Considering the best interests of infants in foster care placed separately from their siblings

This article offers a perspective on the child welfare practice of placing infants and their siblings in foster care using the theoretical frameworks of attachment and infant mental health. The authors highlight issues for child welfare workers to consider when determining if moving an infant or young child from one home to another for the purpose of placing him with his siblings would cause trauma or disruption; and also issues to consider when determining the infant or young child's best interest when separated from siblings. First, the authors summarize the literature regarding attachment relationships and attachment disruptions. Then, they review outcome studies of children residing in foster care who are placed with their siblings and of those who are placed separately. Finally, the authors conclude with specific recommendations for child welfare workers to aid in making such difficult decisions about placing infants in foster care.     

Direct and Moderating Effects of Social Affordances on School Involvement and Delinquency Among Young Adolescents

Using social control theory and attachment theory as guides, this study examined how qualities of young adolescents' social relationships (i.e., mother, sibling, and friend) and dynamic interactions among characteristics of those relationships are associated with school involvement and delinquency. The participants included older siblings (M age=14.3), younger siblings (M age=11.6), and their mothers from 434 families who completed web‐based surveys. Results were largely consistent with tenets of social control theory and attachment theory. Young adolescents' social relationships mostly worked in additive ways, but sometimes in compensatory ways for older siblings, to promote positive adjustment. The results suggest that young adolescents' social relationships may be differently associated with adjustment depending on birth order or developmental stage.     

The Bonds of Hate

This paper illustrates how patients with a history of severe childhood trauma develop aversive and malignant modes of attachment and relating. I contend that this demonstrative hating can become the only secure sense of connection with others that these patients are able to maintain. I believe that in their abusive behavior, both in and out of treatment, are hopeful strivings to be known, to be heard, and, most important, to be vulnerable in the presence of a safe other. When hate becomes the tie that binds or the essential force of vitalization for someone, it becomes the crucial element for psychic survival. In this paper, I briefly discuss trauma theory and present a clinical case to elaborate the underpinnings of a patient's beliefs and how work with such patients poses great strain on both patient and analyst in establishing a manner of being with each other and in communicating with each other.     

Redressing Inequity in Parent Care Among Siblings

When inequities occur in the division of labor among adult siblings caring for older parents, conflict may result. This paper uses equity theory as a framework for understanding the processes used by siblings to rectify imbalances in their parental responsibilities. The study is based on a sample of 40 focus group participants who described caregiving relationships among siblings. Consistent with equity theory, these participants used two approaches to redress inequities in their sibling caregiving relationships: requesting behavioral changes from siblings and making cognitive changes. The findings suggest that these two approaches can result in more perceived equity but may also lead to even greater perceived inequity and distress.     

The team as a secure base: Promoting resilience and competence in child and family social work

This paper outlines research findings on the relevance of the Secure Base model (Schofield & Beek, 2014) for developing supportive teams in child and family social work. When the social work team functions as a secure base, this can help workers cope with the emotional demands of the role. The concept of the secure base comes from attachment theory (Bowlby, 1969) in which our relationships with significant others, who are available, sensitive to our needs and reliable, provide us with a secure base to return to when life is stressful and provide us with comforting internal mental models when we are physically away from them. This ‘secure base for exploration’ reduces anxiety and enables us to engage with the world, consider the internal world of others (empathy) and remain resilient when life is stressful. Using data from 52 phone interviews with child and family social workers across eight local authorities in the UK, we show how the Secure Base model has relevance for emotion regulation and resilience for child and family social workers. Data were analysed using Theoretical Thematic Analysis (Braun & Clarke, 2006). In the context of the emotional demands of social work, our data indicate that the supervisors and teams provide a work related secure base across five dimensions by behaving in ways which instil these beliefs: Availability -‘People are there for me’; Sensitivity - ‘My feelings are manageable’; Acceptance - I don't always have to be strong’; Cooperation - ‘I can work with others to find a solution’; Team belonging - ‘I am valued and I belong’. Implications for practice are proposed to help supervisors and team members reflect on beliefs and behaviours which can help provide a secure base for their teams.     

Sibling caring roles and responsibilities when a child suffers from a chronic illness

Siblings' lives and well-being are potentially affected in profound ways when their brother or sister suffers from a chronic illness in childhood. The shift in the care of chronically ill children from the hospital to the home in recent years has had an impact on family relationships and interactions. Whilst studies on caregiving have focused on the parental care of children who are chronically ill; siblings may nevertheless take on some caring roles and responsibilities. This article intends to make a novel contribution to the sociological literature on siblings, caring, and chronic illness by presenting a review of the literature addressing siblings' caring roles and responsibilities in families of children with a chronic illness. Knowing about the caring roles and responsibilities undertaken by siblings when a brother or sister has a chronic illness, may be beneficial to healthcare professionals and influence their caring practice. In addition, this work may contribute to a better understanding of family relationships and further improve healthcare policies.     

Some Clinical Applications of Attachment Theory in Adult Psychotherapy

This paper discusses the usefulness of attachment theory in working with adults in psychotherapy. There are four classifications of attachment status in adults: secure attachment, and three types of insecure attachment: dismissing, preoccupied, and disorganized. These categories do not conform to standard diagnostic entities. I discuss examples of the three insecure attachment categories and the likely transference and countertransference configurations that may occur in each category. These categories provide an additional way for therapists to understand and to respond to the needs of their clients.     

CREATING HEALING RELATIONSHIPS FOR COUPLES DEALING WITH TRAUMA: THE USE OF EMOTIONALLY FOCUSED MARITAL THERAPY

Emotionally focused marital therapy (EFT), a marital therapy that particularly focuses on the creation of secure attachment, has proven in empirical studies to be effective for distressed couples. This paper discusses the application of EFT in couples where one or both of the partners have experienced significant trauma. EFT, in this context of trauma, incorporates the nine steps of conventional EFT and also encompasses the three stages of the "constructivist" self development theory of trauma treatment. This paper illustrates how the integration of EFT and trauma treatement can prove effective in treating not only relationsip distress but also the individual symptoms of posttraumatic stress disorder (PTSD).     

Adults in Wilderness Treatment: A Unique Application of Attachment Theory and Research

Research shows how an understanding of adult attachment applies to clinical treatment, such as outpatient therapy, but no literature explores the application of adult attachment to wilderness therapy, a distinct type of residential treatment. This paper explores how an understanding of adult attachment applies to wilderness therapy clients, as the nature of wilderness therapy involves losses, separations, and reunions, all of which evoke attachment needs. Adult wilderness treatment exemplifies an effective method of treatment that provides a secure base and supports healthy attachment relationships.     

FIELD NOTES: A CONCEPTUAL APPLICATION OF ATTACHMENT THEORY AND RESEARCH TO THE SOCIAL WORK STUDENT-FIELD INSTRUCTOR SUPERVISORY RELATIONSHIP

This article conceptualizes an attachment-based model of the student–field instructor relationship, based on empirical research concerning internal working models of attachment, which continue into adulthood and serve as templates for life-long relating. Supportive relationships within a noncritical context are salient for effective supervision; attachment theory provides a framework for developing supportive supervisory relationships and augments existing theories of supervision. Ideal and problematic supervisory relationships are presented followed by recommendations for interventions and future research. The supervisory relationship will be most successful when the field instructor is guided by attachment theory and its conceptualization of a "secure base" (Bowlby, 1988).     

Understanding Attachment Transitions Through the Lived Experiences of Young Black Gay and Bisexual Men

We conducted a mixed-methods study to identify factors that influence transitions in attachment style between childhood and adulthood among 28 young Black gay and bisexual men (YBGBM) in the United States. We used a phenomenological approach to data integration, with the major component to the results being garnered from the qualitative interviews. We organized our results by four attachment transition groups: stable secure (secure attachment in childhood and young adulthood), stable insecure (insecure attachment in childhood and young adulthood), secure to insecure (secure in childhood and insecure in adulthood) and insecure to secure (insecure in childhood and secure in adulthood). Within each of the typologies, two major themes emerged: social support and religion. Generally, transitions from secure to insecure attachment were related to experiences of perceived rejection by a parental figure during adolescence that corresponded with sexual orientation disclosure. Transitions from insecure to secure attachment appeared to be related to the absence of an attachment figure early in life, but with the acquisition of an attachment figure during early to late adolescence. The findings from our study suggest a need for attachment-based approaches to social support interventions, as well as for an increased understanding of social and cultural factors that impact attachment changes among practitioners who use attachment-based therapy models for YBGBM.     

Bonding and attachment of Australian Aboriginal children

In New South Wales, Australia, there is an increasing emphasis in the children's court on bonding and attachment assessments to determine whether or not a child remains with their carers. Aboriginal children and young people are over nine times more likely than other children and young people to be in out‐of‐home care. There is a paucity of information on culturally appropriate assessments of Aboriginal children in relation to bonding and attachment. Most assessments on the Australian indigenous families are based on the dominant Australian community's perception of what constitutes competent parenting. The question arises as to whether we are making psychologically and ethically sound decisions about whether or not a child remains with their Aboriginal carers based on evidence that is culturally appropriate for Western families but culturally inappropriate for the indigenous families. It is argued that the core hypotheses of attachment theory such as caregiver sensitivity, competence and secure base have to be based on the Australian Aboriginal people's cultural values. The aims of this paper are to explore the current practice on the bonding and attachment assessment of Aboriginal children using a dynamic eco‐systemic approach in the assessment of bonding and attachment of the indigenous people, with an emphasis on the historical, cultural and spiritual contexts. Copyright © 2003 John Wiley & Sons, Ltd.     

Using adult attachment theory to differentiate adult children's internal working models of later life filial relationships

During the past fifty years, research based on attachment theory has found that when relational partners' attachment systems are activated, significant differences emerge between the ways individuals respond to each other. These different attachment styles are related to the ways individuals characterise and conceptualise close relationships generally, referred to as ‘internal representations’. Internal representations of close relationships depend heavily upon whether individuals have a secure or insecure attachment style. Until recently, most attachment-based research has focused either on the parent–child relationship during infancy, or on adult romantic relationships. Attachment researchers are now turning their attention to the parent–‘child’ relationship during the later stages of life. Later life filial relationships are of intrinsic interest to attachment researchers because they concern the same adults who were instrumental in forming the attachment organisation of the young child. This study considers filial attachments from the perspective of the adult ‘child’. Twenty-four participants were selected using the Attachment Style Questionnaire (ASQ) to include equal numbers of the three main attachment organisations. Six robust factors emerged, accounting for 71% of the variation. Confident Resolution and Resolved Yearning incorporated the secure attachment organisation. Distant Irritation and Dutiful Loyalty captured the insecure-avoidant style, with Unresolved Yearning and Entangled Resentment comprising insecure-ambivalent individuals.     

Associations Among Attachment Style,Burnout, and Compassion Fatigue in Health and Human Service Workers: A Systematic Review

Health and human service workers are at risk for developing burnout or compassion fatigue due to the demanding nature of their work. Attachment theory makes specific predictions that may help explain why some workers experience burnout or compassion fatigue and others do not. The purpose of this systematic review is to identify and attempt to explain patterns and inconsistencies in results across studies that have examined the association between adult attachment style and burnout or compassion fatigue. Ten studies representing a diverse range of disciplines within the health and human service sectors were included in the research synthesis. The findings demonstrated consistent results for secure and anxious attachment, suggesting that attachment security is associated with lower levels of burnout, whereas attachment anxiety is associated with higher levels of burnout. Some studies found an association between avoidant attachment and burnout, whereas others did not. The results are discussed in terms of their implications for the selection, training, and supervision of health and human service workers.     

Adopting children with attachment problems.

This article describes children with significant attachment problems and summarizes the actions needed to increase the probability that such children can be successfully adopted. Healthy and disordered attachment patterns are detailed, as well as the principles and strategies that are important in parenting such children and the parenting characteristics that should be sought in selecting families for children with attachment disorder. Psychological treatment and other postadoption services necessary to support the adoption and the child's ability to successfully form a secure attachment with the adoptive parents are also highlighted.     

The Brief Accessibility,Responsiveness, and Engagement Scale: A Tool for Measuring Attachment Behaviors in Clinical Couples

Measuring attachment behaviors is relevant to creating secure couple relationships. This article seeks to test and examine the reliability and validity of the Brief Accessibility, Responsiveness, and Engagement (BARE) Scale—a practical measure of couple attachment–in a clinical sample. Couples took the BARE and other assessments measuring relationship functioning (self and partner reports of relationship satisfaction, relationship stability, positive and negative communication, and attachment styles). Results suggest that the BARE appears to be a reliable and valid tool for assessing couple attachment and can accurately predict and classify whether the couples belong in the clinical or nonclinical group, as well as their level of relationship satisfaction. Results also indicate attachment behaviors are related to relationship outcomes.     

From Chaos to Safe Transformation: The Emotional Intelligence Learning Environment Model

Self-awareness is a necessary foundation for those seeking to develop emotional intelligence (EI). Yet, the process of developing self-awareness can be deeply disturbing, creating inner turmoil and chaos which EI trainers need to take into consideration and manage in the learning environment. This article describes the nature of this chaos and proposes a learning environment model to assist EI trainers in the design of their EI training programmes, helping trainers to create safe learning environments in which learners can pursue EI training, thereby leading to transformational change. A review of the literature defines EI, constructivism, and chaos theory, as well as exploring elements of a safe learning environment. The literature is considered along with data gathered from a recent study of twenty-one EI trainers in New Zealand, in an effort to identify key characteristics of a safe learning environment, and positive and negative qualities of the trainer and learners which can contribute to creating a safe learning environment. Based on these findings the Emotional Intelligence Learning Environment Model was developed. The article discusses the implications of the model and concludes with suggestions for future research.     

Making sense of leaving care: The contribution of Bridges model of transition to understanding the psycho-social process

This paper is based on research into the transition of young people leaving public care in Romania. Using this specific country example, the paper aims to contribute to present understandings of the psycho-social transition of young people from care to independent living by introducing the use of Bridges (2002) to build on existing theories and literature. The research discussed involved mixed methods design and was implemented in three phases: semi-structured interviews with 34 care leavers, focus groups with 32 professionals, and a professional-service user working group. The overall findings confirmed that young people experience two different, but interconnected transitions - social and psychological - which take place at different paces. A number of theoretical perspectives are explored to make sense of this transition including attachment theory, focal theory and identity. In addition, a new model for understanding the complex process of transitions was adapted from Bridges (2002) to capture the clear complexity of transition which the findings demonstrated in terms of their psycho-social transition. The paper concludes with messages for leaving and after care services with an emphasis on managing the psycho-social transition from care to independent living.     

Understanding Anorexia Nervosa and Bulimia Nervosa from an Attachment Perspective

Using the Attachment History Questionnaire (AHQ), 30 female anorectic and bulimic inpatients were compared to a control group of 31 primarily female social work students to determine the connection between anorexia and bulimia and early childhood attachment relationships. As predicted, the results indicated that the anorectics and bulimics differed significantly from the controls on all four subfactors of the AHQ: secure attachment base (Factor 1), parental discipline (Factor 2), threats of separation (Factor 3), and peer affectional support (Factor 4). Post hoc comparisons between the eating-disordered group and the controls on the fifty-one individual items of the AHQ showed that within Factor 1, the items involving feelings of being unwanted, alone, helpless, and of shame and guilt, clearly and significantly discriminated between groups. Within Factor 3, the item addressing the child feeling responsible for parental happiness produced significance. The results of this study are interpreted in relation to John Bowlby's attachment theory and the clinical implications are discussed.     

The Emotional Dance of Attachment

Conceptualized as an emotional dance between the child and the primary caregiver, this article summarizes the primary principles of attachment theory as they pertain to clinical practice. The development of the attachment relationship goes smoothly in a secure attachment because the caregiver and child are effectively attuned to one another’s needs. Insecure attachment, on the other hand, occurs when the emotional dance goes awry leaving both the caregiver and the child with an emotional void. The article summarizes current treatment models geared specifically toward helping parent–child dyads resolve attachment problems.