Attachment & Human Development最新文献

Mary Main played a key role for this study, in which we used an idiographic approach to examine discourse about abuse, trauma, and maltreatment (ATM) among eight mothers with a mild intellectual disability (ID), whose children had been assigned a secure (the "B-group") or disorganized (the "D-group") attachment classification. Thematic analysis yielded six ATM discourse themes: openness; coherence; presence of trauma in consciousness; support; agency in response to crisis; and self-concept and caregiving self-efficacy. Mothers in the B-group provided coherent narratives, were open with the interviewer, had memories of seeking and receiving support, and reflected freely and autonomously on their experiences. Contrastingly, the mothers in the D-group expressed a guarded, closed-off stance towards ATM, difficulties seeking support, helplessness in response to crisis, and poor self-concept and -efficacy. Their adverse experiences were nonetheless highly present in consciousness, albeit in unintegrated forms. Our findings suggest that the D-group mothers may be unresolved with respect to loss/abuse.

Since the development of the Adult Attachment Interview (AAI) in 1985, more than 26,000 AAIs have been administered, coded, and reported, representing 170 (wo-)man-years of work. We used multinomial tests and analyses of correspondence to compare the AAI distributions in various cultural and age groups, in mothers, fathers, high-risk, and clinical samples with the combined samples of North American non-clinical, non-risk mothers (22% dismissing, 53% secure, 8% preoccupied, and 17% unresolved loss or other trauma). Males were more often classified as dismissing and less frequently classified as secure compared to females (except adoptive fathers), and females were more frequently classified as unresolved (but not more often preoccupied) compared to males. A combination of high scores on the unresolved and insecure-preoccupied dimensions was shared by borderline personality disorder, autism spectrum disorders, and gender dysphoria, while combined high scores on the unresolved and insecure-dismissing dimensions characterized anxiety problems, obsessive-compulsive and thought disorders.

I describe the development, with Ruth Goldwyn, Charlie Stanley and others, of the Manchester Child Attachment Story Task (MCAST); particularly highlighting the pivotal role that Mary Main played in its evolution, and its approach to attachment Disorganization. MCAST is a doll play vignette-completion technique characterizing attachment representations in young school-aged children (4.5-8.5 years). It uses a specific dyadic focus and adapts both Strange Situation Procedure (SSP) and Adult Attachment Interview (AAI) methods within its coding procedure, thus allowing a full detailed attachment classification including Disorganisation. I detail how Mary's prior work, insight and continuing support, along with Erik Hesse, in applying these coding systems to play narratives, was crucial to the successful development of the instrument. With selected research data, I then review some of the developmental and clinical issues that MCAST has subsequently addressed, reflected in a 2018 meta-analytic review of 25 studies investigating MCAST Disorganisation.

Mary Main's conceptualization and operationalization of attachment states of mind through the Adult Attachment Interview (AAI) represent seminal contributions to the attachment field. The AAI is a semi-structured clinical interview used to assess attachment states of mind that is widely used in research and clinical settings. Unresolved state of mind regarding loss or trauma has been linked to concurrent internalizing symptoms. The current study explored the associations between unresolved classification and later depression and anxiety, above and beyond trauma history and symptoms. Participants (n = 70) were parents (98.6% female, 67.1% Black/African-American) from a follow-up of a randomized clinical trial of a parenting program for families referred to child welfare services. Parents completed the AAI, Childhood Trauma Questionnaire, and the Psychiatric Diagnostic Screening Questionnaire at timepoint 1 (T1) and the Brief Symptom Inventory approximately 12 years later, at timepoint 2 (T2). Hierarchical regressions revealed that unresolved state of mind significantly predicted depression at T2, and marginally predicted anxiety at T2, above and beyond childhood trauma, post-traumatic stress symptoms, and early internalizing symptoms. These results suggest that unresolved states of mind are clinically significant and provide unique information about later internalizing symptoms in adults with a history of trauma or loss.

This paper reports on Adult Attachment Interviews (AAIs) obtained from a low-risk sample of 51 pregnant women expecting their first child who were interviewed again when the child was five years of age. This is the first report of test-retest results that extends over five years that includes the transition to motherhood. Results suggest significant levels of continuity at the level of AAI classifications with three-way stability being 90% and two-way stability being 88%. When change was observed, it was more likely to be a move toward rather than away from security. At the level of dimensional scores, significant changes indicated a softening stance with higher coherence ratings, lower idealization scores, and less insistence on an inability to recall. This move toward a significantly more balanced state of mind regarding attachment was most evident among those mothers who maintained or became autonomous-secure.

This study examined how strategies parents use to maintain a dismissing state of mind while discussing their childhood relationship with their parents relate to the quality of their relationship with their partners and children. During the third trimester, 125 couples were administered the Adult Attachment Interview (AAI) to assess adults' states of mind with respect to relationships with their parents during childhood. Marital quality was assessed via observations of couple interactions during discussion tasks and coded for emotional attunement. At 24 months, researchers assessed caregiver sensitivity by observing mother-toddler and father-toddler interactions. Fathers' idealization of their own father forecasted lower caregiving sensitivity with their 24-month-old children, and this relationship was mediated by emotional attunement in the marriage. This finding did not hold for mothers. For both mothers and fathers, higher marital emotional attunement related to more sensitive caregiving. These findings are discussed in the context of gender socialization. Interventions to disrupt the transmission of negative family interactions are also discussed.

This study investigated the influence of parents' Adult Attachment Interview (AAI) responses prior to the birth of a first child, on self-reported mental health symptoms of the first-born child in mid-adolescence. The sample comprised 51 first-born children aged 16 years, their mothers and fathers from a low-risk community urban sample, White, British and 70% middle class. Mothers' responses to the AAI were the strongest predictor of their adolescent children's self-reported mental health symptoms. Children's infant-mother or infant-father attachment patterns were not predictive of these 16-year outcomes, but mothers' insecure (primarily dismissing) attachment representations predicted children's externalizing, aggressive, and delinquent difficulties (though not internalizing difficulties) at 16 years. If one or both parents were autonomous-secure in their response to the AAI then their adolescent children reported significantly fewer mental health problems. Discussion focuses on thepredictive validity of the Adult Attachment Interview, Mary Main's legacy, and possible meanings (and limitations) of the results.

Frightening maternal behavior is linked to infant disorganization, which predicts child behavioral problems. We examined continuity in frightening maternal behavior across the first 2 years by developing a new measure of anomalous/frightening (AN/FR) behavior that incorporates changes in parent-child interactions as children acquire symbolic representation. Maternal AN/FR behavior in toddlerhood also was examined in relation to later internalizing and externalizing symptoms. First-time mothers (N = 125) completed the Adult Attachment Interview (AAI) prenatally, and mother-child dyads were observed interacting at 8 months, in Strange Situations at 12-15 months, and playing at 24 months. Teachers rated children's behavior problems at 7 years. Mothers classified as Unresolved on the AAI displayed more Frightening (FR) behavior at 8 months. Mothers' FR behavior predicted both attachment disorganization at 12-15 months and maternal AN/FR behavior at 24 months, which then predicted children's internalizing symptoms at age 7. Infant disorganization was indirectly related to internalizing symptoms, mediated by maternal AN/FR behavior.

Brett Kahr has referred to the death of Mary Main as the loss of "the queen of attachment research." However, how well is Main's work actually known? In this portrait and tribute, I argue that Main's transformative contributions have become a taken-for-granted part of the basic environment of attachment research, but that readers have faced obstacles in understanding and responding to their strengths and limitations. Drawing from interviews with Main, in this paper I describe some of her early life experiences and mental and physical health challenges, which she felt had influenced what was possible for her in her research. I then highlight less well-known aspects of her ideas regarding the role of attention within attachment strategies, the nature of disorganised attachment, the implications of alarming caregiving behaviours, and what is ultimately measured by the Adult Attachment Interview. My goal throughout is to help reader see both how much Main's rich and exciting works still have to teach, and identify their many loose threads still to follow.

Among Mary Main's many vital contributions to the field of attachment is the idea that human infants develop adaptive conditional strategies in the service of maintaining proximity to a secure base in light of a particular caregiving history. In this tribute paper, we describe Main's original theorizing, which delineated three types of conditional strategies: a primary secure base strategy and two secondary strategies of minimizing or maximizing the naturally occurring output of the attachment behavioral system, using a variety of cognitive, affective, and behavioral means. We review the large body of evidence for minimizing and maximizing strategies in infancy, childhood, adolescence, and adulthood. Across a range of studies - including age groups and methodologies extending well beyond Main's original work with infants - there is remarkable convergence of findings that support Main's ideas. We conclude with several promising directions in implementing Main's groundbreaking ideas to enrich future research and clinical applications.