PSY311 4. Attachment Flashcards

1
Q

What is Emotional Attachment?

A

John Bowlby (1969) – the strong affectional ties
that we feel for key people in our lives
– Characterized by mutual affection and a desire for
proximity
• Reciprocal relationships
– Formed by synchrony between mother and baby
• “Sensitive period” hypothesis
– Not true, attachment builds gradually over the first
years of life

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is Emotional Attachment?

A

spend a lot of time together and learn more about each other
strong emotional bonds are built
for a rhythm where the mother learns about the babies’ needs and when they need it
sensitive period: need skin to skin contact to form an attachment immediately after birth
adoptive children can still form secure attachment
not form in the first few minutes or days - continuous process that goes on for months to a year forming a synchronicity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is Emotional Attachment?

A

-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is Emotional Attachment?

A

-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Why Does Attachment Happen?

A

One theory - “I love you because you feed me”
– Freud and Erikson (psychoanalysis)
• oral stimulation, trust vs. mistrust
– Sears (behaviorism)
• mother as secondary reinforcer
• Harlow and Zimmerman (1959)
– Baby monkeys weaned by two surrogate mothers – one
wire and the other cloth
• Even monkeys who were fed by wire mother preferred cloth
mother
• Therefore comfort is more important for attachment than
feeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Why Does Attachment Happen?

A

-Freud: infants get satisfaction from the mouth
stronger bond to mother if mother was generous and relaxed in breastfeeding
Erikson: trust vs. mistrust stage - mother’s responsiveness was more important
Sears: feeding was important - 1) baby gives off positive responses when breastfeeding (makes mother more attached) + 2) mother provides baby comfort (food, warmth, tender touching, soothing voice) and becomes associated with comforting things
Harlow: interested in love and attachment
disproves that attachment occurs because of feeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Why Does Attachment Happen?

A

-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Why Does Attachment Happen?

A

-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Why Does Attachment Happen?

A

-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Harlow’s Monkeys

A

-Wire mother vs comfort mother for monkeys
feeling of security and comfort from mother
wire monkey chose comfort mother

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Harlow’s Monkeys

A

-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Harlow’s Monkeys

A

-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Why Does Attachment Happen?

A

• Another theory (ethology) - “I was born to love you,
you were made to love me”
– Purpose of attachment is to promote survival
• Imprinting in geese, for example
• Babies look and act adorable
– Bowlby – “attachment behaviour system”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Why Does Attachment Happen?

A

-Ethology: long range purpose is for baby to survive and pass off genes
research started with animal studies - Lorenz
imprinting is an adaptive behaviour
Kewpie bond effect: chubby cheeks, small size, smiling, cooing makes them adorable
true for any species
attachment behaviour system: all working together to form attachment (enjoyment of taking care of child and belief they are doing a good job)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Why Does Attachment Happen?

A

-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Why Does Attachment Happen?

A

-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Does this Mean that Attachment in

Humans is Automatic?

A

• John Bowlby said that:
Human beings are biologically prepared to form
close attachments
but
Secure emotional bonds will not develop unless
mother and baby learn over time how to respond
appropriately to each other

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Does this Mean that Attachment in

Humans is Automatic?

A

-secure attachments occur gradually as they learn how to react appropriately to each other
learn how to regulate their behaviour around each other
it can go wrong (depressed mothers)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Does this Mean that Attachment in

Humans is Automatic?

A

-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Does this Mean that Attachment in

Humans is Automatic?

A

-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

The Beginning of Attachment ResearchThe Beginning of Attachment Research

A

• Robertson and Bowlby (1952) at the Tavistock clinic in
London
– Identified three phases of separation from mothers
1) Protest phase
2) Phase of despair
3) Detachment phase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

The Beginning of Attachment Research

A

at the time it was normal to leave children for long periods
Case Study John 17 months - residential nursery for 9 days
distressed for several days - became despair
John became emotionally detached
2) mourning
3) defence mechanism - repression-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

The Beginning of Attachment Research

A

-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

The Beginning of Attachment Research

A

-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Development of Attachments in Infancy

Schaffer & Emerson, 1964

A
1) Asocial
– Birth to 6 weeks old
– Respond in an equal way to interesting social and nonsocial stimuli
2) Indiscriminate attachments
– 6 weeks to 6/7 months old
– Prefer social to nonsocial stimuli
– Enjoy attention from anyone, protest when denied attention
3) Specific attachment
– 7 to 9 months old
– First genuine attachment is established
– Protest when separated from mother
– Somewhat wary of strangers
4) Multiple attachments
– 9 to 18 months old
– From attachments to other individuals (e.g., fathers, siblings, grandparents,
nanny)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Development of Attachments in Infancy

Schaffer & Emerson, 1964

A

-followed scottish infants and asked parents about babies in different situations
defined attachement as whether baby protested upon seperation
1) asocial: not much attachment
3) most babies would start to protest
stranger anxiety starts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Development of Attachments in Infancy

Schaffer & Emerson, 1964

A

-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Development of Attachments in Infancy

Schaffer & Emerson, 1964

A

-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Development of Attachments in Infancy

Schaffer & Emerson, 1964

A

-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Multiple Attachments

A

Schaffer and Emerson (1964) -
hierarchy of attachment objects Mother
Father
Sister
Grandma
Nanny
Schaffer (1977) – “Being attached to several people
does not necessarily imply a shallower feeling toward
each one, for an infant’s capacity for attachment is not
like a cake that has to be [divided]. Love, even in
babies, has no limits.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Multiple Attachments

A

-thought there was a hierarchy
each attachment has their own role
infants capacity for attachment is not divided
can form strong attachments for multiple people
different roles and different kinds of attachment
e.g. mothers for comfort and fathers for playing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Multiple Attachments

A

-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Multiple Attachments

A

-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Mary Ainsworth (1978, 1979)

A

Devised the most widely used technique to
measure attachment quality
– The Strange Situation procedure
• Mother as secure base
– Infants need to rely on the mother to feel
comfortable about exploring the world
• Mother as a safe haven
– Infants need to know that they can return to the
mother for comfort when afraid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Mary Ainsworth (1978, 1979)

A

-analyzed Robertson’s data at Tavastok
e.g. cloth monkey mother - secure base
feel comfortable exploring, get scared then come back to the mother
once comfortable will use mother as a secure base once again

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Mary Ainsworth (1978, 1979)

A

-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Mary Ainsworth (1978, 1979)

A

-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

Mary Ainsworth (1978, 1979)

A

-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

Strange Situation Procedure

A

1) Experimenter takes mother and baby to playroom, then leaves
2) Mother allows baby to explore and play
3) Stranger enters room and is silent, then talks to mother
4) Mother leaves and stranger interacts with baby
5) Mother returns and greets baby, stranger leaves, then mother leaves
6) Baby is alone
7) Stranger enters and interacts with baby
8) Mother enters and greets baby

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

Strange Situation Procedure

A

-secure attachment: when baby is comforted by mother’s return and shows interest in environment
insecure attachment: avoidant, not engaging her, her return is not the solution
resistant: still upset on her return - angry
both want her back but can’t use contact
inconsistent responsiveness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

Strange Situation Procedure

A

-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

Strange Situation Procedure

A

-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

Strange Situation Procedure

A

-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

Strange Situation Procedure

A

-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

Strange Situation Procedure

A

-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

Strange Situation Procedure

A

-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

Strange Situation Attachment Styles

A
Attachment
style
Use of
mother as
secure
base
Separation
anxiety
Reunion behaviors Stranger
anxiety
Comforted by
stranger?
Group A)
Secure
(60-65%)
Yes Usually some
distress upon
separation
Greets mother
warmly, if distressed
will seek comfort
Outgoing with
strangers
Somewhat, but
clearly wants
mother
Group B)
Insecure –
Resistant
(10%)
No Extremely
distressed upon
separation
Ambivalent; will
remain near mother
but passive or
resists her attempts
at comfort, can be
angry
Wary of
strangers,
sometimes
appears angry
?? Likely no
Group C)
Insecure –
Avoidant
(20%)
Maybe Little distress
upon
separation
Will turn away and
ignore mother,
appearing angry
Can be
sociable with
strangers or
may ignore
them
Yes, reunion
with stranger
typically
alleviates
distress
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

Strange Situation Attachment Styles

A

-resistant: don’t use mother as a secure base
resist attempts of comfort
avoidant - sometimes use mom as secure base
sociable to strangers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

Strange Situation Attachment Styles

A

-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

Strange Situation Attachment Styles

A

-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

Strange Situation Attachment Styles

A

-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

Strange Situation Attachment Styles

A

-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

Mary Main and Judith Solomon (1990)

A
Group D) Insecure -
disorganized attachment
– 5-15% of infants
– Combination of resistant
and avoidant patterns
– “fear without solution”
– Upon reunion often look
fearful, exhibit
contradictory behaviors,
rapid shifts
– 80% of maltreated infants
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
54
Q

Mary Main and Judith Solomon (1990)

A

-when abused children put in stranger situation
they didn’t fit specific characteristics of types of attachment
5-15% didn’t into the categories
unclassifiable infants tended to show range of inexplicable, odd, conflictual behaviours when parents were around - disorganized attachment
e.g. scream by door, move away upon reunion, take comfort in the wall
80% of abused develop a disorganized attachment
dilemma of being harmed by parents but at same time have no one else to turn to
both the cause and alleviation of distress
they don’t have good coping behaviours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
55
Q

Mary Main and Judith Solomon (1990)

A

-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
56
Q

Mary Main and Judith Solomon (1990)

A

-

57
Q

Mary Main and Judith Solomon (1990)

A

-

58
Q

What Influences Attachment Security?

A
1) Mother is sensitive,
responsive, and insightful
§ Responds promptly and
appropriately to infant
§ Expresses positive affect
and affection
§ Reciprocal interactions
§ Mutuality, attends to the
same thing as the infant
§ Attends closely to the
infant’s activities
§ Stimulates the infant
= secure attachment
Mother is impatient and rejecting
Ø Infant learns to ignore mother
= avoidant attachment
Mother is intrusive and overstimulating
Ø Infant learns to ignore mother
= avoidant attachment
Mother is inconsistent
Ø Infant tries harder to obtain
emotional support from
mother, becomes angry when
efforts fail
= resistant attachment
59
Q

What Influences Attachment Security?

A

times they are unresponsive, infants works harder to obtain support and gets angry when they don’t get it
avoidant: learned to get by without mother

60
Q

What Influences Attachment Security?

A

-

61
Q

What Influences Attachment Security?

A

-

62
Q

What Influences Attachment Security?

A

-

63
Q

What Influences Attachment Security?

A

-

64
Q

What Influences Attachment Security?

A

-

65
Q

What Influences Attachment Security?

A

-

66
Q

What Influences Attachment Security?

A
2) Infant temperament
• Jerome Kagan (1984, 89)
– Strange Situation actually measures individual differences in
temperament, not attachment style
– His hypothesis is too extreme
67
Q

What Influences Attachment Security?

A
Temperamental
profile
Percentage of
infants
Easy 60%
Difficult 15%
Slow to warm up 23%
68
Q

What Influences Attachment Security?

A
Attachment style Percentage of
infants
Secure 65%
Resistant 10%
Avoidant 20%
69
Q

What Influences Attachment Security?

A

don’t do well in strange situation because they are overwhelmed
slow to warm up may get classified as avoidant
Kagan: maybe people with similar temperaments react similarly to the same situation
while temperament may influence way they interact, but not the same thing as the attachment to mothers
difficult and slow to warm up infants can form secure attachment to mothers

70
Q

What Influences Attachment Security?

A

-

71
Q

What Influences Attachment Security?

A

-

72
Q

What Influences Attachment Security?

A

-

73
Q

What Influences Attachment Security?

A

3) Integrative theory
• Grazyna Kochanska (1998)
• Maternal sensitivity à attachment style
– but not the specific type of insecurity
• Fearful children à resistant attachments
• Fearless children à avoidant attachments
• Secure attachment happens when there is a good
fit between the infant’s temperament and the
mother’s level of sensitivity
• Sensitivity = tailoring caregiving to infant’s
temperament

74
Q

What Influences Attachment Security?

A

-maternal sensitivity didn’t predict resistant or avoidant
by itself, fearful temperament did not predict attachment style, but fearful infants with insecure attachment likely had resistant
fearless temperament tended to have avoidant attachment
able to tailor caregiving to infant’s temperament

75
Q

What Influences Attachment Security?

A

-

76
Q

What Influences Attachment Security?

A

-

77
Q

What Influences Attachment Security?

A

-

78
Q

Long Term Correlates

of Attachment Security

A

• Securely attached infants display better developmental outcomes
– Problem solving skills
– Symbolic play
– More positive and fewer negative emotions
– Popularity
– Social skills
• Insecurely attached infants display worse developmental outcomes
– Peer rejection
– Socially withdrawn
– Less interested in learning
– More deviant behaviors

79
Q

Long Term Correlates

of Attachment Security

A

-children influenced by infant attachment for the rest of their lives

80
Q

Long Term Correlates

of Attachment Security

A

-

81
Q

Long Term Correlates

of Attachment Security

A

-

82
Q

Long Term Correlates

of Attachment Security

A

-

83
Q

Internal Working Model

A
• Cognitive representations of you + others
• Used to interpret events and form expectations about
relationships
Positive working model
“I’m lovable”
People can
not be
trusted
versus
Negative working model
“I’m unworthy of love”
People are
generally
dependable
84
Q

Internal Working Model

A

how you think about you and oter ppl
based it on ability to get attention or comfort when they need it
couldn’t get attention or comfort or inconsistent
trust vs mistrust - stage that needed to be resolved
in ppl with negative working model, this stage is not resolved

85
Q

Internal Working Model

A

-

86
Q

Internal Working Model

A

-

87
Q

Internal Working Model

A

-

88
Q

Internal Working Model

A
• People who develop
positive working models of
themselves and of others:
– have had secure primary
attachments
– have the self-confidence to
approach and master new
challenges
– establish secure, mutualtrust
relationships with
friends and romantic
partners later in life
89
Q

Internal Working Model

A
Model of Self
Positive Negative
Model of Others
Positive Secure
(secure primary
attachments)
Preoccupied
(resistant
primary
attachments)
Negative
Dismissing
(avoidant
primary
attachments)
Fearful
(disorganized
primary
attachments)
90
Q

Internal Working Model

A

dismissing: avoidant
used to categorize attachment model in adulthood
ppl with positive working models of selves and others - tend to have secure attachment, trust and form relationships, ability to explore and problem solve
without positive working model, it’s easier to feel sense of hopelessness when things become difficult

91
Q

Internal Working Model-

A

-

92
Q

Internal Working Model

A

-

93
Q

Internal Working Model

A

-

94
Q

Internal Working Model

A

-

95
Q

Adult Attachment Interview (AAI)

Main & Goldwyn, 1994

A

Scoring based on:
– Descriptions of childhood experiences
– Language and discourse style
– Ability to give an integrated, believable account of experiences and their
meaning
Adult attachment classifications:
A. Secure - Autonomous - value attachment relationships, view attachmentrelated
experiences as influential in development, describe history coherently
and with appropriate feelings (positive or negative), do not idealize parents or
feel angry about past
B. Insecure - Dismissing - deny or devalue the impact of early attachment relationships, have difficulty with recall of specific events, often idealize
experiences and parents without evidence, describe an early history of
rejection
C. Insecure - Preoccupied – incoherence and confusion about past experiences,
current relationships with parents are marked by active anger or with passivity,
still very much preoccupied with the past
D. Unresolved – attachment-related traumas of loss and/or abuse have not been reconciled

96
Q

Adult Attachment Interview (AAI)

Main & Goldwyn, 1994

A

=reflects internal working model of attachment
e.g. choose 5 words that reflect relationships
secure: neutral - some positive + negative
preoccupied: chronology mixed up
don’t have good current relationships with parents
measure mother’s attachment so find attachment transmission

97
Q

Adult Attachment Interview (AAI)

Main & Goldwyn, 1994

A

-

98
Q

Adult Attachment Interview (AAI)

Main & Goldwyn, 1994

A

-

99
Q

Adult Attachment Interview (AAI)

Main & Goldwyn, 1994

A

-

100
Q

Adult Attachment Interview (AAI)

Main & Goldwyn, 1994

A

-

101
Q

Adult Attachment Interview (AAI)

Main & Goldwyn, 1994

A

-

102
Q

Adult Attachment Interview (AAI)

Main & Goldwyn, 1994

A

-

103
Q

Attachment Across Generations

A
Time of
assessment
During
pregnancy
Child age 11
months
Child age 12
months
Who was
assessed
Mother Mother Child
Assessment
used
Adult
Attachment
Interview
Adult
Attachment
Interview
Strange
Situation
Grandmother
Adult
Attachment
Interview
104
Q

Attachment Across Generations

A

Results:
- Grandmother + Mother (during pregnancy) = 75% match
- Mother (during pregnancy) + Child = 81% match
- Mother (child age 11 months) + Child = 82% match
- Grandmother + Mother + Child = 80% match
(Benoit & Parker, 1994)

105
Q

Attachment Across Generations

A

during pregnancy - as a control
attachment classification could change between pregnancy and child age 11 months
match between predelivery and grandmother’s attachment
not much of a change in attachment pre and post delivery
difficult to conceptualize how it may be transmitted
state of mind in regards to attachment communicated somehow to children
mothers are blamed for bad attachment
learned internal working model in part from her mother

106
Q

Attachment Across Generations

A

-

107
Q

Attachment Across Generations

A

-

108
Q

Attachment Across Generations

A

-

109
Q

Attachment in Romantic Relationships

A

Cindy Hazan and Phillip Shaver (1987, 1990)
– Secure intimate relationships (50%) – enjoy
closeness, find intimacy easy to establish
• Work and love in balance
– Avoidant intimate relationships (33%) –
uncomfortable with closeness and find it difficult to
trust partners
• Work more important than love
– Resistant intimate relationships (17%) – constant
worry about being abandoned
• Love more important than work

110
Q

Attachment in Romantic Relationships

A
items out of typical ways they would behave on likert scale
e.g. how much do you enjoy closeness?
percentages similar to reported in stranger situation
asked them about work and jobs
correlation between work and love
secure: balance, but prioritize love
avoidant: avoid close relationships
resistant: insecure jobs
romantic relationships are prioritized
111
Q

Attachment in Romantic Relationships

A

-

112
Q

Attachment in Romantic Relationships

A

-

113
Q

Attachment in Romantic Relationships

A

-

114
Q

Attachment in Romantic Relationships

A

-

115
Q

Attachment in Romantic Relationships

A

-

116
Q

Infant Attachment Style ≠

Destiny!

A

• Working model means our representations can be
changed by later experiences
– Secure relationship with someone else (father,
grandparent) can protect against consequences of
insecure attachment to mother
– If mothers can improve sensitivity, attachments improve
– Secure attachments can also become insecure (see
Waters et al., 2000 and Weinfield et al., 2000 readings)
Bottom line à secure attachment is an important
advantage, but it isn’t everything, and insecure
attachment doesn’t mean you are doomed

117
Q

Infant Attachment Style ≠

Destiny!

A

-representations can be changed based on experience
having a secure relationship with someone else can protect from insecure attachment with mother
interventions to improve mothers’ parenting
outcome studies show that improving sensitivity improves attachemnt
secure attachments can become insecure
64% had same attachment style when they were young
no stressful life events, only 50% could change attachment
having an insecure attachment doesn’t necessarily mean you are doomed

118
Q

Infant Attachment Style ≠

Destiny!

A

-

119
Q

Infant Attachment Style ≠

Destiny!

A

-

120
Q

Infant Attachment Style ≠

Destiny!

A

-

121
Q

Infant Attachment Style ≠

Destiny!

A

-

122
Q

The Effects of Social Deprivation in Infancy

A
Length of time in
orphanage is very
important
• Those adopted after
age 3 (as compared
with before age 1)
– Lower IQ
– Socially immature
– Dependant on adults
– Poor language skills
– Behavior problems
(aggression and
hyperactivity)
– Difficulty with peer
relationships
123
Q

The Effects of Social Deprivation in Infancy

A

confined children in cribs without social contact
not much opportunity to form attachments or bonds
number of institutionalized children with above 60% disorganized attachment
never institutionalized had similar breakdown as seen in NA samples
those adopted after 3 - lack of attachment causes developmental delays in children due to lack of stimulation

124
Q

The Effects of Social Deprivation in Infancy

A

-

125
Q

The Effects of Social Deprivation in Infancy

A

-

126
Q

The Effects of Social Deprivation in Infancy

A

-

127
Q

Reactive Attachment Disorder

of Infancy and Childhood (RAD)

A

A. Markedly disturbed and developmentally inappropriate attachment behaviors, beginning before
age 5, with both:
1. Rarely or minimally seeks comfort when distressed
2. Rarely or minimally responds to comfort offered
B. Persistent social and emotional disturbance with at least 2 of:
1. Relative lack of social and emotional responsiveness
2. Limited positive affect
3. Episodes of unexplained irritability, sadness, or fearfulness evident during nonthreatening
interactions with caregivers
C. Not accounted for by an autism spectrum disorder
D. Pathogenic care as evidenced by ≥ 1 of:
– Persistent disregard of child’s basic emotional needs for comfort, stimulation, and affection
– Persistent disregard of child’s basic physical needs
– Repeated changes of primary caregiver that prevent formation of attachments
– Rearing in unusual settings such as institutions that limit opportunities to form
attachments
E. The care in Criterion D is responsible for the behavior in Criteria A/B (or presumed to be)
F. Developmental age ≥ 9 months

128
Q

Reactive Attachment Disorder

of Infancy and Childhood (RAD)

A

lack of emotional reciprocity, more aggressive when older, lack of conscience, unpredictable - 8/12 children
8/26 children formed specific attachment
some went with strangers
1 clinical presentation in DSM-V
needs to have had greater than 1 bad parenting example
assumption is that attachment disorder is caused by pathogenic care
F. if child is developmentally disabled, it’s hard to diagnosed with this disorder
attachment forms normally at around 9 months
extremely rare - rarely diagnosed
more pathological lack of attachment that translates to emotional and developmental disturbance than a disorganized attachment

129
Q

Reactive Attachment Disorder

of Infancy and Childhood (RAD)

A

-

130
Q

Reactive Attachment Disorder

of Infancy and Childhood (RAD)

A

-

131
Q

Reactive Attachment Disorder

of Infancy and Childhood (RAD)

A

-

132
Q

Reactive Attachment Disorder

of Infancy and Childhood (RAD)

A

-

133
Q

Reactive Attachment Disorder

of Infancy and Childhood (RAD)

A

-

134
Q

The Effects of Social Deprivation in Infancy

A

-

135
Q

The Effects of Social Deprivation in Infancy

A

-

136
Q

The Effects of Social Deprivation in Infancy

A

-

137
Q

The Effects of Social Deprivation in Infancy

A

-

138
Q

The Effects of Social Deprivation in Infancy

A

-