ATTACHMENT STYLES & SUSCEPTIBILITY TO ADDICTIONS AND OTHER MENTAL HEALTH PROBLEMS

Corina Demian
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Abstract

Attachment is a complex system that provides the proximity and care necessary for the child’s survival and fulfills the child’s innate need for safety. From the earliest interactions when parents (attachment figures) comfort the child when she/he feels in danger, each new experience helps her/him to develop secure attachment, and thus the child learns to regulate his emotions and acquire strategies to cope with fear or suffering. If an insecure attachment style (preoccupied/avoidant/disorganized) is acquired, in adulthood people may face difficulties in regulating emotions and stress or may have difficulties in establishing and maintaining relationships. Empirical evidence from cross-sectional, longitudinal and review studies support the assumption that insecure attachment is a risk factor for addictions, but also for other psychopathological disorders. There is growing evidence that addictive disorders can be viewed as a possible expression of an attachment disorder, and the development of secure attachment can lead to better results in the prevention and early interventions of drug-related disorders. Recommended interventions include efficient parenting styles (authoritative/ permissive) training for parents, strengthening the parent-child relationship, ameliorating psychological dysregulation in mid-adolescence, developing adolescents’ abilities to self-regulate emotions and to resist to peer pressure.
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依恋类型和对成瘾和其他心理健康问题的敏感性
依恋是一个复杂的系统,它为孩子的生存提供了必要的亲近和关怀,满足了孩子天生的安全需求。从最早的互动开始,当父母(依恋人物)在孩子感到危险时安慰她/他,每一次新的体验都帮助她/他建立安全的依恋,从而孩子学会调节自己的情绪,获得应对恐惧或痛苦的策略。如果一种不安全的依恋类型(专注型/回避型/无序型)是后天习得的,在成年后,人们可能会在调节情绪和压力方面遇到困难,或者在建立和维持关系方面遇到困难。来自横断面、纵向和回顾研究的经验证据支持这样的假设,即不安全依恋是成瘾的一个风险因素,也是其他精神病理障碍的一个风险因素。越来越多的证据表明,成瘾障碍可以被视为一种依恋障碍的可能表现,而安全依恋的发展可以在预防和早期干预药物相关障碍方面取得更好的结果。建议的干预措施包括对父母进行有效的养育方式(权威/宽容)培训,加强亲子关系,改善青春期中期的心理失调,发展青少年自我调节情绪和抵抗同伴压力的能力。
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