Adult Attachment: Some Considerations for Family Therapy

The elaboration of attachment theory and research into the domains of adult and of mental representations of relationships has generated considerable interest amongst many mental health practitioners. The clinical implications include the potential to understand better how representations of relationships are transmitted from one generation to the next and how these are translated into parenting practices. The aim of this paper is to examine theoretical concepts associated with adult attachment and its measurement and to examine the contribution which adult attachment theory may make to the practice of family therapy. Central assumptions are that the individual cannot be understood adequately outside the context of social relationships and that the family may be understood to operate as a self regulating system.     

Relationships Between Parental Attachment,Work and Family Roles,and Life Satisfaction

The purpose of this study was to examine the relationship between parental attachment and satisfaction with work and family roles, as well as the relationship of these variables to life satisfaction. Results from a multiple regression analysis indicated that satisfaction with work and marriage, but not parenting satisfaction or parental attachment, was significantly related to life satisfaction. Responses to open‐ended questions indicated that parental attachment relationships affected participants' career, marriage, parenting, and life satisfaction in varied and complex ways. Implications for counselors and directions for future research are discussed.     

Pregnancy Acceptance,Parenting Stress,and Toddler Attachment in Low‐Income Black Families

Questionnaire items tapping feelings about pregnancy were administered to 173 young, low‐income primiparous Black mothers who either were pregnant or had delivered within the past year. A factor analysis indicated that 11 items together measured mothers’ acceptance of the pregnancies that resulted in the births of their first children. Links to mothers’ later parenting stress, warmth, and their toddlers’ attachment security were explored. Pregnancy acceptance was a negative predictor of one aspect of maternal parenting stress (distress resulting from feelings that parenting is burdensome) and a positive predictor of toddler attachment security. It did not, however, predict another aspect of parenting stress (feelings that interactions with children are not enjoyable) or maternal warmth.     

A Description of Attachment in Adoptive Parents and Adoptees in Romania During Early Adolescence

This study is an assessment of different components of attachment for a sample of Romanian adoptees and their parents, both who participated in the project (n = 63). Results suggest that various aspects of the parent–child relationship in early adolescence is quite positive from both the adoptee and adoptive parent perspective. However, almost half (46 %) of the adoptees were assessed as having insecure attachment. There are differences between all components of parental attachment and adoptee attachment security. Also, insecure attachment is more likely to occur with less optimal parenting style. Implications for social work practice and research are discussed.     

Attachment Representations and Parental Memories of Incarcerated Fathers

This article presents the findings of a study designed to apply attachment theory concepts to a group of incarcerated fathers in a minimum-security facility. Participants in this convenience sample were either immediate graduates of a 13-week parenting skills program or currently involved in the parenting skills program. This exploratory study sought to examine first, whether the Adult Attachment Interview (AAI) could effectively determine current mental representations of attachment relationships with a group of incarcerated fathers. Secondly, to gain further knowledge of this population regarding the impact of familial aspects by use of a survey measure, along with two other standardized measures were implemented. Thirty-eight voluntary subjects participated in the intensive AAI in scheduled individual sessions, completing child abuse additional measures. Differences among a three-category adult attachment classifications and five-category attachment classifications were identified. Both qualitative and quantitative results are discussed.     

Opioid Use Disorder,Attachment, and Parenting: Key Concerns for Practitioners

In the United States, the current epidemic of opioid use disorders impacts many parents and their children. Historically, interventions for parents with substance use disorders have focused on two separate areas, achieving and maintaining abstinence and learning parenting skills. These interventions do not address the parent/child relationship, and the impact of parental opioid use disorder on attachment. Insecure attachment, particularly disorganized attachment, negatively affects the child’s development and safety. Attachment should always be considered when doing a safety assessment or planning an intervention for parents with opioid use disorders. This conceptual paper describes the impact of parental opioid use on attachment across the developmental span of childhood, highlighting research about opioid use disorder, parenting, and attachment which is relevant for practitioners working with parents with opioid use disorders, as child protection workers, substance abuse counselors, or therapists. Identification, attachment assessment tools, and empirical research on attachment-based interventions are discussed.     

Insecure Attachment Behavior and Partner Violence: Incorporating Couple Perceptions of Insecure Attachment and Relational Aggression

Intimate partner violence and insecure attachment are therapeutically relevant concepts when working with couples. The link between attachment and intimate partner violence has been examined in the literature, but an area of aggression that often goes unexamined is relational aggression, or using third parties as a means of being aggressive toward a partner. We asked how participants' attachment behaviors were related to their own and partners' relational and physical aggression. We used structural equation modeling to estimate actor–partner interdependence among these relationships in 644 heterosexual couples. Results indicated significant partner paths from attachment to relational aggression, as well as significant actor paths between relational aggression and physical aggression. Implications were discussed. Data for this study were collected from the RELATE assessment.     

Adult Exploration of Attachment Interview in Family Therapy

The Adult Exploration of Attachment Interview (AEAI) is a therapeutic interview developed by the author to assist adults to understand themselves and their relationships with others, especially with a partner, co‐parent and/or children. It is suitable for individuals and couples struggling to overcome repeated patterns of relating, helping to improve their intimate or parenting relationships through greater self and other understanding. The AEAI explores an adult's early relational learning, especially in regard to attachment needs, in order to allow change. The interview uses specific externalising language to help persons tolerate difficult memories, reduce guilt and shame and integrate their thoughts and feelings. It applies key implications of attachment theory and the approach is illustrated by examples from therapy.     

Intimate Partner Violence and Children's Attachment Representations During Middle Childhood

Despite long‐standing hypotheses that intimate partner violence (IPV) may undermine children's ability to form secure attachment representations, few studies have empirically investigated this association. Particularly lacking is research that examines IPV and attachment during middle childhood, a time when the way that children understand, represent, and process the behavior of others becomes particularly important. Using data from a sample of African American children living in rural, low‐income communities (N = 98), the current study sought to address this gap by examining the association between physical IPV occurring early in children's lives and their attachment security during the first grade. Results indicate that, even after controlling for child‐ and family‐level covariates, physical IPV was associated with a greater likelihood of being rated insecurely attached. This effect was above and beyond the influence of maternal parenting behaviors, demonstrating a unique effect of physical IPV on children's attachment representations during middle childhood.     

Preconception Motivation and Pregnancy Wantedness: Pathways to Toddler Attachment Security

This research was designed to increase our understanding of how the motivational antecedents to childbearing and emotional responses to pregnancy affect the subsequent attachment bond of a toddler to his or her mother. Using a sample of 1,364 mothers and their newborns from the Study of Early Child Care, we tested a mother‐child influence framework hypothesized to mediate between the mother's preconception motivation and pregnancy wantedness and her child's security of attachment at 24 months. Almost all elements of the mediational sequence were confirmed in a structural equation model. We observed 2 unmediated pathways to attachment security, 1 from preconception motivation and 1 from parenting stress during infancy, and suggest interpretations of these unexpected pathways.     

Attachment and Divorce

In this paper, recent efforts to integrate attachment theory and family systems theory are reviewed and extended to the context of therapy with families coping with the divorce process. Family members' global working models of attachment, rather than the spousal attachment alone, are proposed as the point of intervention, with the goal of helping families reestablish an "attachment equilibrium" during and after divorce, thus addressing potentially problematic expressions of attachment behavior that could interfere with resolution of the divorce, causing difficulties in future co-parenting and other family functioning.     

Is There a Primary Mom? Parental Perceptions of Attachment Bond Hierarchies Within Lesbian Adoptive Families

Basic tenets of attachment theory were evaluated in a qualitative study of 15 lesbian couples with internationally adopted children, focusing on parental perceptions of a primary mother-child attachment within the families. Interviews with 30 mothers examined variables affecting the hierarchy of parenting bonds, including division of labor, time with the child, and parental legal status. All children developed attachments to both mothers, but 12 of the 15 had primary bonds to one mother despite shared parenting and division of labor between the partners. Quality of maternal caretaking was a salient contributing factor; no significant relationship existed between primary parenting and parental legal status.     

Behind the cycle of violence, beyond abuse history: a brief report on the association of parental attachment to physical child abuse potential

Although the concept of a cycle of violence presumes that the transmission of violence is expressed directly across generations, the role of the overall quality of the parent-child relationship may ultimately be more influential in later parenting behavior. This study investigated whether mothers' poorer attachment to their parents was associated with their current increased child abuse potential and dysfunctional disciplinary style independent of a personal history of child abuse. A sample of 73 at-risk mothers raising children with behavior problems reported on their parental attachment, abuse potential, dysfunctional parenting style, and personal abuse history. An at-risk sample, rather than a sample of identified abuse victims or perpetrators, was studied to better examine the potential continuity or discontinuity from history of abuse to current abuse risk, allowing consideration of those who may break the cycle versus those who potentially initiate abuse in the absence of a personal history. Findings indicate that poor attachment significantly predicted both dysfunctional parenting practices and elevated child abuse potential, controlling for personal child abuse history. Such results highlight the importance of the overall quality of the relationship between the parent and child in potentially shaping future abuse risk. Findings are discussed in terms of continuity or discontinuity in the cycle of violence and future directions for research on attachment in relation to the development of later child abuse risk.     

The Conversational Model and Child and Family Counselling: Treating Chronic Complex Trauma in a Systemic Framework

Child and Family Counselling Teams in NSW Community Health Services are expected to provide therapeutic services to children who have experienced complex trauma. However, parental trauma is often overlooked or referred elsewhere. A systemic perspective informed by attachment theory and trauma theory provides the basis for addressing parental trauma in Child and Family Counselling Teams, thereby improving parenting. The Conversational Model is an evidence‐based intervention for chronic complex trauma. The foundations of the Conversational Model and its brief component, Short Term Intensive Psychodynamic Psychotherapy, are outlined and a case study is given to illustrate the usefulness of the intervention in Child and Family Counselling. Highlighted is the importance of addressing systemic trauma through parenting to improve attachment quality, family relationships, and children's function.     

Attachment Theory and Parental Alienation

Following an acrimonious divorce or separation, arguments are frequently presented as to why a child should not be with a nonresident parent. The custodial parent, whether a father or a mother, uses the concept of a child being attached to himself or herself and therefore this should prevent the child from having actual or reasonable contact with the absent parent. This view is based on antagonism between the former partners rather than the importance of the attachment theory being relevant. The attachment theory is also used to discredit the intentions of the noncustodial parent. This is especially the case for the younger child. With older children this is not likely to be as relevant. The history of the development of the attachment theory commencing with Bowlby and Ainsworth is presented, and the counterarguments are also presented. Attachment to the mother is obviously important initially but attachment to the father is equally important to the child and such bonding is likely to lead to positive emotional and behavioral development. It is therefore argued that both fathers and mothers have an important role to play and are, or should be, responsible for the rearing of children. The acrimony between the couple should not be considered as relevant as it is, in fact, the real reason why attachment theory is used against a nonresident parent.     

Adolescent Work Intensity and Substance Use: The Mediational and Moderational Roles of Parenting

The dialectic between the adolescent quest for autonomy and parents’ desire to regulate this quest are explored by examining the extent to which the association between adolescent work intensity and substance use is mediated and moderated by parenting practices. Results using data from the National Survey of Youth and Religion (N = 3,290) show that the association between work intensity and alcohol use is mediated by parenting practices. There is also limited support for the moderational role of parental monitoring with respect to heavy drinking. Finally, connections among work intensity, parenting practices, and substance use are pronounced for adolescents younger than 16 years of age. These findings suggest the importance of a multifaceted view of parenting practices that both shape and are shaped by their adolescent’s search for independence.     

Familism, Interparental Conflict, and Parenting in Mexican-Origin Families: A Cultural-Contextual Framework

The present investigation examined the relations between the cultural belief of familism and various aspects of family functioning and child adjustment, including interparental conflict, parenting, and children's attachment to school, in a sample of 549 two-parent Mexican-origin families. The results indicated that parents' familistic values were negatively associated with interparental conflict for both mothers and fathers. Parents' familistic values were also indirectly associated with parenting through the marital relationship. Interparental conflict was negatively associated with nurturant-involved parenting for both parents, but particularly for fathers. Interparental conflict had an indirect negative effect on children's attachment to school via mothers' and fathers' nurturant-involved parenting. Both paternal and maternal nurturant-involved parenting behaviors were positively associated with children's attachment to school across two time points. Child gender differences are also discussed.     

Families Experiencing Divorce: Age at Onset of Overnight Stays,Conflict, and Emotional Availability as Predictors of Child Attachment

This study examined the qualities that contribute to postdivorce child attachment in a sample of 24 divorcing mothers and their children, ages 12 to 73 months, in the context of shared parenting time arrangements. Child attachment was assessed using Waters's Attachment Q-Set (AQS). Qualities such as age at onset of overnight stays, interparental conflict and communication, and emotional availability were examined for their importance in attachment security and dependency. Study hypotheses were partially supported. Although the study variables collectively did not predict attachment security and dependency outcomes, as hypothesized, the predictor variable of emotional availability (EA) child involvement proved significantly related with AQS security. Children who involved their mothers more in interaction were more secure with them. Further, EA child involvement contributed to attachment outcomes above and beyond age of onset of overnight stays and parent and partner contributions to interparental conflict.     

Adult Attachment Orientation and Implicit Behavioral Mimicry

We investigated whether adult attachment orientation predicted the extent to which individuals engaged in implicit behavioral mimicry of a confederate presented by video. Results demonstrated that following an attachment threat prime: (1) those low in attachment anxiety and high in attachment avoidance showed less mimicry of face-rubbing gestures than individuals low in both attachment avoidance and attachment anxiety; (2) those high in attachment anxiety and low in attachment avoidance showed less mimicry of face-rubbing gestures than individuals low in both attachment avoidance and attachment anxiety. Importantly, attachment orientation did not predict baseline levels of face-rubbing gesturing, demonstrating that attachment orientation had an effect on mimicry rather than overall behavior expression. Attachment anxiety was positively related to attraction to the confederate such that those higher in attachment anxiety rated the confederate as more attractive. The findings are discussed with reference to both the mimicry and attachment literatures.