Attachment: A Psychological Study of the Strange Situation''. Lawrence Erlbaum Associates. ISBN 0898594618.
* Becker-Weidman, A., & Shell, D., Eds., (2005) ''Creating Capacity for Attachment''. Wood N Barnes, Oklahoma City, OK. ISBN 1885473729.
* Bowlby, J., Attachment, Separation, & Loss.
* Greenspan, S. (1993) ''Infancy and Early Childhood''. Madison, CT: International Universities Press. ISBN 0823626334.
* Harlow, H. F. & Harlow, M. K. (1969) "Effects of various mother-infant relationships on rhesus monkey behaviors". In B. M. Foss (Ed.) ''Determinants of infant behavior (Vol. 4)''. London: Methuen.
* Holmes, J. (1993) ''John Bowlby and Attachment Theory''. Routledge. ISBN 0415077303.
* Holmes, J. (2001) ''The Search for the Secure Base: Attachment Theory and Psychotherapy''. London: Brunner-Routledge. ISBN 1583911529.
* Siegler R., DeLoache, J. & Eisenberg, N. (2003) ''How Children develop''. New York: Worth. ISBN 1572592494.


Research done by McCarthy and Taylor (1999) found that children with ] were more likely to develop ambivalent attachments. The study also found that children with ambivalent attachments were more likely to experience difficulties in maintaining intimate relationships as adults.<ref name="mccarthy1999avoidant">{{cite news |title=Avoidant/ambivalent attachment style as a mediator between abusive childhood experiences and adult relationship difficulties |url=https://archive.org/details/sim_journal-of-child-psychology-and-psychiatry_1999-03_40_3/page/465 |last1=McCarthy |first1=Gerard |last2=Taylor |first2=Alan |work=Journal of Child Psychology and Psychiatry |year=1999 |issue=3 |volume=40 |pages=465–477 |doi=10.1111/1469-7610.00463 |ref=mccarthy1999avoidant}}</ref>
==External links==
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===Anxious-avoidant attachment===


An infant with an anxious-avoidant pattern of attachment will avoid or ignore the caregiver—showing little emotion when the caregiver departs or returns. The infant will not explore very much regardless of who is there. Infants classified as anxious-avoidant (A) represented a puzzle in the early 1970s. 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 theorized that the apparently unruffled behaviour of the avoidant infants was in fact a mask for distress, a hypothesis later evidenced through studies of the heart-rate of avoidant infants.<ref>{{cite journal | vauthors = Ainsworth MD, Bell SM | s2cid = 3942480 | title = Attachment, exploration, and separation: illustrated by the behavior of one-year-olds in a strange situation | url = https://archive.org/details/sim_child-development_1970-03_41_1/page/49 | journal = Child Development | volume = 41 | issue = 1 | pages = 49–67 | date = March 1970 | pmid = 5490680 | doi = 10.2307/1127388 | jstor = 1127388 }}</ref><ref>{{cite journal | vauthors = Sroufe A, Waters E |year=1977 |title=Attachment as an Organizational Construct | url = https://archive.org/details/sim_child-development_1977-12_48_4/page/1184 |journal=Child Development |volume=48 |issue=4 |pages=1184–1199 |citeseerx=10.1.1.598.3872 |doi=10.1111/j.1467-8624.1977.tb03922.x}}</ref>
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Infants are depicted as anxious-avoidant when there is:
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]
{{blockquote|...&nbsp;conspicuous avoidance of the mother in the reunion episodes which is likely to consist of ignoring her altogether, although there may be some pointed looking away, turning away, or moving away&nbsp;... If there is a greeting when the mother enters, it tends to be a mere look or a smile&nbsp;... Either the baby does not approach his mother upon reunion, or they approach in "abortive" fashions with the baby going past the mother, or it tends to only occur after much coaxing&nbsp;... If picked up, the baby shows little or no contact-maintaining behavior<!-- This is within a quote, might be the original spelling -->; he tends not to cuddle in; he looks away and he may squirm to get down.<ref name="Ainsworth, M.D.S, Blehar, M. C., Waters, E., & Wall, S." />}}
]

]
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 infant's needs were frequently not met and the infant had come to believe that communication of emotional needs had no influence on the caregiver.

Ainsworth's student ] theorized 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.<ref>{{cite journal | vauthors = Main M |year=1979 |title=The "ultimate" causation of some infant attachment phenomena | url = https://archive.org/details/sim_behavioral-and-brain-sciences_1979-12_2_4/page/640 |journal=Behavioral and Brain Sciences |volume=2 |issue=4 |pages=640–643 |doi=10.1017/s0140525x00064992|s2cid=144105265 }}</ref>

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 organizing 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 ("disorganized distress"), and therefore unable to maintain control of themselves and achieve even conditional proximity.<ref>{{cite book | vauthors = Main M | date = 1977 | chapter = Analysis of a peculiar form of reunion behaviour seen in some day-care children. | veditors = Webb R | title = Social Development in Childhood | url = https://archive.org/details/socialdevelopmen00hyma | pages = –78 | location = Baltimore | publisher = Johns Hopkins | isbn = 978-0-8018-1946-9 }}</ref>

==={{Anchor|disorganized attachment}}Disorganized/disoriented attachment===
Beginning in 1983, Crittenden offered A/C and other new organized classifications (see below). Drawing on records of behaviours discrepant with the A, B and C classifications, a fourth classification was added by Ainsworth's colleague Mary Main.<ref>{{cite book |title=Attachment in the Preschool Years: Theory, Research, and Intervention |last1=Main |first1=Mary |last2=Solomon |first2=Judith |publisher=University of Chicago Press |year=1990 |isbn=978-0-226-30630-8 |editor-last=Greenberg |editor-first=Mark T. |location=Chicago |pages=121–60 |chapter=Procedures for Identifying Infants as Disorganized/Disoriented during the Ainsworth Strange Situation |editor2-last=Cicchetti |editor2-first=Dante |editor3-last=Cummings |editor3-first=E. Mark |chapter-url=https://books.google.com/books?id=WzHIfiCXE8EC&pg=PA121}}</ref> 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 'disorganized' as it indicates a disruption or flooding of the attachment system (e.g. by fear). Infant behaviours in the Strange Situation Protocol coded as disorganized/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. Lyons-Ruth has urged, however, that it should be more widely "recognized that 52% of disorganized infants continue to approach the caregiver, seek comfort, and cease their distress without clear ambivalent or avoidant behavior"<!-- Presuming spelling from the original -->.<ref>Karlen Lyons-Ruth, Jean-Francois Bureau, M. Ann Easterbrooks, Ingrid Obsuth, Kate Hennighausen & Lauriane Vulliez-Coady (2013) Parsing the construct of maternal insensitivity: distinct longitudinal pathways associated with early maternal withdrawal, Attachment & Human
Development, 15:5–6, 562–582</ref>

The benefit of this category was hinted at earlier in Ainsworth's own experience finding difficulties in fitting all infant behaviour into the three classifications used in her Baltimore study. Ainsworth and colleagues sometimes observed {{blockquote|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 be ] to 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.<ref>{{cite book | vauthors = Ainsworth MD, Blehar M, Waters E, Wall S | date = 1978 | title = Patterns of Attachment: A Psychological Study of the Strange Situation | location = Hillsdale, NJ | publisher = Lawrence Erlbaum | page = 282 | isbn = 978-0-89859-461-4 }}</ref>}} Such observations also appeared in the doctoral theses of Ainsworth's students. 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 behaviour 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".<ref>{{cite thesis | vauthors = Crittenden PM | title = Mother and Infant Patterns of Attachment | degree = Ph.D. | publisher = University of Virginia | date = May 1983 | page = 73 }}</ref>

There is rapidly growing interest in disorganized attachment from clinicians and policy-makers as well as researchers.<ref>{{cite journal | vauthors = Kochanska G, Kim S | title = Early attachment organization with both parents and future behavior problems: from infancy to middle childhood | journal = Child Development | volume = 84 | issue = 1 | pages = 283–96 | year = 2013 | pmid = 23005703 | pmc = 3530645 | doi = 10.1111/j.1467-8624.2012.01852.x }}</ref> However, the disorganized/disoriented attachment (D) classification has been criticized by some for being too encompassing, including Ainsworth herself.<ref>{{cite book | vauthors = Svanberg PO | date = 2009 | chapter = Promoting a secure attachment through early assessment and interventions. | veditors = Barlow J, Svanberg PO | title = Keeping the Baby in Min | pages = 100–114 | location = London | publisher = Routledge }}</ref> 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 too many different forms of behaviour might be treated as if they were the same thing.<ref>{{cite book | vauthors = Ainsworth M | date = 1990 | chapter = Epilogue | title = Attachment in the Preschool Years | veditors = Greenberg MT, Ciccheti D, Cummings EM | location = Chicago, IL | publisher = Chicago University Press | pages = 463–488 }}</ref> 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).<ref>{{cite book | vauthors = Solomon J, George C | date = 1999 | chapter = The place of disorganization in attachment theory. | veditors = Solomon J, George C | title = Attachment Disorganization | url = https://archive.org/details/attachmentdisorg0000unse | pages = | location = NY | publisher = Guilford }}</ref>

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 disorganized attachment behaviour (simultaneous approach-avoidance; freezing, etc.) enables a degree of proximity in the face of a frightening or unfathomable parent".<ref>{{cite book | vauthors = Sroufe A, Egeland B, Carlson E, Collins WA | date = 2005 | title = The Development of the person: the Minnesota study of risk and adaptation from birth to adulthood | url = https://archive.org/details/developmentperso00phdl_935 | location = NY | publisher = Guilford Press | page = | isbn = 978-1-59385-158-3 }}</ref> However, "the presumption that many indices of 'disorganization' are aspects of organized patterns does not preclude acceptance of the notion of disorganization, especially in cases where the complexity and dangerousness of the threat are beyond children's capacity for response."<ref>{{cite book | vauthors = Crittenden P | date = 1999 | chapter = Danger and development: the organization of self-protective strategies | title = Atypical Attachment in Infancy and Early Childhood Among Children at Developmental Risk | url = https://archive.org/details/atypicalattachme0000unse | veditors = Vondra JI, Barnett D | location = Oxford | publisher = Blackwell | pages = –160 | isbn = 978-0-631-21592-9 }}</ref> For example, "Children placed in care, especially more than once, often have intrusions. In videos of the Strange Situation Procedure, they tend to occur when a rejected/neglected child approaches the stranger in an intrusion of desire for comfort, then loses muscular control and falls to the floor, overwhelmed by the intruding fear of the unknown, potentially dangerous, strange person."<ref>{{cite book | vauthors = Crittenden P, Landini A | date = 2011 | title = Assessing Adult Attachment: A Dynamic-Maturational Approach to Discourse Analysis | location = NY | publisher = W.W. Norton | page = 269 }}</ref>

Main and Hesse<ref name="MaineHesse">{{cite book |title=Attachment in the Preschool Years: Theory, Research, and Intervention |last1=Main |first1=Mary |last2=Hesse |first2=Erik |publisher=University of Chicago Press |year=1993 |isbn=978-0-226-30630-8 |editor-last=Greenberg |editor-first=Mark T. |location=Chicago |pages=161–84 |chapter=Parents' Unresolved Traumatic Experiences Are Related to Infant Disorganized Attachment Status: Is Frightened and/or Frightening Parental Behavior the Linking Mechanism? |editor2-last=Cicchetti |editor2-first=Dante |editor3-last=Cummings |editor3-first=E. Mark |chapter-url=https://books.google.com/books?id=WzHIfiCXE8EC&pg=PA161}}</ref> found 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.<ref name="Parkes">{{cite book |title=Love and Loss | first = Colin Murray | last = Parkes |publisher=Routledge, London and New York |year=2006 |isbn=978-0-415-39041-5 |page=13}}</ref> In fact, fifty-six per cent of mothers who had lost a parent by death before they completed high school had children with disorganized attachments.<ref name=MaineHesse /> Subsequent studies, while emphasising the potential importance of unresolved loss, have qualified these findings.<ref name="pmid16818417">{{cite journal | vauthors = Madigan S, Bakermans-Kranenburg MJ, Van Ijzendoorn MH, Moran G, Pederson DR, Benoit D | title = Unresolved states of mind, anomalous parental behavior, and disorganized attachment: a review and meta-analysis of a transmission gap | journal = Attachment & Human Development | volume = 8 | issue = 2 | pages = 89–111 | date = June 2006 | pmid = 16818417 | doi = 10.1080/14616730600774458 | s2cid = 1691924 }}</ref> For example, Solomon and George found unresolved loss in the mother tended to be associated with disorganized attachment in their infant primarily when they had also experienced an unresolved trauma in their life prior to the loss.<ref>{{cite book | vauthors = Solomon J, George C | date = 2006 | chapter = Intergenerational transmission of dysregulated maternal caregiving: Mothers describe their upbringing and child rearing. | veditors = Mayseless O | title = Parenting representations: Theory, research, and clinical implications | url = https://archive.org/details/parentingreprese00ofra | pages = –295 | location = Cambridge, UK | publisher = Cambridge University Press | isbn = 978-0-521-82887-1 }}</ref>

=== Categorization differences across cultures ===
Across different cultures deviations from the Strange Situation Protocol have been observed. A Japanese study in 1986 (Takahashi) studied 60 Japanese mother-infant pairs and compared them with Ainsworth's distributional pattern. Although the ranges for securely attached and insecurely attached had no significant differences in proportions, the Japanese insecure group consisted of only resistant children, with no children categorized as avoidant. This may be because the Japanese child rearing philosophy stressed close mother infant bonds more so than in Western cultures. In Northern Germany, Grossmann et al. (Grossmann, Huber, & Wartner, 1981; Grossmann, Spangler, Suess, & Unzner, 1985) replicated the Ainsworth Strange Situation with 46 mother infant pairs and found a different distribution of attachment classifications with a high number of avoidant infants: 52% avoidant, 34% secure, and 13% resistant (Grossmann et al., 1985). Another study in Israel found there was a high frequency of an ambivalent pattern, which according to Grossman et al. (1985) could be attributed to a greater parental push toward children's independence.

=== Later patterns and the dynamic-maturational model ===
Techniques have been developed to guide a child to verbalize their state of mind with respect to attachment. One such is the "stem story", in which a child receives the beginning of a story that raises attachment issues and is asked to complete it. This is modified for older children, adolescents and adults, where semi-structured interviews are used instead, and the way content is delivered may be as significant as the content itself.<ref name="Schaffer">{{cite book |title=Introducing Child Psychology | vauthors = Schaffer R |publisher=Blackwell |year=2007 |isbn=978-0-631-21628-5 |location=Oxford |pages=83–121}}</ref> However, there are no substantially validated measures of attachment for middle childhood or early adolescence (from 7 to 13 years of age).<ref name="AACAP-2005">{{cite journal | vauthors = Boris NW, Zeanah CH | title = Practice parameter for the assessment and treatment of children and adolescents with reactive attachment disorder of infancy and early childhood | journal = Journal of the American Academy of Child and Adolescent Psychiatry | volume = 44 | issue = 11 | pages = 1206–19 | date = November 2005 | pmid = 16239871 | doi = 10.1097/01.chi.0000177056.41655.ce | url = http://www.aacap.org/galleries/PracticeParameters/rad.pdf | url-status = dead | access-date = September 13, 2009 | archive-url = https://web.archive.org/web/20090824051123/http://www.aacap.org/galleries/PracticeParameters/rad.pdf | others = Work Group on Quality Issues | archive-date = August 24, 2009 }}</ref>

Some studies of older children have identified further attachment classifications. Main and Cassidy observed that disorganized behaviour in infancy can develop into a child using caregiver-controlling or punitive behaviour to manage a helpless or dangerously unpredictable caregiver. In these cases, the child's behaviour is organized, but the behaviour is treated by researchers as a form of disorganization, since the hierarchy in the family no longer follows parenting authority in that scenario.<ref>{{cite journal | vauthors = Main M, Cassidy J | date = 1988 | title = Categories of response to reunion with the parent at age 6. | url = https://archive.org/details/sim_developmental-psychology_1988-05_24_3/page/415 | journal = Developmental Psychology | volume = 24 | issue = 3 | pages = 415–426 | doi = 10.1037/0012-1649.24.3.415 }}</ref>

American psychologist ] has elaborated classifications of further forms of avoidant and ambivalent attachment behaviour, as seen in her ] (DMM). These include the caregiving and punitive behaviours also identified by Main and Cassidy (termed A3 and C3, respectively), but also other patterns such as compulsive compliance with the wishes of a threatening parent (A4).<ref>{{cite book | vauthors = Crittenden PM | date = 2008 | title = Raising Parents: Attachment, Parenting and Child Safety | location = London | publisher = Routledge }}</ref>

Crittenden's ideas developed from Bowlby's proposal: "Given certain adverse circumstances during childhood, the selective exclusion of information of certain sorts may be adaptive. Yet, when during adolescence and adulthood the situation changes, the persistent exclusion of the same forms of information may become maladaptive".<ref>{{cite book | last = Bowlby |first =John |title=Loss: Sadness and depression|page=45 |year=1980 |place=New York|publisher=Basic Books|series = Attachment and Loss|volume = III|isbn =978-0-465-04237-1}}</ref>

Crittenden theorizes the human experience of danger comprise two basic components:<ref>{{cite journal | vauthors = Strathearn L, Fonagy P, Amico J, Montague PR | title = Adult attachment predicts maternal brain and oxytocin response to infant cues | journal = Neuropsychopharmacology | volume = 34 | issue = 13 | pages = 2655–66 | date = December 2009 | pmid = 19710635 | pmc = 3041266 | doi = 10.1038/npp.2009.103 }}</ref>

# Emotions provoked by the potential for danger, which Crittenden refers to as "affective information." In childhood, the unexplained absence of an attachment figure would cause these emotions. A strategy an infant faced with insensitive or rejecting parenting may use to maintain availability of the attachment figure is to repress emotional information that could result in rejection by said attachment figure.<ref>{{Cite book|last=Andrea|first=Crittenden, Patricia McKinsey Landini|url=http://worldcat.org/oclc/768809528|title=Assessing adult attachment : a dynamic-maturational approach to discourse analysis|date=2011|publisher=W.W Norton & Co|isbn=978-0-393-70667-3|oclc=768809528}}</ref>
# Causal or other sequentially ordered knowledge about the potential for safety or danger, which would include awareness of behaviours that indicate whether an attachment figure is available as a secure haven. If the infant represses knowledge that the caregiver is not a reliable source of protection and safety, they may use clingy and/or aggressive behaviour to demand attention and potentially increase the availability of an attachment figure who otherwise displays inconsistent or misleading responses to the infant's attachment behaviours.<ref name="landa2013">{{cite journal | vauthors = Landa S, Duschinsky R |s2cid=17508615 |title=Crittenden's dynamic–maturational model of attachment and adaptation |journal=Review of General Psychology |volume=17 |issue=3 |pages=326–338 |year=2013 |doi=10.1037/a0032102 }}</ref>

Crittenden proposes both kinds of information can be split off from consciousness or behavioural expression as a 'strategy' to maintain the availability of an attachment figure (see ] for type distinctions). Type A strategies split off emotional information about feeling threatened, and Type C strategies split off temporally-sequenced knowledge about how and why the attachment figure is available.<ref>{{cite journal |vauthors=Crittenden PM, Newman L |date=July 2010 |title=Comparing models of borderline personality disorder: Mothers' experience, self-protective strategies, and dispositional representations |journal=Clinical Child Psychology and Psychiatry |volume=15 |issue=3 |pages=433–51 |doi=10.1177/1359104510368209 |pmid=20603429 |s2cid=206707532}}</ref> In contrast, Type B strategies use both kinds of information without much distortion.<ref>{{cite journal | vauthors = Crittenden PM | title = Children's strategies for coping with adverse home environments: an interpretation using attachment theory | url = https://archive.org/details/sim_child-abuse-neglect_1992_16_3/page/329 | journal = Child Abuse & Neglect | volume = 16 | issue = 3 | pages = 329–43 | year = 1992 | pmid = 1617468 | doi = 10.1016/0145-2134(92)90043-q | access-date = | doi-access = free }}</ref> For example, a toddler may have come to depend upon a Type C strategy of tantrums to maintain an unreliable attachment figure's availability, which may cause the attachment figure to respond appropriately to the child's attachment behaviours. As a result of learning the attachment figure is becoming more reliable, the toddler's reliance on coercive behaviours is reduced, and a more secure attachment may develop.<ref>{{cite journal |last1=Benoit |first1=Diane |title=Infant-parent attachment: Definition, types, antecedents, measurement and outcome |journal=Paediatrics & Child Health |date=October 2004 |volume=9 |issue=8 |pages=541–545 |doi=10.1093/pch/9.8.541|pmid=19680481 |pmc=2724160 }}</ref>

===Significance of patterns===
Research based on data from longitudinal studies, such as the ] Study of Early Child Care and the Minnesota Study of Risk and Adaption from Birth to Adulthood, and from cross-sectional studies, consistently shows associations between early attachment classifications and peer relationships as to both quantity and quality. Lyons-Ruth, for example, found that "for each additional withdrawing behavior displayed by mothers in relation to their infant's attachment cues in the Strange Situation Procedure, the likelihood of clinical referral by service providers was increased by 50%."<ref>{{cite journal | vauthors = Lyons-Ruth K, Bureau JF, Easterbrooks MA, Obsuth I, Hennighausen K, Vulliez-Coady L | title = Parsing the construct of maternal insensitivity: distinct longitudinal pathways associated with early maternal withdrawal | journal = Attachment & Human Development | volume = 15 | issue = 5–6 | pages = 562–82 | year = 2013 | pmid = 24299135 | pmc = 3861901 | doi = 10.1080/14616734.2013.841051 }}</ref>

There is an extensive body of research demonstrating a significant association between attachment organizations and children's functioning across multiple domains.<ref name="PPP">{{cite book |title=Psychotherapy of abused and neglected children |url=https://archive.org/details/psychotherapyabu00pear |vauthors=Pearce JW, Pezzot-Pearce TD |publisher=Guilford press |year=2007 |isbn=978-1-59385-213-9 |edition=2nd |location=New York and London |pages=–20}}</ref> Early insecure attachment does not necessarily predict difficulties, but it is a liability for the child, particularly if similar parental behaviours continue throughout childhood.{{sfn|Karen|1998|pp=248–66}} Compared to that of securely attached children, the adjustment of insecure children in many spheres of life is not as soundly based, putting their future relationships in jeopardy. Although the link is not fully established by research and there are other influences besides attachment, secure infants are more likely to become socially competent than their insecure peers. Relationships formed with peers influence the acquisition of social skills, intellectual development and the formation of social identity. Classification of children's peer status (popular, neglected or rejected) has been found to predict subsequent adjustment.<ref name="Schaffer" /> Insecure children, particularly avoidant children, are especially vulnerable to family risk. Their social and behavioural problems increase or decline with deterioration or improvement in parenting. However, an early secure attachment appears to have a lasting protective function.<ref name="bercasapp">{{cite encyclopedia |year=2008 |title=The Influence of Early Attachments on Other Relationships |encyclopedia=Handbook of Attachment: Theory, Research and Clinical Applications |publisher=Guilford Press |location=New York and London |pages=333–47 |isbn=978-1-59385-874-2 |vauthors=Berlin LJ, Cassidy J, Appleyard K |veditors=Cassidy J, Shaver PR}}</ref> As with attachment to parental figures, subsequent experiences may alter the course of development.<ref name="Schaffer" />

Studies have suggested that infants with a high-risk for ] (ASD) may express attachment security differently from infants with a low-risk for ASD.<ref>{{cite journal | vauthors = Haltigan JD, Ekas NV, Seifer R, Messinger DS | title = Attachment security in infants at-risk for autism spectrum disorders | journal = Journal of Autism and Developmental Disorders | volume = 41 | issue = 7 | pages = 962–7 | date = July 2011 | pmid = 20859669 | pmc = 4486071 | doi = 10.1007/s10803-010-1107-7 }}</ref> Behavioural problems and social competence in insecure children increase or decline with deterioration or improvement in quality of parenting and the degree of risk in the family environment.<ref name=bercasapp/>

Some authors have questioned the idea that a ] of categories representing a qualitative difference in attachment relationships can be developed. Examination of data from 1,139 15-month-olds showed that variation in attachment patterns was continuous rather than grouped.<ref name="FraSpe">{{cite journal | vauthors = Fraley RC, Spieker SJ | title = Are infant attachment patterns continuously or categorically distributed? A taxometric analysis of strange situation behavior | journal = Developmental Psychology | volume = 39 | issue = 3 | pages = 387–404 | date = May 2003 | pmid = 12760508 | doi = 10.1037/0012-1649.39.3.387 }}</ref> This criticism introduces important questions for attachment typologies and the mechanisms behind apparent types. However, it has relatively little relevance for attachment theory itself, which "neither requires nor predicts discrete patterns of attachment."<ref name="WatBea">{{cite journal | vauthors = Waters E, Beauchaine TP | title = Are there really patterns of attachment? Comment on Fraley and Spieker (2003) | url = https://archive.org/details/sim_developmental-psychology_2003-05_39_3/page/417 | journal = Developmental Psychology | volume = 39 | issue = 3 | pages = 417–22; discussion 423–9 | date = May 2003 | pmid = 12760512 | doi = 10.1037/0012-1649.39.3.417 | citeseerx = 10.1.1.128.1029 }}</ref>

There is some evidence that gender differences in attachment patterns of ] significance begin to emerge in middle childhood. There has been a common tendency observed by researchers that males demonstrate a greater tendency to engage in criminal behaviour which is suspected to be related to males being more likely to experience inadequate early attachments to primary caregivers.<ref>{{Cite journal |last1=Hayslett-Mccall |first1=Karen L. |last2=Bernard |first2=Thomas J. |date=February 2002 |title=Attachment, masculinity, and self-control |url=http://dx.doi.org/10.1177/136248060200600101 |journal=Theoretical Criminology |volume=6 |issue=1 |pages=5–33 |doi=10.1177/136248060200600101 |s2cid=143624197 |issn=1362-4806}}</ref> Insecure attachment and early psycho] indicate the presence of environmental risk (for example poverty, mental illness, instability, minority status, violence). Environmental risk can cause insecure attachment, while also favouring the development of strategies for earlier reproduction. Different reproductive strategies have different adaptive values for males and females: Insecure males tend to adopt avoidant strategies, whereas insecure females tend to adopt anxious/ambivalent strategies, unless they are in a very high risk environment. ] is proposed as the endocrine mechanism underlying the reorganization of insecure attachment in middle childhood.<ref name="delguid">{{cite journal | vauthors = Del Giudice M | title = Sex, attachment, and the development of reproductive strategies | journal = The Behavioral and Brain Sciences | volume = 32 | issue = 1 | pages = 1–21; discussion 21–67 | date = February 2009 | pmid = 19210806 | doi = 10.1017/S0140525X09000016 | s2cid = 5396375 }}</ref>

==Changes in attachment during childhood and adolescence==
Childhood and adolescence allows the development of an internal working model useful for forming attachments. This internal working model is related to the individual's state of mind which develops with respect to attachment generally and explores how attachment functions in relationship dynamics based on childhood and adolescent experience. The organization of an internal working model is generally seen as leading to more stable attachments in those who develop such a model, rather than those who rely more on the individual's state of mind alone in forming new attachments.<ref>{{cite journal |last1=Main |first1=Mary |last2=Kaplan |first2=Nancy |last3=Cassidy |first3=Jude |title=Security in Infancy, Childhood, and Adulthood: A Move to the Level of Representation |journal=Monographs of the Society for Research in Child Development |date=1985 |volume=50 |issue=1/2 |pages=66–104 |doi=10.2307/3333827|jstor=3333827 }}</ref>

Age, cognitive growth, and continued social experience advance the development and complexity of the internal working model. Attachment-related behaviours lose some characteristics typical of the infant-toddler period and take on age-related tendencies. The preschool period involves the use of negotiation and bargaining.<ref name="Waters">{{cite journal |vauthors=Waters E, Kondo-Ikemura K, Posada G, Richters J |year=1991 |title=Learning to love: Mechanisms and milestones |journal=Minnesota Symposia on Child Psychology |location=Hillsdale, NJ |publisher=Erlbaum |volume=23 |issue=Self–Processes and Development |veditors=Gunnar M, Sroufe T}}</ref> For example, four-year-olds are not distressed by separation if they and their caregiver have already negotiated a shared plan for the separation and reunion.<ref name="marbrit">{{cite encyclopedia |year=2008 |title=Normative Development: The Ontogeny of Attachment |encyclopedia=Handbook of Attachment: Theory, Research and Clinical Applications |publisher=Guilford Press |location=New York and London |pages=269–94 |isbn=978-1-59385-874-2 |vauthors=Marvin RS, Britner PA |veditors=Cassidy J, Shaver PR}}</ref>

Ideally, these social skills become incorporated into the internal working model to be used with other children and later with adult peers. As children move into the school years at about six years old, most develop a goal-corrected partnership with parents, in which each partner is willing to compromise in order to maintain a gratifying relationship.<ref name="Waters" /> By middle childhood, the goal of the attachment behavioural system has changed from proximity to the attachment figure to availability. Generally, a child is content with longer separations, provided contact—or the possibility of physically reuniting, if needed—is available. Attachment behaviours such as clinging and following decline and self-reliance increases. By middle childhood (ages 7–11), there may be a shift toward mutual ] of secure-base contact in which caregiver and child negotiate methods of maintaining communication and supervision as the child moves toward a greater degree of independence.<ref name="Waters" />

The attachment system used by adolescents is seen as a "safety regulating system" whose main function is to promote physical and psychological safety. There are 2 different events that can trigger the attachment system. Those triggers include, the presence of a potential danger or stress, internal and external, and a threat of accessibility and/or availability of an attachment figure. The ultimate goal of the attachment system is security, so during a time of danger or inaccessibility the behavioural system accepts felt security in the context of the availability of protection. By adolescence we are able to find security through a variety of things, such as food, exercise, and social media.<ref>{{cite book | last1 = Kerns | first1 = Kathryn A. | first2 = Rhonda A. | last2 = Richardson | title = Attachment in Middle Childhood. | publisher = Guilford Press | date = 2005 }}</ref> Felt security can be achieved through a number of ways, and often without the physical presence of the attachment figure. Higher levels of maturity allows adolescent teens to more capably interact with their environment on their own because the environment is perceived as less threatening. Adolescents teens will also see an increase in cognitive, emotional and behavioural maturity that dictates whether or not teens are less likely to experience conditions that activate their need for an attachment figure. For example, when teenagers get sick and stay home from school, surely they want their parents to be home so they can take care of them, but they are also able to stay home by themselves without experiencing serious amounts of distress.<ref>{{cite book | vauthors = McElhaney KB, Allen JP, Stephenson JC, Hare AL | chapter = Attachment and Autonomy During Adolescence | veditors = Lerner RM, Steinberg L | title = Part II: Domains of Individual Development in Adolescence | series = Handbook of Adolescent Psychology | publisher = Wiley-Blackwell | date = 30 October 2009 | doi = 10.1002/9780470479193.adlpsy001012 | isbn = 978-0-470-47919-3 }}</ref> Additionally, the social environment that a school fosters impacts adolescents attachment behaviour, even if these same adolescents have not had issues with attachment behaviour previously. High schools that have a permissive environment compared to an authoritative environment promote positive attachment behaviour. For example, when students feel connected to their teachers and peers because of their permissive schooling environment, they are less likely to skip school. Positive-attachment behaviour in high schools have important implications on how a school's environment should be structured.<ref>{{Cite journal |last1=Keppens |first1=Gil |last2=Spruyt |first2=Bram |date=November 2019 |title=The School as a Socialization Context: Understanding the Influence of School Bonding and an Authoritative School Climate on Class Skipping |url=http://journals.sagepub.com/doi/10.1177/0044118X17722305 |journal=Youth & Society |language=en |volume=51 |issue=8 |pages=1145–1166 |doi=10.1177/0044118X17722305 |s2cid=149330059 |issn=0044-118X}}</ref>

Here are the attachment style differences during adolescence:<ref name=":8">{{cite journal |last1=Freeman |first1=Harry |last2=Brown |first2=B. Bradford |date=2001 |title=Primary Attachment to Parents and Peers during Adolescence: Differences by Attachment Style |journal=Journal of Youth and Adolescence |language=en |volume=30 |issue=6 |pages=653–674 |doi=10.1023/A:1012200511045 |s2cid=35110543 |issn=0047-2891}}</ref>

* Secure adolescents are expected to hold their mothers at a higher rate than all other support figures, including father, significant others, and best friends.
* Insecure adolescents identify more strongly with their peers than their parents as their primary attachment figures. Their friends are seen as a significantly strong source of attachment support.
* Dismissing adolescents rate their parents as a less significant source of attachment support and would consider themselves as their primary attachment figure.
* Preoccupied adolescents would rate their parents as their primary source of attachment support and would consider themselves as a much less significant source of attachment support.<ref name=":8" />

==Attachment styles in adults==
{{Main|Attachment in adults}}{{See also|Attachment measures}}
Attachment theory was extended to adult ]s in the late 1980s by Cindy Hazan and Phillip Shaver.<ref>{{Cite journal|last1=Hazan|first1=Cindy|last2=Shaver|first2=Phillip|date=1987|title=Romantic love conceptualized as an attachment process.|url=https://psycnet.apa.org/record/1987-21950-001|journal=Journal of Personality and Social Psychology|volume=52|issue=3|pages=511–524|doi=10.1037/0022-3514.52.3.511|pmid=3572722|s2cid=2280613 |via=APA PsycNet}}</ref> Four styles of attachment have been identified in adults: secure, anxious-preoccupied, dismissive-avoidant and fearful-avoidant. These roughly correspond to infant classifications: secure, insecure-ambivalent, insecure-avoidant and disorganized/disoriented.<ref>{{Cite journal|last1=Hazan|first1=Cindy|last2=Shaver|first2=Phillip R.|date=1990|title=Love and work: An attachment-theoretical perspective.|url=http://dx.doi.org/10.1037/0022-3514.59.2.270|journal=Journal of Personality and Social Psychology|volume=59|issue=2|pages=270–280|doi=10.1037/0022-3514.59.2.270|issn=0022-3514}}</ref>

=== Securely attached ===

Securely attached adults have been "linked to a high need for achievement and a low fear of failure (Elliot & Reis, 2003)". They will positively approach a task with the goal of mastering it and have an appetite for exploration in achievement settings (Elliot & Reis, 2003). Research shows that securely attached adults have a "low level of personal distress and high levels of concern for others".<ref name="ams">{{cite journal | vauthors = Ahmad S, Mohammad H, Shafique Z |date=2018 |title=The impact of attachment styles on helping behavior in adults |journal=Journal of Social Sciences and Humanity Studies |volume=4 |issue=1 |pages=24–29}}</ref> Due to their high rates of ], securely attached adults typically do not hesitate to remove a person having a negative impact from problematic situations they are facing.<ref name="ams"/> This calm response is representative of the securely attached adult's emotionally regulated response to threats that many studies have supported in the face of diverse situations. Adult secure attachment comes from an individual's early connection with their caregiver(s), genes and their romantic experiences.<ref name="levine">{{cite book| vauthors = Levine A, Heller R |year=2011 |title=Attached: The new science of adult attachment and how it can help you find and keep love |location=New York, NY |publisher= Penguin Group}}</ref>

Within romantic relationships, a securely attached adult will appear in the following ways: excellent conflict resolution, mentally flexible, effective communicators, avoidance of manipulation, comfortable with closeness without fearfulness of being enmeshed, quickly forgiving, viewing sex and emotional intimacy as one, believing they can positively impact their relationship, and caring for their partner in the way they want to be cared for. In summation, they are great partners who treat their spouses very well, as they are not afraid to give positively and ask for their needs to be met. Securely attached adults believe that there are "many potential partners that would be responsive to their needs", and if they come across an individual who is not meeting their needs, they will typically lose interest quickly.<ref name="levine"/>

=== Anxious-preoccupied ===
] adults seek high levels of intimacy, approval and responsiveness from partners, becoming overly dependent. They tend to be less trusting, have less positive views about themselves than their partners, and may exhibit high levels of emotional expressiveness, worry and impulsiveness in their relationships. The anxiety that adults feel prevents the establishment of satisfactory defence exclusion. Thus, it is possible that individuals that have been anxiously attached to their attachment figure or figures have not been able to develop sufficient defences against separation anxiety. Because of their lack of preparation these individuals will then overreact to the anticipation of separation or the actual separation from their attachment figure. The anxiety comes from an individual's intense and/or unstable relationship that leaves the anxious or preoccupied individual relatively defenceless.<ref name="Sperling, Michael B. 1994">{{cite book | last1 = Sperling | first1 = Michael B. | first2 = William H. | last2 = Berman | title = Attachment in Adults: Clinical and Developmental Perspectives | publisher = Guilford Press | date = 1994 }}</ref>

In terms of adult relationships, if an adult experiences this inconsistent behaviour from their romantic partner or acquaintance, they might develop some of the aspects of this attachment type. Besides, insecurity and distress about relationships can be driven by individuals who exhibit inconsistent connection or emotionally abusive behaviours.<ref>{{Cite web |date=2022-11-03 |title=Preoccupied Attachment Style: How It Develops & How To Cope |url=https://www.simplypsychology.org/anxious-preoccupied-attachment.html |access-date=2023-08-27 |language=en-US}}</ref> However, a secure relationship can also reduce anxious behaviour and be a resource for safety and support.<ref>{{Cite journal |last1=Simpson |first1=Jeffry A. |last2=Overall |first2=Nickola C. |date=February 2014 |title=Partner Buffering of Attachment Insecurity |journal=Current Directions in Psychological Science |language=en |volume=23 |issue=1 |pages=54–59 |doi=10.1177/0963721413510933 |issn=0963-7214 |pmc=4157676 |pmid=25214722}}</ref>

=== Dismissive-avoidant ===

Dismissive-avoidant adults desire a high level of independence, often appearing to avoid attachment altogether.<ref>{{Cite journal |last=Pettigrew |first=Thomas F. |date=2016-01-04 |title=In Pursuit of Three Theories: Authoritarianism, Relative Deprivation, and Intergroup Contact |url=https://www.annualreviews.org/doi/10.1146/annurev-psych-122414-033327 |journal=Annual Review of Psychology |language=en |volume=67 |issue=1 |pages=1–21 |doi=10.1146/annurev-psych-122414-033327 |pmid=26361053 |s2cid=207668034 |issn=0066-4308}}</ref> They view themselves as self-sufficient, invulnerable to attachment feelings and not needing close relationships.<ref>{{Cite book |last=Aluisy |first=Ana |url=https://www.worldcat.org/oclc/974240408 |title=Reinvent your relationship. A Therapist's Insights to having the Relationship You've Always Wanted |date=2016 |publisher=Morgan James Publishing |isbn=978-1-63047-896-4 |location= |oclc=974240408}}</ref> They tend to suppress their feelings, dealing with conflict by distancing themselves from partners of whom they often have a poor opinion.<ref>{{Cite journal |last=Zahra |first=Fatima Tu |date=2022-10-06 |title=Attachment Security and Attachment Styles in Romantic Relationships |url=https://acspublisher.com/journals/index.php/sajssh/article/view/2662 |journal=South Asian Journal of Social Sciences and Humanities |volume=3 |issue=5 |pages=42–53 |doi=10.48165/sajssh.2022.3504 |s2cid=252863935 |issn=2582-7065|doi-access=free }}</ref> Adults lack the interest of forming close relationships and maintaining emotional closeness with the people around them. They have a great amount of distrust in others but at the same time possess a positive model of self, they would prefer to invest in their own ego skills. They try to create high levels of self-esteem by investing disproportionately in their abilities or accomplishments. These adults maintain their positive views of self, based on their personal achievements and competence rather than searching for and feeling acceptance from others. These adults will explicitly reject or minimize the importance of emotional attachment and passively avoid relationships when they feel as though they are becoming too close. They strive for self-reliance and independence. When it comes to the opinions of others about themselves, they are very indifferent and are relatively hesitant to positive feedback from their peers. Dismissive avoidance can also be explained as the result of defensive deactivation of the attachment system to avoid potential rejection, or genuine disregard for interpersonal closeness.<ref name="No Man Is an Island: The Need to Be">{{cite journal | last1 = Carvallo | first1 = Mauricio | last2 = Gabriel | first2 = Shira | year = 2006 | title = No Man Is an Island: The Need to Belong and Dismissing Avoidant Attachment Style | journal = PsycEXTRA Dataset | volume = 32| issue = 5| pages = 697–709 | doi = 10.1037/e511092014-160 | pmid = 16702161 }}</ref>

Adults with dismissive-avoidant patterns are less likely to seek social support than other attachment styles.<ref>{{cite book |last1=Lopez |first1=F. G. |title=Oxford handbook of positive psychology |date=2009 |publisher=Oxford University Press |isbn=978-0-19-986216-0 |pages=(pp. 405–415) |url=https://psycnet.apa.org/record/2009-05143-038 |access-date=29 March 2023}}</ref> They are likely to fear intimacy and lack confidence in others.<ref>{{cite journal |last1=Hazen, C. & Shaver, P. |title=Romantic love conceptualized as an attachment process. |journal=Journal of Personality and Social Psychology |date=1987 |volume=52 |issue=3 |pages=511–524 |doi=10.1037/0022-3514.52.3.511|pmid=3572722 |s2cid=2280613 }}</ref><ref>{{cite journal |last1=Collins, N. L., & Read, S. J. |title=Adult attachment, working models, and relationship quality in dating couples |journal=Journal of Personality and Social Psychology |date=1990 |volume=58 |issue=4 |pages=644–663 |doi=10.1037/0022-3514.58.4.644|pmid=14570079 |s2cid=3143987 }}</ref> Because of their distrust they cannot be convinced that other people have the ability to deliver emotional support.<ref name="No Man Is an Island: The Need to Be"/> Under a high cognitive load, however, dismissive-avoidant adults appear to have a lowered ability to suppress difficult attachment-related emotions, as well difficulty maintaining positive self-representations.<ref name="Attachment-Related Strategies Durin">{{cite journal |last1=Mikulincer, M., Dolev, T., & Shaver, P. R. |title=Attachment-Related Strategies During Thought Suppression: Ironic Rebounds and Vulnerable Self-Representations. |journal=Journal of Personality and Social Psychology |date=2004 |volume=87 |issue=6 |pages=940–956 |doi=10.1037/0022-3514.87.6.940|pmid=15598116 }}</ref> This suggests that hidden vulnerabilities may underlie an active denial process.<ref name="Attachment-Related Strategies Durin"/><ref>{{cite book |last1=Brown, D. P., & Elliott, D. S. |title=Attachment disturbances in adults: Treatment for comprehensive repair |date=2016 |publisher=W W Norton & Co. |page=111 |edition=1}}</ref>

=== Fearful-avoidant ===

Fearful-avoidant adults have mixed feelings about close relationships, both desiring and feeling uncomfortable with emotional closeness. The dangerous part about the contrast between wanting to form social relationships while simultaneously fearing the relationship is that it creates mental instability. This mental instability then translates into mistrusting the relationships they do form and also viewing themselves as unworthy. Furthermore, fearful-avoidant adults also have a less pleasant outlook on life compared to anxious-preoccupied and dismissive avoidant groups.<ref>{{Cite journal |last=Dan |first=O |date=2020 |title=The relationship between individuals with fearful-avoidant adult attachment orientation and early neural responses to emotional content: An event-related potentials (ERPs) study. |url=https://psycnet.apa.org/record/2019-66179-001 |journal=Neuropsychology |volume=34 |issue=2 |pages=155–167 |doi=10.1037/neu0000600 |pmid=31682140 |s2cid=207891295 |via=APA PsychArticles}}</ref> Like dismissive-avoidant adults, fearful-avoidant adults tend to seek less intimacy, suppressing their feelings.<ref name="Hazan, Shaver, 1987"/><ref name="Hazan, Shaver,1990">{{cite journal |vauthors=Hazan C, Shaver PR |s2cid=53487697 |year=1990 |title=Love and work: An attachment theoretical perspective |url=https://archive.org/details/sim_journal-of-personality-and-social-psychology_1990-08_59_2/page/270 |journal=Journal of Personality and Social Psychology |volume=59 |issue=2 |pages=270–80 |doi=10.1037/0022-3514.59.2.270}}</ref><ref name="Hazan, Shaver,1994">{{cite journal |vauthors=Hazan C, Shaver PR |year=1994 |title=Attachment as an organizational framework for research on close relationships |journal=Psychological Inquiry |volume=5 |pages=1–22 |doi=10.1207/s15327965pli0501_1}}</ref><ref name="BarthoHoro">{{cite journal | vauthors = Bartholomew K, Horowitz LM | s2cid = 3547883 | title = Attachment styles among young adults: a test of a four-category model | url = https://archive.org/details/sim_journal-of-personality-and-social-psychology_1991-08_61_2/page/226 | journal = Journal of Personality and Social Psychology | volume = 61 | issue = 2 | pages = 226–44 | date = August 1991 | pmid = 1920064 | doi = 10.1037/0022-3514.61.2.226 }}</ref>

According to research studies, an individual with a fearful avoidant attachment might have had childhood trauma or persistently negative perceptions and actions from their family members. Apart from these, genetic factors and personality may also have an impact on how an individual behaves with parents as well as how they understand their relationships in their adulthood.<ref>{{Cite web |date=2022-10-28 |title=What is a fearful avoidant attachment? |url=https://www.medicalnewstoday.com/articles/fearful-avoidant-attachments |access-date=2023-08-27 |website=www.medicalnewstoday.com |language=en}}</ref>

=== Assessing and measuring attachment ===

Two main aspects of adult attachment have been studied. The organization and stability of the mental working models that underlie the attachment styles is explored by social psychologists interested in romantic attachment.<ref name="Fraley, Shaver, 2000">{{cite journal |vauthors=Fraley RC, Shaver PR |year=2000 |title=Adult romantic attachment: Theoretical developments, emerging controversies, and unanswered questions |journal=Review of General Psychology |volume=4 |issue=2 |pages=132–54 |citeseerx=10.1.1.471.8896 |doi=10.1037/1089-2680.4.2.132|s2cid=15620444 }}</ref><ref name="Pietro">{{cite journal |vauthors=Pietromonaco PR, Barrett LF |s2cid=17413696 |year=2000 |title=The internal working models concept: What do we really know about the self in relation to others? |journal=Review of General Psychology |volume=4 |issue=2 |pages=155–75 |doi=10.1037/1089-2680.4.2.155}}</ref> Developmental psychologists interested in the individual's state of mind with respect to attachment generally explore how attachment functions in relationship dynamics and impacts relationship outcomes. The organization of mental working models is more stable while the individual's state of mind with respect to attachment fluctuates more. Some authors have suggested that adults do not hold a single set of working models. Instead, on one level they have a set of rules and assumptions about attachment relationships in general. On another level they hold information about specific relationships or relationship events. Information at different levels need not be consistent. Individuals can therefore hold different internal working models for different relationships.<ref name="Pietro" /><ref name="Rholes, Simpson, 2004">{{cite encyclopedia |year=2004 |title=Attachment theory: Basic concepts and contemporary questions |encyclopedia=Adult Attachment: Theory, Research, and Clinical Implications |publisher=Guilford Press |location=New York |pages=3–14 |isbn=978-1-59385-047-0 |vauthors=Rholes WS, Simpson JA |veditors=Rholes WS, Simpson JA}}</ref>

There are a number of different measures of adult attachment, the most common being self-report questionnaires and coded interviews based on the ]. The various measures were developed primarily as research tools, for different purposes and addressing different domains, for example romantic relationships, platonic relationships, parental relationships or peer relationships. Some classify an adult's state of mind with respect to attachment and attachment patterns by reference to childhood experiences, while others assess relationship behaviours and security regarding parents and peers.<ref name="crofrasha">{{cite encyclopedia |year=2008 |title=Measurement of Individual Differences in Adolescent and Adult Attachment |encyclopedia=Handbook of Attachment: Theory, Research and Clinical Applications |publisher=Guilford Press |location=New York and London |pages=599–634 |isbn=978-1-59385-874-2 |vauthors=Crowell JA, Fraley RC, Shaver PR |veditors=Cassidy J, Shaver PR}}</ref>

=== Associations of adult attachment with other traits ===

Adult attachment styles are related to individual differences in the ways in which adults experience and manage their emotions. Recent meta-analyses link insecure attachment styles to lower ]<ref>{{Cite journal|last1=Walker|first1=Sarah|last2=Double|first2=Kit S|last3=Kunst|first3=Hannah|last4=Zhang|first4=Michael|last5=MacCann|first5=Carolyn|date=2022|title=Emotional intelligence and attachment in adulthood: A meta-analysis|journal=Personality and Individual Differences|volume=184|page=111174|doi=10.1016/j.paid.2021.111174 | issn=0191-8869 |url=https://psyarxiv.com/36zcr/ }}</ref> and lower trait mindfulness.<ref>{{Cite journal|last1=Stevenson|first1=Jodie C.|last2=Emerson|first2=Lisa-Marie|last3=Millings|first3=Abigail|date=December 2017|title=The Relationship Between Adult Attachment Orientation and Mindfulness: a Systematic Review and Meta-analysis|journal=Mindfulness|language=en|volume=8|issue=6|pages=1438–1455|doi=10.1007/s12671-017-0733-y|issn=1868-8527|pmc=5693974|pmid=29201245}}</ref>

==History==
{{Main|History of attachment theory}}

===Maternal deprivation===
{{Main|Maternal deprivation}}

The early thinking of the ] of ], particularly ], influenced Bowlby. However, he profoundly disagreed with the prevalent psychoanalytic belief that infants' responses relate to their internal fantasy life rather than real-life events. As Bowlby formulated his concepts, he was influenced by case studies on disturbed and delinquent children, such as those of ] published in 1943 and 1945.<ref>{{cite journal | title = Review of evidence on effects of deprivation. II: Retrospective and follow-up studies | journal = Bulletin of the World Health Organization | volume = 3 | issue = 3 | pages = 380–95 | date = 1951 | pmid = 20603943 | pmc = 2554009 | quote = With monotonous regularity each put his finger on the child's inability to make relationships as being the central feature from which all other disturbances sprang, and on the history of institutionalization or, as in the case quoted, of the child's being shifted about from one foster-mother to another as being its cause. }}</ref><ref name="Bowlby 44">{{cite journal | vauthors = Bowlby J |year=1944 |title=Forty-four juvenile thieves: Their characters and home life |journal=International Journal of Psychoanalysis |volume=25 |issue=19–52 |pages=107–27}}</ref>

]

Bowlby's contemporary ] observed separated children's grief, proposing that "]" results were brought about by inappropriate experiences of early care.<ref name="spitz1">{{cite journal | vauthors = Spitz RA | title = Hospitalism; an inquiry into the genesis of psychiatric conditions in early childhood | journal = The Psychoanalytic Study of the Child | volume = 1 | pages = 53–74 | year = 1945 | pmid = 21004303 | doi = 10.1080/00797308.1945.11823126 }}</ref><ref name="spitz">{{cite journal | vauthors = Spitz RA |year=1951 |title=The psychogenic diseases in infancy |journal=The Psychoanalytic Study of the Child |volume=6 |pages=255–75 |doi=10.1080/00797308.1952.11822915}}</ref> A strong influence was the work of social worker and psychoanalyst ] who filmed the effects of separation on children in hospital. He and Bowlby collaborated in making the 1952 documentary film ''A Two-Year Old Goes to the Hospital'' which was instrumental in a campaign to alter hospital restrictions on visits by parents.<ref name="Schwartz">{{cite book |first=Joseph |last=Schwartz |title=Cassandra's Daughter: A History of Psychoanalysis |url=https://archive.org/details/cassandrasdaught0000schw_l4i4 |publisher=Viking/Allen Lane |year=1999 |isbn=978-0-670-88623-4 |location=New York |page=}}</ref>

In his 1951 monograph for the ], ], Bowlby put forward the hypothesis that "the infant and young child should experience a warm, intimate, and continuous relationship with his mother in which both find satisfaction and enjoyment", the lack of which may have significant and irreversible mental health consequences. This was also published as ''Child Care and the Growth of Love'' for public consumption. The central proposition was influential but highly controversial.<ref name="WHO 62">{{cite book |title=Deprivation of Maternal Care: A Reassessment of its Effects |publisher=World Health Organization |year=1962 |series=Public Health Papers |location=Geneva |chapter=Preface |issue=14}}</ref> At the time there was limited empirical data and no comprehensive theory to account for such a conclusion.<ref>{{cite book |title=A Secure Base: Clinical Applications of Attachment Theory | vauthors = Bowlby J |publisher=Routledge |year=1988 |isbn=978-0-415-00640-8 |location=London |page=24}}</ref> Nevertheless, Bowlby's theory sparked considerable interest in the nature of early relationships, giving a strong impetus to, (in the words of Mary Ainsworth), a "great body of research" in an extremely difficult, complex area.<ref name="WHO 62" />

Bowlby's work (and Robertson's films) caused a virtual revolution in a hospital visiting by parents, hospital provision for children's play, educational and social needs, and the use of residential nurseries. Over time, orphanages were abandoned in favour of foster care or family-style homes in most developed countries.<ref name="rut">{{cite encyclopedia |year=2008 |title=Implications of Attachment Theory and Research for Child Care Policies |encyclopedia=Handbook of Attachment: Theory, Research and Clinical Applications |publisher=Guilford Press |location=New York and London |pages=958–74 |isbn=978-1-59385-874-2 | vauthors = Rutter M | veditors=Cassidy J, Shaver PR}}</ref>

Bowlby's work about parental provisions after child birth implicates that maternal deprivation negatively influences the attachment behaviour trajectory of a child's life. If a mother experiences post-partum anxiety, stress, or depression, the attachment they have with their child can be disrupted. It is important for pregnant women to have mental-health support pre and post-partum because mental illness often results in low feelings of attachment to their infant.<ref>{{Cite journal |last1=Reilly |first1=Nicole |last2=Brake |first2=Elloise |last3=Briggs |first3=Nancy |last4=Austin |first4=Marie-Paule |date=2019-11-01 |title=Trajectories of clinical and parenting outcomes following admission to an inpatient mother-baby unit |journal=BMC Psychiatry |volume=19 |issue=1 |pages=336 |doi=10.1186/s12888-019-2331-0 |issn=1471-244X |pmc=6825337 |pmid=31675945 |doi-access=free }}</ref>

===Formulation of the theory===
Following the publication of ''Maternal Care and Mental Health'', Bowlby sought new understanding from the fields of evolutionary biology, ethology, ], ] and control systems theory. He formulated the innovative proposition that mechanisms underlying an infant's emotional tie to the caregiver(s) emerged as a result of ]. He set out to develop a theory of motivation and behaviour control built on science rather than Freud's psychic energy model. Bowlby argued that with attachment theory he had made good the "deficiencies of the data and the lack of theory to link alleged cause and effect" of ''Maternal Care and Mental Health''.<ref name="Bowlby 86">{{cite web |url=http://www.garfield.library.upenn.edu/classics1986/A1986F063100001.pdf |title=Citation Classic, ''Maternal Care and Mental Health'' | vauthors = Bowlby J |date=December 1986 |publisher=Current Contents |access-date=July 13, 2008 |volume=50 |issue=18}}</ref>

====Ethology====
Bowlby's attention was drawn to ] in the early 1950s when he read ]'s work.<ref>{{cite journal |last=Bretherton |first=Inge |year=1992 |title=The origins of attachment theory: John Bowlby and Mary Ainsworth |url=http://www.psychology.sunysb.edu/attachment/online/inge_origins.pdf |journal=Developmental Psychology |volume=28 |issue=5 |pages=759–775 |doi=10.1037/0012-1649.28.5.759}}</ref> Other important influences were ethologists ] and ].{{sfn|Holmes|1993|p=62}} Bowlby subsequently collaborated with Hinde.<ref name="3 vans">{{cite journal | vauthors = Bowlby J | title = John Bowlby and ethology: an annotated interview with Robert Hinde | journal = Attachment & Human Development | volume = 9 | issue = 4 | pages = 321–35 | date = December 2007 | pmid = 17852051 | doi = 10.1080/14616730601149809 | s2cid = 146211690 }}</ref> In 1953 Bowlby stated "the time is ripe for a unification of psychoanalytic concepts with those of ethology, and to pursue the rich vein of research which this union suggests."<ref name="bowlby 53">{{cite journal | vauthors = Bowlby J |year=1953 |title=Critical Phases in the Development of Social Responses in Man and Other Animals |journal=New Biology |volume=14 |pages=25–32}}</ref> Konrad Lorenz had examined the phenomenon of "]", a behaviour characteristic of some birds and mammals which involves rapid learning of recognition by the young, of a ] or comparable object. After recognition comes a tendency to follow.
]).]]

Certain types of learning are possible, respective to each applicable type of learning, only within a limited age range known as a ]. Bowlby's concepts included the idea that attachment involved learning from experience during a limited age period, influenced by adult behaviour. He did not apply the imprinting concept in its entirety to human attachment. However, he considered that attachment behaviour was best explained as instinctive, combined with the effect of experience, stressing the readiness the child brings to social interactions.{{sfn|Bowlby|1982|pp=220-23}} Over time it became apparent there were more differences than similarities between attachment theory and imprinting so the analogy was dropped.<ref name="Rutter 95" />

Ethologists expressed concern about the adequacy of some research on which attachment theory was based, particularly the generalization to humans from animal studies.<ref name="crnic">{{cite encyclopedia |year=1982 |title=Animal models of human behavior: Their application to the study of attachment |encyclopedia=The development of attachment and affiliative systems |publisher=Plenum |location=New York |pages=31–42 |isbn=978-0-306-40849-6 |vauthors=Crnic LS, Reite ML, Shucard DW |veditors=Emde RN, Harmon RJ}}</ref><ref name="Brann">{{cite encyclopedia |year=1972 |title=Human non-verbal behaviour: A means of communication |encyclopedia=Ethological studies of child behaviour |publisher=Cambridge University Press | veditors = Blurton-Jones N |pages=37–64 |isbn=978-0-521-09855-7 |quote=...&nbsp;it must be emphasized that data derived from species other than man can be used only to ''suggest'' hypotheses that may be worth applying to man for testing by critical observations. In the absence of critical evidence derived from observing man such hypotheses are no more than intelligent guesses. There is a danger in human ethology&nbsp;... that interesting, but untested, hypotheses may gain the status of accepted theory. has coined the term 'ethologism' as a label for the present vogue &nbsp;... for uncritically invoking the findings from ethological studies of other species as necessary and sufficient explanations&nbsp;... Theory based on superficial analogies between species has always impeded biological understanding&nbsp;... We conclude that a valid ethology of man must be based primarily on data derived from man, and not on data obtained from fish, birds, or other primates |vauthors=Brannigan CR, Humphries DA}}</ref> Schur, discussing Bowlby's use of ethological concepts (pre-1960) commented that concepts used in attachment theory had not kept up with changes in ethology itself.<ref name="schur">{{cite journal | vauthors = Schur M | title = Discussion of Dr. John Bowlby's paper | journal = The Psychoanalytic Study of the Child | volume = 15 | pages = 63–84 | year = 1960 | pmid = 13749000 | doi = 10.1080/00797308.1960.11822568 | quote = Bowlby&nbsp;... assumes the fully innate, unlearned character of most complex behavior patterns&nbsp;... (whereas recent animal studies showed)&nbsp;... both the early impact of learning and the great intricacy of the interaction between mother and litter"&nbsp;... (and applies)&nbsp;... "to human behavior an instinct concept which neglects the factor of development and learning far beyond even the position taken by Lorenz in his early propositions }}</ref> Ethologists and others writing in the 1960s and 1970s questioned and expanded the types of behaviour used as indications of attachment.<ref name="SchafEm">{{cite journal |vauthors=Schaffer HR, Emerson PE |year=1964 |title=The development of social attachment in infancy |journal=Monographs of the Society for Research in Child Development, Serial No. 94 |volume=29 |issue=3}}</ref> Observational studies of young children in natural settings provided other behaviours that might indicate attachment; for example, staying within a predictable distance of the mother without effort on her part and picking up small objects, bringing them to the mother but not to others.<ref name="anderson">{{cite encyclopedia |year=1972 |title=Attachment behaviour out of doors |encyclopedia=Ethological studies of child behaviour |publisher=Cambridge University Press |location=Cambridge | veditors = Blurton-Jones N |pages=199–216 |isbn=978-0-521-09855-7 | vauthors = Anderson JW }}</ref> Although ethologists tended to be in agreement with Bowlby, they pressed for more data, objecting to psychologists writing as if there were an "entity which is 'attachment', existing over and above the observable measures."<ref name="jones">{{cite encyclopedia |year=1972 |title=Behaviour of children and their mothers at separation and greeting |encyclopedia=Ethological studies of child behaviour |publisher=Cambridge University Press |location=Cambridge | veditors = Blurton-Jones N |pages=217–48 |isbn=978-0-521-09855-7 |vauthors=Jones NB, Leach GM}}</ref> ] considered "attachment behaviour system" to be an appropriate term which did not offer the same problems "because it refers to postulated control systems that determine the relations between different kinds of behaviour."<ref name="Hinde 82">{{cite book |title=Ethology | vauthors = Hinde R |publisher=Oxford University Press |year=1982 |isbn=978-0-00-686034-1 |location=Oxford |page=229}}</ref>

====Psychoanalysis====
] from the book ''Road to Catastrophe'']]

] concepts influenced Bowlby's view of attachment, in particular, the observations by ] and ] of young children separated from familiar caregivers during World War II.<ref name="anna">{{cite book |url=https://archive.org/details/Freud_Burlingham_1943_War_and_Children_k |title=War and children |vauthors=Freud A, Burlingham DT |publisher=Medical War Books |year=1943 |isbn=978-0-8371-6942-2}}</ref> However, Bowlby rejected psychoanalytical explanations for early infant bonds including "]" in which the motivation for attachment derives from gratification of hunger and libidinal drives. He called this the "]" theory of relationships. In his view it failed to see attachment as a psychological bond in its own right rather than an instinct derived from feeding or sexuality.{{sfn|Holmes|1993|pp=62–63}} Based on ideas of primary attachment and ], Bowlby identified what he saw as fundamental flaws in psychoanalysis: the overemphasis of internal dangers rather than external threat, and the view of the development of personality via linear ''phases'' with ] to fixed points accounting for psychological distress. Bowlby instead posited that several lines of development were possible, the outcome of which depended on the interaction between the organism and the environment. In attachment this would mean that although a developing child has a propensity to form attachments, the nature of those attachments depends on the environment to which the child is exposed.{{sfn|Holmes|1993|pp=64–65}}

From early in the development of attachment theory there was criticism of the theory's lack of congruence with various branches of psychoanalysis. Bowlby's decisions left him open to criticism from well-established thinkers working on similar problems.<ref name="Steele">{{cite journal |vauthors=Steele H, Steele M |year=1998 |title=Attachment and psychoanalysis: Time for a reunion |journal=Social Development |volume=7 |issue=1 |pages=92–119 |doi=10.1111/1467-9507.00053}}</ref><ref name="Cass 98">{{cite journal | vauthors = Cassidy J |year=1998 |title=Commentary on Steele and Steele: Attachment and object relations theories and the concept of independent behavioral systems |journal=Social Development |volume=7 |issue=1 |pages=120–26 |doi=10.1111/1467-9507.00054}}</ref><ref name="Steele 98">{{cite journal |vauthors=Steele H, Steele M |year=1998 |title=Debate: Attachment and psychoanalysis: Time for a reunion |journal=Social Development |volume=7 |issue=1 |pages=92–119 |doi=10.1111/1467-9507.00053}}</ref>

====Internal working model====
The philosopher ] had noted the ability of thought to predict events. He stressed the survival value of natural selection for this ability. A key component of attachment theory is the attachment behaviour system where certain behaviours have a predictable outcome (i.e. proximity) and serve as self-preservation method (i.e. protection).<ref name="Cassidy, Jude 2013">{{cite journal | vauthors = Cassidy J, Jones JD, Shaver PR | title = Contributions of attachment theory and research: a framework for future research, translation, and policy | journal = Development and Psychopathology | volume = 25 | issue = 4 Pt 2 | pages = 1415–34 | date = November 2013 | pmid = 24342848 | pmc = 4085672 | doi = 10.1017/s0954579413000692 }}</ref> All taking place outside of an individual's awareness, This ] allows a person to try out alternatives mentally, using knowledge of the past while responding to the present and future. Bowlby applied Craik's ideas to attachment, when other psychologists were applying these concepts to adult perception and cognition.<ref name="JLaird">{{cite book |title=Mental models |url=https://archive.org/details/mentalmodelstowa0000john | vauthors = Johnson-Laird PN |publisher=Harvard University Press |year=1983 |isbn=978-0-674-56881-5 |location=Cambridge, MA |pages=–87}}</ref>

Infants absorb all sorts of complex social-emotional information from the social interactions that they observe. They notice the helpful and hindering behaviours of one person to another. From these observations they develop expectations of how two characters should behave, known as a "secure base script." These scripts provide as a template of how attachment related events should unfold and they are the building blocks of ones internal working models.<ref name="Cassidy, Jude 2013"/> An infant's internal working model is developed in response to the infant's experience based internal working models of self, and environment, with emphasis on the caregiving environment and the outcomes of his or her proximity-seeking behaviours. Theoretically, secure child and adult script, would allow for an attachment situation where one person successfully utilizes another as a secure base from which to explore and as a safe haven in times of distress. In contrast, insecure individuals would create attachment situations with more complications.<ref name="Cassidy, Jude 2013"/> For example, If the caregiver is accepting of these proximity-seeking behaviours and grants access, the infant develops a secure organization; if the caregiver consistently denies the infant access, an avoidant organization develops; and if the caregiver inconsistently grants access, an ambivalent organization develops.<ref>{{cite journal | vauthors = Main M, Kaplan N, Cassidy J |year=1985 |title=Security in Infancy, Childhood, and Adulthood: A Move to the Level of Representation |journal=Monographs of the Society for Research in Child Development |volume=50 |issue=1/2 |pages=66–104 |doi=10.2307/3333827 |jstor=3333827}}</ref> In retrospect, internal working models are constant with and reflect the primary relationship with our caregivers. Childhood attachment directly influences our adult relationships.<ref>{{Cite journal |last1=Ravitz |first1=Paula |last2=Maunder |first2=Robert |last3=Hunter |first3=Jon |last4=Sthankiya |first4=Bhadra |last5=Lancee |first5=William |date=2010-10-01 |title=Adult attachment measures: A 25-year review |url=https://www.sciencedirect.com/science/article/pii/S0022399909003304 |journal=Journal of Psychosomatic Research |language=en |volume=69 |issue=4 |pages=419–432 |doi=10.1016/j.jpsychores.2009.08.006 |pmid=20846544 |issn=0022-3999}}</ref>

A parent's internal working model that is operative in the attachment relationship with her infant can be accessed by examining the parent's mental representations.<ref>{{cite book | vauthors = Lieberman AF |title=Attachment and psychopathology | url = https://archive.org/details/attachmentpsycho0000unse |pages=–292 |year=1997 | veditors = Atkinson L, Zucker KJ |chapter=Toddlers' internalization of maternal attributions as a factor in quality of attachment |place=New York, NY, US |publisher=Guilford Press |isbn=978-1-57230-191-7 }}</ref><ref>{{cite journal | vauthors = Zeanah CH, Keener MA, Anders TF | title = Adolescent mothers' prenatal fantasies and working models of their infants | journal = Psychiatry | volume = 49 | issue = 3 | pages = 193–203 | date = August 1986 | pmid = 3749375 | doi = 10.1080/00332747.1986.11024321 }}</ref> Recent research has demonstrated that the quality of maternal attributions as markers of maternal mental representations can be associated with particular forms of maternal psychopathology and can be altered in a relative short time-period by targeted psychotherapeutic intervention.<ref>{{cite journal | vauthors = Schechter DS, Moser DA, Reliford A, McCaw JE, Coates SW, Turner JB, Serpa SR, Willheim E | title = Negative and distorted attributions towards child, self, and primary attachment figure among posttraumatically stressed mothers: what changes with Clinician Assisted Videofeedback Exposure Sessions (CAVES) | journal = Child Psychiatry and Human Development | volume = 46 | issue = 1 | pages = 10–20 | date = February 2015 | pmid = 24553738 | pmc = 4139484 | doi = 10.1007/s10578-014-0447-5 }}</ref>

====Cybernetics====
The theory of control systems (]), developing during the 1930s and 1940s, influenced Bowlby's thinking.<ref name="Robbins">{{cite journal | vauthors = Robbins P, Zacks JM | s2cid = 17846200 | title = Attachment theory and cognitive science: commentary on Fonagy and Target | journal = Journal of the American Psychoanalytic Association | volume = 55 | issue = 2 | pages = 457–67; discussion 493–501 | year = 2007 | pmid = 17601100 | doi = 10.1177/00030651070550021401 }}</ref> The young child's need for proximity to the attachment figure was seen as balancing ] with the need for exploration. (Bowlby compared this process to physiological homeostasis whereby, for example, blood pressure is kept within limits). The actual distance maintained by the child would vary as the balance of needs changed. For example, the approach of a stranger, or an injury, would cause the child exploring at a distance to seek proximity. The child's goal is not an object (the caregiver) but a state; maintenance of the desired distance from the caregiver depending on circumstances.<ref name="Cassidy"/>

====Cognitive development====
Bowlby's reliance on ]'s theory of cognitive development gave rise to questions about object permanence (the ability to remember an object that is temporarily absent) in early attachment behaviours. An infant's ability to discriminate strangers and react to the mother's absence seemed to occur months earlier than Piaget suggested would be cognitively possible.<ref name="fraiberg">{{cite journal | vauthors = Fraiberg S | title = Libidinal object constancy and mental representation | journal = The Psychoanalytic Study of the Child | volume = 24 | pages = 9–47 | year = 1969 | pmid = 5353377 | doi = 10.1080/00797308.1969.11822685 }}</ref> More recently, it has been noted that the understanding of mental representation has advanced so much since Bowlby's day that present views can be more specific than those of Bowlby's time.<ref name="waters2">{{cite journal | vauthors = Waters HS, Waters E | title = The attachment working models concept: among other things, we build script-like representations of secure base experiences | journal = Attachment & Human Development | volume = 8 | issue = 3 | pages = 185–97 | date = September 2006 | pmid = 16938702 | doi = 10.1080/14616730600856016 | s2cid = 11443750 }}</ref>

====Behaviourism====
In 1969, Gerwitz discussed how mother and child could provide each other with positive reinforcement experiences through their mutual attention, thereby learning to stay close together. This explanation would make it unnecessary to posit innate human characteristics fostering attachment.<ref name= "Gewirtz">{{cite journal| vauthors = Gewirtz N|year=1969|title=Potency of a social reinforcer as a function of satiation and recovery| url = https://archive.org/details/sim_developmental-psychology_1969-01_1_1/page/2|journal= Developmental Psychology|volume= 1|pages= 2–13|doi= 10.1037/h0026802}}</ref> Learning theory, (]), saw attachment as a remnant of dependency with the quality of attachment being merely a response to the caregiver's cues. The main predictors of attachment quality are parents being sensitive and responsive to their children. When parents interact with their infants in a warm and nurturing manner, their attachment quality increases. The way that parents interact with their children at four months is related to attachment behaviour at 12 months, thus it is important for parents' sensitivity and responsiveness to remain stable. The lack of sensitivity and responsiveness increases the likelihood for attachment disorders to development in children.<ref>{{Cite journal |last=Volling |first=B |date=2002 |title=Parents' emotional availability and infant emotional competence: Predictors of parent-infant attachment and emerging self-regulation. |url=https://psycnet.apa.org/record/2002-06713-010 |journal=Journal of Family Psychology |volume=164 |issue=4 |pages=447–465 |doi=10.1037/0893-3200.16.4.447 |pmid=12561291 |via=APA PsycArticles}}</ref> Behaviourists saw behaviours like crying as a random activity meaning nothing until reinforced by a caregiver's response. To behaviourists, frequent responses would result in more crying. To attachment theorists, crying is an inborn attachment behaviour to which the caregiver must respond if the infant is to develop emotional security. Conscientious responses produce security which enhances autonomy and results in less crying. Ainsworth's research in Baltimore supported the attachment theorists' view.<ref>] pp. 166–73.</ref>

In the last decade, ] have constructed models of attachment based on the importance of ] relationships. These behaviour analytic models have received some support from research<ref name="kassow">{{cite journal| vauthors = Kassow DZ, Dunst CJ|year=2004|title= Relationship between parental contingent-responsiveness and attachment outcomes|journal= Bridges|volume= 2|issue= 4|pages= 1–17}}</ref> and meta-analytic reviews.<ref name="dunst">{{cite journal| vauthors = Dunst CJ, Kassow DZ |year=2008|title= Caregiver Sensitivity, Contingent Social Responsiveness, and Secure Infant Attachment|journal=Journal of Early and Intensive Behavior Intervention|volume= 5|issue=1|pages= 40–56|doi=10.1037/h0100409|issn=1554-4893}}</ref>

====Developments since 1970s====
In the 1970s, problems with viewing attachment as a trait (stable characteristic of an individual) rather than as a type of behaviour with organizing functions and outcomes, led some authors to the conclusion that attachment behaviours were best understood in terms of their functions in the child's life.<ref name="Sroufe, Waters, 1977">{{cite journal |vauthors=Sroufe LA, Waters E |year=1977 |title=Attachment as an organizational construct |url=https://archive.org/details/sim_child-development_1977-12_48_4/page/1184 |journal=Child Development |volume=48 |issue=4 |pages=1184–99 |doi=10.2307/1128475 |jstor=1128475}}</ref> This way of thinking saw the secure base concept as central to attachment theory's logic, coherence, and status as an organizational construct.<ref name="WatCum">{{cite journal | vauthors = Waters E, Cummings EM | title = A secure base from which to explore close relationships | journal = Child Development | volume = 71 | issue = 1 | pages = 164–72 | year = 2000 | pmid = 10836570 | doi = 10.1111/1467-8624.00130 | citeseerx = 10.1.1.505.6759 | s2cid = 15158143 }}</ref> Following this argument, the assumption that attachment is expressed identically in all humans cross-culturally was examined.<ref name="Tronick">{{cite journal |vauthors=Tronick EZ, Morelli GA, Ivey PK |s2cid=1756552 |year=1992 |title=The Efe forager infant and toddler's pattern of social relationships: Multiple and simultaneous |url=https://archive.org/details/sim_developmental-psychology_1992-07_28_4/page/568 |journal=Developmental Psychology |volume=28 |issue=4 |pages=568–77 |doi=10.1037/0012-1649.28.4.568}}</ref> The research showed that though there were cultural differences, the three basic patterns, secure, avoidant and ambivalent, can be found in every culture in which studies have been undertaken, even where communal sleeping arrangements are the norm. The selection of the secure pattern is found in the majority of children across cultures studied. This follows logically from the fact that attachment theory provides for infants to adapt to changes in the environment, selecting optimal behavioural strategies.<ref name="ijzsag">{{cite encyclopedia |year=2008 |title=Cross-Cultural Patterns of Attachment; Universal and Contextual Dimensions |encyclopedia=Handbook of Attachment: Theory, Research and Clinical Applications |publisher=Guilford Press |location=New York and London |pages=880–905 |isbn=978-1-59385-874-2 |vauthors=van IJzendoorn MH, Sagi-Schwartz A |veditors=Cassidy J, Shaver PR}}</ref> How attachment is expressed shows cultural variations which need to be ascertained before studies can be undertaken; for example ] infants are greeted with a handshake rather than a hug. Securely attached Gusii infants anticipate and seek this contact. There are also differences in the distribution of insecure patterns based on cultural differences in child-rearing practices.<ref name=ijzsag/> The scholar ] in 1974 studied the importance of distinguishing between the consequences of attachment deprivation upon intellectual retardation in children and lack of development in the emotional growth in children.<ref>{{cite book | first = Michael | last = Rutter | date = 1974 | title = The Qualities of Mothering | url = https://archive.org/details/qualitiesofmothe0000unse | location = New York, N.Y. | isbn = 978-0-87668-189-3 }}</ref> Rutter's conclusion was that a careful delineation of maternal attributes needed to be identified and differentiated for progress in the field to continue.

The biggest challenge to the notion of the universality of attachment theory came from studies conducted in Japan where the concept of '']'' plays a prominent role in describing family relationships. Arguments revolved around the appropriateness of the use of the Strange Situation procedure where ''amae'' is practised. Ultimately research tended to confirm the universality hypothesis of attachment theory.<ref name=ijzsag/> Most recently a 2007 study conducted in ] in Japan found attachment distributions consistent with global norms using the six-year Main and Cassidy scoring system for attachment classification.<ref name="Behrens">{{cite journal | vauthors = Behrens KY, Hesse E, Main M | title = Mothers' attachment status as determined by the Adult Attachment Interview predicts their 6-year-olds' reunion responses: a study conducted in Japan | url = https://archive.org/details/sim_developmental-psychology_2007-11_43_6/page/1553 | journal = Developmental Psychology | volume = 43 | issue = 6 | pages = 1553–1567 | date = November 2007 | pmid = 18020832 | doi = 10.1037/0012-1649.43.6.1553 }}</ref><ref name="MainCass">{{cite journal |vauthors=Main M, Cassidy J |year=1988 |title=Categories of response to reunion with the parent at age 6: Predictable from infant attachment classifications and stable over a 1-month period |url=https://archive.org/details/sim_developmental-psychology_1988-05_24_3/page/415 |journal=Developmental Psychology |volume=24 |issue=3 |pages=415–26 |doi=10.1037/0012-1649.24.3.415}}</ref>

Critics in the 1990s such as ], ] and ] were generally concerned with the concept of infant determinism (]), stressing the effects of later experience on personality.<ref name="harris">{{cite book |title=The Nurture Assumption: Why Children Turn Out the Way They Do |title-link=The Nurture Assumption | vauthors = Harris JR |publisher=Free Press |year=1998 |isbn=978-0-684-84409-1 |location=New York |pages= |author-link=Judith Rich Harris}}</ref><ref name="pinker">{{cite book |title=The Blank Slate: The Modern Denial of Human Nature |title-link=The Blank Slate | vauthors = Pinker S |publisher=Allen Lane |year=2002 |isbn=978-0-14-027605-3 |location=London |pages=372–99 |author-link=Steven Pinker}}</ref><ref name="kagan">{{cite book |url=https://archive.org/details/threeseductiveid00kaga_0/page/83 |title=Three Seductive Ideas | vauthors = Kagan J |publisher=Harvard University Press |year=1994 |isbn=978-0-674-89033-6 |location=Cambridge, MA |pages=}}</ref> Building on the work on ] of ], Kagan rejected almost every assumption on which attachment theory's cause was based. Kagan argued that heredity was far more important than the transient developmental effects of early environment. For example, a child with an inherently difficult temperament would not elicit sensitive behavioural responses from a caregiver. The debate spawned considerable research and analysis of data from the growing number of longitudinal studies. Subsequent research has not borne out Kagan's argument, possibly suggesting that it is the caregiver's behaviours that form the child's attachment style, although how this style is expressed may differ with the child's temperament.<ref name=vbv/> Harris and Pinker put forward the notion that the influence of parents had been much exaggerated, arguing that socialization took place primarily in peer groups. H. Rudolph Schaffer concluded that parents and peers had different functions, fulfilling distinctive roles in children's development.<ref name="schaffer">{{cite book |title=Introducing Child Psychology | vauthors =Schaffer HR |publisher=Blackwell |year=2004 |isbn=978-0-631-21627-8 |location=Oxford |page=113}}</ref>

Psychoanalyst/psychologists ] and ] have attempted to bring attachment theory and psychoanalysis into a closer relationship through cognitive science as ]. Mentalization, or theory of mind, is the capacity of human beings to guess with some accuracy what thoughts, emotions and intentions lie behind behaviours as subtle as facial expression.<ref name="Fonagy et al.">{{cite book |title=Affect regulation, mentalization, and the development of the self |vauthors=Fonagy P, Gergely G, Jurist EL, Target M |publisher=Other Press |year=2002 |isbn=978-1-59051-161-9 |location=New York}}</ref> It has been speculated that this connection between theory of mind and the internal working model may open new areas of study, leading to alterations in attachment theory.{{sfn|Mercer|2006|pp=165–68}} Since the late 1980s, there has been a developing rapprochement between attachment theory and psychoanalysis, based on common ground as elaborated by attachment theorists and researchers, and a change in what psychoanalysts consider to be central to psychoanalysis. ] models which emphasise the autonomous need for a relationship have become dominant and are linked to a growing recognition in psychoanalysis of the importance of infant development in the context of relationships and internalized representations. Psychoanalysis has recognized the formative nature of a child's early environment including the issue of childhood trauma. A psychoanalytically based exploration of the attachment system and an accompanying clinical approach has emerged together with a recognition of the need for measurement of outcomes of interventions.<ref name="fogeta">{{cite encyclopedia |year=2008 |encyclopedia=Handbook of Attachment: Theory, research and Clinical Applications |publisher=Guilford Press |location=New York and London |pages=783–810 |isbn=978-1-59385-874-2 |contribution=Psychoanalytic Constructs and Attachment Theory and Research |veditors=Cassidy J, Shaver PR |vauthors=Fonagy P, Gergely G, Target M|title=Handbook of Attachment, Second Edition: Theory, Research, and Clinical Applications }}</ref>

One focus of attachment research has been the difficulties of children whose attachment history was poor, including those with extensive non-parental child care experiences. Concern with the effects of child care was intense during the so-called "day care wars" of the late-20th century, during which some authors stressed the deleterious effects of day care.<ref name="belsky">{{cite journal | vauthors = Belsky J, Rovine MJ | title = Nonmaternal care in the first year of life and the security of infant-parent attachment | url = https://archive.org/details/sim_child-development_1988-02_59_1/page/157 | journal = Child Development | volume = 59 | issue = 1 | pages = 157–67 | date = February 1988 | pmid = 3342709 | doi = 10.2307/1130397 | jstor = 1130397 }}</ref> As a result of this controversy, training of child care professionals has come to stress attachment issues, including the need for relationship-building by the assignment of a child to a specific care-giver. Although only high-quality child care settings are likely to provide this, more infants in child care receive attachment-friendly care than in the past.{{sfn|Mercer|2006|pp=160–63}} A ] permitted extensive study of attachment issues as researchers followed thousands of Romanian orphans adopted into Western families after the end of the ] regime. The English and Romanian Adoptees Study Team, led by ], followed some of the children into their teens, attempting to unravel the effects of poor attachment, adoption, new relationships, physical problems and medical issues associated with their early lives. Studies of these adoptees, whose initial conditions were shocking, yielded reason for optimism as many of the children developed quite well. Researchers noted that separation from familiar people is only one of many factors that help to determine the quality of development.<ref>{{cite journal | vauthors = Rutter M | s2cid = 10334844 | title = Nature, nurture, and development: from evangelism through science toward policy and practice | journal = Child Development | volume = 73 | issue = 1 | pages = 1–21 | date = January–February 2002 | pmid = 14717240 | doi = 10.1111/1467-8624.00388 }}</ref> Although higher rates of atypical insecure attachment patterns were found compared to native-born or early-adopted samples, 70% of later-adopted children exhibited no marked or severe attachment disorder behaviours.<ref name=PPP/>

Authors considering attachment in non-Western cultures have noted the connection of attachment theory with Western family and child care patterns characteristic of Bowlby's time.<ref name="MC">{{cite encyclopedia |year=1985 |title=Infant temperament, mother's mode of interaction, and attachment in Japan: An interim report |encyclopedia=Growing Points of Attachment Theory and Research: Monographs of the Society for Research in Child Development |volume=50 1–2, Serial No. 209 |pages=276–97 |isbn=978-0-226-07411-5 |vauthors=Miyake K, Chen SJ |veditors=Bretherton I, Waters E}}</ref> As children's experience of care changes, so may attachment-related experiences. For example, changes in attitudes toward female sexuality have greatly increased the numbers of children living with their never-married mothers or being cared for outside the home while the mothers work. This social change has made it more difficult for childless people to adopt infants in their own countries. There has been an increase in the number of older-child adoptions and adoptions from third-world sources in first-world countries. Adoptions and births to same-sex couples have increased in number and gained legal protection, compared to their status in Bowlby's time.{{sfn|Mercer|2006|pp=152–56}} Regardless of whether parents are genetically related, adoptive parents attachment roles they will still influence and affect their child's attachment behaviours throughout their lifetime.<ref>{{Cite journal |last1=Raby |first1=Kenneth Lee |last2=Dozier |first2=Mary |date=February 2019 |title=Attachment across the lifespan: insights from adoptive families |journal=Current Opinion in Psychology |language=en |volume=25 |pages=81–85 |doi=10.1016/j.copsyc.2018.03.011 |pmc=6158124 |pmid=29621692}}</ref> Issues have been raised to the effect that the ] model characteristic of attachment theory cannot address the complexity of real-life social experiences, as infants often have multiple relationships within the family and in child care settings.<ref name="McHale">{{cite journal | vauthors = McHale JP | title = When infants grow up in multiperson relationship systems | journal = Infant Mental Health Journal | volume = 28 | issue = 4 | pages = 370–392 | date = July 2007 | pmid = 21512615 | pmc = 3079566 | doi = 10.1002/imhj.20142 }}</ref> It is suggested these multiple relationships influence one another reciprocally, at least within a family.<ref name="Zhang">{{cite journal | vauthors = Zhang X, Chen H | title = Reciprocal influences between parents' perceptions of mother-child and father-child relationships: a short-term longitudinal study in Chinese preschoolers | journal = The Journal of Genetic Psychology | volume = 171 | issue = 1 | pages = 22–34 | year = 2010 | pmid = 20333893 | doi = 10.1080/00221320903300387 | s2cid = 35227740 }}</ref>

Principles of attachment theory have been used to explain adult social behaviours, including mating, social dominance and hierarchical power structures, in-group identification,<ref>{{cite journal | vauthors = Milanov M, Rubin M, Paolini S | title = Adult attachment styles as predictors of different types of ingroup identification. | journal = Bulgarian Journal of Psychology | date = 2013 | volume = 1 | issue = 4 | pages = 175–186 | url = https://docs.google.com/file/d/0BycrcvpKCBNWZTRseVpja2Rjejg/edit?usp=sharing&pli=1 }}</ref> group coalitions, membership in cults and totalitarian systems<ref>{{cite book |last1=Stein |first1=Alexandra |title=Terror, love and brainwashing : attachment in cults and totalitarian systems |isbn=978-1-138-67797-5|year=2017 |publisher=Routledge }}</ref> and negotiation of reciprocity and justice.<ref>{{cite journal | vauthors = Bugental DB | s2cid = 8499316 | title = Acquisition of the algorithms of social life: a domain-based approach | journal = Psychological Bulletin | volume = 126 | issue = 2 | pages = 187–219 | date = March 2000 | pmid = 10748640 | doi = 10.1037/0033-2909.126.2.187 }}</ref> Those explanations have been used to design parental care training, and have been particularly successful in the design of child abuse prevention programmes.<ref>{{cite journal | vauthors = Bugental DB, Ellerson PC, Lin EK, Rainey B, Kokotovic A, O'Hara N | s2cid = 32696082 | title = A cognitive approach to child abuse prevention | journal = Journal of Family Psychology | volume = 16 | issue = 3 | pages = 243–58 | date = September 2002 | pmid = 12238408 | doi = 10.1037/0893-3200.16.3.243 }}</ref>

While a wide variety of studies have upheld the basic tenets of attachment theory, research has been inconclusive as to whether self-reported early attachment and later depression are demonstrably related.<ref name="Ma_attachment">{{cite journal | vauthors = Ma K |title=Attachment theory in adult psychiatry. Part 1: Conceptualizations, measurement and clinical research findings |journal=Advances in Psychiatric Treatment|volume=12 |pages=440–449 |year=2006|issue=6 |url=http://apt.rcpsych.org/cgi/content/full/12/6/440 |access-date=2010-04-21| doi=10.1192/apt.12.6.440 |doi-access=free }}</ref>

==Neurobiology of attachment==
In addition to longitudinal studies, there has been ] research on the neurobiology of attachment.<ref name="foxhane">{{cite encyclopedia |year=2008 |title=Studying the Biology of Human Attachment |encyclopedia=Handbook of Attachment: Theory, Research and Clinical Applications |publisher=Guilford Press |location=New York and London |pages=811–29 |isbn=978-1-59385-874-2 |vauthors=Fox NA, Hane AA |veditors=Cassidy J, Shaver PR}}</ref> Research has begun to include ],<ref>{{cite journal | vauthors = Landers MS, Sullivan RM | title = The development and neurobiology of infant attachment and fear | journal = Developmental Neuroscience | volume = 34 | issue = 2–3 | pages = 101–14 | date = 2012 | pmid = 22571921 | pmc = 3593124 | doi = 10.1159/000336732 }}</ref> ] and ] concepts.<ref name= vbv/> Generally, temperament and attachment constitute separate developmental domains, but aspects of both contribute to a range of interpersonal and intrapersonal developmental outcomes.<ref name="vbv">{{cite encyclopedia |year=2008 |title=Attachment and Temperament |encyclopedia=Handbook of Attachment: Theory, Research and Clinical Applications |publisher=Guilford Press |location=New York and London |pages=192–216 |isbn=978-1-59385-874-2 |vauthors=Vaughn BE, Bost KK, van IJzendoorn MH |veditors=Cassidy J, Shaver PR}}</ref> Some types of temperament may make some individuals susceptible to the stress of unpredictable or hostile relationships with caregivers in the early years.<ref name="marshall2005">{{cite journal |vauthors=Marshall PJ, Fox NA |year=2005 |title=Relationship between behavioral reactivity at 4 months and attachment classification at 14 months in a selected sample |journal=Infant Behavior and Development |volume=28 |issue=4 |pages=492–502 |doi=10.1016/j.infbeh.2005.06.002}}</ref> In the absence of available and responsive caregivers it appears that some children are particularly vulnerable to developing attachment disorders.{{sfn|Prior|Glaser|2006|p=219}}

The quality of caregiving received at infancy and childhood directly affects an individual's neurological systems which controls stress regulation.<ref name=foxhane/> In psychophysiological research on attachment, the two main areas studied have been ]s, such as heart rate or respiration, and the activity of the ], a system that is responsible for the body's reaction to ].<ref>{{cite book | vauthors = Adam EK, Klimes-Dougan B, Gunnar MR | chapter = Social regulation of the adrenocortical response to stress in infants, children, and adolescents. | veditors = Coch D, Dawson G, Fischer KW | title = Human behavior and the developing brain: Atypical development. | location = New York, NY | publisher = Guilford Press | date = 2007 | pages = 264–304 }}</ref> Infants' physiological responses have been measured during the Strange Situation procedure looking at individual differences in infant temperament and the extent to which attachment acts as a moderator. Recent studies convey that early attachment relationships become molecularly instilled into the being, thus affecting later immune system functioning.<ref name="Cassidy, Jude 2013"/> Empirical evidence communicates that early negative experiences produce pro inflammatory phenotype cells in the immune system, which is directly related to cardiovascular disease, autoimmune diseases, and certain types of cancer.<ref>{{cite journal | vauthors = Chung HY, Cesari M, Anton S, Marzetti E, Giovannini S, Seo AY, Carter C, Yu BP, Leeuwenburgh C | title = Molecular inflammation: underpinnings of aging and age-related diseases | journal = Ageing Research Reviews | volume = 8 | issue = 1 | pages = 18–30 | date = January 2009 | pmid = 18692159 | pmc = 3782993 | doi = 10.1016/j.arr.2008.07.002 }}</ref>

Recent{{when|date=January 2020}} improvements involving methods of research have enabled researchers to further investigate the neural correlates of attachment in humans. These advances include identifying key brain structures, neural circuits, neurotransmitter systems, and neuropeptides, and how they are involved in attachment system functioning and can indicate more about a certain individual, even predict their behaviour.<ref>{{cite book | vauthors = Coan JA | chapter = Toward a neuroscience of attachment. | veditors = Cassidy J, Shaver PR | title = Handbook of attachment: Theory, research, and clinical applications. | url = https://archive.org/details/handbookofattach0000unse_n9k8 | edition = 2nd | location = New York, NY | publisher = Guilford Press | date = 2008 | pages = –265 }}</ref> There is initial evidence that caregiving and attachment involve both unique and overlapping brain regions.<ref>{{cite journal | vauthors = Bartels A, Zeki S | title = The neural correlates of maternal and romantic love | journal = NeuroImage | volume = 21 | issue = 3 | pages = 1155–66 | date = March 2004 | pmid = 15006682 | doi = 10.1016/j.neuroimage.2003.11.003 | s2cid = 15237043 }}</ref> Another issue is the role of inherited genetic factors in shaping attachments: for example one type of ] of the gene coding for the ] ] has been linked to anxious attachment and another in the gene for the ] ] with avoidant attachment.<ref>{{cite journal|author1-link=Omri Gillath | vauthors = Gillath O, Shaver PR, Baek JM, Chun DS | title = Genetic correlates of adult attachment style |url=https://archive.org/details/sim_personality-and-social-psychology-bulletin_2008-10_34_10/page/1396 | journal = Personality & Social Psychology Bulletin | volume = 34 | issue = 10 | pages = 1396–405 | date = October 2008 | pmid = 18687882 | doi = 10.1177/0146167208321484 | s2cid = 39668634 }}</ref>

Studies show that attachment in adulthood is simultaneously related to biomarkers of immunity. For example, individuals with an avoidance attachment style produce higher levels of the pro inflammatory cytokine interleukin-6 (IL-6) when reacting to an interpersonal stressor,<ref>{{cite journal | vauthors = Gouin JP, Glaser R, Loving TJ, Malarkey WB, Stowell J, Houts C, Kiecolt-Glaser JK | title = Attachment avoidance predicts inflammatory responses to marital conflict | journal = Brain, Behavior, and Immunity | volume = 23 | issue = 7 | pages = 898–904 | date = October 2009 | pmid = 18952163 | pmc = 2771542 | doi = 10.1016/j.bbi.2008.09.016 }}</ref> while individuals representing an anxious attachment style tend to have elevated cortisol production and lower numbers of T cells.<ref>Jaremka L, Glaser R, Loving T, Malarkey W, Stowell J, Kiecolt-Glaser J. Attachment anxiety is linked to alterations in cortisol production and cellular immunity. Psychological Science. Advance online publication 2013</ref> Although children vary genetically and each individual requires different attachment relationships, there is consistent evidence that maternal warmth during infancy and childhood creates a safe haven for individuals resulting in superior immune system functioning.<ref>{{cite journal | vauthors = Chen E, Miller GE, Kobor MS, Cole SW | title = Maternal warmth buffers the effects of low early-life socioeconomic status on pro-inflammatory signaling in adulthood | journal = Molecular Psychiatry | volume = 16 | issue = 7 | pages = 729–37 | date = July 2011 | pmid = 20479762 | pmc = 2925055 | doi = 10.1038/mp.2010.53 }}</ref> One theoretical basis for this is that it makes biological sense for children to vary in their susceptibility to rearing influence.<ref>{{cite encyclopedia |year=2008 |title=Precursors of Attachment Security |encyclopedia=Handbook of Attachment: Theory, Research and Clinical Applications |publisher=Guilford Press |location=New York and London |pages=295–316 |isbn=978-1-59385-874-2 |vauthors=Belsky J, Pasco Fearon RM |veditors=Cassidy J, Shaver PR}}</ref>

== Crime ==
Attachment theory has often been applied in the discipline of ].<ref>{{Cite journal |last1=Ranu |first1=Jasmin |last2=Kalebic |first2=Natasha |last3=Melendez-Torres |first3=G. J. |last4=Taylor |first4=Pamela J. |date=2022-09-17 |title=Association Between Adverse Childhood Experiences and a Combination of Psychosis and Violence Among Adults: A Systematic Review and Meta-Analysis |url=http://journals.sagepub.com/doi/10.1177/15248380221122818 |journal=Trauma, Violence, & Abuse |volume=24 |issue=5 |language=en |pages=2997–3013 |doi=10.1177/15248380221122818 |pmid=36117458 |s2cid=252363546 |issn=1524-8380}}</ref> It has been used in an attempt to identify causal mechanisms in criminal behaviour – with uses ranging from ], better understanding types of offence and the pursuit of preventative policy. It has been found that disturbances early on in child-caregiver relationships are a risk factor in criminality. Attachment theory in this context has been described as "perhaps the most influential of contemporary psychoanalytically oriented theories of crime".<ref>{{cite book |title=Psychology and Crime: An Introduction to Criminological Psychology |last=Hollin |first=Clive R. |publisher=Routledge |year=2013 |location=USA & Canada |pages=62}}</ref>

=== History ===
The origins of attachment theory within criminology can be found in the work of ]. In applying psychoanalysis to ], he argued that abnormal child relationships are the underlying problem causing delinquency.<ref>{{cite book |title=Wayward Youth |url=https://archive.org/details/waywardyouth0000aich_y0c9 |last=Aichhorn |first=August |publisher=The Viking Press |year=1935 |location=the University of Michigan}}</ref>

The intersection of crime and attachment theory was further researched by John Bowlby. In his first published work, ''Forty-four Juvenile Thieves'', he studied a sample of 88 children (44 juvenile thieves and 44 non-delinquent controls) and determined that child-mother separation caused delinquent character formation, particularly in the development of an "affectionless character" often seen in the persistent offender. 17 of the juvenile thieves had been separated from their mothers for longer than six months during their first five years, and only 2 children from the control group had such a separation. He also found that 14 of the thieves were "affectionless characters" distinguishing them from others by their lack of affection, no emotional ties, no real friendships, and having "no roots in their relationships".<ref name=":2">{{cite journal |last=Bowlby |first=John |date=Jan 1, 1944 |title=Forty-four Juvenile Thieves: their Characters and Home-Life |journal=International Journal of Psycho-Analysis |volume=25}}</ref>

=== Age distribution of crime ===
Two theories about why the crime peaks around the late teenage years and early twenties are called the developmental theory and life-course theory, and both involve attachment theory. Developmental perspectives argue that individuals who have disrupted childhood attachments will have criminal careers that continue long into adulthood.<ref name=":4">{{cite journal | vauthors = Moffitt TE, Caspi A | title = Childhood predictors differentiate life-course persistent and adolescence-limited antisocial pathways among males and females | url = https://archive.org/details/sim_development-and-psychopathology_spring-2001_13_2/page/355 | journal = Development and Psychopathology | volume = 13 | issue = 2 | pages = 355–75 | date = 2001 | pmid = 11393651 | doi = 10.1017/S0954579401002097 | s2cid = 29182035 }}</ref> ] argue that relationships at every stage of the life course can influence an individual's likelihood of committing crimes.<ref name=":5">{{cite journal |vauthors=Sampson RJ, Laub JH |date=2005 |title=A Life-Course View of the Development of Crime |journal=Annals of the American Academy of Political and Social Science |volume=602 |pages=12–45 |doi=10.1177/0002716205280075 |s2cid=45146032}}</ref>

=== Types of offences ===
Disrupted attachment patterns from childhood have been identified as a risk factor for domestic violence.<ref name=":6">{{cite web | vauthors = Gilchrist E, Johnson R, Takriti R, Weston S, Anthony Beech A, Kebbell M | url = http://rds.homeoffice.gov.uk/rds/pdfs2/r217.pdf | archive-url = http://webarchive.nationalarchives.gov.uk/20110218141158/http://rds.homeoffice.gov.uk/rds/pdfs2/r217.pdf | url-status = dead | archive-date = 2011-02-18 | title = Domestic Violence offenders: characteristics and offending related needs | date = 2003 | work = Research, Development and Statistics Directorate | publisher = United Kingdom Home Office | access-date = 2019-03-29 }}</ref> These disruptions in childhood can prevent the formation of a secure attachment relationship, and in turn adversely affecting a healthy way to deal with stress.<ref name=":7">{{cite journal |last1=Kesner |first1=John E. |last2=Julian |first2=Teresa |last3=McKenry |first3=Patrick C. |date=1997-06-01 |title=Application of Attachment Theory to Male Violence Toward Female Intimates |url=https://archive.org/details/sim_journal-of-family-violence_1997-06_12_2/page/211 |journal=Journal of Family Violence |language=en |volume=12 |issue=2 |pages=211–228 |doi=10.1023/A:1022840812546 |s2cid=26203922 |issn=1573-2851}}</ref> In adulthood, lack of coping mechanisms can result in violent behaviour.<ref>{{cite book |title=Frustration and aggression |url=https://archive.org/details/frustrationaggre00doll |last1=Dollard |first1=John |last2=Miller |first2=Neal E. |last3=Doob |first3=Leonard W. |last4=Mowrer |first4=O. H. |last5=Sears |first5=Robert R. |date=1939 |publisher=Yale University Press |location=New Haven |doi=10.1037/10022-000}}</ref> Bowlby's theory of functional anger states that children signal to their caregiver that their attachment needs are not being met by use of angry behaviour. This perception of low support from partner has been identified as a strong predictor of male violence. Other predictors have been named as perceived deficiency in maternal love in childhood, low self-esteem.<ref name=":7" /> It has also been found that individuals with a dismissive attachment style, often seen in an antisocial/narcissistic-narcissistic subtype of offender, tend to be emotionally abusive as well as violent. Individuals in the borderline/emotionally dependent subtype have traits which originate from insecure attachment in childhood, and tend to have high levels of anger.<ref name=":6" />

It has been found that sexual offenders have significantly less secure maternal and paternal attachments compared with non-offenders which suggests that insecure attachments in infancy persist into adulthood.<ref>{{cite journal | vauthors = Smallbone S, Dadds M |date=October 1998 |title=Childhood Attachment and Adult Attachment in Incarcerated Adult Male Sex Offenders |journal=Journal of Interpersonal Violence |volume=13 5}}</ref> In a recent study, 57% of sexual offenders were found to be of a preoccupied attachment style.<ref>{{cite book |title=What Works in Therapeutic Prisons | vauthors = Brown J, Miller S, Northey S, O'Neill D |publisher=Palgrave Macmillan |year=2014 |isbn=978-1-137-30620-3 |location=London |chapter=Attachments: The Multiple Sorting Task Procedure |doi=10.1057/9781137306210}}</ref> There is also evidence that suggests subtypes of sexual crime can have different attachment styles. Dismissive individuals tend to be hostile towards others, and are more likely to offend violently against adult women. By contrast, child abusers are more likely to have preoccupied attachment styles as the tendency to seek approval from others becomes distorted and attachment relationships become sexualized.<ref>{{cite journal | vauthors = Ward T, Beech A |date=2006 |title=An integrated theory of sexual offending |journal=Aggression and Violent Behavior |volume=11 |pages=44–63 |doi=10.1016/j.avb.2005.05.002}}</ref>

=== Uses within probation practice ===
Attachment theory has been of special interest within probation settings. When put into practice, probation officers aim to learn their probationer's attachment history because it can give them insight into how the probationer will respond to different scenarios and when they are the most vulnerable to reoffend. One of the primary strategies of implementation is to set up the probation officer as a secure base. This secure base relationship is formed by the probation officer being reliable, safe, and in tune with the probationer, and is intended to help give them a partly representational secure relationship that they have not been able to form.<ref>{{Cite web |last=Ansbro |first=Dr. Maria |date=September 2022 |title=Using attachment theory in probation practice |url=https://www.justiceinspectorates.gov.uk/hmiprobation/wp-content/uploads/sites/5/2022/09/v2.0-Academic-Insights-Ansbro-Sep-22.pdf |access-date=17 April 2024 |website=justiceinspectorates.gov.uk}}</ref>

==Practical applications==
As a theory of ], attachment theory has implications and practical applications in social policy, decisions about the care and welfare of children and mental health.

===Child care policies===
Social policies concerning the care of children were the driving force in Bowlby's development of attachment theory. The difficulty lies in applying attachment concepts to policy and practice.<ref name="rut08">{{cite encyclopedia |year=2008 |title=Implications of Attachment Theory and Research for Child Care Policies |encyclopedia=Handbook of Attachment: Theory, Research and Clinical Applications |publisher=Guilford Press |location=New York and London |pages= |isbn=978-1-60623-028-2 | vauthors = Rutter M |veditors=Cassidy J, Shaver PR |url= https://archive.org/details/handbookofattach0000unse_n9k8/page/958 }}</ref> In 2008 ] and colleagues stated, "Supporting early child-parent relationships is an increasingly prominent goal of mental health practitioners, community-based service providers and policy makers&nbsp;... Attachment theory and research have generated important findings concerning early child development and spurred the creation of programs to support early child-parent relationships."<ref name="BZL">{{cite encyclopedia |year=2008 |title=Prevention and Intervention Programs for Supporting Early Attachment Security |encyclopedia=Handbook of Attachment: Theory, Research and Clinical Applications |publisher=Guilford Press |location=New York and London |pages= |isbn=978-1-60623-028-2 |vauthors=Berlin L, Zeanah CH, Lieberman AF |veditors=Cassidy J, Shaver PR |url=https://archive.org/details/handbookofattach0000unse_n9k8/page/745 }}</ref> Additionally, practitioners can use the concepts of attachment theory that suggests deep relationships which builds attachment security towards mental health interventions. Attachment security has been found to strengthen one's ability to cope with stress, anxiety, and maintain that, in turn, can contribute to the person's well-being and mental health<ref>{{Cite journal |last1=Chen |first1=Jia |last2=Jordan |first2=Lucy P. |date=2019-07-17 |title=Psychological Well-Being of Coresiding Elderly Parents and Adult Children in China: Do Father–Child and Mother–Child Relationships Make a Difference? |url=http://dx.doi.org/10.1177/0192513x19862845 |journal=Journal of Family Issues |volume=40 |issue=18 |pages=2728–2750 |doi=10.1177/0192513x19862845 |s2cid=199177299 |issn=0192-513X}}</ref> For example, previous studies have demonstrated that individuals who demonstrate avoidance attachment styles experiences less stress and distress when presented with ostracism.<ref>{{Cite journal |last1=Yaakobi |first1=Erez |last2=Williams |first2=Kipling D. |date=May 2016 |title=Recalling an Attachment Event Moderates Distress after Ostracism |url=http://dx.doi.org/10.1002/per.2050 |journal=European Journal of Personality |volume=30 |issue=3 |pages=258–273 |doi=10.1002/per.2050 |s2cid=147614160 |issn=0890-2070}}</ref> However, finding quality childcare while at work or school is an issue for many families. NIHD recent study convey that top notch day care contributes to secure attachment relationships in children.<ref>{{cite journal | author = NICHD Early Child Care Research Network | year = 1997 | title = The effects of infant child care on infant-mother attachment security: Results of the NICHD study of early child care | url = https://archive.org/details/sim_child-development_1997-10_68_5/page/860 | journal = Child Development | volume = 68 | issue = 5| pages = 860–879 | doi = 10.2307/1132038 | jstor = 1132038 }}</ref>

People have commented on this matter stating that "legislative initiatives reflecting higher standards for credentialing and licensing childcare workers, requiring education in child development and attachment theory, and at least a two-year associate degree course as well as salary increases and increased stature for childcare positions".<ref name="Sweeney GM 2007. pp. 332">{{cite book | vauthors = Sweeney GM | chapter = Why childhood attachment matters: Implications for personal happiness, families and public policy. | veditors = Loveless S, Homan T | title = The family in the new millennium. | url = https://archive.org/details/familyinnewmille0000unse | location = Westport, CT | publisher = Praeger | date = 2007 | pages = –346 }}</ref> Corporations should implement more flexible work arrangements that recognize child care as essential for all its employees. This includes re-examination of parental leave policies. Too many parents are forced to return to work too soon post childbirth because of company policy or financial necessity. No matter the reason this inhibits early parent child bonding.<ref name="Cassidy, Jude 2013" /> In addition to this, there should be increased attention to the training and screening of childcare workers. In his article reviewing attachment theory, Sweeney suggested, among several policy implications, "legislative initiatives reflecting higher standards for credentialing and licensing childcare workers, requiring education in child development and attachment theory, and at least a two-year associate degree course as well as salary increases and increased stature for childcare positions".<ref name="Sweeney GM 2007. pp. 332" />

Historically, attachment theory had significant policy implications for hospitalized or institutionalized children, and those in poor quality daycare.{{sfn|Karen|1998|pp=252–58}} Controversy remains over whether non-maternal care, particularly in group settings, has deleterious effects on social development. It is plain from research that poor quality care carries risks but that those who experience good quality alternative care cope well although it is difficult to provide good quality, individualized care in group settings.<ref name=rut08/>

Attachment theory has implications in ] and ] disputes,{{sfn|Karen|1998|pp=252–58}} and applications by foster parents to adopt foster children. In the past, particularly in North America, the main theoretical framework was psychoanalysis. Increasingly attachment theory has replaced it, thus focusing on the quality and continuity of caregiver relationships rather than economic well-being or automatic precedence of any one party, such as the biological mother. ] noted that in the UK, since 1980, family courts have shifted considerably to recognize the complications of attachment relationships.<ref name="rut99">{{cite encyclopedia |year=1999 |title=Implications of Attachment Theory for Child Care Policies |encyclopedia=Handbook of Attachment: Theory, Research and Clinical Applications |publisher=Guilford Press |location=New York |url=https://archive.org/details/handbookofattach0000unse/page/823 |pages= |isbn=978-1-57230-087-3 |vauthors=Rutter M, O'Connor TG |veditors=Cassidy J, Shaver PR}}</ref> Children tend to have attachment relationships with both parents and often grandparents or other relatives. Judgements need to take this into account along with the impact of step-families. Attachment theory has been crucial in highlighting the importance of social relationships in dynamic rather than fixed terms.<ref name=rut08/>

Attachment theory can also inform decisions made in ], especially in ] (]),<ref name="Stefaroi">{{cite journal | vauthors = Stefaroi P | date = 2012 | title = Humanistic Paradigm of Social Work or Brief Introduction in Humanistic Social Work. | journal = Social Work Review | volume = 10 | issue = 1 | pages = 161–174 | quote = ICID 985513 }}</ref><ref name="Stefaroi P.">{{cite book | vauthors = Stefaroi P | date = 2014 | title = Humane & Spiritual Qualities of the Professional in Humanistic Social Work: Humanistic Social Work – The Third Way in Theory and Practice | location = Charleston, SC | publisher = Createspace }}</ref> and court processes about ] or other placements. Considering the child's attachment needs can help determine the level of risk posed by placement options.<ref name="0to3">{{cite journal |vauthors=Goldsmith DF, Oppenheim D, Wanlass J |year=2004 |title=Separation and Reunification: Using Attachment Theory and Research to Inform Decisions Affecting the Placements of Children in Foster Care |url= http://www.zerotothree.org/site/DocServer/AttachmentandFosterCare.pdf?docID=2542 |url-status=dead |journal=Juvenile and Family Court Journal |volume=Spring |issue=2 |pages=1–14 |doi=10.1111/j.1755-6988.2004.tb00156.x |s2cid=144988504 |archive-url=https://web.archive.org/web/20071013210209/http://www.zerotothree.org/site/DocServer/AttachmentandFosterCare.pdf?docID=2542 |archive-date=2007-10-13 |access-date=2009-06-19}}</ref><ref>{{cite journal | vauthors = Crittenden PM, Farnfield S, Landini A, Grey B |s2cid=46679519 |year=2013 |title=Assessing attachment for family court decision making |journal=Journal of Forensic Practice |volume=15 |issue=4 |pages=237–248 |doi=10.1108/jfp-08-2012-0002}}</ref> Within adoption, the shift from "closed" to "open" adoptions and the importance of the search for biological parents would be expected on the basis of attachment theory. Many researchers in the field were strongly influenced by it.<ref name=rut08/>

===Clinical practice in children===
Although attachment theory has become a major scientific theory of ] with one of the widest research lines in modern psychology, it has, until recently, been less used in clinical practice.<ref>{{cite journal |last1=Cassidy |first1=Jude |last2=Jones |first2=Jason D. |last3=Shaver |first3=Phillip R. |title=Contributions of attachment theory and research: A framework for future research, translation, and policy |journal=Development and Psychopathology |date=November 2013 |volume=25 |issue=4pt2 |pages=1415–1434 |doi=10.1017/S0954579413000692|pmid=24342848 |pmc=4085672 }}</ref> The attachment theory focused on the attention of the child when the mother is there and the responses that the child shows when the mother leaves, which indicated the attachment and bonding of the mother and the child. The attention therapy is done while the child is being restrained by the therapists and the responses displayed were noted. The tests were done to show the responses of the child.{{citation needed|date=March 2020}}

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 among practitioners. It may also be partly due to the mistaken association of attachment theory with the ] interventions misleadingly known as "]".<ref name="Ziv">{{cite encyclopedia |year=2005 |title=Attachment-Based Intervention programs: Implications for Attachment Theory and Research |encyclopedia=Enhancing Early Attachments: Theory, Research, Intervention and Policy |publisher=Guilford Press |location=New York and London |series=Duke series in child development and public policy |page=63 |isbn=978-1-59385-470-6 | vauthors = Ziv Y |veditors=Berlin LJ, Ziv Y, Amaya-Jackson L, Greenberg MT}}</ref>

====Prevention and treatment====
{{Main|Attachment-based therapy (children)}}
In 1988, Bowlby published a series of lectures indicating how attachment theory and research could be used in understanding and treating child and family disorders. His focus for bringing about change was the parents' internal working models, parenting behaviours and the parents' relationship with the therapeutic intervenor.<ref name="berlinetal">{{cite encyclopedia |year=2008 |title=Prevention and Intervention Programs for Supporting Early Attachment Security |encyclopedia=Handbook of Attachment: Theory, Research and Clinical Applications |publisher=Guilford Press |location=New York and London |pages=745–61 |isbn=978-1-59385-874-2 |vauthors=Berlin LJ, Zeanah CH, Lieberman AF |veditors=Cassidy J, Shaver PR}}</ref> Ongoing research has led to a number of individual treatments and prevention and intervention programs.<ref name=berlinetal/> In regards to personal development, children from all the age groups were tested to show the effectiveness of the theory that is being theorized by Bowlby. They range from individual therapy to public health programs to interventions designed for foster caregivers. For infants and younger children, the focus is on increasing the responsiveness and sensitivity of the caregiver, or if that is not possible, placing the child with a different caregiver.{{sfn|Prior|Glaser|2006|pp=231–32}}<ref name="BakermansKranenburg">{{cite journal | vauthors = Bakermans-Kranenburg MJ, van IJzendoorn MH, Juffer F | s2cid = 7504386 | title = Less is more: meta-analyses of sensitivity and attachment interventions in early childhood | url = https://archive.org/details/sim_psychological-bulletin_2003-03_129_2/page/195 | journal = Psychological Bulletin | volume = 129 | issue = 2 | pages = 195–215 | date = March 2003 | pmid = 12696839 | doi = 10.1037/0033-2909.129.2.195 }}</ref> An assessment of the attachment status or caregiving responses of the caregiver is invariably included, as attachment is a two-way process involving attachment behaviour and caregiver response. Some programs are aimed at foster cares because the attachment behaviours of infants or children with attachment difficulties often do not elicit appropriate caregiver responses. Modern prevention and intervention programs have proven successful.<ref>{{cite journal | vauthors = Hoffman KT, Marvin RS, Cooper G, Powell B | s2cid = 6672909 | title = Changing toddlers' and preschoolers' attachment classifications: the Circle of Security intervention | url = https://archive.org/details/sim_journal-of-consulting-and-clinical-psychology_2006-12_74_6/page/1017 | journal = Journal of Consulting and Clinical Psychology | volume = 74 | issue = 6 | pages = 1017–26 | date = December 2006 | pmid = 17154732 | doi = 10.1037/0022-006x.74.6.1017 }}</ref>

====Reactive attachment disorder and attachment disorder====
{{Main|Reactive attachment disorder|Attachment disorder}}
One atypical attachment pattern is considered to be an actual disorder, known as ''reactive attachment disorder'' or RAD, which is a recognized psychiatric diagnosis (] F94.1/2 and ] 313.89). Against common misconception, this is not the same as 'disorganized attachment'. The essential feature of reactive attachment disorder is markedly disturbed and developmentally inappropriate social relatedness in most contexts that begins before age five years, associated with gross pathological care. There are two subtypes, one reflecting a disinhibited attachment pattern, the other an inhibited pattern. RAD is not a description of insecure attachment styles, however problematic those styles may be; instead, it denotes a lack of age-appropriate attachment behaviours that may appear to resemble a clinical disorder.<ref name="Thompson (2000)">{{cite journal | vauthors = Thompson RA | s2cid = 18055255 | title = The legacy of early attachments | journal = Child Development | volume = 71 | issue = 1 | pages = 145–52 | year = 2000 | pmid = 10836568 | doi = 10.1111/1467-8624.00128 }}</ref> Although the term "reactive attachment disorder" is now popularly applied to perceived behavioural difficulties that fall outside the DSM or ICD criteria, particularly on the Web and in connection with the pseudo-scientific attachment therapy, "true" RAD is thought to be rare.<ref name="chaffin">{{cite journal | vauthors = Chaffin M, Hanson R, Saunders BE, Nichols T, Barnett D, Zeanah C, Berliner L, Egeland B, Newman E, Lyon T, LeTourneau E, Miller-Perrin C | s2cid = 11443880 | title = Report of the APSAC task force on attachment therapy, reactive attachment disorder, and attachment problems | journal = Child Maltreatment | volume = 11 | issue = 1 | pages = 76–89 | date = February 2006 | pmid = 16382093 | doi = 10.1177/1077559505283699 }}</ref>

"Attachment disorder" is an ambiguous term, which may refer to reactive attachment disorder or to the more problematic insecure attachment styles (although none of these are clinical disorders). It may also be used to refer to proposed new classification systems put forward by theorists in the field,{{sfn|Prior|Glaser|2006|pp=223–25}} and is used within attachment therapy as a form of unvalidated diagnosis.<ref name="chaffin" /> One of the proposed new classifications, "secure base distortion" has been found to be associated with caregiver traumatization.<ref name="schecter">{{cite journal | vauthors = Schechter DS, Willheim E | title = Disturbances of attachment and parental psychopathology in early childhood | journal = Child and Adolescent Psychiatric Clinics of North America | volume = 18 | issue = 3 | pages = 665–86 | date = July 2009 | pmid = 19486844 | pmc = 2690512 | doi = 10.1016/j.chc.2009.03.001 }}</ref>

===Clinical practice in adults and families===
As attachment theory offers a broad, far-reaching view of human functioning, it can enrich a therapist's understanding of patients and the therapeutic relationship rather than dictate a particular form of treatment.<ref name="Slade 2008">{{cite encyclopedia |year=2008 |title=Attachment Theory and Research: Implications for the theory and practice of individual psychotherapy with adults |encyclopedia=Handbook of Attachment: Theory, Research and Clinical Applications |publisher=Guilford Press |location=New York and London |pages=762–82 |isbn=978-1-59385-874-2 | vauthors = Slade A |veditors=Cassidy J, Shaver PR}}</ref> Some forms of psychoanalysis-based therapy for adults—within ] and other approaches—also incorporate attachment theory and patterns.<ref name="Slade 2008" /><ref name="Sable">{{cite book |title=Attachment & Adult Psychotherapy | vauthors = Sable P |publisher=Aaronson |year=2000 |isbn=978-0-7657-0284-5 |location=Northvale, NJ}}</ref>

==Criticism==
A 2016 article from the ''Psychological Bulletin'' suggests that one's attachment could largely be due to ]; hence, the authors point to the need to focus research on nonshared environmental effects, requiring "behavioral genetic designs that afford differentiating ] from shared and nonshared environmental influences".<ref>{{cite web |last1=Barbaro |first1=Nicole |title=Rethinking the Transmission Gap: What Behavioral Genetics and Evolutionary Psychology Mean for Attachment Theory |url=http://toddkshackelford.com/downloads/Barbaro-et-al-PsychBull.pdf |publisher=Psychological Bulletin}}</ref> In an interview, Dr. ] also suggests that a child's behaviour is largely due to ], as well as social class and culture. He further states, {{blockquote|Attachment is a far less popular explanation in 2019 than it was in the 1960s, and in 10 to 15 years, it's going to be rare to find anyone defending the theory. It's just dying out slowly...Yes, what happens to you in the first year or two of life has an effect, but it's tiny. If I take a 1-year-old child who is securely attached, and the parents die and the child is adopted by a cruel foster parent, that child is in trouble. Their secure attachment is useless.<ref>{{cite web |last1=Vinopal |first1=Lauren |title=Attachment Theory Is All Wrong. Here's What the Science Really I say |date=9 July 2019 |url=https://www.fatherly.com/health-science/attachment-theory-wrong-attachment-styles-dont-matter/ |publisher=Fatherly}}</ref>}}

A 2013 study from Utah State suggests an individual can have different attachment styles in relation to different people and that "parents' time away from their child was not a significant predictor of attachment."<ref>{{cite web |last1=Benware |first1=Jared |title=Predictors of F ors of Father-Child and Mother-Child A ather-Child and Mother-Child Attachment in T ttachment in TwoParent Families |url=https://digitalcommons.usu.edu/cgi/viewcontent.cgi?referer=&httpsredir=1&article=2731&context=etd |publisher=Utah State University}}</ref> Attachment theory models are heavily focused on attachment to the mother, not other family members and peers, also noted by ].<ref name="field">{{cite journal | vauthors = Field T | s2cid = 15251864 | title = Attachment and separation in young children | journal = Annual Review of Psychology | volume = 47 | issue = 1 | pages = 541–61 | date = February 1996 | pmid = 8624142 | doi = 10.1146/annurev.psych.47.1.541 }}</ref> ] suggested that attachment theory's focus on the mother-child relation ignores the value in other familial influences: "The entire family—not just the mother or primary caretaker—including father, siblings, grandparents, often cousins, aunts and uncles, are extremely significant in the experience of the child...And yet, when I hear attachment theorists talk, I don't hear anything about these other important figures in a child's life."<ref>{{cite web |last1=Wylie |first1=Mary Sykes |title=Do We Still Need Attachment Theory? |date=March 2011 |url=https://www.psychotherapynetworker.org/blog/details/1103/do-we-still-need-attachment-theory |publisher=Psychotherapy Networker}}</ref>

A 2018 paper proposes that Attachment theory represents a Western middle-class perspective, ignoring the diverse caregiving values and practices in most of the world.<ref name="keller">{{cite journal | vauthors = Keller H | title = Universality claim of attachment theory: Children's socioemotional development across cultures | journal = Proceedings of the National Academy of Sciences of the United States of America | volume = 115 | issue = 45 | pages = 11414–11419 | date = November 2018 | pmid = 30397121 | pmc = 6233114 | doi = 10.1073/pnas.1720325115 | bibcode = 2018PNAS..11511414K | doi-access = free }}</ref>

== See also ==
{{Portal|Psychology|Zoology}}
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== Citations ==
{{Reflist}}

== General and cited references ==
{{refbegin}}
* {{cite book |last=Bowlby |first=J |title=Child Care and the Growth of Love |publisher=Penguin Books |year=1953 |isbn=978-0-14-020271-7 |location=London |postscript=. Version of WHO publication ''Maternal Care and Mental Health'' published for sale to the general public.}}
* {{cite book |last=Bowlby |first=J |title=Attachment and Loss (Vol. 1: Attachment) |publisher=Penguin Books |year=1971 |isbn=978-0-14-021276-1 |edition=1st |location=London |orig-year=1969}}
* {{cite book |last=Bowlby |first=J |url=https://archive.org/details/makingbreakingof00bowl |title=The Making and Breaking of Affectional Bonds |publisher=Tavistock Publications |year=1979 |isbn=978-0-422-76860-3 |location=London}}
* {{cite book |last=Bowlby |first=J |title=Attachment and Loss (Vol. 1: Attachment) |publisher=Basic Books |year=1982 |isbn=978-0-465-00543-7 |edition=2nd |location=New York |lccn=00266879 |oclc=11442968 |id=NLM 8412414 }}
* {{cite book |last=Bowlby | first = J |title=Attachment |url=https://archive.org/details/attachmentloss00bowl |publisher=Basic Books |year=1999 |isbn=0-465-00543-8 |edition=2nd |series=Attachment and Loss Vol. I |location=New York |oclc=11442968 |id=NLM 8412414 |orig-year=1982|lccn=00266879 }}
* {{cite book |last=Craik |first=K |title=The Nature of Explanation |publisher=Cambridge University Press |year=1967 |isbn=978-0-521-09445-0 |location=Cambridge |orig-year=1943}}
* {{cite journal | vauthors = Elliot AJ, Reis HT | title = Attachment and exploration in adulthood | url = https://archive.org/details/sim_journal-of-personality-and-social-psychology_2003-08_85_2/page/317 | journal = Journal of Personality and Social Psychology | volume = 85 | issue = 2 | pages = 317–31 | date = August 2003 | pmid = 12916573 | doi = 10.1037/0022-3514.85.2.317 }}
* {{cite book |last=Holmes |first=J |title=John Bowlby & Attachment Theory |publisher=Routledge |year=1993 |isbn=041507729X |series=Makers of modern psychotherapy |location=London }}
* {{cite book |last=Karen |first=R |title=Becoming Attached: First Relationships and How They Shape Our Capacity to Love |publisher=Oxford University Press |year=1998 |isbn=0-19-511501-5 |location=Oxford and New York |url-access=registration |url=https://archive.org/details/becomingattached00kare }}
* {{cite book |last=Mercer |first=J |title=Understanding Attachment: Parenting, child care, and emotional development |url=https://archive.org/details/understandingatt0000merc |publisher=Praeger Publishers |year=2006 |isbn=978-0-275-98217-1 |location=Westport, CT |lccn=2005019272 |oclc=61115448 }}
* {{cite book |last1=Prior |first1=V |last2=Glaser |first2=D |title=Understanding Attachment and Attachment Disorders: Theory, Evidence and Practice |publisher=Jessica Kingsley Publishers |year=2006 |isbn=978-1-84310-245-8 |series=Child and Adolescent Mental Health, RCPRTU |location=London and Philadelphia }}
* {{cite book |last=Tinbergen |first=N |title=The Study of Instinct |publisher=Oxford University Press |year=1951 |isbn=978-0-19-857722-5 |location=Oxford}}
{{refend}}

== Further reading ==
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* {{cite book |last=Schore |first=Allan N. |title=Affect Regulation and the Origin of the Self: The Neurobiology of Emotional Development |url=https://archive.org/details/affectregulation0000scho |date=1994 |publisher=L. Erlbaum Associates |isbn=978-1-135-69392-3 |location=Hillsdale, N.J.}}
* {{cite web | url = https://www.theatlantic.com/magazine/archive/1990/02/becoming-attached/308966/ | first = Robert | last = Karen | title = Becoming Attached | work = ] | date = February 1990 }}
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{{Parenting}}
{{Evolutionary psychology}}
{{Infants and their care}}
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Latest revision as of 10:12, 24 December 2024

Psychological ethological theory about human relationships

An Inuit family is sitting on a log outside their tent. The parents, wearing warm clothing made of animal skins, are engaged in domestic tasks. Between them sits a toddler, also in skin clothes, staring at the camera. On the mother's back is a baby in a papoose.
For infants and toddlers, the "set-goal" of the behavioural system is to maintain or achieve proximity to attachment figures, usually the parents.

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.

Pivotal aspects of attachment theory include the observation that infants seek proximity to attachment figures, especially during stressful situations. Secure attachments are formed when caregivers are sensitive and responsive in social interactions, and consistently present, particularly between the ages of six months and two years. As children grow, they use these attachment figures as a secure base from which to explore the world and return to for comfort. The interactions with caregivers form patterns of attachment, which in turn create internal working models that influence future relationships. Separation anxiety or grief following the loss of an attachment figure is considered to be a normal and adaptive response for an attached infant.

Research by developmental psychologist Mary Ainsworth in the 1960s and 70s expanded on Bowlby's work, introducing the concept of the "secure base", impact of maternal responsiveness and sensitivity to infant distress, and identified attachment patterns in infants: secure, avoidant, anxious, and disorganized attachment. In the 1980s, attachment theory was extended to adult relationships and attachment in adults, making it applicable beyond early childhood. Bowlby's theory integrated concepts from evolutionary biology, object relations theory, control systems theory, ethology, and cognitive psychology, and was fully articulated in his trilogy, Attachment and Loss (1969–82).

While initially criticized by academic psychologists and psychoanalysts, attachment theory has become a dominant approach to understanding early social development and has generated extensive research. Despite some criticisms related to temperament, social complexity, and the limitations of discrete attachment patterns, the theory's core concepts have been widely accepted and have influenced therapeutic practices and social and childcare policies.

Attachment

A young mother smiles up at the camera. On her back is her baby gazing at the camera with an expression of lively interest.
Although it is usual for the mother to be the primary attachment figure, infants will form attachments to any carer who is sensitive and responsive in social interactions with them.

Within attachment theory, attachment means an affectional bond or tie between an individual and an attachment figure (usually a caregiver/guardian). Such bonds may be reciprocal between two adults, but between a child and a caregiver, these bonds are based on the child's need for safety, security, and protection—which is most important in infancy and childhood. Attachment theory is not an exhaustive description of human relationships, nor is it synonymous with love and affection, although these may indicate that bonds exist. In child-to-adult relationships, the child's tie is called the "attachment" and the caregiver's reciprocal equivalent is referred to as the "care-giving bond". The theory proposes that children attach to carers instinctively, for the purpose of survival and, ultimately, genetic replication. The biological aim is survival and the psychological aim is security. The relationship that a child has with their attachment figure is especially important in threatening situations. Having access to a secure figure decreases fear in children when they are presented with threatening situations. Not only is having a decreased level of fear important for general mental stability, but it also implicates how children might react to threatening situations. The presence of a supportive attachment figure is especially important in a child's developmental years. In addition to support, attunement (accurate understanding and emotional connection) is crucial in a caregiver-child relationship. If the caregiver is poorly attuned to the child, the child may grow to feel misunderstood and anxious.

Infants form attachments to any consistent caregiver who is sensitive and responsive in social interactions with them. The quality of social engagement is more influential than the amount of time spent. The biological mother is the usual principal attachment figure, but the role can be assumed by anyone who consistently behaves in a "mothering" way over a period of time. Within attachment theory, this means a set of behaviours that involves engaging in lively social interaction with the infant and responding readily to signals and approaches. Nothing in the theory suggests that fathers are not equally likely to become principal attachment figures if they provide most of the child care and related social interaction. A secure attachment to a father who is a "secondary attachment figure" may also counter the possible negative effects of an unsatisfactory attachment to a mother who is the primary attachment figure.

Some infants direct attachment behaviour (proximity seeking) towards more than one attachment figure almost as soon as they start to show discrimination between caregivers; most come to do so during their second year. These figures are arranged hierarchically, with the principal attachment figure at the top. The set-goal of the attachment behavioural system is to maintain a bond with an accessible and available attachment figure. "Alarm" is the term used for activation of the attachment behavioural system caused by fear of danger. "Anxiety" is the anticipation or fear of being cut off from the attachment figure. If the figure is unavailable or unresponsive, separation distress occurs. In infants, physical separation can cause anxiety and anger, followed by sadness and despair. By age three or four, physical separation is no longer such a threat to the child's bond with the attachment figure. Threats to security in older children and adults arise from prolonged absence, breakdowns in communication, emotional unavailability or signs of rejection or abandonment.

Behaviours

A baby leans at a table staring at a picture book with intense concentration.
Insecure attachment patterns can compromise exploration and the achievement of self-confidence. A securely attached baby is free to concentrate on their environment.

The attachment behavioural system serves to achieve or maintain proximity to the attachment figure.

Pre-attachment behaviours occur in the first six months of life. During the first phase (the first two months), infants smile, babble, and cry to attract the attention of potential caregivers. Although infants of this age learn to discriminate between caregivers, these behaviours are directed at anyone in the vicinity.

During the second phase (two to six months), the infant discriminates between familiar and unfamiliar adults, becoming more responsive toward the caregiver; following and clinging are added to the range of behaviours. The infant's behaviour toward the caregiver becomes organized on a goal-directed basis to achieve the conditions that make it feel secure.

By the end of the first year, the infant is able to display a range of attachment behaviours designed to maintain proximity. These manifest as protesting the caregiver's departure, greeting the caregiver's return, clinging when frightened, and following when able.

With the development of locomotion, the infant begins to use the caregiver or caregivers as a "safe base" from which to explore. Infant exploration is greater when the caregiver is present because the infant's attachment system is relaxed and it is free to explore. If the caregiver is inaccessible or unresponsive, attachment behaviour is more strongly exhibited. Anxiety, fear, illness, and fatigue will cause a child to increase attachment behaviours.

After the second year, as the child begins to see the caregiver as an independent person, a more complex and goal-corrected partnership is formed. Children begin to notice others' goals and feelings and plan their actions accordingly.

For coverage of this topic in Wolves, see Attachment behaviour in wolves.

Tenets

Modern attachment theory is based on three principles:

  1. Bonding is an intrinsic human need.
  2. Regulation of emotion and fear to enhance vitality.
  3. Promoting adaptiveness and growth.

Common attachment behaviours and emotions, displayed in most social primates including humans, are adaptive. The long-term evolution of these species has involved selection for social behaviours that make individual or group survival more likely. The commonly observed attachment behaviour of toddlers staying near familiar people would have had safety advantages in the environment of early adaptation and has similar advantages today. Bowlby saw the environment of early adaptation as similar to current hunter-gatherer societies. There is a survival advantage in the capacity to sense possibly dangerous conditions such as unfamiliarity, being alone, or rapid approach. According to Bowlby, proximity-seeking to the attachment figure in the face of threat is the "set-goal" of the attachment behavioural system.

Bowlby's original account of a sensitivity period during which attachments can form of between six months and two to three years has been modified by later researchers. These researchers have shown there is indeed a sensitive period during which attachments will form if possible, but the time frame is broader and the effect less fixed and irreversible than first proposed.

With further research, authors discussing attachment theory have come to appreciate social development is affected by later as well as earlier relationships. Early steps in attachment take place most easily if the infant has one caregiver, or the occasional care of a small number of other people. According to Bowlby, almost from the beginning, many children have more than one figure toward whom they direct attachment behaviour. These figures are not treated alike; there is a strong bias for a child to direct attachment behaviour mainly toward one particular person. Bowlby used the term "monotropy" to describe this bias. Researchers and theorists have abandoned this concept insofar as it may be taken to mean the relationship with the special figure differs qualitatively from that of other figures. Rather, current thinking postulates definite hierarchies of relationships.

Early experiences with caregivers gradually give rise to a system of thoughts, memories, beliefs, expectations, emotions, and behaviours about the self and others. This system, called the "internal working model of social relationships", continues to develop with time and experience.

Internal models regulate, interpret, and predict attachment-related behaviour in the self and the attachment figure. As they develop in line with environmental and developmental changes, they incorporate the capacity to reflect and communicate about past and future attachment relationships. They enable the child to handle new types of social interactions; knowing, for example, an infant should be treated differently from an older child, or that interactions with teachers and parents share characteristics. Even interaction with coaches share similar characteristics, as athletes who secure attachment relationships with not only their parents but their coaches will play a role in the growth of athletes in their prospective sport. This internal working model continues to develop through adulthood, helping cope with friendships, marriage, and parenthood, all of which involve different behaviours and feelings.

The development of attachment is a transactional process. Specific attachment behaviours begin with predictable, apparently innate, behaviours in infancy. They change with age in ways determined partly by experiences and partly by situational factors. As attachment behaviours change with age, they do so in ways shaped by relationships. A child's behaviour when reunited with a caregiver is determined not only by how the caregiver has treated the child before, but on the history of effects the child has had on the caregiver.

Cultural differences

In Western culture child-rearing, there is a focus on single attachment to primarily the mother. This dyadic model is not the only strategy of attachment producing a secure and emotionally adept child. Having a single, dependably responsive and sensitive caregiver (namely the mother) does not guarantee the ultimate success of the child. Results from Israeli, Dutch and east African studies show children with multiple caregivers grow up not only feeling secure, but developed "more enhanced capacities to view the world from multiple perspectives." This evidence can be more readily found in hunter-gatherer communities, like those that exist in rural Tanzania.

In hunter-gatherer communities, in the past and present, mothers are the primary caregivers, but share the maternal responsibility of ensuring the child's survival with a variety of different allomothers. So while the mother is important, she is not the only opportunity for relational attachment a child can make. Several group members (with or without blood relation) contribute to the task of bringing up a child, sharing the parenting role and therefore can be sources of multiple attachment. There is evidence of this communal parenting throughout history that "would have significant implications for the evolution of multiple attachment."

In "non-metropolis" India (where "dual income nuclear families" are more the norm and dyadic mother relationship is), where a family normally consists of 3 generations (and sometimes 4: great-grandparents, grandparents, parents, and child or children), the child or children would have four to six caregivers from whom to select their "attachment figure". A child's "uncles and aunts" (parents' siblings and their spouses) also contribute to the child's psycho-social enrichment.

Although it has been debated for years, and there are differences across cultures, research has shown that the three basic aspects of attachment theory are, to some degree, universal. Studies in Israel and Japan resulted in findings which diverge from a number of studies completed in Western Europe and the United States. The prevailing hypotheses are: 1) that secure attachment is the most desirable state, and the most prevalent; 2) maternal sensitivity influences infant attachment patterns; and 3) specific infant attachments predict later social and cognitive competence.

Attachment patterns

The strength of a child's attachment behaviour in a given circumstance does not indicate the "strength" of the attachment bond. Some insecure children will routinely display very pronounced attachment behaviours, while many secure children find that there is no great need to engage in either intense or frequent shows of attachment behaviour.

Individuals with different attachment styles have different beliefs about romantic love period, availability, trust capability of love partners and love readiness.

Secure attachment

Main article: Secure attachment

A toddler who is securely attached to his or her parent (or other familiar caregiver) will explore freely while the caregiver is present, typically engages with strangers, is often visibly upset when the caregiver departs, and is generally happy to see the caregiver return. The extent of exploration and of distress are affected, however, by the child's temperamental make-up and by situational factors as well as by attachment status. A child's attachment is largely influenced by their primary caregiver's sensitivity to their needs. Parents who consistently (or almost always) respond to their child's needs will create securely attached children. Such children are certain that their parents will be responsive to their needs and communications.

In the traditional Ainsworth et al. (1978) coding of the Strange Situation, secure infants are denoted as "Group B" infants and they are further subclassified as B1, B2, B3, and B4. Although these subgroupings refer to different stylistic responses to the comings and goings of the caregiver, they were not given specific labels by Ainsworth and colleagues, although their descriptive behaviours led others (including students of Ainsworth) to devise a relatively "loose" terminology for these subgroups. B1's have been referred to as "secure-reserved", B2's as "secure-inhibited", B3's as "secure-balanced", and B4's as "secure-reactive". However, in academic publications the classification of infants (if subgroups are denoted) is typically simply "B1" or "B2", although more theoretical and review-oriented papers surrounding attachment theory may use the above terminology. Secure attachment is the most common type of attachment relationship seen throughout societies.

Securely attached children are best able to explore when they have the knowledge of a secure base (their caregiver) to return to in times of need. When assistance is given, this bolsters the sense of security and also, assuming the parent's assistance is helpful, educates the child on how to cope with the same problem in the future. Therefore, secure attachment can be seen as the most adaptive attachment style. According to some psychological researchers, a child becomes securely attached when the parent is available and able to meet the needs of the child in a responsive and appropriate manner. At infancy and early childhood, if parents are caring and attentive towards their children, those children will be more prone to secure attachment.

Anxious-ambivalent attachment

Anxious-ambivalent attachment is a form of insecure attachment and is also misnamed as "resistant attachment". In general, a child with an anxious-ambivalent pattern of attachment will typically explore little (in the Strange Situation) and is often wary of strangers, even when the parent is present. When the caregiver departs, the child is often highly distressed showing behaviours such as crying or screaming. The child is generally ambivalent when the caregiver returns. The anxious-ambivalent strategy is a response to unpredictably responsive caregiving, and the displays of anger (ambivalent resistant, C1) or helplessness (ambivalent passive, C2) 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.

The C1 (ambivalent resistant) subtype is coded when "resistant behavior is particularly conspicuous. The mixture of seeking and yet resisting contact and interaction has an unmistakably angry quality and indeed an angry tone may characterize behavior in the preseparation episodes".

Regarding the C2 (ambivalent passive) subtype, Ainsworth et al. wrote:

Perhaps the most conspicuous characteristic of C2 infants is their passivity. Their exploratory behavior is limited throughout the SS and their interactive behaviors are relatively lacking in active initiation. Nevertheless, in the reunion episodes they obviously want proximity to and contact with their mothers, even though they tend to use signalling rather than active approach, and protest against being put down rather than actively resisting release ... In general the C2 baby is not as conspicuously angry as the C1 baby.

Research done by McCarthy and Taylor (1999) found that children with abusive childhood experiences were more likely to develop ambivalent attachments. The study also found that children with ambivalent attachments were more likely to experience difficulties in maintaining intimate relationships as adults.

Anxious-avoidant attachment

An infant with an anxious-avoidant pattern of attachment will avoid or ignore the caregiver—showing little emotion when the caregiver departs or returns. The infant will not explore very much regardless of who is there. Infants classified as anxious-avoidant (A) represented a puzzle in the early 1970s. 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 theorized that the apparently unruffled behaviour of the avoidant infants was in fact a mask for distress, a hypothesis later evidenced through studies of the heart-rate of avoidant infants.

Infants are depicted as anxious-avoidant when there is:

... conspicuous avoidance of the mother in the reunion episodes which is likely to consist of ignoring her altogether, although there may be some pointed looking away, turning away, or moving away ... If there is a greeting when the mother enters, it tends to be a mere look or a smile ... Either the baby does not approach his mother upon reunion, or they approach in "abortive" fashions with the baby going past the mother, or it tends to only occur after much coaxing ... If picked up, the baby shows little or no contact-maintaining behavior; he tends not to cuddle in; he looks away and he may squirm to get down.

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 infant's needs were frequently not met and the infant had come to believe that communication of emotional needs had no influence on the caregiver.

Ainsworth's student Mary Main theorized 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.

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 organizing 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 ("disorganized distress"), and therefore unable to maintain control of themselves and achieve even conditional proximity.

Disorganized/disoriented attachment

Beginning in 1983, Crittenden offered A/C and other new organized classifications (see below). Drawing on records of behaviours discrepant with the A, B and C classifications, a fourth classification was added by Ainsworth's colleague Mary Main. 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 'disorganized' as it indicates a disruption or flooding of the attachment system (e.g. by fear). Infant behaviours in the Strange Situation Protocol coded as disorganized/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. Lyons-Ruth has urged, however, that it should be more widely "recognized that 52% of disorganized infants continue to approach the caregiver, seek comfort, and cease their distress without clear ambivalent or avoidant behavior".

The benefit of this category was hinted at earlier in Ainsworth's own experience finding difficulties in fitting all infant behaviour 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 be prodromal to 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.

Such observations also appeared in the doctoral theses of Ainsworth's students. 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 behaviour 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".

There is rapidly growing interest in disorganized attachment from clinicians and policy-makers as well as researchers. However, the disorganized/disoriented attachment (D) classification has been criticized by some for being too encompassing, including Ainsworth herself. 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 too many different forms of behaviour might be treated as if they were the same thing. 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).

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 disorganized attachment behaviour (simultaneous approach-avoidance; freezing, etc.) enables a degree of proximity in the face of a frightening or unfathomable parent". However, "the presumption that many indices of 'disorganization' are aspects of organized patterns does not preclude acceptance of the notion of disorganization, especially in cases where the complexity and dangerousness of the threat are beyond children's capacity for response." For example, "Children placed in care, especially more than once, often have intrusions. In videos of the Strange Situation Procedure, they tend to occur when a rejected/neglected child approaches the stranger in an intrusion of desire for comfort, then loses muscular control and falls to the floor, overwhelmed by the intruding fear of the unknown, potentially dangerous, strange person."

Main and Hesse found 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. In fact, fifty-six per cent of mothers who had lost a parent by death before they completed high school had children with disorganized attachments. Subsequent studies, while emphasising the potential importance of unresolved loss, have qualified these findings. For example, Solomon and George found unresolved loss in the mother tended to be associated with disorganized attachment in their infant primarily when they had also experienced an unresolved trauma in their life prior to the loss.

Categorization differences across cultures

Across different cultures deviations from the Strange Situation Protocol have been observed. A Japanese study in 1986 (Takahashi) studied 60 Japanese mother-infant pairs and compared them with Ainsworth's distributional pattern. Although the ranges for securely attached and insecurely attached had no significant differences in proportions, the Japanese insecure group consisted of only resistant children, with no children categorized as avoidant. This may be because the Japanese child rearing philosophy stressed close mother infant bonds more so than in Western cultures. In Northern Germany, Grossmann et al. (Grossmann, Huber, & Wartner, 1981; Grossmann, Spangler, Suess, & Unzner, 1985) replicated the Ainsworth Strange Situation with 46 mother infant pairs and found a different distribution of attachment classifications with a high number of avoidant infants: 52% avoidant, 34% secure, and 13% resistant (Grossmann et al., 1985). Another study in Israel found there was a high frequency of an ambivalent pattern, which according to Grossman et al. (1985) could be attributed to a greater parental push toward children's independence.

Later patterns and the dynamic-maturational model

Techniques have been developed to guide a child to verbalize their state of mind with respect to attachment. One such is the "stem story", in which a child receives the beginning of a story that raises attachment issues and is asked to complete it. This is modified for older children, adolescents and adults, where semi-structured interviews are used instead, and the way content is delivered may be as significant as the content itself. However, there are no substantially validated measures of attachment for middle childhood or early adolescence (from 7 to 13 years of age).

Some studies of older children have identified further attachment classifications. Main and Cassidy observed that disorganized behaviour in infancy can develop into a child using caregiver-controlling or punitive behaviour to manage a helpless or dangerously unpredictable caregiver. In these cases, the child's behaviour is organized, but the behaviour is treated by researchers as a form of disorganization, since the hierarchy in the family no longer follows parenting authority in that scenario.

American psychologist Patricia McKinsey Crittenden has elaborated classifications of further forms of avoidant and ambivalent attachment behaviour, as seen in her dynamic-maturational model of attachment and adaptation (DMM). These include the caregiving and punitive behaviours also identified by Main and Cassidy (termed A3 and C3, respectively), but also other patterns such as compulsive compliance with the wishes of a threatening parent (A4).

Crittenden's ideas developed from Bowlby's proposal: "Given certain adverse circumstances during childhood, the selective exclusion of information of certain sorts may be adaptive. Yet, when during adolescence and adulthood the situation changes, the persistent exclusion of the same forms of information may become maladaptive".

Crittenden theorizes the human experience of danger comprise two basic components:

  1. Emotions provoked by the potential for danger, which Crittenden refers to as "affective information." In childhood, the unexplained absence of an attachment figure would cause these emotions. A strategy an infant faced with insensitive or rejecting parenting may use to maintain availability of the attachment figure is to repress emotional information that could result in rejection by said attachment figure.
  2. Causal or other sequentially ordered knowledge about the potential for safety or danger, which would include awareness of behaviours that indicate whether an attachment figure is available as a secure haven. If the infant represses knowledge that the caregiver is not a reliable source of protection and safety, they may use clingy and/or aggressive behaviour to demand attention and potentially increase the availability of an attachment figure who otherwise displays inconsistent or misleading responses to the infant's attachment behaviours.

Crittenden proposes both kinds of information can be split off from consciousness or behavioural expression as a 'strategy' to maintain the availability of an attachment figure (see disorganized/disoriented attachment for type distinctions). Type A strategies split off emotional information about feeling threatened, and Type C strategies split off temporally-sequenced knowledge about how and why the attachment figure is available. In contrast, Type B strategies use both kinds of information without much distortion. For example, a toddler may have come to depend upon a Type C strategy of tantrums to maintain an unreliable attachment figure's availability, which may cause the attachment figure to respond appropriately to the child's attachment behaviours. As a result of learning the attachment figure is becoming more reliable, the toddler's reliance on coercive behaviours is reduced, and a more secure attachment may develop.

Significance of patterns

Research based on data from longitudinal studies, such as the National Institute of Child Health and Human Development Study of Early Child Care and the Minnesota Study of Risk and Adaption from Birth to Adulthood, and from cross-sectional studies, consistently shows associations between early attachment classifications and peer relationships as to both quantity and quality. Lyons-Ruth, for example, found that "for each additional withdrawing behavior displayed by mothers in relation to their infant's attachment cues in the Strange Situation Procedure, the likelihood of clinical referral by service providers was increased by 50%."

There is an extensive body of research demonstrating a significant association between attachment organizations and children's functioning across multiple domains. Early insecure attachment does not necessarily predict difficulties, but it is a liability for the child, particularly if similar parental behaviours continue throughout childhood. Compared to that of securely attached children, the adjustment of insecure children in many spheres of life is not as soundly based, putting their future relationships in jeopardy. Although the link is not fully established by research and there are other influences besides attachment, secure infants are more likely to become socially competent than their insecure peers. Relationships formed with peers influence the acquisition of social skills, intellectual development and the formation of social identity. Classification of children's peer status (popular, neglected or rejected) has been found to predict subsequent adjustment. Insecure children, particularly avoidant children, are especially vulnerable to family risk. Their social and behavioural problems increase or decline with deterioration or improvement in parenting. However, an early secure attachment appears to have a lasting protective function. As with attachment to parental figures, subsequent experiences may alter the course of development.

Studies have suggested that infants with a high-risk for autism spectrum disorders (ASD) may express attachment security differently from infants with a low-risk for ASD. Behavioural problems and social competence in insecure children increase or decline with deterioration or improvement in quality of parenting and the degree of risk in the family environment.

Some authors have questioned the idea that a taxonomy of categories representing a qualitative difference in attachment relationships can be developed. Examination of data from 1,139 15-month-olds showed that variation in attachment patterns was continuous rather than grouped. This criticism introduces important questions for attachment typologies and the mechanisms behind apparent types. However, it has relatively little relevance for attachment theory itself, which "neither requires nor predicts discrete patterns of attachment."

There is some evidence that gender differences in attachment patterns of adaptive significance begin to emerge in middle childhood. There has been a common tendency observed by researchers that males demonstrate a greater tendency to engage in criminal behaviour which is suspected to be related to males being more likely to experience inadequate early attachments to primary caregivers. Insecure attachment and early psychosocial stress indicate the presence of environmental risk (for example poverty, mental illness, instability, minority status, violence). Environmental risk can cause insecure attachment, while also favouring the development of strategies for earlier reproduction. Different reproductive strategies have different adaptive values for males and females: Insecure males tend to adopt avoidant strategies, whereas insecure females tend to adopt anxious/ambivalent strategies, unless they are in a very high risk environment. Adrenarche is proposed as the endocrine mechanism underlying the reorganization of insecure attachment in middle childhood.

Changes in attachment during childhood and adolescence

Childhood and adolescence allows the development of an internal working model useful for forming attachments. This internal working model is related to the individual's state of mind which develops with respect to attachment generally and explores how attachment functions in relationship dynamics based on childhood and adolescent experience. The organization of an internal working model is generally seen as leading to more stable attachments in those who develop such a model, rather than those who rely more on the individual's state of mind alone in forming new attachments.

Age, cognitive growth, and continued social experience advance the development and complexity of the internal working model. Attachment-related behaviours lose some characteristics typical of the infant-toddler period and take on age-related tendencies. The preschool period involves the use of negotiation and bargaining. For example, four-year-olds are not distressed by separation if they and their caregiver have already negotiated a shared plan for the separation and reunion.

Ideally, these social skills become incorporated into the internal working model to be used with other children and later with adult peers. As children move into the school years at about six years old, most develop a goal-corrected partnership with parents, in which each partner is willing to compromise in order to maintain a gratifying relationship. By middle childhood, the goal of the attachment behavioural system has changed from proximity to the attachment figure to availability. Generally, a child is content with longer separations, provided contact—or the possibility of physically reuniting, if needed—is available. Attachment behaviours such as clinging and following decline and self-reliance increases. By middle childhood (ages 7–11), there may be a shift toward mutual coregulation of secure-base contact in which caregiver and child negotiate methods of maintaining communication and supervision as the child moves toward a greater degree of independence.

The attachment system used by adolescents is seen as a "safety regulating system" whose main function is to promote physical and psychological safety. There are 2 different events that can trigger the attachment system. Those triggers include, the presence of a potential danger or stress, internal and external, and a threat of accessibility and/or availability of an attachment figure. The ultimate goal of the attachment system is security, so during a time of danger or inaccessibility the behavioural system accepts felt security in the context of the availability of protection. By adolescence we are able to find security through a variety of things, such as food, exercise, and social media. Felt security can be achieved through a number of ways, and often without the physical presence of the attachment figure. Higher levels of maturity allows adolescent teens to more capably interact with their environment on their own because the environment is perceived as less threatening. Adolescents teens will also see an increase in cognitive, emotional and behavioural maturity that dictates whether or not teens are less likely to experience conditions that activate their need for an attachment figure. For example, when teenagers get sick and stay home from school, surely they want their parents to be home so they can take care of them, but they are also able to stay home by themselves without experiencing serious amounts of distress. Additionally, the social environment that a school fosters impacts adolescents attachment behaviour, even if these same adolescents have not had issues with attachment behaviour previously. High schools that have a permissive environment compared to an authoritative environment promote positive attachment behaviour. For example, when students feel connected to their teachers and peers because of their permissive schooling environment, they are less likely to skip school. Positive-attachment behaviour in high schools have important implications on how a school's environment should be structured.

Here are the attachment style differences during adolescence:

  • Secure adolescents are expected to hold their mothers at a higher rate than all other support figures, including father, significant others, and best friends.
  • Insecure adolescents identify more strongly with their peers than their parents as their primary attachment figures. Their friends are seen as a significantly strong source of attachment support.
  • Dismissing adolescents rate their parents as a less significant source of attachment support and would consider themselves as their primary attachment figure.
  • Preoccupied adolescents would rate their parents as their primary source of attachment support and would consider themselves as a much less significant source of attachment support.

Attachment styles in adults

Main article: Attachment in adultsSee also: Attachment measures

Attachment theory was extended to adult romantic relationships in the late 1980s by Cindy Hazan and Phillip Shaver. Four styles of attachment have been identified in adults: secure, anxious-preoccupied, dismissive-avoidant and fearful-avoidant. These roughly correspond to infant classifications: secure, insecure-ambivalent, insecure-avoidant and disorganized/disoriented.

Securely attached

Securely attached adults have been "linked to a high need for achievement and a low fear of failure (Elliot & Reis, 2003)". They will positively approach a task with the goal of mastering it and have an appetite for exploration in achievement settings (Elliot & Reis, 2003). Research shows that securely attached adults have a "low level of personal distress and high levels of concern for others". Due to their high rates of self-efficacy, securely attached adults typically do not hesitate to remove a person having a negative impact from problematic situations they are facing. This calm response is representative of the securely attached adult's emotionally regulated response to threats that many studies have supported in the face of diverse situations. Adult secure attachment comes from an individual's early connection with their caregiver(s), genes and their romantic experiences.

Within romantic relationships, a securely attached adult will appear in the following ways: excellent conflict resolution, mentally flexible, effective communicators, avoidance of manipulation, comfortable with closeness without fearfulness of being enmeshed, quickly forgiving, viewing sex and emotional intimacy as one, believing they can positively impact their relationship, and caring for their partner in the way they want to be cared for. In summation, they are great partners who treat their spouses very well, as they are not afraid to give positively and ask for their needs to be met. Securely attached adults believe that there are "many potential partners that would be responsive to their needs", and if they come across an individual who is not meeting their needs, they will typically lose interest quickly.

Anxious-preoccupied

Anxious preoccupied adults seek high levels of intimacy, approval and responsiveness from partners, becoming overly dependent. They tend to be less trusting, have less positive views about themselves than their partners, and may exhibit high levels of emotional expressiveness, worry and impulsiveness in their relationships. The anxiety that adults feel prevents the establishment of satisfactory defence exclusion. Thus, it is possible that individuals that have been anxiously attached to their attachment figure or figures have not been able to develop sufficient defences against separation anxiety. Because of their lack of preparation these individuals will then overreact to the anticipation of separation or the actual separation from their attachment figure. The anxiety comes from an individual's intense and/or unstable relationship that leaves the anxious or preoccupied individual relatively defenceless.

In terms of adult relationships, if an adult experiences this inconsistent behaviour from their romantic partner or acquaintance, they might develop some of the aspects of this attachment type. Besides, insecurity and distress about relationships can be driven by individuals who exhibit inconsistent connection or emotionally abusive behaviours. However, a secure relationship can also reduce anxious behaviour and be a resource for safety and support.

Dismissive-avoidant

Dismissive-avoidant adults desire a high level of independence, often appearing to avoid attachment altogether. They view themselves as self-sufficient, invulnerable to attachment feelings and not needing close relationships. They tend to suppress their feelings, dealing with conflict by distancing themselves from partners of whom they often have a poor opinion. Adults lack the interest of forming close relationships and maintaining emotional closeness with the people around them. They have a great amount of distrust in others but at the same time possess a positive model of self, they would prefer to invest in their own ego skills. They try to create high levels of self-esteem by investing disproportionately in their abilities or accomplishments. These adults maintain their positive views of self, based on their personal achievements and competence rather than searching for and feeling acceptance from others. These adults will explicitly reject or minimize the importance of emotional attachment and passively avoid relationships when they feel as though they are becoming too close. They strive for self-reliance and independence. When it comes to the opinions of others about themselves, they are very indifferent and are relatively hesitant to positive feedback from their peers. Dismissive avoidance can also be explained as the result of defensive deactivation of the attachment system to avoid potential rejection, or genuine disregard for interpersonal closeness.

Adults with dismissive-avoidant patterns are less likely to seek social support than other attachment styles. They are likely to fear intimacy and lack confidence in others. Because of their distrust they cannot be convinced that other people have the ability to deliver emotional support. Under a high cognitive load, however, dismissive-avoidant adults appear to have a lowered ability to suppress difficult attachment-related emotions, as well difficulty maintaining positive self-representations. This suggests that hidden vulnerabilities may underlie an active denial process.

Fearful-avoidant

Fearful-avoidant adults have mixed feelings about close relationships, both desiring and feeling uncomfortable with emotional closeness. The dangerous part about the contrast between wanting to form social relationships while simultaneously fearing the relationship is that it creates mental instability. This mental instability then translates into mistrusting the relationships they do form and also viewing themselves as unworthy. Furthermore, fearful-avoidant adults also have a less pleasant outlook on life compared to anxious-preoccupied and dismissive avoidant groups. Like dismissive-avoidant adults, fearful-avoidant adults tend to seek less intimacy, suppressing their feelings.

According to research studies, an individual with a fearful avoidant attachment might have had childhood trauma or persistently negative perceptions and actions from their family members. Apart from these, genetic factors and personality may also have an impact on how an individual behaves with parents as well as how they understand their relationships in their adulthood.

Assessing and measuring attachment

Two main aspects of adult attachment have been studied. The organization and stability of the mental working models that underlie the attachment styles is explored by social psychologists interested in romantic attachment. Developmental psychologists interested in the individual's state of mind with respect to attachment generally explore how attachment functions in relationship dynamics and impacts relationship outcomes. The organization of mental working models is more stable while the individual's state of mind with respect to attachment fluctuates more. Some authors have suggested that adults do not hold a single set of working models. Instead, on one level they have a set of rules and assumptions about attachment relationships in general. On another level they hold information about specific relationships or relationship events. Information at different levels need not be consistent. Individuals can therefore hold different internal working models for different relationships.

There are a number of different measures of adult attachment, the most common being self-report questionnaires and coded interviews based on the Adult Attachment Interview. The various measures were developed primarily as research tools, for different purposes and addressing different domains, for example romantic relationships, platonic relationships, parental relationships or peer relationships. Some classify an adult's state of mind with respect to attachment and attachment patterns by reference to childhood experiences, while others assess relationship behaviours and security regarding parents and peers.

Associations of adult attachment with other traits

Adult attachment styles are related to individual differences in the ways in which adults experience and manage their emotions. Recent meta-analyses link insecure attachment styles to lower emotional intelligence and lower trait mindfulness.

History

Main article: History of attachment theory

Maternal deprivation

Main article: Maternal deprivation

The early thinking of the object relations school of psychoanalysis, particularly Melanie Klein, influenced Bowlby. However, he profoundly disagreed with the prevalent psychoanalytic belief that infants' responses relate to their internal fantasy life rather than real-life events. As Bowlby formulated his concepts, he was influenced by case studies on disturbed and delinquent children, such as those of William Goldfarb published in 1943 and 1945.

Two rows of little boys, about 20 in total, kneel before their beds in the dormitory of a residential nursery. Their eyes are shut and they are in an attitude of prayer. They wear long white night gowns and behind them are their iron-framed beds.
Prayer time in the Five Points House of Industry residential nursery, 1888. The maternal deprivation hypothesis published in 1951 spurred a shift away from the use of residential nurseries in favour of foster homes.

Bowlby's contemporary René Spitz observed separated children's grief, proposing that "psychotoxic" results were brought about by inappropriate experiences of early care. A strong influence was the work of social worker and psychoanalyst James Robertson who filmed the effects of separation on children in hospital. He and Bowlby collaborated in making the 1952 documentary film A Two-Year Old Goes to the Hospital which was instrumental in a campaign to alter hospital restrictions on visits by parents.

In his 1951 monograph for the World Health Organization, Maternal Care and Mental Health, Bowlby put forward the hypothesis that "the infant and young child should experience a warm, intimate, and continuous relationship with his mother in which both find satisfaction and enjoyment", the lack of which may have significant and irreversible mental health consequences. This was also published as Child Care and the Growth of Love for public consumption. The central proposition was influential but highly controversial. At the time there was limited empirical data and no comprehensive theory to account for such a conclusion. Nevertheless, Bowlby's theory sparked considerable interest in the nature of early relationships, giving a strong impetus to, (in the words of Mary Ainsworth), a "great body of research" in an extremely difficult, complex area.

Bowlby's work (and Robertson's films) caused a virtual revolution in a hospital visiting by parents, hospital provision for children's play, educational and social needs, and the use of residential nurseries. Over time, orphanages were abandoned in favour of foster care or family-style homes in most developed countries.

Bowlby's work about parental provisions after child birth implicates that maternal deprivation negatively influences the attachment behaviour trajectory of a child's life. If a mother experiences post-partum anxiety, stress, or depression, the attachment they have with their child can be disrupted. It is important for pregnant women to have mental-health support pre and post-partum because mental illness often results in low feelings of attachment to their infant.

Formulation of the theory

Following the publication of Maternal Care and Mental Health, Bowlby sought new understanding from the fields of evolutionary biology, ethology, developmental psychology, cognitive science and control systems theory. He formulated the innovative proposition that mechanisms underlying an infant's emotional tie to the caregiver(s) emerged as a result of evolutionary pressure. He set out to develop a theory of motivation and behaviour control built on science rather than Freud's psychic energy model. Bowlby argued that with attachment theory he had made good the "deficiencies of the data and the lack of theory to link alleged cause and effect" of Maternal Care and Mental Health.

Ethology

Bowlby's attention was drawn to ethology in the early 1950s when he read Konrad Lorenz's work. Other important influences were ethologists Nikolaas Tinbergen and Robert Hinde. Bowlby subsequently collaborated with Hinde. In 1953 Bowlby stated "the time is ripe for a unification of psychoanalytic concepts with those of ethology, and to pursue the rich vein of research which this union suggests." Konrad Lorenz had examined the phenomenon of "imprinting", a behaviour characteristic of some birds and mammals which involves rapid learning of recognition by the young, of a conspecific or comparable object. After recognition comes a tendency to follow.

A young woman in rubber boots is walking with arms crossed through a muddy clearing in a birch wood, followed by a young moose calf running through a puddle
This bottle-fed young moose has developed an attachment to its caregiver (at Kostroma Moose Farm).

Certain types of learning are possible, respective to each applicable type of learning, only within a limited age range known as a critical period. Bowlby's concepts included the idea that attachment involved learning from experience during a limited age period, influenced by adult behaviour. He did not apply the imprinting concept in its entirety to human attachment. However, he considered that attachment behaviour was best explained as instinctive, combined with the effect of experience, stressing the readiness the child brings to social interactions. Over time it became apparent there were more differences than similarities between attachment theory and imprinting so the analogy was dropped.

Ethologists expressed concern about the adequacy of some research on which attachment theory was based, particularly the generalization to humans from animal studies. Schur, discussing Bowlby's use of ethological concepts (pre-1960) commented that concepts used in attachment theory had not kept up with changes in ethology itself. Ethologists and others writing in the 1960s and 1970s questioned and expanded the types of behaviour used as indications of attachment. Observational studies of young children in natural settings provided other behaviours that might indicate attachment; for example, staying within a predictable distance of the mother without effort on her part and picking up small objects, bringing them to the mother but not to others. Although ethologists tended to be in agreement with Bowlby, they pressed for more data, objecting to psychologists writing as if there were an "entity which is 'attachment', existing over and above the observable measures." Robert Hinde considered "attachment behaviour system" to be an appropriate term which did not offer the same problems "because it refers to postulated control systems that determine the relations between different kinds of behaviour."

Psychoanalysis

Several lines of school children march diagonally from top right to bottom left. Each carries a bag or bundle and each raises their right arm in the air in a salute. Adults stand in a line across the bottom right hand corner making the same gesture.
Evacuation of smiling Japanese school children in World War II from the book Road to Catastrophe

Psychoanalytic concepts influenced Bowlby's view of attachment, in particular, the observations by Anna Freud and Dorothy Burlingham of young children separated from familiar caregivers during World War II. However, Bowlby rejected psychoanalytical explanations for early infant bonds including "drive theory" in which the motivation for attachment derives from gratification of hunger and libidinal drives. He called this the "cupboard-love" theory of relationships. In his view it failed to see attachment as a psychological bond in its own right rather than an instinct derived from feeding or sexuality. Based on ideas of primary attachment and Neo-Darwinism, Bowlby identified what he saw as fundamental flaws in psychoanalysis: the overemphasis of internal dangers rather than external threat, and the view of the development of personality via linear phases with regression to fixed points accounting for psychological distress. Bowlby instead posited that several lines of development were possible, the outcome of which depended on the interaction between the organism and the environment. In attachment this would mean that although a developing child has a propensity to form attachments, the nature of those attachments depends on the environment to which the child is exposed.

From early in the development of attachment theory there was criticism of the theory's lack of congruence with various branches of psychoanalysis. Bowlby's decisions left him open to criticism from well-established thinkers working on similar problems.

Internal working model

The philosopher Kenneth Craik had noted the ability of thought to predict events. He stressed the survival value of natural selection for this ability. A key component of attachment theory is the attachment behaviour system where certain behaviours have a predictable outcome (i.e. proximity) and serve as self-preservation method (i.e. protection). All taking place outside of an individual's awareness, This internal working model allows a person to try out alternatives mentally, using knowledge of the past while responding to the present and future. Bowlby applied Craik's ideas to attachment, when other psychologists were applying these concepts to adult perception and cognition.

Infants absorb all sorts of complex social-emotional information from the social interactions that they observe. They notice the helpful and hindering behaviours of one person to another. From these observations they develop expectations of how two characters should behave, known as a "secure base script." These scripts provide as a template of how attachment related events should unfold and they are the building blocks of ones internal working models. An infant's internal working model is developed in response to the infant's experience based internal working models of self, and environment, with emphasis on the caregiving environment and the outcomes of his or her proximity-seeking behaviours. Theoretically, secure child and adult script, would allow for an attachment situation where one person successfully utilizes another as a secure base from which to explore and as a safe haven in times of distress. In contrast, insecure individuals would create attachment situations with more complications. For example, If the caregiver is accepting of these proximity-seeking behaviours and grants access, the infant develops a secure organization; if the caregiver consistently denies the infant access, an avoidant organization develops; and if the caregiver inconsistently grants access, an ambivalent organization develops. In retrospect, internal working models are constant with and reflect the primary relationship with our caregivers. Childhood attachment directly influences our adult relationships.

A parent's internal working model that is operative in the attachment relationship with her infant can be accessed by examining the parent's mental representations. Recent research has demonstrated that the quality of maternal attributions as markers of maternal mental representations can be associated with particular forms of maternal psychopathology and can be altered in a relative short time-period by targeted psychotherapeutic intervention.

Cybernetics

The theory of control systems (cybernetics), developing during the 1930s and 1940s, influenced Bowlby's thinking. The young child's need for proximity to the attachment figure was seen as balancing homeostatically with the need for exploration. (Bowlby compared this process to physiological homeostasis whereby, for example, blood pressure is kept within limits). The actual distance maintained by the child would vary as the balance of needs changed. For example, the approach of a stranger, or an injury, would cause the child exploring at a distance to seek proximity. The child's goal is not an object (the caregiver) but a state; maintenance of the desired distance from the caregiver depending on circumstances.

Cognitive development

Bowlby's reliance on Piaget's theory of cognitive development gave rise to questions about object permanence (the ability to remember an object that is temporarily absent) in early attachment behaviours. An infant's ability to discriminate strangers and react to the mother's absence seemed to occur months earlier than Piaget suggested would be cognitively possible. More recently, it has been noted that the understanding of mental representation has advanced so much since Bowlby's day that present views can be more specific than those of Bowlby's time.

Behaviourism

In 1969, Gerwitz discussed how mother and child could provide each other with positive reinforcement experiences through their mutual attention, thereby learning to stay close together. This explanation would make it unnecessary to posit innate human characteristics fostering attachment. Learning theory, (behaviourism), saw attachment as a remnant of dependency with the quality of attachment being merely a response to the caregiver's cues. The main predictors of attachment quality are parents being sensitive and responsive to their children. When parents interact with their infants in a warm and nurturing manner, their attachment quality increases. The way that parents interact with their children at four months is related to attachment behaviour at 12 months, thus it is important for parents' sensitivity and responsiveness to remain stable. The lack of sensitivity and responsiveness increases the likelihood for attachment disorders to development in children. Behaviourists saw behaviours like crying as a random activity meaning nothing until reinforced by a caregiver's response. To behaviourists, frequent responses would result in more crying. To attachment theorists, crying is an inborn attachment behaviour to which the caregiver must respond if the infant is to develop emotional security. Conscientious responses produce security which enhances autonomy and results in less crying. Ainsworth's research in Baltimore supported the attachment theorists' view.

In the last decade, behaviour analysts have constructed models of attachment based on the importance of contingent relationships. These behaviour analytic models have received some support from research and meta-analytic reviews.

Developments since 1970s

In the 1970s, problems with viewing attachment as a trait (stable characteristic of an individual) rather than as a type of behaviour with organizing functions and outcomes, led some authors to the conclusion that attachment behaviours were best understood in terms of their functions in the child's life. This way of thinking saw the secure base concept as central to attachment theory's logic, coherence, and status as an organizational construct. Following this argument, the assumption that attachment is expressed identically in all humans cross-culturally was examined. The research showed that though there were cultural differences, the three basic patterns, secure, avoidant and ambivalent, can be found in every culture in which studies have been undertaken, even where communal sleeping arrangements are the norm. The selection of the secure pattern is found in the majority of children across cultures studied. This follows logically from the fact that attachment theory provides for infants to adapt to changes in the environment, selecting optimal behavioural strategies. How attachment is expressed shows cultural variations which need to be ascertained before studies can be undertaken; for example Gusii infants are greeted with a handshake rather than a hug. Securely attached Gusii infants anticipate and seek this contact. There are also differences in the distribution of insecure patterns based on cultural differences in child-rearing practices. The scholar Michael Rutter in 1974 studied the importance of distinguishing between the consequences of attachment deprivation upon intellectual retardation in children and lack of development in the emotional growth in children. Rutter's conclusion was that a careful delineation of maternal attributes needed to be identified and differentiated for progress in the field to continue.

The biggest challenge to the notion of the universality of attachment theory came from studies conducted in Japan where the concept of amae plays a prominent role in describing family relationships. Arguments revolved around the appropriateness of the use of the Strange Situation procedure where amae is practised. Ultimately research tended to confirm the universality hypothesis of attachment theory. Most recently a 2007 study conducted in Sapporo in Japan found attachment distributions consistent with global norms using the six-year Main and Cassidy scoring system for attachment classification.

Critics in the 1990s such as J. R. Harris, Steven Pinker and Jerome Kagan were generally concerned with the concept of infant determinism (nature versus nurture), stressing the effects of later experience on personality. Building on the work on temperament of Stella Chess, Kagan rejected almost every assumption on which attachment theory's cause was based. Kagan argued that heredity was far more important than the transient developmental effects of early environment. For example, a child with an inherently difficult temperament would not elicit sensitive behavioural responses from a caregiver. The debate spawned considerable research and analysis of data from the growing number of longitudinal studies. Subsequent research has not borne out Kagan's argument, possibly suggesting that it is the caregiver's behaviours that form the child's attachment style, although how this style is expressed may differ with the child's temperament. Harris and Pinker put forward the notion that the influence of parents had been much exaggerated, arguing that socialization took place primarily in peer groups. H. Rudolph Schaffer concluded that parents and peers had different functions, fulfilling distinctive roles in children's development.

Psychoanalyst/psychologists Peter Fonagy and Mary Target have attempted to bring attachment theory and psychoanalysis into a closer relationship through cognitive science as mentalization. Mentalization, or theory of mind, is the capacity of human beings to guess with some accuracy what thoughts, emotions and intentions lie behind behaviours as subtle as facial expression. It has been speculated that this connection between theory of mind and the internal working model may open new areas of study, leading to alterations in attachment theory. Since the late 1980s, there has been a developing rapprochement between attachment theory and psychoanalysis, based on common ground as elaborated by attachment theorists and researchers, and a change in what psychoanalysts consider to be central to psychoanalysis. Object relations models which emphasise the autonomous need for a relationship have become dominant and are linked to a growing recognition in psychoanalysis of the importance of infant development in the context of relationships and internalized representations. Psychoanalysis has recognized the formative nature of a child's early environment including the issue of childhood trauma. A psychoanalytically based exploration of the attachment system and an accompanying clinical approach has emerged together with a recognition of the need for measurement of outcomes of interventions.

One focus of attachment research has been the difficulties of children whose attachment history was poor, including those with extensive non-parental child care experiences. Concern with the effects of child care was intense during the so-called "day care wars" of the late-20th century, during which some authors stressed the deleterious effects of day care. As a result of this controversy, training of child care professionals has come to stress attachment issues, including the need for relationship-building by the assignment of a child to a specific care-giver. Although only high-quality child care settings are likely to provide this, more infants in child care receive attachment-friendly care than in the past. A natural experiment permitted extensive study of attachment issues as researchers followed thousands of Romanian orphans adopted into Western families after the end of the Nicolae Ceaușescu regime. The English and Romanian Adoptees Study Team, led by Michael Rutter, followed some of the children into their teens, attempting to unravel the effects of poor attachment, adoption, new relationships, physical problems and medical issues associated with their early lives. Studies of these adoptees, whose initial conditions were shocking, yielded reason for optimism as many of the children developed quite well. Researchers noted that separation from familiar people is only one of many factors that help to determine the quality of development. Although higher rates of atypical insecure attachment patterns were found compared to native-born or early-adopted samples, 70% of later-adopted children exhibited no marked or severe attachment disorder behaviours.

Authors considering attachment in non-Western cultures have noted the connection of attachment theory with Western family and child care patterns characteristic of Bowlby's time. As children's experience of care changes, so may attachment-related experiences. For example, changes in attitudes toward female sexuality have greatly increased the numbers of children living with their never-married mothers or being cared for outside the home while the mothers work. This social change has made it more difficult for childless people to adopt infants in their own countries. There has been an increase in the number of older-child adoptions and adoptions from third-world sources in first-world countries. Adoptions and births to same-sex couples have increased in number and gained legal protection, compared to their status in Bowlby's time. Regardless of whether parents are genetically related, adoptive parents attachment roles they will still influence and affect their child's attachment behaviours throughout their lifetime. Issues have been raised to the effect that the dyadic model characteristic of attachment theory cannot address the complexity of real-life social experiences, as infants often have multiple relationships within the family and in child care settings. It is suggested these multiple relationships influence one another reciprocally, at least within a family.

Principles of attachment theory have been used to explain adult social behaviours, including mating, social dominance and hierarchical power structures, in-group identification, group coalitions, membership in cults and totalitarian systems and negotiation of reciprocity and justice. Those explanations have been used to design parental care training, and have been particularly successful in the design of child abuse prevention programmes.

While a wide variety of studies have upheld the basic tenets of attachment theory, research has been inconclusive as to whether self-reported early attachment and later depression are demonstrably related.

Neurobiology of attachment

In addition to longitudinal studies, there has been psychophysiological research on the neurobiology of attachment. Research has begun to include neural development, behaviour genetics and temperament concepts. Generally, temperament and attachment constitute separate developmental domains, but aspects of both contribute to a range of interpersonal and intrapersonal developmental outcomes. Some types of temperament may make some individuals susceptible to the stress of unpredictable or hostile relationships with caregivers in the early years. In the absence of available and responsive caregivers it appears that some children are particularly vulnerable to developing attachment disorders.

The quality of caregiving received at infancy and childhood directly affects an individual's neurological systems which controls stress regulation. In psychophysiological research on attachment, the two main areas studied have been autonomic responses, such as heart rate or respiration, and the activity of the hypothalamic–pituitary–adrenal axis, a system that is responsible for the body's reaction to stress. Infants' physiological responses have been measured during the Strange Situation procedure looking at individual differences in infant temperament and the extent to which attachment acts as a moderator. Recent studies convey that early attachment relationships become molecularly instilled into the being, thus affecting later immune system functioning. Empirical evidence communicates that early negative experiences produce pro inflammatory phenotype cells in the immune system, which is directly related to cardiovascular disease, autoimmune diseases, and certain types of cancer.

Recent improvements involving methods of research have enabled researchers to further investigate the neural correlates of attachment in humans. These advances include identifying key brain structures, neural circuits, neurotransmitter systems, and neuropeptides, and how they are involved in attachment system functioning and can indicate more about a certain individual, even predict their behaviour. There is initial evidence that caregiving and attachment involve both unique and overlapping brain regions. Another issue is the role of inherited genetic factors in shaping attachments: for example one type of polymorphism of the gene coding for the D2 dopamine receptor has been linked to anxious attachment and another in the gene for the 5-HT2A serotonin receptor with avoidant attachment.

Studies show that attachment in adulthood is simultaneously related to biomarkers of immunity. For example, individuals with an avoidance attachment style produce higher levels of the pro inflammatory cytokine interleukin-6 (IL-6) when reacting to an interpersonal stressor, while individuals representing an anxious attachment style tend to have elevated cortisol production and lower numbers of T cells. Although children vary genetically and each individual requires different attachment relationships, there is consistent evidence that maternal warmth during infancy and childhood creates a safe haven for individuals resulting in superior immune system functioning. One theoretical basis for this is that it makes biological sense for children to vary in their susceptibility to rearing influence.

Crime

Attachment theory has often been applied in the discipline of criminology. It has been used in an attempt to identify causal mechanisms in criminal behaviour – with uses ranging from offender profiling, better understanding types of offence and the pursuit of preventative policy. It has been found that disturbances early on in child-caregiver relationships are a risk factor in criminality. Attachment theory in this context has been described as "perhaps the most influential of contemporary psychoanalytically oriented theories of crime".

History

The origins of attachment theory within criminology can be found in the work of August Aichhorn. In applying psychoanalysis to pedagogy, he argued that abnormal child relationships are the underlying problem causing delinquency.

The intersection of crime and attachment theory was further researched by John Bowlby. In his first published work, Forty-four Juvenile Thieves, he studied a sample of 88 children (44 juvenile thieves and 44 non-delinquent controls) and determined that child-mother separation caused delinquent character formation, particularly in the development of an "affectionless character" often seen in the persistent offender. 17 of the juvenile thieves had been separated from their mothers for longer than six months during their first five years, and only 2 children from the control group had such a separation. He also found that 14 of the thieves were "affectionless characters" distinguishing them from others by their lack of affection, no emotional ties, no real friendships, and having "no roots in their relationships".

Age distribution of crime

Two theories about why the crime peaks around the late teenage years and early twenties are called the developmental theory and life-course theory, and both involve attachment theory. Developmental perspectives argue that individuals who have disrupted childhood attachments will have criminal careers that continue long into adulthood. Life course perspectives argue that relationships at every stage of the life course can influence an individual's likelihood of committing crimes.

Types of offences

Disrupted attachment patterns from childhood have been identified as a risk factor for domestic violence. These disruptions in childhood can prevent the formation of a secure attachment relationship, and in turn adversely affecting a healthy way to deal with stress. In adulthood, lack of coping mechanisms can result in violent behaviour. Bowlby's theory of functional anger states that children signal to their caregiver that their attachment needs are not being met by use of angry behaviour. This perception of low support from partner has been identified as a strong predictor of male violence. Other predictors have been named as perceived deficiency in maternal love in childhood, low self-esteem. It has also been found that individuals with a dismissive attachment style, often seen in an antisocial/narcissistic-narcissistic subtype of offender, tend to be emotionally abusive as well as violent. Individuals in the borderline/emotionally dependent subtype have traits which originate from insecure attachment in childhood, and tend to have high levels of anger.

It has been found that sexual offenders have significantly less secure maternal and paternal attachments compared with non-offenders which suggests that insecure attachments in infancy persist into adulthood. In a recent study, 57% of sexual offenders were found to be of a preoccupied attachment style. There is also evidence that suggests subtypes of sexual crime can have different attachment styles. Dismissive individuals tend to be hostile towards others, and are more likely to offend violently against adult women. By contrast, child abusers are more likely to have preoccupied attachment styles as the tendency to seek approval from others becomes distorted and attachment relationships become sexualized.

Uses within probation practice

Attachment theory has been of special interest within probation settings. When put into practice, probation officers aim to learn their probationer's attachment history because it can give them insight into how the probationer will respond to different scenarios and when they are the most vulnerable to reoffend. One of the primary strategies of implementation is to set up the probation officer as a secure base. This secure base relationship is formed by the probation officer being reliable, safe, and in tune with the probationer, and is intended to help give them a partly representational secure relationship that they have not been able to form.

Practical applications

As a theory of socioemotional development, attachment theory has implications and practical applications in social policy, decisions about the care and welfare of children and mental health.

Child care policies

Social policies concerning the care of children were the driving force in Bowlby's development of attachment theory. The difficulty lies in applying attachment concepts to policy and practice. In 2008 C.H. Zeanah and colleagues stated, "Supporting early child-parent relationships is an increasingly prominent goal of mental health practitioners, community-based service providers and policy makers ... Attachment theory and research have generated important findings concerning early child development and spurred the creation of programs to support early child-parent relationships." Additionally, practitioners can use the concepts of attachment theory that suggests deep relationships which builds attachment security towards mental health interventions. Attachment security has been found to strengthen one's ability to cope with stress, anxiety, and maintain that, in turn, can contribute to the person's well-being and mental health For example, previous studies have demonstrated that individuals who demonstrate avoidance attachment styles experiences less stress and distress when presented with ostracism. However, finding quality childcare while at work or school is an issue for many families. NIHD recent study convey that top notch day care contributes to secure attachment relationships in children.

People have commented on this matter stating that "legislative initiatives reflecting higher standards for credentialing and licensing childcare workers, requiring education in child development and attachment theory, and at least a two-year associate degree course as well as salary increases and increased stature for childcare positions". Corporations should implement more flexible work arrangements that recognize child care as essential for all its employees. This includes re-examination of parental leave policies. Too many parents are forced to return to work too soon post childbirth because of company policy or financial necessity. No matter the reason this inhibits early parent child bonding. In addition to this, there should be increased attention to the training and screening of childcare workers. In his article reviewing attachment theory, Sweeney suggested, among several policy implications, "legislative initiatives reflecting higher standards for credentialing and licensing childcare workers, requiring education in child development and attachment theory, and at least a two-year associate degree course as well as salary increases and increased stature for childcare positions".

Historically, attachment theory had significant policy implications for hospitalized or institutionalized children, and those in poor quality daycare. Controversy remains over whether non-maternal care, particularly in group settings, has deleterious effects on social development. It is plain from research that poor quality care carries risks but that those who experience good quality alternative care cope well although it is difficult to provide good quality, individualized care in group settings.

Attachment theory has implications in residence and contact disputes, and applications by foster parents to adopt foster children. In the past, particularly in North America, the main theoretical framework was psychoanalysis. Increasingly attachment theory has replaced it, thus focusing on the quality and continuity of caregiver relationships rather than economic well-being or automatic precedence of any one party, such as the biological mother. Rutter noted that in the UK, since 1980, family courts have shifted considerably to recognize the complications of attachment relationships. Children tend to have attachment relationships with both parents and often grandparents or other relatives. Judgements need to take this into account along with the impact of step-families. Attachment theory has been crucial in highlighting the importance of social relationships in dynamic rather than fixed terms.

Attachment theory can also inform decisions made in social work, especially in humanistic social work (Petru Stefaroi), and court processes about foster care or other placements. Considering the child's attachment needs can help determine the level of risk posed by placement options. Within adoption, the shift from "closed" to "open" adoptions and the importance of the search for biological parents would be expected on the basis of attachment theory. Many researchers in the field were strongly influenced by it.

Clinical practice in children

Although attachment theory has become a major scientific theory of socioemotional development with one of the widest research lines in modern psychology, it has, until recently, been less used in clinical practice. The attachment theory focused on the attention of the child when the mother is there and the responses that the child shows when the mother leaves, which indicated the attachment and bonding of the mother and the child. The attention therapy is done while the child is being restrained by the therapists and the responses displayed were noted. The tests were done to show the responses of the child.

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 among practitioners. It may also be partly due to the mistaken association of attachment theory with the pseudoscientific interventions misleadingly known as "attachment therapy".

Prevention and treatment

Main article: Attachment-based therapy (children)

In 1988, Bowlby published a series of lectures indicating how attachment theory and research could be used in understanding and treating child and family disorders. His focus for bringing about change was the parents' internal working models, parenting behaviours and the parents' relationship with the therapeutic intervenor. Ongoing research has led to a number of individual treatments and prevention and intervention programs. In regards to personal development, children from all the age groups were tested to show the effectiveness of the theory that is being theorized by Bowlby. They range from individual therapy to public health programs to interventions designed for foster caregivers. For infants and younger children, the focus is on increasing the responsiveness and sensitivity of the caregiver, or if that is not possible, placing the child with a different caregiver. An assessment of the attachment status or caregiving responses of the caregiver is invariably included, as attachment is a two-way process involving attachment behaviour and caregiver response. Some programs are aimed at foster cares because the attachment behaviours of infants or children with attachment difficulties often do not elicit appropriate caregiver responses. Modern prevention and intervention programs have proven successful.

Reactive attachment disorder and attachment disorder

Main articles: Reactive attachment disorder and Attachment disorder

One atypical attachment pattern is considered to be an actual disorder, known as reactive attachment disorder or RAD, which is a recognized psychiatric diagnosis (ICD-10 F94.1/2 and DSM-IV-TR 313.89). Against common misconception, this is not the same as 'disorganized attachment'. The essential feature of reactive attachment disorder is markedly disturbed and developmentally inappropriate social relatedness in most contexts that begins before age five years, associated with gross pathological care. There are two subtypes, one reflecting a disinhibited attachment pattern, the other an inhibited pattern. RAD is not a description of insecure attachment styles, however problematic those styles may be; instead, it denotes a lack of age-appropriate attachment behaviours that may appear to resemble a clinical disorder. Although the term "reactive attachment disorder" is now popularly applied to perceived behavioural difficulties that fall outside the DSM or ICD criteria, particularly on the Web and in connection with the pseudo-scientific attachment therapy, "true" RAD is thought to be rare.

"Attachment disorder" is an ambiguous term, which may refer to reactive attachment disorder or to the more problematic insecure attachment styles (although none of these are clinical disorders). It may also be used to refer to proposed new classification systems put forward by theorists in the field, and is used within attachment therapy as a form of unvalidated diagnosis. One of the proposed new classifications, "secure base distortion" has been found to be associated with caregiver traumatization.

Clinical practice in adults and families

As attachment theory offers a broad, far-reaching view of human functioning, it can enrich a therapist's understanding of patients and the therapeutic relationship rather than dictate a particular form of treatment. Some forms of psychoanalysis-based therapy for adults—within relational psychoanalysis and other approaches—also incorporate attachment theory and patterns.

Criticism

A 2016 article from the Psychological Bulletin suggests that one's attachment could largely be due to heredity; hence, the authors point to the need to focus research on nonshared environmental effects, requiring "behavioral genetic designs that afford differentiating heritability from shared and nonshared environmental influences". In an interview, Dr. Jerome Kagan also suggests that a child's behaviour is largely due to temperament, as well as social class and culture. He further states,

Attachment is a far less popular explanation in 2019 than it was in the 1960s, and in 10 to 15 years, it's going to be rare to find anyone defending the theory. It's just dying out slowly...Yes, what happens to you in the first year or two of life has an effect, but it's tiny. If I take a 1-year-old child who is securely attached, and the parents die and the child is adopted by a cruel foster parent, that child is in trouble. Their secure attachment is useless.

A 2013 study from Utah State suggests an individual can have different attachment styles in relation to different people and that "parents' time away from their child was not a significant predictor of attachment." Attachment theory models are heavily focused on attachment to the mother, not other family members and peers, also noted by Rosjke Hasseldine. Salvador Minuchin suggested that attachment theory's focus on the mother-child relation ignores the value in other familial influences: "The entire family—not just the mother or primary caretaker—including father, siblings, grandparents, often cousins, aunts and uncles, are extremely significant in the experience of the child...And yet, when I hear attachment theorists talk, I don't hear anything about these other important figures in a child's life."

A 2018 paper proposes that Attachment theory represents a Western middle-class perspective, ignoring the diverse caregiving values and practices in most of the world.

See also

Citations

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