The Emotional Integration of Childhood Experience: Physiological, Facial Expressive, and Self-Reported Emotional Response During the Adult Attachment Interview.

Attachment researchers claim that individual differences in how adults talk about their early memories reflect qualitatively distinct organizations of emotion regarding childhood experiences with caregivers. Testing this assumption, the present study examined the relationship between attachment dimensions and physiological, facial expressive, as well as self-reported emotional responses during the Adult Attachment Interview (AAI). Consistent with theoretical predictions, more prototypically secure adults behaviorally expressed and reported experiencing emotion consistent with the valence of the childhood events they described. Insecure adults also showed distinctive and theoretically anticipated forms of emotional response: Dismissing participants evidenced increased electrodermal activity during the interview, a sign of emotional suppression, whereas preoccupied adults showed reliable discrepancies between the valence of their inferred childhood experiences and their facial expressive as well as reported emotion during the AAI. Results substantiate a case that the AAI reflects individual differences in emotion regulation that conceptually parallel observations of attachment relationships in infancy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Clinicians as caregivers: Role of attachment organization in treatment.

Examined the relationship between case managers' attachment organization and interventions used with clients who have serious psychopathological disorders. Adult Attachment Interviews were administered to 27 clients and their 18 case managers. Interviews were coded by means of Kobak's Q-set, which yields scores for secure–insecure and preoccupied–dismissing attachment strategies. Case managers were interviewed during each of 5 mo regarding their most recent interventions; interventions were coded for depth of intervention and attention to dependency needs. Compared with secure case managers, insecure case managers attended more to dependency needs and intervened in greater depth with preoccupied clients than they did with dismissing clients. Case managers who were more preoccupied intervened with their clients in greater depth than did case managers who were more dismissing. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Stability of attachment representations: The transition to marriage.

This study examined the stability of adult attachment representations across the transition to marriage. One hundred fifty-seven couples were assessed using the Adult Attachment Interview (AAI; C. George, N. Kaplan, & M. Main, 1985), the Current Relationship Interview (J. A. Crowell & G. Owens, 1996), and measures describing relationship functioning and life events 3 months prior to their weddings and 18 months into their marriages. The authors tested the hypotheses that attachment classifications are stable and that change is related to experiences in the relationship and/or life events; 78% of the sample received the same primary AAI classification (secure, preoccupied, and dismissing) at both times. Change was toward increased security and was associated with feelings and cognitions about the relationship. Only 46% of participants initially classified as unresolved retained the classification. Stability of the unresolved classification was associated with stressful life events and relationship aggression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Stability of Attachment During the Preschool Period.

Children's attachment patterns at early preschool age and 2 years later as well as factors related to stability-instability were examined in a diverse socioeconomic status French Canadian sample of 120 children. Attachment was assessed during 2 laboratory visits using separation-reunion procedures when the children were approximately 3.5 (J. Cassidy & R. S. Marvin, 1992) and 5.5 (M. Main & J. Cassidy, 1988) years old. Overall, stability of attachment, based on 4-way classification, was moderate (68%, k = .47, p = .01). Change from security to disorganization was associated with the most dramatic decline in interactive quality with mother, lowest marital satisfaction, and greatest likelihood of severe attachment-related family events, namely, loss and parental hospitalization. Families of children who changed from security to organized insecurity presented levels of caregiving and marital dissatisfaction that fell between those of stable secure children and secure children who changed toward disorganization. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attachment and the experience and expression of emotions in romantic relationships: A developmental perspective.

In this longitudinal study, the authors tested a developmental hypothesis derived from attachment theory and recent empirical findings. Target participants were 78 individuals who have been studied intensively from infancy into their mid-20s. When targets were 20-23 years old, the authors tested the way in which interpersonal experiences at 3 pivotal points in each target's earlier social development--infancy/early childhood, early elementary school, and adolescence--predicted the pattern of positive versus negative emotions experienced with his or her romantic partner. A double-mediation model revealed that targets classified as securely attached at 12 months old were rated as more socially competent during early elementary school by their teachers. Targets' social competence, in turn, forecasted their having more secure relationships with close friends at age 16, which in turn predicted more positive daily emotional experiences in their adult romantic relationships (both self- and partner-reported) and less negative affect in conflict resolution and collaborative tasks with their romantic partners (rated by observers). These results are discussed in terms of attachment theory and how antecedent life experiences may indirectly shape events in current relationships. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Working models of attachment: implications for explanation, emotion and behavior

Two studies examined attachment style differences in social perception. In Study 1, participants wrote open-ended explanations for hypothetical relationship events and described how they would feel and behave in response to each event. Compared with secure participants, preoccupied participants explained events in more negative ways; they also reported more emotional distress and behaviors that were likely to lead to conflict. Avoidant participants also provided negative explanations, but did not report emotional distress. Path analysis indicated that attachment style differences in behavior were mediated by explanation patterns and emotional distress. Study 2 was designed to replicate Study 1 and test the relative importance of attachment style and relationship quality to predicting each outcome. Results indicated that both variables were significant predictors of explanations, but only attachment style predicted emotional responses. These findings are consistent with the idea that adults with different working models of attachment are predisposed to think, feel, and behave differently in their relationships.     

Attachment at Early School Age and Developmental Risk: Examining Family Contexts and Behavior Problems of Controlling-Caregiving, Controlling-Punitive, and Behaviorally Disorganized Children.

Preschool to school-age trajectories of 242 children, including 37 with insecure-disorganized and 66 with insecure-organized attachment patterns, were examined. Child attachment and stressful life events (the latter retrospectively) were measured at ages 5-7, and mother-child interactive quality, parenting stress, marital satisfaction, and teacher-reported behavior problems were evaluated concurrently and 2 years earlier. Results indicated that all three disorganized subgroups had poorer mother-child interactive patterns and more difficult family climates than secure or insecure-organized children. The controlling-punitive group showed significant increases in maternal reports of child-related stress between preschool and school age. The controlling-caregiving group showed greater likelihood of loss of a close family member, and mothers of the insecure-other group reported lower marital satisfaction and greater likelihood of their own or a spouse's hospitalization. Controlling-punitive children had higher externalizing scores, and controlling-caregiving children higher internalizing scores, than secure children. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A three year follow-up of attachment and indiscriminate friendliness in children adopted from Romanian orphanages

Attachment and indiscriminately friendly behavior were assessed in children who had spent at least 8 months in a Romanian orphanage (RO) and two comparison groups of children: a Canadian-born, nonadopted, never institutionalized comparison group (CB) and an early adopted comparison group adopted from Romania before the age of 4 months (EA). Attachment was assessed using 2 measures: an attachment security questionnaire based on parent report, and a Separation Reunion procedure that was coded using the Preschool Assessment of Attachment. Indiscriminately friendly behavior was examined using parents' responses to 5 questions about their children's behavior with new adults. Although RO children did not score differently from either CB or EA children on the attachment security measure based on parent report, they did display significantly more insecure attachment patterns than did children in the other 2 groups. In addition, RO children displayed significantly more indiscriminately friendly behavior than both CB and EA children, who did not differ in terms of indiscriminate friendliness. RO children's insecure attachment patterns were not associated with any aspect of their institutional environment, but were related to particular child and family characteristics. Specifically, insecure RO children had more behavior problems, scored lower on the Stanford-Binet Intelligence Scale, and had parents who reported significantly more parenting stress than RO children classified as secure.     

Love and work: An attachment-theoretical perspective.

The possibility that love and work in adulthood are functionally similar to attachment and exploration in infancy and early childhood was investigated. Key components of attachment theory were translated into terms appropriate to adult love and work. The translation centered on the 3 major types of infant attachment and exploration identified by M. D. S. Ainsworth et al (1978): secure, anxious/ambivalent, and avoidant. Two questionnaire studies indicated that relations between adult attachment type and work orientation are similar to attachment/exploration dynamics in infancy and early childhood, suggesting that the dynamics may be similar across the life span. Implications for research on the link between love and work are discussed, as are measurement problems and other issues related to future tests of an attachment-theoretical approach to the study of adults. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Children's attachment representations: Longitudinal relations to school behavior and academic competency in middle childhood and adolescence.

A longitudinal study examined children's (N?=?108) attachment representations in relation to behavior and academic competency at school during middle childhood and adolescence. Attachment representations were assessed from children's responses to a separation story at age 7 years. At ages 9, 12, and 15, teachers rated children on four dimensions of school behavior: attention–participation, extroversion, disruptive behavior, and insecurity about self. Children's grade point average (GPA) in school was also examined. Children's attachment representations (secure vs. insecure) did not predict either disruptive behavior or extroversion, but they were significantly linked to attention–participation, insecurity about self, and GPA, with secure representations being associated with more favorable outcomes. The study controlled for social class, gender, IQ, perspective-taking ability, and prior competency. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of maltreatment on young children's socioemotional development: An attachment theory perspective.

The effects of maltreatment on early childhood development were examined in three domains suggested by attachment theory: relationships with novel adults, effectance motivation, and cognitive maturity. Three samples of children between 4 and 8 years of age were studied: 93 maltreated children, 67 demographically matched nonmaltreated children from families receiving welfare, and 30 nonmaltreated children from middle-class families. Children's scores on 10 dependent variables across the three domains of interest were factor analyzed, and two theoretically meaningful factors emerged. Maltreated children scored lower than welfare children, who in turn scored lower than middle-class children, on a factor measuring secure readiness to learn in the company of novel adults. Maltreated children and welfare children also scored higher than middle-class children, but did not significantly differ from each other, on a factor measuring outer-directedness. Results indicate that, during early childhood, maltreatment disrupts a dynamic balance between the motivation to establish safe, secure relationships with adults and the motivation to venture out to explore the world in a competency-promoting fashion. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Acquired tracheomalacia--a case report

Divalproex sodium is an effective drug for the treatment of migraine. Most adverse drug events are transient and not of great clinical concern. Although rare, well-documented examples of liver toxicity have been reported in children under 2 years of age on polypharmacy. Additional cases occur in children under 10 who are receiving polypharmacy, particularly those who have intractable seizures and degenerative central nervous system disease. Clinicians who treat migraineurs with divalproex sodium do not need to be overly preoccupied with monitoring of drug levels and liver function tests. The most valuable test is clinical observation of the patient.     

Attachment states of mind and the quality of young adults' sibling relationships.

This report examines young adults' states of mind regarding their early attachment experiences in relation to the observed and perceived quality of their sibling relationships. Sixty sibling pairs (18–25 years of age) were (a) administered the Adult Attachment Interview (George, Kaplan, & Main, 1985), (b) videotaped during a conflict resolution task, and (c) asked to describe the quality of their relationship using the Adult Sibling Relationship Questionnaire (Stocker, Lanthier, & Furman, 1997). As hypothesized, dismissing states of mind were associated with lower levels of positive and negative affect while participants attempted to resolve an area of conflict with a sibling as well as with relatively low levels of reported warmth in the relationship. In contrast—but also in line with predictions—preoccupied states of mind were associated with heightened expression of negative affect toward a brother or sister, and the siblings of highly preoccupied individuals reported more conflict in their relationships. Findings provide further support for the importance of young adults' representations of childhood attachment experiences with respect to the quality of their adult relationships. In addition, this study extends previous findings regarding the significance of dismissing versus preoccupied states of mind by demonstrating that these dimensions are differentially associated with behavioral and self-reported aspects of sibling relationship quality in early adulthood. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

How do people with different attachment styles balance work and family? A personality perspective on work–family linkage.

This study explored whether different models of work–family relationship were possible for individuals with different attachment styles. A mail survey was conducted using employees (N?=?481) at a midwestern university in the United States. Results suggested that (a) individuals with a preoccupied attachment pattern were more likely to experience negative spillover from the family/home to the work domain than those with a secure or dismissing style, (b) securely attached individuals experienced positive spillover in both work and family domains more than those in the other groups, and (c) preoccupied individuals were much less likely to use a segmentation strategy than the other 3 attachment groups. However, when the conventional job satisfaction–life satisfaction relationship was examined, the data provided unique support for the spillover model. Implications of the findings for both attachment and work–family relationship literatures are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attachment and autonomy as predictors of the development of social skills and delinquency during midadolescence.

This study examined adolescent attachment organization as a predictor of the development of social skills and delinquent behavior during midadolescence. Delinquent activity and skill levels were assessed for 117 moderately at-risk adolescents at ages 16 and 18, and maternal and adolescent attachment organization and autonomy in interactions were assessed at age 16. Adolescent attachment security predicted relative increases in social skills from age 16 to 18, whereas an insecure-preoccupied attachment organization predicted increasing delinquency during this period. In addition, preoccupied teens interacting with highly autonomous mothers showed greater relative decreases in skill levels and increases in delinquent activity over time, suggesting a heightened risk for deviance among preoccupied teens who may be threatened by growing autonomy in adolescent-parent interactions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Instability of infant–parent attachment security.

Data from 2 separate projects were examined to address the stability of infant–parent attachment security. Both included infant–mother attachment classifications at 12 and 18 mo of age (n?=?125, n?=?90), and 1 included infant–father classifications at 13 and 20 mo (n?=?120). Significant stability was not discerned in attachment security, either at the level of ABC or secure–insecure classifications. Rates of stability ranged from 46–55%. Results are discussed in terms of the select nature of the samples studied (all sons in 1, some depressed mothers in the other), the fact that past estimates of stability are based on small samples, the potential influence that coding for disorganized behavior may have on how Strange Situations are classified, and the changing ecology of infancy over the past 10–15 years. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Representations of Early Family Relationships Predict Marital Maintenance During the Transition to Parenthood.

Marital maintenance, which involves engaging in behaviors that maintain closeness and is critical to sustaining marital satisfaction, was examined in 234 husbands and wives across the transition to parenthood. Prenatal assessments of adults' attachment representations and memories of their parents' marriage during childhood predicted perceptions of maintenance in their own marriage prenatally and 24 months postpartum. Adults who dismiss the importance of early attachment and lack believable memories of their parents' marriage reported the lowest levels of prenatal maintenance. Adults who are preoccupied with their early relationships with parents and have negative memories of their parents' marriage reported the sharpest declines in maintenance postpartum. Family interventions that can help couples recognize and explore problems that may accompany parenthood are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Pulmonary atresia with ventricular septal defect in adults

BACKGROUND: Multistage surgery culminating in completed hemodynamic repair is now performed for pulmonary atresia with ventricular septal defect (PA-VSD). Justification for operation in patients with an adequate collateral pulmonary circulation is controversial. Data on natural adult survival are scant but are necessary to provide the rationale for multistage reconstructive procedures. METHODS AND RESULTS: All cyanotic adults with PA-VSD in the UCLA Adult Congenital Heart Disease Center Registry from 1978 through 1992 formed the basis for this study. Registry data and echocardiographic, hemodynamic, and angiographic information were used to determine longevity, clinical course, and operative feasibility. Of 26 patients, 16 were unoperated when referred (group A), and 10 had been palliated before age 18 years (group B). Two thirds were 18 to 29 years old. Only 2 patients survived beyond age 40 years. Six died during follow-up at a mean age of 31 years (+/- 12.1 SD). Eight group A patients were in New York Heart Association class II, and 8 were in class III. Of the 26 group A and B patients, 20 had aortic regurgitation, which was moderate or severe in 10. Eight had cardiac failure. Of 11 group A patients who remained unoperated, 5 died. Twelve patients were considered eligible for surgery at > or = 18 years of age. Ten underwent completed hemodynamic repair with a mean post-operative right ventricular-to-left ventricular systolic pressure ratio of 0.45 (+/- 0.16 SD), and there were no early or late deaths. CONCLUSIONS: Even when collateral blood flow permits adult survival, all such patients are symptomatic. Mean life expectancy without operation did not exceed three decades. Aortic regurgitation and cardiac failure are significant negative variables. Nearly half of unoperated adults died during follow-up. Staged hemodynamic repair can be performed with a low surgical risk in properly selected adults with PA/VSD.     

Stress resilience in early marriage: Can practice make perfect?

As all couples experience stressful life events, addressing how couples adapt to stress is imperative for understanding marital development. Drawing from theories of stress inoculation, which suggest that the successful adaptation to moderately stressful events may help individuals develop a resilience to future stress, the current studies examined whether experiences with manageable stressors early in the marriage may serve to make the relationship more resilient to future stress. In Study 1, 61 newlywed couples provided data regarding their stressful life events, relationship resources (i.e., observed problem-solving behaviors), and marital satisfaction at multiple points over 2? years. Results revealed that among spouses displaying more effective problem-solving behaviors, those who experienced moderate stress during the early months of marriage exhibited fewer future stress spillover effects and reported greater increases in felt efficacy than did spouses who had less experience with early stress. Study 2 examined stress resilience following the transition to parenthood in a new sample of 50 newlywed couples. Again, spouses who experienced moderate stress during the early months of marriage and had good initial relationship resources (i.e., observed support behaviors) reported greater marital adjustment following the transition to parenthood than did spouses who had good initial resources but less prior experience coping with stress. Together, results indicate that entering marriage with better relationship resources may not be sufficient to shield marital satisfaction from the detrimental effects of stress; rather, couples may also need practice in using those resources to navigate manageable stressful events. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Romantic love conceptualized as an attachment process.

This article explores the possibility that romantic love is an attachment process—a biosocial process by which affectional bonds are formed between adult lovers, just as affectional bonds are formed earlier in life between human infants and their parents. Key components of attachment theory, developed by Bowlby, Ainsworth, and others to explain the develoment of affectional bonds in infancy, were translated into terms appropriate to adult romantic love. The translation centered on the three major styles of attachment in infancy—secure, avoidant, and anxious/ambivalent—and on the notion that continuity of relationship style is due in part to mental models (Bowlby's "inner working models") of self and social life. These models, and hence a person's attachment style, are seen as determined in part by childhood relationships with parents. Two questionnaire studies indicated that (a) relative prevalence of the three attachment styles is roughly the same in adulthood as in infancy, (b) the three kinds of adults differ predictably in the way they experience romantic love, and (c) attachment style is related in theoretically meaningful ways to mental models of self and social relationships and to relationship experiences with parents. (PsycINFO Database Record (c) 2010 APA, all rights reserved)