Attachment in children


Attachment in children is "a biological instinct in which proximity to an attachment figure is sought when the child senses or perceives threat or discomfort. Attachment behaviour anticipates a response by the attachment figure which will remove threat or discomfort". Attachment also describes the function of availability, which is the degree to which the authoritative figure is responsive to the child's needs and shares communication with them. Childhood attachment can define characteristics that will shape the child's sense of self, their forms of emotion-regulation, and how they carry out relationships with others. Attachment is found in all mammals to some degree, especially primates.
Attachment theory has led to a new understanding of child development. Children develop different patterns of attachment based on experiences and interactions with their caregivers at a young age. Four different attachment classifications have been identified in children: secure attachment, anxious-ambivalent attachment, anxious-avoidant attachment, and disorganized attachment. Attachment theory has become the dominant theory used today in the study of infant and toddler behavior and in the fields of infant mental health, treatment of children, and related fields.

Attachment theory and children

Attachment theory is rooted in post-World War Two notions of the traditional female-male division of labour in Westernized nuclear families and the ethological notion that a newborn child is biologically programmed to seek proximity with caregivers, and this proximity-seeking behavior evolved in the Stone Age. Through repeated attempts to seek physical and emotional closeness with a caregiver and the responses the child gets, the child is hypothesised to develop an internal working model that reflects the response of the caregiver to the child. According to Bowlby, attachment provides a secure base from which the child can explore the environment, a haven of safety to which the child can return when he or she is afraid or fearful. Bowlby's colleague Mary Ainsworth identified that an important factor which determines whether a child will have a secure or insecure attachment is the degree of sensitivity shown by their caregiver:
The theory interprets a sensitive caregiver as someone who responds socially to attempts to initiate social interaction, playfully to his or her attempts to initiate play. The caregiver picks the child up when s/he seems to wish it, and puts them down when s/he wants to explore. When s/he is distressed, the sensitive caregiver knows what kinds and degree of soothing the child requires to be comforted – and knows that sometimes a few words or a distraction will be all that is needed. On the other hand, the caregiver who responds 'insensitively' tries to socialize with the baby when s/he is hungry, play with her or him when tired, or offer food when s/he is trying to initiate social interaction.
However, it should be recognized that "even sensitive caregivers get it right only about 50 percent of the time. Their communications are either out of synch, or mismatched. There are times when parents feel tired or distracted. The telephone rings or there is breakfast to prepare. In other words, attuned interactions rupture quite frequently. But the hallmark of a sensitive caregiver is that the ruptures are managed and repaired."

Attachment classification in children: the Strange Situation Protocol

The most common and empirically supported method for assessing attachment in infants is the Strange Situation Protocol, developed by Mary Ainsworth as a result of her careful in-depth observations of infants with their mothers in Uganda. The Strange Situation Protocol is a research, not a diagnostic, tool and the resulting attachment classifications are not 'clinical diagnoses.' While the procedure may be used to supplement clinical impressions, the resulting classifications should not be confused with the clinically diagnosed 'Reactive Attachment Disorder.' The clinical concept of RAD differs in a number of fundamental ways from the theory and research driven attachment classifications based on the Strange Situation Procedure. The idea that insecure attachments are synonymous with RAD is, in fact, not accurate and leads to ambiguity when formally discussing attachment theory as it has evolved in the research literature. This is not to suggest that the concept of RAD is without merit, but rather that the clinical and research conceptualizations of insecure attachment and attachment disorder are not synonymous.
The 'Strange Situation' is a laboratory procedure used to assess infant patterns of attachment to their caregiver. In the procedure, the mother and infant are placed in an unfamiliar playroom equipped with toys while a researcher observes/records the procedure through a one-way mirror. The procedure consists of eight sequential episodes in which the child experiences both separation from and reunion with the mother as well as the presence of an unfamiliar stranger. The protocol is conducted in the following format unless modifications are otherwise noted by a particular researcher:
  • Episode 1: Mother, Baby, Experimenter
  • Episode 2: Mother, Baby
  • Episode 3: Mother, Baby, Stranger
  • Episode 4: Stranger, Baby
  • Episode 5: Mother, Baby
  • Episode 6: Baby Alone
  • Episode 7: Stranger, Baby
  • Episode 8: Mother, Baby
Mainly on the basis of their reunion behaviours in the Strange Situation Paradigm, infants can be categorized into three 'organized' attachment categories: Secure ; Avoidant ; and Anxious/Resistant. There are subclassifications for each group. A fourth category, termed Disorganized, can also be assigned to an infant assessed in the Strange Situation although a primary 'organized' classification is always given for an infant judged to be disorganized. Each of these groups reflects a different kind of attachment relationship with the mother. A child may have a different type of attachment to each parent as well as to unrelated caregivers. Attachment style is thus not so much a part of the child's thinking, but is characteristic of a specific relationship. However, after about age five the child exhibits one primary consistent pattern of attachment in relationships.
The pattern the child develops after age five demonstrates the specific parenting styles used during the developmental stages within the child. These attachment patterns are associated with behavioural patterns and can help further predict a child's future personality.

Attachment patterns

"The strength of a child's attachment behaviour in a given circumstance does not indicate the 'strength' of the attachment bond. Some insecure children will routinely display very pronounced attachment behaviours, while many secure children find that there is no great need to engage in either intense or frequent shows of attachment behaviour".

Secure attachment

A toddler who is securely attached to its parent will explore freely while the caregiver is present, typically engages with strangers, is often visibly upset when the caregiver departs, and is generally happy to see the caregiver return. The extent of exploration and of distress are affected by the child's temperamental make-up and by situational factors as well as by attachment status, however. A child's attachment is largely influenced by their primary caregiver's sensitivity to their needs. Parents who consistently respond to their child's needs will create securely attached children. Such children are certain that their parents will be responsive to their needs and communications.
In the traditional Ainsworth et al. coding of the Strange Situation, secure infants are denoted as "Group B" infants and they are further subclassified as B1, B2, B3, and B4. Although these subgroupings refer to different stylistic responses to the comings and goings of the caregiver, they were not given specific labels by Ainsworth and colleagues, although their descriptive behaviours led others to devise a relatively 'loose' terminology for these subgroups. B1's have been referred to as 'secure-reserved', B2's as 'secure-inhibited', B3's as 'secure-balanced,' and B4's as 'secure-reactive.' In academic publications however, the classification of infants is typically simply "B1" or "B2" although more theoretical and review-oriented papers surrounding attachment theory may use the above terminology.
Securely attached children are best able to explore when they have the knowledge of a secure base to return to in times of need. When assistance is given, this bolsters the sense of security and also, assuming the parent's assistance is helpful, educates the child in how to cope with the same problem in the future. Therefore, secure attachment can be seen as the most adaptive attachment style. According to some psychological researchers, a child becomes securely attached when the parent is available and able to meet the needs of the child in a responsive and appropriate manner. At infancy and early childhood, if parents are caring and attentive towards their children, those children will be more prone to secure attachment.

Anxious-resistant insecure attachment

Anxious-resistant insecure attachment is also called ambivalent attachment. In general, a child with an anxious-resistant attachment style will typically explore little and is often wary of strangers, even when the caregiver is present. When the caregiver departs, the child is often highly distressed. The child is generally ambivalent when they return. The Anxious-Ambivalent/Resistant strategy is a response to unpredictably responsive caregiving, and that the displays of anger or helplessness towards the caregiver on reunion can be regarded as a conditional strategy for maintaining the availability of the caregiver by preemptively taking control of the interaction.
The C1 subtype is coded when:
"...resistant behavior is particularly conspicuous. The mixture of seeking and yet resisting contact and interaction has an unmistakably angry quality and indeed an angry tone may characterize behavior in the preseparation episodes..."
The C2 subtype is coded when:
''"Perhaps the most conspicuous characteristic of C2 infants is their passivity. Their exploratory behavior is limited throughout the SS and their interactive behaviors are relatively lacking in active initiation. Nevertheless, in the reunion episodes they obviously want proximity to and contact with their mothers, even though they tend to use signalling rather than active approach, and protest against being put down rather than actively resisting release...In general the C2 baby is not as conspicuously angry as the C1 baby."''