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History of attachment theory

Attachment theory, originating in the work of John Bowlby, is a psychological, evolutionary and ethological theory that provides a descriptive and explanatory framework for understanding interpersonal relationships between human beings.

Mother and baby

In order to formulate a comprehensive theory of the nature of early attachments, Bowlby explored a range of fields including evolution by natural selection, object relations theory (psychoanalysis), control systems theory, evolutionary biology and the fields of ethology and cognitive psychology.[1] There were some preliminary papers from 1958 onwards but the full theory is published in the trilogy Attachment and Loss, 1969- 82. Although in the early days Bowlby was criticised by academic psychologists and ostracised by the psychoanalytic community,[2] attachment theory has become the dominant approach to understanding early social development and given rise to a great surge of empirical research into the formation of children's close relationships.[3]

Brief description of theory edit

In infants, behavior associated with attachment is primarily a process of proximity seeking to an identified attachment figure in situations of perceived distress or alarm, for the purpose of survival. Infants become attached to adults who are sensitive and responsive in social interactions with the infant, and who remain as consistent caregivers for some months during the period from about six months to two years of age. During the later part of this period, children begin to use attachment figures (familiar people) as a secure base to explore from and return to. Parental responses lead to the development of patterns of attachment which in turn lead to 'internal working models' which will guide the individual's feelings, thoughts, and expectations in later relationships.[4] Separation anxiety or grief following serious loss are normal and natural responses in an attached infant.

The human infant is considered by attachment theorists to have a need for a secure relationship with adult caregivers, without which normal social and emotional development will not occur. However, different relationship experiences can lead to different developmental outcomes. Mary Ainsworth developed a theory of a number of attachment patterns or "styles" in infants in which distinct characteristics were identified; these were secure attachment, avoidant attachment, anxious attachment and, later, disorganized attachment. In addition to care-seeking by children, peer relationships of all ages, romantic and sexual attraction, and responses to the care needs of infants or sick or elderly adults may be construed as including some components of attachment behavior.

Earlier theories edit

A theory of attachment is a framework of ideas that attempt to explain attachment, the almost universal human tendency to prefer certain familiar companions over other people, especially when ill, injured, or distressed.[5] Historically, certain social preferences, like those of parents for their children, were explained by reference to instinct, or the moral worth of the individual.[6]

 
Father and child

The concept of infants' emotional attachment to caregivers has been known anecdotally for hundreds of years. Most early observers focused on the anxiety displayed by infants and toddlers when threatened with separation from a familiar caregiver.[6][7] Psychological theories about attachment were suggested from the late nineteenth century onward.[8] Freudian theory attempted a systematic consideration of infant attachment and attributed the infant's attempts to stay near the familiar person to motivation learned through feeding experiences and gratification of libidinal drives. In the 1930s, the British developmentalist Ian Suttie put forward the suggestion that the child's need for affection was a primary one, not based on hunger or other physical gratifications.[9] A third theory prevalent at the time of Bowlby's development of attachment theory was "dependency". This approach posited that infants were dependent on adult caregivers but that dependency was, or should be outgrown as the individual matured. Such an approach perceived attachment behaviour in older children as regressive whereas within attachment theory older children and adults remain attached and indeed a secure attachment is associated with independent exploratory behaviour rather than dependence.[10] William Blatz, a Canadian psychologist and teacher of Bowlby's colleague Mary Ainsworth, was among the first to stress the need for security as a normal part of personality at all ages, as well as normality of the use of others as a secure base and the importance of social relationships for other aspects of development.[11]

Current attachment theory focuses on social experiences in early childhood as the source of attachment in childhood and in later life.[12] Attachment theory was developed by Bowlby as a consequence of his dissatisfaction with existing theories of early relationships.[13]

Early developments edit

Bowlby was influenced by the beginnings of the object relations school of psychoanalysis and in particular, Melanie Klein, although he profoundly disagreed with the psychoanalytic belief then prevalent that saw infants' responses as relating to their internal fantasy life rather than to real life events. As Bowlby began to formulate his concept of attachment, he was influenced by case studies by Levy, Powdermaker, Lowrey, Bender and Goldfarb.[14] An example is the one by David Levy that associated an adopted child's lack of social emotion to her early emotional deprivation.[15] Bowlby himself was interested in the role played in delinquency by poor early relationships, and explored this in a study of young thieves.[16] Bowlby's contemporary René Spitz proposed that "psychotoxic" results were brought about by inappropriate experiences of early care.[17] A strong influence was the work of James and Joyce Robertson who filmed the effects of separation on children in hospital. They and Bowlby collaborated in making the 1952 documentary film A Two-Year Old Goes to the Hospital illustrating the impact of loss and suffering experienced by young children separated from their primary caretakers. This film was instrumental in a campaign to alter hospital restrictions on visiting by parents.[18]

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 (or permanent mother substitute) in which both find satisfaction and enjoyment" and that not to do so may have significant and irreversible mental health consequences. This proposition was both influential in terms of the effect on the institutional care of children, and highly controversial.[19] There was limited empirical data at the time and no comprehensive theory to account for such a conclusion.[20]

Attachment theory edit

 
Love Wire and cloth mother surrogates in Harry Harlow's The Nature of Love

Following the publication of Maternal Care and Mental Health, Bowlby sought new understanding from such fields as evolutionary biology, ethology, developmental psychology, cognitive science and control systems theory and drew upon them to formulate the innovative proposition that the mechanisms underlying an infants tie emerged as a result of evolutionary pressure.[13] He realised that he had to develop a new theory of motivation and behaviour control, built on up-to-date science rather than the outdated psychic energy model espoused by Freud.[8] Bowlby expressed himself as having made good the "deficiencies of the data and the lack of theory to link alleged cause and effect" in "Maternal Care and Mental Health" in his later work "Attachment and Loss" published between 1969 and 1980.[21]

Bowlby's first official representations were carried out for the relationship theory in three very controversial lectures in 1957 by the British Psychoanalytical Society in London.[22] The formal origin of attachment theory can be traced to the publication of two 1958 papers, one being Bowlby's The Nature of the Child's Tie to his Mother, in which the precursory concepts of "attachment" were introduced, and Harry Harlow's The Nature of Love, based on the results of experiments which showed, approximately, that infant rhesus monkeys spent more time with soft mother-like dummies that offered no food than they did with dummies that provided a food source but were less pleasant to the touch.[23][24][25][26] Bowlby followed this up with two more papers, Separation Anxiety (1960a), and Grief and Mourning in Infancy and Early Childhood (1960b).[27][28] At about the same time, Bowlby's former colleague, Mary Ainsworth was completing extensive observational studies on the nature of infant attachments in Uganda with Bowlby's ethological theories in mind. Mary Ainsworth's innovative methodology and comprehensive observational studies informed much of the theory, expanded its concepts and enabled some of its tenets to be empirically tested.[29] Attachment theory was finally presented in 1969 in Attachment the first volume of the Attachment and Loss trilogy.[30] The second and third volumes, Separation: Anxiety and Anger and Loss: Sadness and Depression followed in 1972 and 1980 respectively.[31][32] Attachment was revised in 1982 to incorporate more recent research.[33]

Ethology edit

Bowlby's attention was first drawn to ethology when he read Lorenz's 1952 publication in draft form although Lorenz had published much earlier work.[34] Soon after this he encountered the work of Tinbergen,[35] and began to collaborate with Robert Hinde.[36][37] In 1953 he 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".[38]

 
Konrad Lorenz and Nikolaas Tinbergen

Konrad Lorenz had examined the phenomenon of "imprinting" and felt that it might have some parallels to human attachment. Imprinting, a behavior characteristic of some birds and a very few mammals, involves rapid learning of recognition by a young bird or animal exposed to a conspecific or an object or organism that behaves suitably. The learning is possible only within a limited age period, known as a critical period. This rapid learning and development of familiarity with an animate or inanimate object is accompanied by a tendency to stay close to the object and to follow when it moves; the young creature is said to have been imprinted on the object when this occurs. As the imprinted bird or animal reaches reproductive maturity, its courtship behavior is directed toward objects that resemble the imprinting object. Bowlby's attachment concepts later included the ideas that attachment involves learning from experience during a limited age period, and that the learning that occurs during that time influences adult behavior. However, he did not apply the imprinting concept in its entirety to human attachment, nor assume that human development was as simple as that of birds. He did, however, consider that attachment behavior was best explained as instinctive in nature, an approach that does not rule out the effect of experience, but that stresses the readiness the young child brings to social interactions.[39] Some of Lorenz's work had been done years before Bowlby formulated his ideas, and indeed some ideas characteristic of ethology were already discussed among psychoanalysts some time before the presentation of attachment theory.[40]

Psychoanalysis edit

Bowlby's view of attachment was also influenced by psychoanalytical concepts and the earlier work of psychoanalysts. In particular he was influenced by observations of young children separated from familiar caregivers, as provided during World War II by Anna Freud and her colleague Dorothy Burlingham.[41]

 
Evacuee children in 1937

Observations of separated children's grief by René Spitz were another important factor in the development of attachment theory.[42] However, Bowlby rejected psychoanalytical explanations for early infant bonds. He rejected both Freudian "drive-theory", which he called the Cupboard Love theory of relationships, and early object-relations theory as both in his view failed to see the attachment as a psychological bond in its own right rather than an instinct derived from feeding or sexuality.[43] Thinking in terms of primary attachment and neo-darwinism, Bowlby identified as what he saw as fundamental flaws in psychoanalysis, namely the overemphasis of internal dangers at the expense of external threat, and the picture of the development of personality via linear "phases" with "regression" to fixed points accounting for psychological illness. Instead he 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.[44]

Internal working model edit

The important concept of the internal working model of social relationships was adopted by Bowlby from the work of the philosopher Kenneth Craik,[45] who had noted the adaptiveness of the ability of thought to predict events, and stressed the survival value of and natural selection for this ability. According to Craik, prediction occurs when a "small-scale model" consisting of brain events is used to represent not only the external environment, but the individual's own possible actions. This model allows a person to mentally try out alternatives and to use knowledge of the past in responding to the present and future. At about the same time that Bowlby was applying Craik's ideas to the study of attachment, other psychologists were using these concepts in discussion of adult perception and cognition.[46]

Cybernetics edit

The theory of control systems (cybernetics), developing during the 1930s and '40s, influenced Bowlby's thinking.[47] The young child's need for proximity to the attachment figure was seen as balancing homeostatically with the need for exploration. The actual distance maintained would be greater or less as the balance of needs changed; for example, the approach of a stranger, or an injury, would cause the child to seek proximity when a moment before he had been exploring at a distance.

Behavioural development and attachment edit

Behaviour analysts have constructed models of attachment. Such models are based on the importance of contingent relationships. Behaviour analytic models have received support from research.[48] and meta-analytic reviews.[49]

Developments edit

Although research on attachment behaviors continued after Bowlby's death in 1990, there was a period of time when attachment theory was considered to have run its course. Some authors argued that attachment should not be seen as a trait (lasting characteristic of the individual), but instead should be regarded as an organizing principle with varying behaviors resulting from contextual factors.[50] Related later research looked at cross-cultural differences in attachment, and concluded that there should be re-evaluation of the assumption that attachment is expressed identically in all humans.[51] In a recent study conducted in Sapporo, Behrens, et al., 2007 found attachment distributions consistent with global norms using the six-year Main & Cassidy scoring system for attachment classification.[52][53]

Interest in attachment theory continued, and the theory was later extended to adult romantic relationships by Cindy Hazan and Phillip Shaver.[54][55][56] Peter Fonagy and Mary Target have attempted to bring attachment theory and psychoanalysis into a closer relationship by way of such aspects of cognitive science as mentalization, the ability to estimate what the beliefs or intentions of another person may be.[47] A "natural experiment" has permitted extensive study of attachment issues, as researchers have followed the thousands of Romanian orphans who were adopted into Western families after the end of Nicolae Ceauşescu's regime. The English and Romanian Adoptees Study Team, led by Michael Rutter, has followed some of the children into their teens, attempting to unravel the effects of poor attachment, adoption and new relationships, and the physical and medical problems associated with their early lives. Studies on the Romanian adoptees, whose initial conditions were shocking, have in fact yielded reason for optimism. Many of the children have developed quite well, and the researchers have noted that separation from familiar people is only one of many factors that help to determine the quality of development.[57]

Neuroscientific studies are examining the physiological underpinnings of observable attachment style, such as vagal tone which influences capacities for intimacy,[58] stress response which influences threat reactivity (Lupien, McEwan, Gunnar & Heim, 2009),[59] as well as neuroendocrinology such as oxytocin,.[60][61] These types of studies underscore the fact that attachment is an embodied capacity not only a cognitive one.

Effects of changing times and approaches edit

Some authors have noted the connection of attachment theory with Western family and child care patterns characteristic of Bowlby's time. The implication of this connection is that attachment-related experiences (and perhaps attachment itself) may alter as young children's experience of care change historically. For example, changes in attitudes toward female sexuality have greatly increased the numbers of children living with their never-married mothers and being cared for outside the home while the mothers work.

 
Parents and baby

This social change, in addition to increasing abortion rates, has also made it more difficult for childless people to adopt infants in their own countries, and has increased the number of older-child adoptions and adoptions from third-world sources. Adoptions and births to same-sex couples have increased in number and even gained some legal protection, compared to their status in Bowlby's time.[62]

One focus of attachment research has been on 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 the deleterious effects of day care were stressed.[63] As a beneficial result of this controversy, training of child care professionals has come to stress attachment issues and the need for relationship-building through techniques such as assignment of a child to a specific care provider. Although only high-quality child care settings are likely to follow through on these considerations, nevertheless a larger number of infants in child care receive attachment-friendly care than was the case in the past, and emotional development of children in nonparental care may be different today than it was in the 1980s or in Bowlby's time.[64]

Finally, any critique of attachment theory needs to consider how the theory has connected with changes in other psychological theories. Research on attachment issues has begun to include concepts related to behaviour genetics and to the study of temperament (constitutional factors in personality), but it is unusual for popular presentations of attachment theory to include these. Importantly, some researchers and theorists have begun to connect attachment with the study of mentalization or Theory of Mind, the capacity that allows human beings to guess with some accuracy what thoughts, emotions, and intentions lie behind behaviours as subtle as facial expression or eye movement.[65] The connection of theory of mind with the internal working model of social relationships may open a new area of study and lead to alterations in attachment theory.[66]

Reception edit

1950s to the 1970s edit

The maternal deprivation hypothesis, attachment theory's precursor, was enormously controversial. Ten years after the publication of the hypothesis, Ainsworth listed nine concerns that she felt were the chief points of controversy.[67] Ainsworth separated the three dimensions of maternal deprivation into lack of maternal care, distortion of maternal care and discontinuity of maternal care. She analysed the dozens of studies undertaken in the field and concluded that the basic assertions of the maternal deprivation hypothesis were sound although the controversy continued.[68] As the formulation of attachment theory progressed, critics commented on empirical support for the theory and for the possible alternative explanations for results of empirical research.[69] Wootton questioned the suggestion that early attachment history (as it would now be called) had a lifelong impact.[70]

In 1957 found the young relationship theory in the DDR (East Germany) by an essay of James Robertson in the Zeitschrift für ärztliche Fortbildung (magazine for a medical further education) and Eva Schmidt-Kolmer carried out some journal extracts from Bowlby's essay Maternal Care and mental Health for WHO.[71] In the following period it came to extensive comparative development psychological in the DDR at the end of the fifties. Examinations between family-bound babies and small children, day and week hayracks-as well as Institution children. The findings could do with regard to the morbidity for the family-bound children, the physical and emotional development as well as adaption disturbances at change of environment. After the construction of the Berlin Wall 1961 it didn't come to any additional publications in the DDR Relationship theory and comparative investigations with family-bound children. The previous ones Research results weren't published further and got like the relationship theory into oblivion in the DDR in the subsequent years.[72]

In the 1970s, problems with the emphasis on attachment as a trait (a stable characteristic of an individual) rather than as a type of behaviour with important organising functions and outcomes, led some authors to consider that "attachment (as implying anything but infant-adult interaction) [may be said to have] outlived its usefulness as a developmental construct..." and that attachment behaviours were best understood in terms of their functions in the child's life.[50] Children may achieve a given function, such as a sense of security, in many different ways and the various but functionally comparable behaviours should be categorized as related to each other. This way of thinking saw the secure base concept (the organisation of exploration of an unfamiliar situation around returns to a familiar person) as "central to the logic and coherence of attachment theory and to its status as an organizational construct."[73] Similarly, Thompson pointed out that "other features of early parent-child relationships that develop concurrently with attachment security, including negotiating conflict and establishing cooperation, also must be considered in understanding the legacy of early attachments."[74]

Specific disciplines edit

Psychoanalysis edit

From an early point in the development of attachment theory, there was criticism of the theory's lack of congruence with the various branches of psychoanalysis. Like other members of the British object-relations group, Bowlby rejected Melanie Klein's views that considered the infant to have certain mental capacities at birth and to continue to develop emotionally on the basis of fantasy rather than of real experiences. But Bowlby also withdrew from the object-relations approach (exemplified, for example, by Anna Freud), as he abandoned the "drive theory" assumptions in favor of a set of automatic, instinctual behaviour systems that included attachment. Bowlby's decisions left him open to criticism from well-established thinkers working on problems similar to those he addressed.[75][76][77] Bowlby was effectively ostracized from the psychoanalytic community.[2] More recently some psychoanalysts have sought to reconcile the two theories in the form of attachment-based psychotherapy, a therapeutic approach.

Ethology edit

Ethologists expressed concern about the adequacy of some of the research on which attachment theory was based, particularly the generalisation to humans from animal studies.[78][79] Schur, discussing Bowlby's use of ethological concepts (pre-1960) commented that these concepts as used in attachment theory had not kept up with changes in ethology itself.[80]

 
Ready to explore

Ethologists and others writing in the 1960s and 1970s questioned the types of behaviour used as indications of attachment, and offered alternative approaches. For example, crying on separation from a familiar person was suggested as an index of attachment.[81] Observational studies of young children in natural settings also provided behaviours that might be considered to indicate attachment; for example, staying within a predictable distance of the mother without effort on her part and picking up small objects and bringing them to the mother, but usually not other adults.[82] Although ethological work tended to be in agreement with Bowlby, work like that just described led to the conclusion that "[w]e appear to disagree with Bowlby and Ainsworth on some of the details of the child's interactions with its mother and other people". Some ethologists pressed for further observational data, arguing that psychologists "are still writing as if there is a real entity which is 'attachment', existing over and above the observable measures."[83]

Robert Hinde expressed concern with the use of the word "attachment" to imply that it was an intervening variable or a hypothesised internal mechanism rather than a data term. He suggested that confusion about the meaning of attachment theory terms "could lead to the 'instinct fallacy' of postulating a mechanism isomorphous with the behaviours, and then using that as an explanation for the behaviour". However, Hinde considered "attachment behaviour system" to be an appropriate term of theory language which did not offer the same problems "because it refers to postulated control systems that determine the relations between different kinds of behaviour."[84]

Cognitive development edit

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) and its connection to early attachment behaviours, and about the fact that the infant's ability to discriminate strangers and react to the mother's absence seems to occur some months earlier than Piaget suggested would be cognitively possible.[85] 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 far more specific than those of Bowlby's time.[86]

Behaviourism edit

In 1969, Gewirtz discussed how mother and child could provide each other with positive reinforcement experiences through their mutual attention and therefore learn to stay close together; this explanation would make it unnecessary to posit innate human characteristics fostering attachment.[87] Learning theory saw attachment as a remnant of dependency and the quality of attachment as merely a response to the caregivers cues. Behaviourists saw behaviours such as crying as a random activity that meant nothing until reinforced by a caregivers response therefore 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.[88] 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[48] and meta-analytic reviews.[49]

Methodology edit

There has been critical discussion of conclusions drawn from clinical and observational work, and whether or not they actually support tenets of attachment theory. For example, Skuse based criticism of a basic tenet of attachment theory on the work of Anna Freud with children from Theresienstadt, who apparently developed relatively normally in spite of serious deprivation during their early years. This discussion concluded from Freud's case and from some other studies of extreme deprivation that there is an excellent prognosis for children with this background, unless there are biological or genetic risk factors.[89] The psychoanalyst Margaret Mahler interpreted ambivalent or aggressive behaviour of toddlers toward their mothers as a normal part of development, not as evidence of poor attachment history.[90]

 
Parents and child

Some of Bowlby's interpretations of the data reported by James Robertson were eventually rejected by the researcher, who reported data from 13 young children who were cared for in ideal circumstances during separation from their mothers. Robertson noted, "...Bowlby acknowledges that he draws mainly upon James Robertson's institutional data. But in developing his grief and mourning theory, Bowlby, without adducing non-institutional data, has generalized Robertson's concept of protest, despair and denial beyond the context from which it was derived. He asserts that these are the usual responses of young children to separation from the mother regardless of circumstance..."; however, of the 13 separated children who received good care, none showed protest and despair, but "coped with separation from the mother when cared for in conditions from which the adverse factors which complicate institutional studies were absent".[91] In the second volume of the trilogy, Separation, published two years later, Bowlby acknowledged that Robertsons foster study had caused him to modify his views on the traumatic consequences of separation in which insufficient weight was given to the influence of skilled care from a familiar substitute.[92]

Some authors have questioned the idea of attachment patterns, thought to be measured by techniques like the Strange Situation Protocol. Such techniques yield a taxonomy of categories considered to represent qualitative difference in attachment relationships (for example, secure attachment versus avoidant). However, a categorical model is not necessarily the best representation of individual difference in attachment. An examination of data from 1139 15-month-olds showed that variation was continuous rather than falling into natural groupings.[93] This criticism introduces important questions for attachment typologies and the mechanisms behind apparent types, but in fact has relatively little relevance for attachment theory itself, which "neither requires nor predicts discrete patterns of attachment."[94] As was noted above, ethologists have suggested other behavioural measures that may be of greater importance than Strange Situation behaviour.

 
Children

1980s on edit

Following the argument made in the 1970s that attachment should not be seen as a trait (lasting characteristic of the individual), but instead should be regarded as an organising principle with varying behaviours resulting from contextual factors,[50] later research looked at cross-cultural differences in attachment, and concluded that there should be re-evaluation of the assumption that attachment is expressed identically in all humans.[51] Various studies appeared to show cultural differences but a 2007 study conducted in Sapporo in Japan found attachment distributions consistent with global norms using the six-year Main & Cassidy scoring system for attachment classification.[52][53]

Recent critics such as J. R. Harris, Steven Pinker and Jerome Kagan are generally concerned with the concept of infant determinism (Nature versus nurture) and stress the possible effects of later experience on personality.[95][96][97] Building on the earlier work on temperament of Stella Chess, Kagan rejected almost every assumption on which attachment theory etiology was based, arguing that heredity was far more important than the transient effects of early environment, for example a child with an inherent difficult temperament would not illicit sensitive behavioural responses from their care giver. The debate spawned considerable research and analysis of data from the growing number of longitudinal studies.[98] Subsequent research has not bourne out Kagan's argument and broadly demonstrates that it is the caregivers' behaviours that form the child's attachment style although how this style is expressed may differ with temperament.[99]

Harris and Pinker have put forward the notion that the influence of parents has been much exaggerated and that socialisation takes place primarily in peer groups, although H. Rudolph Schaffer concludes that parents and peers fulfill different functions and have distinctive roles in children's development.[100] Concern about attachment theory has been raised with regard to the fact that infants often have multiple relationships, within the family as well as in child care settings, and that the dyadic model characteristic of attachment theory cannot address the complexity of real-life social experiences.[101]

See also edit

Notes edit

  1. ^ Simpson JA (1999). "Attachment Theory in Modern Evolutionary Perspective". In Cassidy J, Shaver PR (eds.). Handbook of Attachment:Theory, Research and Clinical Applications. New York: Guilford Press. pp. 115–140. ISBN 978-1-57230-087-3.
  2. ^ a b Rutter M (1995). "Clinical Implications of attachment Concepts: Retrospect and Prospect". Journal of Child Psychology & Psychiatry. 36 (4): 549–571. doi:10.1111/j.1469-7610.1995.tb02314.x. PMID 7650083.
  3. ^ Schaffer R (2007). Introducing Child Psychology. Blackwell. ISBN 978-0-631-21628-5.
  4. ^ Bretherton I, Munholland KA (1999). "Internal Working Models in Attachment Relationships: A Construct Revisited". In Cassidy J, Shaver PR (eds.). Handbook of Attachment:Theory, Research and Clinical Applications. Guilford press. pp. 89–114. ISBN 978-1-57230-087-3.
  5. ^ Mercer p. 37
  6. ^ a b Fildes V (1988). "Wet nursing". Midwife, Health Visitor & Community Nurse. 22 (7): 241–7. PMID 3537643.
  7. ^ de Saussure RA (1940). "JB Felix Descuret". Psychoanalytic Study of the Child. 2: 417–424.
  8. ^ a b Bretherton I (1992). "The Origins of Attachment Theory: John Bowlby and Mary Ainsworth". Developmental Psychology. 28 (5): 759. doi:10.1037/0012-1649.28.5.759.
  9. ^ Suttie I (1935). The origins of love and hate. London: Penguin. ISBN 978-0-415-21042-3.
  10. ^ Prior and Glaser p. 20
  11. ^ Wright M (1996). "William Emet Blatz". In Kimble GA, Wertheimer M, Boneau CA (eds.). Portraits of pioneers in psychology. Vol. II. Mahwah, NJ: Erlbaum. pp. 199–212. ISBN 978-0-8058-2198-7.
  12. ^ Mercer p. 23
  13. ^ a b Cassidy J (1999). "The Nature of a Childs Ties". In Cassidy J, Shaver PR (eds.). Handbook of Attachment:Theory, Research and Clinical Applications. New York: Guilford Press. pp. 3–20. ISBN 978-1-57230-087-3.
  14. ^ Bowlby J (1951). Maternal Care and Mental Health. Vol. 3. Geneva: World Health Organisation. pp. 355–533. ISBN 978-1-56821-757-4. PMC 2554008. PMID 14821768. 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 institutionalisation or, as in the case quoted, of the child's being shifted about from one foster-mother to another as being its cause {{cite book}}: |journal= ignored (help)
  15. ^ Levy, David M. (1937). "Primary Affect Hunger". American Journal of Psychiatry. American Psychiatric Association Publishing. 94 (3): 643–652. doi:10.1176/ajp.94.3.643. ISSN 0002-953X.
  16. ^ Bowlby J (1944). "Forty-four juvenile thieves: Their characters and home life". International Journal of Psychoanalysis. 25 (19–52): 107–127. sometimes referred to by Bowlby's colleagues as "Ali Bowlby and the Forty Thieves"
  17. ^ Spitz RA (1951). "The psychogenic diseases in infancy". Psychoanalytic Study of the Child. 6: 255–275. doi:10.1080/00797308.1952.11822915.
  18. ^ Schwartz J (1999). Cassandra's Daughter: A History of Psychoanalysis. Viking/Allen Lane. p. 225. ISBN 978-0-670-88623-4.
  19. ^ "Preface". Deprivation of Maternal Care: A Reassessment of its Effects. Public Health Papers. Geneva: World Health Organization.
  20. ^ Bowlby (1988) p. 24
  21. ^ Bowlby J (December 1986), "This Week's Citation Classic Classic" (PDF), Current Contents, vol. 50, no. 18, retrieved 2008-07-13
  22. ^ Bretherton, Inge: Developmental Psychology (1992), 28, p. 759-775
  23. ^ Bowlby J (1958). "The nature of the child's tie to his mother". Int J Psychoanal. 39 (5): 350–73. PMID 13610508.
  24. ^ Bowlby J (2005). The Making and Breaking of Affectional Bonds. Routledge Classics. ISBN 978-0-415-35481-3.
  25. ^ Harlow H (1958). "The Nature of Love". American Psychologist. 13 (12): 573–685. doi:10.1037/h0047884. S2CID 10722381.
  26. ^ Van der Horst FC, LeRoy HA, Van der Veer R (2008). ""When strangers meet": John Bowlby and Harry Harlow on attachment behavior". Integrative Psychological & Behavioral Science. 42 (4): 370–388. doi:10.1007/s12124-008-9079-2. ISSN 1936-3567. PMID 18766423.
  27. ^ Bowlby J (1960). "Separation anxiety". Int J Psychoanal. 41: 89–113. PMID 13803480.
  28. ^ Bowlby J (1960). "Grief and mourning in infancy and early childhood". The Psychoanalytic Study of the Child. 15: 9–52. doi:10.1080/00797308.1960.11822566.
  29. ^ Bretherton I (1992). "The Origins of Attachment Theory: John Bowlby and Mary Ainsworth". Developmental Psychology. 28 (5): 759–775. doi:10.1037/0012-1649.28.5.759.
  30. ^ Bowlby J (1969). Attachment. Attachment and loss. Vol. I. London: Hogarth. ISBN 978-0-465-00543-7.
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References edit

  • Bowlby J (1969). Attachment. Attachment and loss. Vol. I. London: Hogarth. ISBN 978-0-465-00543-7. (page numbers refer to Pelican edition 1971)
  • Bowlby J (1999) [1982]. Attachment. Attachment and Loss Vol.I (2nd ed.). New York: Basic Books. ISBN 978-0-465-00543-7. LCCN 00266879. OCLC 11442968. NLM 8412414.
  • Bowlby J (1988). A Secure Base: Clinical Applications of Attachment Theory. London: Routledge. ISBN 978-0-415-00640-8.
  • Holmes J (1993). John Bowlby & Attachment Theory. Makers of modern psychotherapy. Routledge. ISBN 978-0-415-07729-3.
  • Mercer, J (2006). Understanding attachment: Parenting, child care, and emotional development. Westport, CT: Praeger Publishers. ISBN 978-0-275-98217-1. LCCN 2005019272. OCLC 61115448.
  • Prior V, Glaser D (2006). Understanding Attachment and Attachment Disorders: Theory, Evidence and Practice. Child and Adolescent Mental Health, RCPRTU. Jessica Kingsley Publishers. ISBN 978-1-84310-245-8.
  • Van der Horst FCP (2011). John Bowlby - From Psychoanalysis to Ethology. Unraveling the roots of attachment theory. Oxford, UK: Wiley-Blackwell. ISBN 978-0-470-68364-4.

External links edit

  • Richard Karen. 'Becoming Attached'. The Atlantic Monthly February, 1990.
  • Review of Richard Karen. Becoming Attached: First Relationships and How They Shape Our Capacity to Love.
  • Rene Spitz's film "Psychogenic Disease in Infancy" (1957)

history, attachment, theory, attachment, theory, originating, work, john, bowlby, psychological, evolutionary, ethological, theory, that, provides, descriptive, explanatory, framework, understanding, interpersonal, relationships, between, human, beings, mother. Attachment theory originating in the work of John Bowlby is a psychological evolutionary and ethological theory that provides a descriptive and explanatory framework for understanding interpersonal relationships between human beings Mother and babyIn order to formulate a comprehensive theory of the nature of early attachments Bowlby explored a range of fields including evolution by natural selection object relations theory psychoanalysis control systems theory evolutionary biology and the fields of ethology and cognitive psychology 1 There were some preliminary papers from 1958 onwards but the full theory is published in the trilogy Attachment and Loss 1969 82 Although in the early days Bowlby was criticised by academic psychologists and ostracised by the psychoanalytic community 2 attachment theory has become the dominant approach to understanding early social development and given rise to a great surge of empirical research into the formation of children s close relationships 3 Contents 1 Brief description of theory 1 1 Earlier theories 1 2 Early developments 1 3 Attachment theory 1 3 1 Ethology 1 3 2 Psychoanalysis 1 3 3 Internal working model 1 3 4 Cybernetics 1 4 Behavioural development and attachment 1 5 Developments 1 6 Effects of changing times and approaches 2 Reception 2 1 1950s to the 1970s 2 2 Specific disciplines 2 2 1 Psychoanalysis 2 2 2 Ethology 2 2 3 Cognitive development 2 2 4 Behaviourism 2 3 Methodology 2 4 1980s on 3 See also 4 Notes 5 References 6 External linksBrief description of theory editIn infants behavior associated with attachment is primarily a process of proximity seeking to an identified attachment figure in situations of perceived distress or alarm for the purpose of survival Infants become attached to adults who are sensitive and responsive in social interactions with the infant and who remain as consistent caregivers for some months during the period from about six months to two years of age During the later part of this period children begin to use attachment figures familiar people as a secure base to explore from and return to Parental responses lead to the development of patterns of attachment which in turn lead to internal working models which will guide the individual s feelings thoughts and expectations in later relationships 4 Separation anxiety or grief following serious loss are normal and natural responses in an attached infant The human infant is considered by attachment theorists to have a need for a secure relationship with adult caregivers without which normal social and emotional development will not occur However different relationship experiences can lead to different developmental outcomes Mary Ainsworth developed a theory of a number of attachment patterns or styles in infants in which distinct characteristics were identified these were secure attachment avoidant attachment anxious attachment and later disorganized attachment In addition to care seeking by children peer relationships of all ages romantic and sexual attraction and responses to the care needs of infants or sick or elderly adults may be construed as including some components of attachment behavior Earlier theories editA theory of attachment is a framework of ideas that attempt to explain attachment the almost universal human tendency to prefer certain familiar companions over other people especially when ill injured or distressed 5 Historically certain social preferences like those of parents for their children were explained by reference to instinct or the moral worth of the individual 6 nbsp Father and childThe concept of infants emotional attachment to caregivers has been known anecdotally for hundreds of years Most early observers focused on the anxiety displayed by infants and toddlers when threatened with separation from a familiar caregiver 6 7 Psychological theories about attachment were suggested from the late nineteenth century onward 8 Freudian theory attempted a systematic consideration of infant attachment and attributed the infant s attempts to stay near the familiar person to motivation learned through feeding experiences and gratification of libidinal drives In the 1930s the British developmentalist Ian Suttie put forward the suggestion that the child s need for affection was a primary one not based on hunger or other physical gratifications 9 A third theory prevalent at the time of Bowlby s development of attachment theory was dependency This approach posited that infants were dependent on adult caregivers but that dependency was or should be outgrown as the individual matured Such an approach perceived attachment behaviour in older children as regressive whereas within attachment theory older children and adults remain attached and indeed a secure attachment is associated with independent exploratory behaviour rather than dependence 10 William Blatz a Canadian psychologist and teacher of Bowlby s colleague Mary Ainsworth was among the first to stress the need for security as a normal part of personality at all ages as well as normality of the use of others as a secure base and the importance of social relationships for other aspects of development 11 Current attachment theory focuses on social experiences in early childhood as the source of attachment in childhood and in later life 12 Attachment theory was developed by Bowlby as a consequence of his dissatisfaction with existing theories of early relationships 13 Early developments edit See also Maternal deprivation Bowlby was influenced by the beginnings of the object relations school of psychoanalysis and in particular Melanie Klein although he profoundly disagreed with the psychoanalytic belief then prevalent that saw infants responses as relating to their internal fantasy life rather than to real life events As Bowlby began to formulate his concept of attachment he was influenced by case studies by Levy Powdermaker Lowrey Bender and Goldfarb 14 An example is the one by David Levy that associated an adopted child s lack of social emotion to her early emotional deprivation 15 Bowlby himself was interested in the role played in delinquency by poor early relationships and explored this in a study of young thieves 16 Bowlby s contemporary Rene Spitz proposed that psychotoxic results were brought about by inappropriate experiences of early care 17 A strong influence was the work of James and Joyce Robertson who filmed the effects of separation on children in hospital They and Bowlby collaborated in making the 1952 documentary film A Two Year Old Goes to the Hospital illustrating the impact of loss and suffering experienced by young children separated from their primary caretakers This film was instrumental in a campaign to alter hospital restrictions on visiting by parents 18 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 or permanent mother substitute in which both find satisfaction and enjoyment and that not to do so may have significant and irreversible mental health consequences This proposition was both influential in terms of the effect on the institutional care of children and highly controversial 19 There was limited empirical data at the time and no comprehensive theory to account for such a conclusion 20 Attachment theory edit Main article Attachment theory nbsp Love Wire and cloth mother surrogates in Harry Harlow s The Nature of LoveFollowing the publication of Maternal Care and Mental Health Bowlby sought new understanding from such fields as evolutionary biology ethology developmental psychology cognitive science and control systems theory and drew upon them to formulate the innovative proposition that the mechanisms underlying an infants tie emerged as a result of evolutionary pressure 13 He realised that he had to develop a new theory of motivation and behaviour control built on up to date science rather than the outdated psychic energy model espoused by Freud 8 Bowlby expressed himself as having made good the deficiencies of the data and the lack of theory to link alleged cause and effect in Maternal Care and Mental Health in his later work Attachment and Loss published between 1969 and 1980 21 Bowlby s first official representations were carried out for the relationship theory in three very controversial lectures in 1957 by the British Psychoanalytical Society in London 22 The formal origin of attachment theory can be traced to the publication of two 1958 papers one being Bowlby s The Nature of the Child s Tie to his Mother in which the precursory concepts of attachment were introduced and Harry Harlow s The Nature of Love based on the results of experiments which showed approximately that infant rhesus monkeys spent more time with soft mother like dummies that offered no food than they did with dummies that provided a food source but were less pleasant to the touch 23 24 25 26 Bowlby followed this up with two more papers Separation Anxiety 1960a and Grief and Mourning in Infancy and Early Childhood 1960b 27 28 At about the same time Bowlby s former colleague Mary Ainsworth was completing extensive observational studies on the nature of infant attachments in Uganda with Bowlby s ethological theories in mind Mary Ainsworth s innovative methodology and comprehensive observational studies informed much of the theory expanded its concepts and enabled some of its tenets to be empirically tested 29 Attachment theory was finally presented in 1969 in Attachment the first volume of the Attachment and Loss trilogy 30 The second and third volumes Separation Anxiety and Anger and Loss Sadness and Depression followed in 1972 and 1980 respectively 31 32 Attachment was revised in 1982 to incorporate more recent research 33 Ethology edit Bowlby s attention was first drawn to ethology when he read Lorenz s 1952 publication in draft form although Lorenz had published much earlier work 34 Soon after this he encountered the work of Tinbergen 35 and began to collaborate with Robert Hinde 36 37 In 1953 he 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 38 nbsp Konrad Lorenz and Nikolaas TinbergenKonrad Lorenz had examined the phenomenon of imprinting and felt that it might have some parallels to human attachment Imprinting a behavior characteristic of some birds and a very few mammals involves rapid learning of recognition by a young bird or animal exposed to a conspecific or an object or organism that behaves suitably The learning is possible only within a limited age period known as a critical period This rapid learning and development of familiarity with an animate or inanimate object is accompanied by a tendency to stay close to the object and to follow when it moves the young creature is said to have been imprinted on the object when this occurs As the imprinted bird or animal reaches reproductive maturity its courtship behavior is directed toward objects that resemble the imprinting object Bowlby s attachment concepts later included the ideas that attachment involves learning from experience during a limited age period and that the learning that occurs during that time influences adult behavior However he did not apply the imprinting concept in its entirety to human attachment nor assume that human development was as simple as that of birds He did however consider that attachment behavior was best explained as instinctive in nature an approach that does not rule out the effect of experience but that stresses the readiness the young child brings to social interactions 39 Some of Lorenz s work had been done years before Bowlby formulated his ideas and indeed some ideas characteristic of ethology were already discussed among psychoanalysts some time before the presentation of attachment theory 40 Psychoanalysis editBowlby s view of attachment was also influenced by psychoanalytical concepts and the earlier work of psychoanalysts In particular he was influenced by observations of young children separated from familiar caregivers as provided during World War II by Anna Freud and her colleague Dorothy Burlingham 41 nbsp Evacuee children in 1937Observations of separated children s grief by Rene Spitz were another important factor in the development of attachment theory 42 However Bowlby rejected psychoanalytical explanations for early infant bonds He rejected both Freudian drive theory which he called the Cupboard Love theory of relationships and early object relations theory as both in his view failed to see the attachment as a psychological bond in its own right rather than an instinct derived from feeding or sexuality 43 Thinking in terms of primary attachment and neo darwinism Bowlby identified as what he saw as fundamental flaws in psychoanalysis namely the overemphasis of internal dangers at the expense of external threat and the picture of the development of personality via linear phases with regression to fixed points accounting for psychological illness Instead he 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 44 Internal working model edit The important concept of the internal working model of social relationships was adopted by Bowlby from the work of the philosopher Kenneth Craik 45 who had noted the adaptiveness of the ability of thought to predict events and stressed the survival value of and natural selection for this ability According to Craik prediction occurs when a small scale model consisting of brain events is used to represent not only the external environment but the individual s own possible actions This model allows a person to mentally try out alternatives and to use knowledge of the past in responding to the present and future At about the same time that Bowlby was applying Craik s ideas to the study of attachment other psychologists were using these concepts in discussion of adult perception and cognition 46 Cybernetics edit The theory of control systems cybernetics developing during the 1930s and 40s influenced Bowlby s thinking 47 The young child s need for proximity to the attachment figure was seen as balancing homeostatically with the need for exploration The actual distance maintained would be greater or less as the balance of needs changed for example the approach of a stranger or an injury would cause the child to seek proximity when a moment before he had been exploring at a distance Behavioural development and attachment edit Behaviour analysts have constructed models of attachment Such models are based on the importance of contingent relationships Behaviour analytic models have received support from research 48 and meta analytic reviews 49 Developments edit Although research on attachment behaviors continued after Bowlby s death in 1990 there was a period of time when attachment theory was considered to have run its course Some authors argued that attachment should not be seen as a trait lasting characteristic of the individual but instead should be regarded as an organizing principle with varying behaviors resulting from contextual factors 50 Related later research looked at cross cultural differences in attachment and concluded that there should be re evaluation of the assumption that attachment is expressed identically in all humans 51 In a recent study conducted in Sapporo Behrens et al 2007 found attachment distributions consistent with global norms using the six year Main amp Cassidy scoring system for attachment classification 52 53 Interest in attachment theory continued and the theory was later extended to adult romantic relationships by Cindy Hazan and Phillip Shaver 54 55 56 Peter Fonagy and Mary Target have attempted to bring attachment theory and psychoanalysis into a closer relationship by way of such aspects of cognitive science as mentalization the ability to estimate what the beliefs or intentions of another person may be 47 A natural experiment has permitted extensive study of attachment issues as researchers have followed the thousands of Romanian orphans who were adopted into Western families after the end of Nicolae Ceausescu s regime The English and Romanian Adoptees Study Team led by Michael Rutter has followed some of the children into their teens attempting to unravel the effects of poor attachment adoption and new relationships and the physical and medical problems associated with their early lives Studies on the Romanian adoptees whose initial conditions were shocking have in fact yielded reason for optimism Many of the children have developed quite well and the researchers have noted that separation from familiar people is only one of many factors that help to determine the quality of development 57 Neuroscientific studies are examining the physiological underpinnings of observable attachment style such as vagal tone which influences capacities for intimacy 58 stress response which influences threat reactivity Lupien McEwan Gunnar amp Heim 2009 59 as well as neuroendocrinology such as oxytocin 60 61 These types of studies underscore the fact that attachment is an embodied capacity not only a cognitive one Effects of changing times and approaches editSome authors have noted the connection of attachment theory with Western family and child care patterns characteristic of Bowlby s time The implication of this connection is that attachment related experiences and perhaps attachment itself may alter as young children s experience of care change historically For example changes in attitudes toward female sexuality have greatly increased the numbers of children living with their never married mothers and being cared for outside the home while the mothers work nbsp Parents and babyThis social change in addition to increasing abortion rates has also made it more difficult for childless people to adopt infants in their own countries and has increased the number of older child adoptions and adoptions from third world sources Adoptions and births to same sex couples have increased in number and even gained some legal protection compared to their status in Bowlby s time 62 One focus of attachment research has been on 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 the deleterious effects of day care were stressed 63 As a beneficial result of this controversy training of child care professionals has come to stress attachment issues and the need for relationship building through techniques such as assignment of a child to a specific care provider Although only high quality child care settings are likely to follow through on these considerations nevertheless a larger number of infants in child care receive attachment friendly care than was the case in the past and emotional development of children in nonparental care may be different today than it was in the 1980s or in Bowlby s time 64 Finally any critique of attachment theory needs to consider how the theory has connected with changes in other psychological theories Research on attachment issues has begun to include concepts related to behaviour genetics and to the study of temperament constitutional factors in personality but it is unusual for popular presentations of attachment theory to include these Importantly some researchers and theorists have begun to connect attachment with the study of mentalization or Theory of Mind the capacity that allows human beings to guess with some accuracy what thoughts emotions and intentions lie behind behaviours as subtle as facial expression or eye movement 65 The connection of theory of mind with the internal working model of social relationships may open a new area of study and lead to alterations in attachment theory 66 Reception edit1950s to the 1970s edit The maternal deprivation hypothesis attachment theory s precursor was enormously controversial Ten years after the publication of the hypothesis Ainsworth listed nine concerns that she felt were the chief points of controversy 67 Ainsworth separated the three dimensions of maternal deprivation into lack of maternal care distortion of maternal care and discontinuity of maternal care She analysed the dozens of studies undertaken in the field and concluded that the basic assertions of the maternal deprivation hypothesis were sound although the controversy continued 68 As the formulation of attachment theory progressed critics commented on empirical support for the theory and for the possible alternative explanations for results of empirical research 69 Wootton questioned the suggestion that early attachment history as it would now be called had a lifelong impact 70 In 1957 found the young relationship theory in the DDR East Germany by an essay of James Robertson in the Zeitschrift fur arztliche Fortbildung magazine for a medical further education and Eva Schmidt Kolmer carried out some journal extracts from Bowlby s essay Maternal Care and mental Health for WHO 71 In the following period it came to extensive comparative development psychological in the DDR at the end of the fifties Examinations between family bound babies and small children day and week hayracks as well as Institution children The findings could do with regard to the morbidity for the family bound children the physical and emotional development as well as adaption disturbances at change of environment After the construction of the Berlin Wall 1961 it didn t come to any additional publications in the DDR Relationship theory and comparative investigations with family bound children The previous ones Research results weren t published further and got like the relationship theory into oblivion in the DDR in the subsequent years 72 In the 1970s problems with the emphasis on attachment as a trait a stable characteristic of an individual rather than as a type of behaviour with important organising functions and outcomes led some authors to consider that attachment as implying anything but infant adult interaction may be said to have outlived its usefulness as a developmental construct and that attachment behaviours were best understood in terms of their functions in the child s life 50 Children may achieve a given function such as a sense of security in many different ways and the various but functionally comparable behaviours should be categorized as related to each other This way of thinking saw the secure base concept the organisation of exploration of an unfamiliar situation around returns to a familiar person as central to the logic and coherence of attachment theory and to its status as an organizational construct 73 Similarly Thompson pointed out that other features of early parent child relationships that develop concurrently with attachment security including negotiating conflict and establishing cooperation also must be considered in understanding the legacy of early attachments 74 Specific disciplines edit Psychoanalysis edit From an early point in the development of attachment theory there was criticism of the theory s lack of congruence with the various branches of psychoanalysis Like other members of the British object relations group Bowlby rejected Melanie Klein s views that considered the infant to have certain mental capacities at birth and to continue to develop emotionally on the basis of fantasy rather than of real experiences But Bowlby also withdrew from the object relations approach exemplified for example by Anna Freud as he abandoned the drive theory assumptions in favor of a set of automatic instinctual behaviour systems that included attachment Bowlby s decisions left him open to criticism from well established thinkers working on problems similar to those he addressed 75 76 77 Bowlby was effectively ostracized from the psychoanalytic community 2 More recently some psychoanalysts have sought to reconcile the two theories in the form of attachment based psychotherapy a therapeutic approach Ethology edit Ethologists expressed concern about the adequacy of some of the research on which attachment theory was based particularly the generalisation to humans from animal studies 78 79 Schur discussing Bowlby s use of ethological concepts pre 1960 commented that these concepts as used in attachment theory had not kept up with changes in ethology itself 80 nbsp Ready to exploreEthologists and others writing in the 1960s and 1970s questioned the types of behaviour used as indications of attachment and offered alternative approaches For example crying on separation from a familiar person was suggested as an index of attachment 81 Observational studies of young children in natural settings also provided behaviours that might be considered to indicate attachment for example staying within a predictable distance of the mother without effort on her part and picking up small objects and bringing them to the mother but usually not other adults 82 Although ethological work tended to be in agreement with Bowlby work like that just described led to the conclusion that w e appear to disagree with Bowlby and Ainsworth on some of the details of the child s interactions with its mother and other people Some ethologists pressed for further observational data arguing that psychologists are still writing as if there is a real entity which is attachment existing over and above the observable measures 83 Robert Hinde expressed concern with the use of the word attachment to imply that it was an intervening variable or a hypothesised internal mechanism rather than a data term He suggested that confusion about the meaning of attachment theory terms could lead to the instinct fallacy of postulating a mechanism isomorphous with the behaviours and then using that as an explanation for the behaviour However Hinde considered attachment behaviour system to be an appropriate term of theory language which did not offer the same problems because it refers to postulated control systems that determine the relations between different kinds of behaviour 84 Cognitive development edit 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 and its connection to early attachment behaviours and about the fact that the infant s ability to discriminate strangers and react to the mother s absence seems to occur some months earlier than Piaget suggested would be cognitively possible 85 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 far more specific than those of Bowlby s time 86 Behaviourism edit In 1969 Gewirtz discussed how mother and child could provide each other with positive reinforcement experiences through their mutual attention and therefore learn to stay close together this explanation would make it unnecessary to posit innate human characteristics fostering attachment 87 Learning theory saw attachment as a remnant of dependency and the quality of attachment as merely a response to the caregivers cues Behaviourists saw behaviours such as crying as a random activity that meant nothing until reinforced by a caregivers response therefore 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 88 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 48 and meta analytic reviews 49 Methodology editThere has been critical discussion of conclusions drawn from clinical and observational work and whether or not they actually support tenets of attachment theory For example Skuse based criticism of a basic tenet of attachment theory on the work of Anna Freud with children from Theresienstadt who apparently developed relatively normally in spite of serious deprivation during their early years This discussion concluded from Freud s case and from some other studies of extreme deprivation that there is an excellent prognosis for children with this background unless there are biological or genetic risk factors 89 The psychoanalyst Margaret Mahler interpreted ambivalent or aggressive behaviour of toddlers toward their mothers as a normal part of development not as evidence of poor attachment history 90 nbsp Parents and childSome of Bowlby s interpretations of the data reported by James Robertson were eventually rejected by the researcher who reported data from 13 young children who were cared for in ideal circumstances during separation from their mothers Robertson noted Bowlby acknowledges that he draws mainly upon James Robertson s institutional data But in developing his grief and mourning theory Bowlby without adducing non institutional data has generalized Robertson s concept of protest despair and denial beyond the context from which it was derived He asserts that these are the usual responses of young children to separation from the mother regardless of circumstance however of the 13 separated children who received good care none showed protest and despair but coped with separation from the mother when cared for in conditions from which the adverse factors which complicate institutional studies were absent 91 In the second volume of the trilogy Separation published two years later Bowlby acknowledged that Robertsons foster study had caused him to modify his views on the traumatic consequences of separation in which insufficient weight was given to the influence of skilled care from a familiar substitute 92 Some authors have questioned the idea of attachment patterns thought to be measured by techniques like the Strange Situation Protocol Such techniques yield a taxonomy of categories considered to represent qualitative difference in attachment relationships for example secure attachment versus avoidant However a categorical model is not necessarily the best representation of individual difference in attachment An examination of data from 1139 15 month olds showed that variation was continuous rather than falling into natural groupings 93 This criticism introduces important questions for attachment typologies and the mechanisms behind apparent types but in fact has relatively little relevance for attachment theory itself which neither requires nor predicts discrete patterns of attachment 94 As was noted above ethologists have suggested other behavioural measures that may be of greater importance than Strange Situation behaviour nbsp Children1980s on edit Following the argument made in the 1970s that attachment should not be seen as a trait lasting characteristic of the individual but instead should be regarded as an organising principle with varying behaviours resulting from contextual factors 50 later research looked at cross cultural differences in attachment and concluded that there should be re evaluation of the assumption that attachment is expressed identically in all humans 51 Various studies appeared to show cultural differences but a 2007 study conducted in Sapporo in Japan found attachment distributions consistent with global norms using the six year Main amp Cassidy scoring system for attachment classification 52 53 Recent critics such as J R Harris Steven Pinker and Jerome Kagan are generally concerned with the concept of infant determinism Nature versus nurture and stress the possible effects of later experience on personality 95 96 97 Building on the earlier work on temperament of Stella Chess Kagan rejected almost every assumption on which attachment theory etiology was based arguing that heredity was far more important than the transient effects of early environment for example a child with an inherent difficult temperament would not illicit sensitive behavioural responses from their care giver The debate spawned considerable research and analysis of data from the growing number of longitudinal studies 98 Subsequent research has not bourne out Kagan s argument and broadly demonstrates that it is the caregivers behaviours that form the child s attachment style although how this style is expressed may differ with temperament 99 Harris and Pinker have put forward the notion that the influence of parents has been much exaggerated and that socialisation takes place primarily in peer groups although H Rudolph Schaffer concludes that parents and peers fulfill different functions and have distinctive roles in children s development 100 Concern about attachment theory has been raised with regard to the fact that infants often have multiple relationships within the family as well as in child care settings and that the dyadic model characteristic of attachment theory cannot address the complexity of real life social experiences 101 See also editAttachment theory John Bowlby Behavior analysis of child developmentNotes edit Simpson JA 1999 Attachment Theory in Modern Evolutionary Perspective In Cassidy J Shaver PR eds Handbook of Attachment Theory Research and Clinical Applications New York Guilford Press pp 115 140 ISBN 978 1 57230 087 3 a b Rutter M 1995 Clinical Implications of attachment Concepts Retrospect and Prospect Journal of Child Psychology amp Psychiatry 36 4 549 571 doi 10 1111 j 1469 7610 1995 tb02314 x PMID 7650083 Schaffer R 2007 Introducing Child Psychology Blackwell ISBN 978 0 631 21628 5 Bretherton I Munholland KA 1999 Internal Working Models in Attachment Relationships A Construct Revisited In Cassidy J Shaver PR eds Handbook of Attachment Theory Research and Clinical Applications Guilford press pp 89 114 ISBN 978 1 57230 087 3 Mercer p 37 a b Fildes V 1988 Wet nursing Midwife Health Visitor amp Community Nurse 22 7 241 7 PMID 3537643 de Saussure RA 1940 JB Felix Descuret Psychoanalytic Study of the Child 2 417 424 a b Bretherton I 1992 The Origins of Attachment Theory John Bowlby and Mary Ainsworth Developmental Psychology 28 5 759 doi 10 1037 0012 1649 28 5 759 Suttie I 1935 The origins of love and hate London Penguin ISBN 978 0 415 21042 3 Prior and Glaser p 20 Wright M 1996 William Emet Blatz In Kimble GA Wertheimer M Boneau CA eds Portraits of pioneers in psychology Vol II Mahwah NJ Erlbaum pp 199 212 ISBN 978 0 8058 2198 7 Mercer p 23 a b Cassidy J 1999 The Nature of a Childs Ties In Cassidy J Shaver PR eds Handbook of Attachment Theory Research and Clinical Applications New York Guilford Press pp 3 20 ISBN 978 1 57230 087 3 Bowlby J 1951 Maternal Care and Mental Health Vol 3 Geneva World Health Organisation pp 355 533 ISBN 978 1 56821 757 4 PMC 2554008 PMID 14821768 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 institutionalisation or as in the case quoted of the child s being shifted about from one foster mother to another as being its cause a href Template Cite book html title Template Cite book cite book a journal ignored help Levy David M 1937 Primary Affect Hunger American Journal of Psychiatry American Psychiatric Association Publishing 94 3 643 652 doi 10 1176 ajp 94 3 643 ISSN 0002 953X Bowlby J 1944 Forty four juvenile thieves Their characters and home life International Journal of Psychoanalysis 25 19 52 107 127 sometimes referred to by Bowlby s colleagues as Ali Bowlby and the Forty Thieves Spitz RA 1951 The psychogenic diseases in infancy Psychoanalytic Study of the Child 6 255 275 doi 10 1080 00797308 1952 11822915 Schwartz J 1999 Cassandra s Daughter A History of Psychoanalysis Viking Allen Lane p 225 ISBN 978 0 670 88623 4 Preface Deprivation of Maternal Care A Reassessment of its Effects Public Health Papers Geneva World Health Organization Bowlby 1988 p 24 Bowlby J December 1986 This Week s Citation Classic Classic PDF Current Contents vol 50 no 18 retrieved 2008 07 13 Bretherton Inge Developmental Psychology 1992 28 p 759 775 Bowlby J 1958 The nature of the child s tie to his mother Int J Psychoanal 39 5 350 73 PMID 13610508 Bowlby J 2005 The Making and Breaking of Affectional Bonds Routledge Classics ISBN 978 0 415 35481 3 Harlow H 1958 The Nature of Love American Psychologist 13 12 573 685 doi 10 1037 h0047884 S2CID 10722381 Van der Horst FC LeRoy HA Van der Veer R 2008 When strangers meet John Bowlby and Harry Harlow on attachment behavior Integrative Psychological amp Behavioral Science 42 4 370 388 doi 10 1007 s12124 008 9079 2 ISSN 1936 3567 PMID 18766423 Bowlby J 1960 Separation anxiety Int J Psychoanal 41 89 113 PMID 13803480 Bowlby J 1960 Grief and mourning in infancy and early childhood The Psychoanalytic Study of the Child 15 9 52 doi 10 1080 00797308 1960 11822566 Bretherton I 1992 The Origins of Attachment Theory John Bowlby and Mary Ainsworth Developmental Psychology 28 5 759 775 doi 10 1037 0012 1649 28 5 759 Bowlby J 1969 Attachment Attachment and loss Vol I London Hogarth ISBN 978 0 465 00543 7 Bowlby J 1973 Separation Anxiety amp Anger Attachment and Loss vol 2 International psycho analytical library no 95 London Hogarth Press ISBN 978 0 7126 6621 3 OCLC 8353942 Bowlby J 1980 Loss Sadness amp Depression Attachment and Loss vol 3 International psycho analytical library no 109 London Hogarth Press ISBN 978 0 465 04238 8 OCLC 59246032 Bowlby J 1999 1982 Attachment Attachment and Loss Vol I 2nd ed New York Basic Books ISBN 978 0 465 00543 7 LCCN 00266879 OCLC 11442968 NLM 8412414 Lorenz KZ 1937 The companion in the bird s world The Auk 54 3 245 273 doi 10 2307 4078077 JSTOR 4078077 Tinbergen N 1951 The study of instinct Oxford University Press ISBN 978 0 19 857722 5 Van der Horst FC Van der Veer R Van IJzendoorn MH 2007 John Bowlby and ethology An annotated interview with Robert Hinde Attachment amp Human Development 9 4 321 335 doi 10 1080 14616730601149809 ISSN 1469 2988 PMID 17852051 S2CID 218620716 Holmes p 62 Bowlby J 1953 Critical phases in the development of social responses in man and other animals New Biology London Penguin Bowlby 1969 2nd ed pp 220 223 Hartmann H 1950 Psychoanalysis and developmental psychology Psychoanalytic Study of the Child 5 7 17 doi 10 1080 00797308 1950 11822880 Freud A Burlingham DT 1943 War and children Medical War Books ISBN 978 0 8371 6942 2 Spitz R 1945 Hospitalism An Inquiry into the Genesis of Psychiatric Conditions in Early Childhood Holmes pp 62 3 Holmes pp 64 5 Craik K 1943 The Nature of Explanation Cambridge Cambridge University Press ISBN 978 0 521 09445 0 Johnson Laird PN 1983 Mental models Cambridge MA Harvard University Press ISBN 978 0 674 56881 5 a b Robbins P Zacks JM 2007 Attachment theory and cognitive science commentary on Fonagy and Target J Am Psychoanal Assoc 55 2 457 67 discussion 493 501 doi 10 1177 00030651070550021401 PMID 17601100 S2CID 17846200 a b Kassow DZ Dunst CJ 2004 Relationship between parental contingent responsiveness and attachment outcomes Bridges 2 4 1 17 a b Dunst CJ Kassow DZ 2008 Caregiver Sensitivity Contingent Social Responsiveness and Secure Infant Attachment Journal of Early and Intensive Behavior Intervention 5 1 40 56 doi 10 1037 h0100409 a b c Sroufe LA Waters E 1977 Attachment as an organizational construct Child Development 48 4 1184 1199 doi 10 2307 1128475 JSTOR 1128475 a b Tronick EZ Morelli GA Ivey PK 1992 The Efe forager infant and toddler s pattern of social relationships Multiple and simultaneous Developmental Psychology 28 4 568 577 doi 10 1037 0012 1649 28 4 568 a b Behrens KY Hesse E Main M November 2007 Mothers attachment status as determined by the Adult Attachment Interview predicts their 6 year olds reunion responses a study conducted in Japan Dev Psychol 43 6 1553 67 doi 10 1037 0012 1649 43 6 1553 PMID 18020832 a b Main M Cassidy J 1988 Categories of response to reunion with the parent at age 6 Predictable from infant attachment classifications and stable over a 1 month period Developmental Psychology 24 3 415 426 doi 10 1037 0012 1649 24 3 415 Hazan C Shaver PR March 1987 Romantic love conceptualized as an attachment process J Pers Soc Psychol 52 3 511 24 doi 10 1037 0022 3514 52 3 511 PMID 3572722 S2CID 2280613 Hazan C Shaver PR 1990 Love and work An attachment theoretical perspective Journal of Personality and Social Psychology 59 2 270 280 doi 10 1037 0022 3514 59 2 270 Hazan C Shaver PR 1994 Attachment as an organizational framework for research on close relationships Psychological Inquiry 5 1 22 doi 10 1207 s15327965pli0501 1 Rutter M Jan Feb 2002 Nature nurture and development From evangelism through science toward policy and practice Child Development 73 1 1 21 doi 10 1111 1467 8624 00388 ISSN 0009 3920 PMID 14717240 Porges S 2011 The polyvagal theory Neurophysiological foundations of emotions attachment communication self regulation Norton Lupien SJ McEwan BS Gunnar MR Heim C 2009 Effects of stress throughout the lifespan on the brain behaviour and cognition Nature Reviews Neuroscience 10 6 434 445 doi 10 1038 nrn2639 PMID 19401723 S2CID 205504945 Carter CS 1998 Neuroendocrine perspectives on social attachment and love Psychoneuroendocrinology 23 8 779 818 doi 10 1016 s0306 4530 98 00055 9 PMID 9924738 S2CID 206062066 Uvnas Moberg K 1996 Neuroendocrinology of the mother child interaction Trends in Endocrinology and Metabolism 7 4 126 131 doi 10 1016 1043 2760 96 00036 7 PMID 18406738 S2CID 37118440 Mercer pp 152 56 Belsky J Rovine MJ February 1988 Nonmaternal care in the first year of life and the security of infant parent attachment Child Dev 59 1 157 67 doi 10 2307 1130397 JSTOR 1130397 PMID 3342709 Mercer pp 160 63 Fonagy P Gergely G Jurist EL Target M 2002 Affect regulation mentalization and the development of the self New York Other Press ISBN 978 1 59051 161 9 Mercer pp 165 68 Ainsworth MD 1962 The effects of maternal deprivation A review of findings and controversy in the context of research strategy Deprivation of Maternal Care A Reassessment of its Effects Public Health Papers Vol 14 Geneva World Health Organization pp 97 165 PMID 13859806 1 The vagueness of the term maternal deprivation used in the description of a child s history of attachment experiences 2 The lack of clarity of the theory s implications for experiences with multiple caregivers 3 The implications for the theory of the degree of variability following deprivation 4 The question of what specific effects result from deprivation 5 The question of individual differences in children s reactions to separation or loss 6 The question of the degree of permanence of specific effects of deprivation 7 The question of delinquency as an infrequent outcome of separation and loss 8 The question of specifics of deprivation and whether these have to do with the caregiver or the more general environment 9 Controversies having to do with the effects of genetic defects or of brain damage on the developmental outcome Karen pp 123 24 Karen pp 115 18 Wootton B 1959 Social science and social pathology London Allen and Unwin ISBN 978 0 313 20339 8 Robertson J Uber den Verlust mutterlicher Fursorge in fruher Kindheit In Zeitschrift fur arztliche Fortbildung 1957 21 22 Pluckhahn Jens Dauerheime fur Sauglinge und Kleinkinder in der DDR aus dem Blickwinkel der Bindungstheorie Diplomarbeit FH Potsdam Potsdam 2012 S 60 und S 101ff Bundesarchiv Berlin Lichterfelde Ministerium fur Gesundheitswesen der DDR BArch DQ 1 13585 u a m Zeitschrift fur arztliche Fortbildung in der DDR 1957 21 22 S 895ff 1958 7 S 307ff 1959 22 S 1443ff 1960 21 S 1220ff u a m Waters E Cummings EM 2000 A secure base from which to explore close relationships Child Development 71 1 164 72 CiteSeerX 10 1 1 505 6759 doi 10 1111 1467 8624 00130 PMID 10836570 S2CID 15158143 Thompson RA 2000 The legacy of early attachments Child Development 71 1 145 52 doi 10 1111 1467 8624 00128 PMID 10836568 Steele H Steele M 1998 Attachment and psychoanalysis Time for a reunion Social Development 7 1 92 119 doi 10 1111 1467 9507 00053 Cassidy J 1998 Commentary on Steele and Steele Attachment and object relations theories and the concept of independent behavioral systems Social Development 7 1 120 26 doi 10 1111 1467 9507 00054 Steele H Steele M 1998 Debate Attachment and psychoanalysis Time for a reunion Social Development 7 1 92 119 doi 10 1111 1467 9507 00053 Crnic LS Reite ML Shucard DW 1982 Animal models of human behavior Their application to the study of attachment In Emde RN Harmon RJ eds The development of attachment and affiliative systems New york Plenum pp 31 42 ISBN 978 0 306 40849 6 Brannigan CR Humphries DA 1972 Human non verbal behaviour A means of communication In Blurton Jones N ed Ethological studies of child behaviour Cambridge University Press pp 37 64 ISBN 978 0 521 09855 7 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 that interesting but untested hypotheses may gain the status of accepted theory One author has coined the term ethologism as a label for the present vogue in 1970 for uncritically invoking the findings from ethological studies of other species as necessary and sufficient explanations Theory based on superficial analogies between species has always impeded biological understanding 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 Schur M 1960 Discussion of Dr John Bowlby s paper Psychoanalytic Study of the Child 15 63 84 doi 10 1080 00797308 1960 11822568 PMID 13749000 Bowlby assumes the fully innate unlearned character of most complex behavior patterns whereas recent animal studies showed both the early impact of learning and the great intricacy of the interaction between mother and litter and applies to human behavior an instinct concept which neglects the factor of development and learning far beyond even the position taken by Lorenz the ethological theorist in his early propositions Schaffer HR Emerson PE 1964 The development of social attachment in infancy Monographs of the Society for Research in Child Development Serial No 94 29 3 Anderson JW 1972 Attachment behaviour out of doors In Blurton Jones N ed Ethological studies of child behaviour Cambridge University Press pp 199 216 ISBN 978 0 521 09855 7 Jones NB Leach GM 1972 Behaviour of children and their mothers at separation and greeting In Blurton Jones N ed Ethological studies of child behaviour Cambridge University Press pp 217 48 ISBN 978 0 521 09855 7 Hinde R 1982 Ethology Oxford University Press p 229 ISBN 978 0 00 686034 1 Fraiberg S 1969 Libidinal object constancy and mental representation Psychoanalytic Study of the Child 24 9 47 doi 10 1080 00797308 1969 11822685 PMID 5353377 Waters HS Waters E September 2006 The attachment working models concept among other things we build script like representations of secure base experiences Attachment amp Human Development 8 3 185 97 doi 10 1080 14616730600856016 PMID 16938702 S2CID 11443750 Gewirtz N 1969 Potency of a social reinforcer as a function of satiation and recovery Developmental Psychology 1 2 13 doi 10 1037 h0026802 Karen pp 166 73 Skuse D October 1984 Extreme deprivation in early childhood II Theoretical issues and a comparative review Journal of Child Psychology and Psychiatry 25 4 543 72 doi 10 1111 j 1469 7610 1984 tb00172 x PMID 6480730 Mahler MS 1971 A study of the separation individuation process and its possible application to borderline phenomena in the psychoanalytic situation Psychoanalytic Study of the Child 26 403 24 doi 10 1080 00797308 1971 11822279 PMID 5163236 Robertson J Robertson J 1971 Young children in brief separation A fresh look Psychoanalytic Study of the Child 26 264 315 doi 10 1080 00797308 1971 11822274 PMID 5163230 Karen pp 82 86 Fraley RC Spieker SJ May 2003 Are infant attachment patterns continuously or categorically distributed A taxometric analysis of strange situation behavior Developmental Psychology 39 3 387 404 doi 10 1037 0012 1649 39 3 387 PMID 12760508 Waters E Beauchaine TP May 2003 Are there really patterns of attachment Comment on Fraley and Spieker 2003 Developmental Psychology 39 3 417 22 discussion 423 9 CiteSeerX 10 1 1 128 1029 doi 10 1037 0012 1649 39 3 417 PMID 12760512 Harris JR 1998 The Nurture Assumption Why Children Turn Out the Way They Do New York Free press ISBN 978 0 684 84409 1 Pinker S 2002 The Blank Slate The Modern Denial of Human Nature London Allen Lane ISBN 978 0 14 027605 3 Kagan J 1994 Three Seductive Ideas Cambridge MA Harvard University Press ISBN 978 0 674 89033 6 Karen pp 248 64 Pearce R 2009 Attachment Theory Predicts the Formation of Romantic Relationships PDF Griffith University Undergraduate Psychology Journal 1 25 34 Schaffer HR 2004 Introducing Child Psychology Oxford Blackwell ISBN 978 0 631 21627 8 McHale JP 2007 When infants grow up in multiperson relationship systems Infant Mental Health Journal 28 4 370 92 doi 10 1002 imhj 20142 PMC 3079566 PMID 21512615 References editBowlby J 1969 Attachment Attachment and loss Vol I London Hogarth ISBN 978 0 465 00543 7 page numbers refer to Pelican edition 1971 Bowlby J 1999 1982 Attachment Attachment and Loss Vol I 2nd ed New York Basic Books ISBN 978 0 465 00543 7 LCCN 00266879 OCLC 11442968 NLM 8412414 Bowlby J 1988 A Secure Base Clinical Applications of Attachment Theory London Routledge ISBN 978 0 415 00640 8 Holmes J 1993 John Bowlby amp Attachment Theory Makers of modern psychotherapy Routledge ISBN 978 0 415 07729 3 Mercer J 2006 Understanding attachment Parenting child care and emotional development Westport CT Praeger Publishers ISBN 978 0 275 98217 1 LCCN 2005019272 OCLC 61115448 Prior V Glaser D 2006 Understanding Attachment and Attachment Disorders Theory Evidence and Practice Child and Adolescent Mental Health RCPRTU Jessica Kingsley Publishers ISBN 978 1 84310 245 8 Van der Horst FCP 2011 John Bowlby From Psychoanalysis to Ethology Unraveling the roots of attachment theory Oxford UK Wiley Blackwell ISBN 978 0 470 68364 4 External links editRichard Karen Becoming Attached The Atlantic Monthly February 1990 Review of Richard Karen Becoming Attached First Relationships and How They Shape Our Capacity to Love Rene Spitz s film Psychogenic Disease in Infancy 1957 Retrieved from https en wikipedia org w index php title History of attachment theory amp oldid 1178198845, wikipedia, wiki, book, books, library,

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