Feeding, food, and attachment: An underestimated relationship?

According to attachment theory, feeding, including breastfeeding, plays only a marginal role in relationship formation. However, studies—especially in rural traditional non-Western contexts—repeatedly demonstrate that feeding can be an important attachment mechanism. We interviewed 30 urban, middle-class families with 6-to-19-month-old infants in the surrounding greater metropolitan area of San José, Costa Rica, to investigate if they consider feeding relevant for attachment formation. Qualitative content analysis revealed that breastfeeding is a key factor in specifying whether caregivers believed feeding to be relevant for attachment formation. The study found that breastfeeding families considered feeding relevant for attachment, and bottle-feeding families associated feeding with mainly alimentary and no attachment-related functions. Furthermore, breastfeeding seems to foster exclusive maternal attachment, while multiple feeding seems to foster multiple attachments. Consequently, the feeding network seems to regulate a child's attachment network in urban middle-class families in San José. A triangulation of caregiver interviews, interviews with key informants, and member checking with key informants support the validity of the findings.