A tale of four countries: How Bowlby used his trip through Europe to write the WHO report and spread his ideas

Attachment theory, developed by child psychiatrist John Bowlby, is considered a major theory in developmental psychology. Attachment theory can be seen as resulting from Bowlby's personal experiences, his psychoanalytic education, his subsequent study of ethology, and societal developments during the 1930s and 1940s. One of those developments was the outbreak of World War II and its effects on children's psychological wellbeing. In 1950, Bowlby was appointed WHO consultant to study the needs of children who were orphaned or separated from their families for other reasons and needed care in foster homes or institutions. The resulting report is generally considered a landmark publication in psychology, although it subsequently met with methodological criticism. In this paper, by reconstructing Bowlby's visit to several European countries, on the basis of notebooks and letters, the authors shed light on the background of this report and the way Bowlby used or neglected the findings he gathered.     

Epistemology and Psychoanalysis: A Fruitful Relationship

Abstract

Bowlby may be viewed as one of the strongest exponents of the alternative psychoanalytic approach initiated by Ferenczi. His most important contributions are, on a theoretical level, to have potentially placed psychoanalysis onto a firm evolutionary basis, and, at a practical level, to have generated an enormous amount of empirical research. The main traits he shares with Ferenczi are independence of mind and the stress on a loving relationship in normal development and on real-life traumatic events in psychopathology. The similarities between them seem to be due to a convergence, or at the most to an indirect influence of Ferenczi, due to Bowlby's associations with Melanie Klein and the British Middle Group. As regards the specific issue of real-life experience, although Bowlby acknowledges Ferenczi's priority, he seems to have arrived at this concept independently.     

“When Strangers Meet”: John Bowlby and Harry Harlow on Attachment Behavior

From 1957 through the mid-1970s, John Bowlby, one of the founders of attachment theory, was in close personal and scientific contact with Harry Harlow. In constructing his new theory on the nature of the bond between children and their caregivers, Bowlby profited highly from Harlow’s experimental work with rhesus monkeys. Harlow in his turn was influenced and inspired by Bowlby’s new thinking. On the basis of the correspondence between Harlow and Bowlby, their mutual participation in scientific meetings, archival materials, and an analysis of their scholarly writings, both the personal relationship between John Bowlby and Harry Harlow and the cross-fertilization of their work are described.

Imagining Fear: Attachment,Threat, and Psychic Experience

Attachment theory is today considered an integral part of contemporary psychoanalytic theory and practice, and yet the theoretical and clinical implications of Bowlby’s emphasis on fear and the search for safety have been largely overlooked. From Bowlby’s perspective, the dynamic relationship between the experience of threat and attachment shapes the development and maintenance of essential relationships, the organization of psychic structure, and the nature of defenses and adaptation. This element of attachment theory—which alerts us to the ways in which the infant or child is compelled to seek safety when in a state of fearful arousal—is particularly relevant to the clinical situation. It helps us imagine moments of fearful arousal in our patients’ pasts, attend to their manifestations in the present, and understand current suffering in light of the long-term sequelae of adaptations that were crucial to survival. Finally, it helps us find language that brings alive or mentalizes these aspects of the patient’s early experience such that transformation is possible.     

Attachment theory and research: Resurrection of the psychodynamic approach to personality

Since the rise of the social-behaviorist approach to personality and its elaboration with cognitive concepts following “the cognitive revolution,” psychodynamic theories, usually identified with Sigmund Freud, have taken a beating. This makes it easy for mainstream personality-social psychologists to brush the psychodynamic approach aside. At the same time, researchers in both developmental and personality-social psychology have made great progress in testing and elaborating ideas presented by John Bowlby in his famous trilogy on attachment and loss. What outsiders to that perspective may not realize is that Bowlby was a psychoanalyst who saw himself as retracing Freud’s steps but with the advantage of new theoretical and empirical strategies. In this article, we conceptualize attachment theory as a contemporary psychodynamic approach, show how this theory has helped to bring psychodynamic psychology back to life, and review empirical evidence from our laboratories that supports many of the psychodynamic hypotheses advanced by Bowlby.     

Bindungstheorie und Psychoanalyse

Bowlby’s attachment theory and more recent versions of it are examined from an epistemological viewpoint and subjected to questioning on whether they are in line with central psychoanalytic concepts. It is argued that Bowlby’s basic tenets regarding attachment theory, which later attachment theorists never seriously questioned, do not conform to scientific standards, and that psychoanalytic issues such as the dynamic unconscious, internal conflicts, the interaction between drive wishes and defence in establishing substitutive formations are either ignored or not treated in sufficient depth. In the light of this, the assertion that psychoanalytic criticism of attachment theory arose from mutual misunderstandings and is outdated nowadays stands the matter on its head: psychoanalytic criticism can only be regarded as outdated if either psychoanalysis, or attachment theory or both are misunderstood.     

BEFORE ATTACHMENT THEORY: SEPARATION RESEARCH AT THE TAVISTOCK CLINIC, 1948–1956

This article traces the formation of attachment theory to the pioneering research program of Bowlby and his colleagues at the Tavistock Clinic between 1948 and 1956. Through a discussion of the concepts and practices that informed Bowlby's program, I examine the efforts of his team to reconstruct psychoanalytic objects according to preventive objectives and operational criteria. I discuss how the exploratory techniques that Bowlby and his colleagues were developing during these years ultimately led to the establishment of a hybrid investigative framework, in which the prophylactic requirements of mental hygiene, the psychometric model of personality disturbances, the psychoanalytic theory of object relations, and a direct‐observational methodology were brought to bear on the problem of the psychological consequences of early separation experiences. I further claim that this shift in investigative practice was crucial for the succeeding theoretical developments that eventually gave rise to the statistically validated constructs of attachment theory.     

Distinguishing Between Conceptualizations of Attachment: Clinical Implications in Marriage and Family Therapy

Authors described four distinct conceptualizations of the construct of attachment and identified clinical implications associated with each. Three of the conceptualizations, which are influenced by the work of Bowlby and Ainsworth, seem to have some empirical support; these conceptualizations are compatible with systemic and social constructionist approaches to family therapy. The other conceptualization— Reactive Attachment Disorder (RAD)—contradicts the extensive body of literature associated with the Bowlby/Ainsworth traditions and tends to pathologize children. Therefore, family therapists interested in attachment are encouraged to maintain conceptual clarity in their clinical work and are further encouraged to rely on clinical conceptualizations and interventions that are consistent with the work of Bowlby and Ainsworth.     

Attachment and expectations about future relationships: Moderation by accessibility

This article examined the relationship between internal working models of self and other (Bowlby, 1969) and expectations for satisfaction in a future relationship, and how that relationship is moderated by the accessibility of one's internal models. Study one showed that the model of self was predictive of expected satisfaction, but the model of other was not. In study two, the results of study one were replicated. However, using a reaction time task to measure the chronic accessibility of internal models, it was shown that the relationship between model of self and expected satisfaction existed only for people with highly accessible internal models. The implications of these findings for a more cognitive view of attachment-processes is discussed.     

Relationships,attachment, and culture: A tribute to John Bowlby

As a tribute to John Bowlby, some of the work that he stimulated and facilitated is reviewed. In rhesus monkeys, the behavior of individuals is much influenced by social companions. Dyadic relationships and group structure are crucial. A few days' separation between mother and infant can produce long-term effects, but the outcome depends on a large number of factors. The need to maintain a proper balance between a research focus on the individual, the relationship, and the family or group is stressed. John Bowlby's use of comparative data is discussed. This perspective shed light on many aspects of infant and child behavior and was crucial in the development of attachment theory. The dangers of equating what is “natural” with what is “best” are stressed: Cultural desiderata interact with the biological desiderata on which natural selection operated in our environment of evolutionary adaptedness.     

John Bowlby and Margaret s. Mahler: their lives and theories

Traumatic aspects of the lives of John Bowlby and Margaret Mahler can be seen to inform their intellectual careers, a perspective that suggests that attachment theory and separation-individuation theory are far more consonant with one another than otherwise. Articulating the domains of convergence between the two theories reveals the essential complementarity of the special strengths of each. Both theories were attempts to understand the role of experience in the development of mental representations. Mahler paid close clinical attention to inner mental states and their evolution, while Bowlby searched for behavioral correlates that could lend themselves to empirical observation and inferences about internal representations.     

Arieti and Bowlby: convergence and direct influence

Arieti was a great specialist of schizophrenia and Bowlby was the initiator of attachment theory. Working independently on the two sides of the Atlantic, they converged on a range of topics, such as evolutionary theory, mourning, trauma, violence, and therapy as art and science. Later, Bowlby exerted a direct influence on Arieti, which Arieti acknowledged in his Love Can Be Found. Finally, the two authors cooperated in the second edition of the American Handbook of Psychiatry.     

Forms of Concern: Toward an Intersubjective Perspective

The growing interest in the issue of concern, which appeared relatively late in psychoanalytical literature, resulted in several distinctions. Winnicott distinguished between concern as an expression of guilt and concern as a manifestation of joy, Brenman Pick distinguished between real concern and spurious concern, and Bowlby distinguished between sensitive and compulsive caregiving. The basic concepts of Buber’s dialogical philosophy and intersubjective approaches in psychoanalysis have created fertile ground for the study of concern, and enabled us to conceptualize these distinctions in a way that has heretofore been lacking in psychoanalytical thought.     

Attachment Styles and Employee Performance: The Mediating Role of Burnout

Researchers are becoming increasingly interested in how early experiences within the family are relevant to an individual’s behavior at work. Drawing on Bowlby’s attachment theory, the present study addresses this topic by examining the relationship between attachment in adulthood and job performance, and the mediating role of burnout in that relationship. We used data from two samples (201 Dutch employees and 178 Romanian working students) and structural equation modeling to test this mediation model and its possible invariance across both samples. The results showed that in both samples, attachment-related anxiety was positively related to burnout, which was in turn negatively related to job performance. Attachment-related avoidance was not significantly associated with burnout or performance. These results were similar in both samples, thus increasing their validity. The results suggest that childhood and early socialization experiences play a role in shaping the employee’s behavior and well-being at work. The study is one of the few examining attachment styles in relation to burnout and performance.     

Forgiveness as a mediator of the relationship between PTSD and hostility in survivors of childhood abuse

This paper argues that emotional inferences about characters in a text are not as specific as previously assumed (DeVega, Diaz, & Leon, 1997; DeVega, Leon, & Diaz 1996; Gernsbacher, Goldsmith, & Robertson, 1992; Gernsbacher, Hollada, & Robertson, 1998; Gernsbacher & Robertson, 1992). The emotional information inferred by readers does not differentiate between emotions that are similar, though not identical. In both Experiments 1 and 2, participants read the stories used by Gernsbacher et al. (1992). Results from Experiment 1 (off-line) show that participants judged several emotions consistent with the same story. In Experiment 2 (on-line), participants took longer to read target sentences containing emotions mismatching the stories, but there was no difference between target sentences containing different matching emotions as determined by Experiment 1. Results from Experiments 1 and 2 suggest that the emotional information readers infer from the stories is too broad to determine a specific emotion. The results are consistent with the idea that a general emotional response is evoked, which is compatible with one or more specific emotions.     

Loneliness in Infancy: Harry Harlow, John Bowlby and Issues of Separation

In this contribution, the authors give an overview of the different studies on the effect of separation and deprivation that drew the attention of many in the 1940s and 1950s. Both Harlow and Bowlby were exposed to and influenced by these different studies on the so called ‘hospitalization’ effect. The work of Bakwin, Goldfarb, Spitz, and others is discussed and attention is drawn to films that were used to support new ideas on the effects of maternal deprivation.

Milieu therapy for neglected children: Treatment in a caring relationship

The central thesis of this paper is that treatment of neglected children can better take place in a caring relationship than in psychotherapy or analysis. In order to create the basis for this idea, Part 1 introduces a milieu therapy for neglected children, developed by the author. In Part 2 of the article, it is proposed that treatment in a caring relationship is in line with the child's dependence on a caring person. It is also argued that the traditional distinction between problems in the child's environment and internal psychological difficulties seems imprecise. Instead, it is proposed that a problem has both an external and an internal aspect. This supports the idea that it may be possible to solve problems that are traditionally considered internal through environmental strategies, for example milieu therapy. The article is hypothesis-generating and builds upon clinical experience inspired by works of, among others, Erikson, Bowlby, Winnicott, and Fonagy and collaborators. Part 1 of the article is the first presentation in English of the main points of the author's books on milieu therapy. The ideas in Part 2 are published here for the first time.     

Shame and Its Sons: Black Men,Fatherhood, and Filicide

Few passages of Scripture are more revered than the parable of the prodigal son. Whether through quotidian biblical readings or fiery Sunday morning sermons, the evocative images that it conjures up—the most prominent of which is that of a forlorn son returning home to a beneficent father—often causes those who encounter this story of redemption, believer and non-believer alike, to be enraptured in the ardor of spiritual ecstasy. It is a quintessential feel-good story. And yet, one must ask, how many prodigal sons are able to return to their fathers’ houses in like manner? Is it not troubling to consider the lack of such a welcome home for the countless prodigal sons among us? This interdisciplinary study examines such questions by underscoring not only the failed “return,” but, even more so, the lack of a “home” (a veritable place of return, so to speak) for black men who suffer from the inherent prodigality, the desire to spend all, of patriarchal manhood. It is for this reason that anatomizing the parable itself, which is done by utilizing the works of such scholars as Henri Nouwen, is not sufficient to address our concerns. Other interlocutors are needed, scholars of a different but not better perspicacity, who can speak to the deleterious intergenerational effects that a lack of home can have on a black man’s development, be it psychosocially, spiritually, or otherwise. The chosen participants for this somewhat uncommon dialogue are psychoanalyst John Bowlby and African American author Ernest Gaines. Both of these authors enunciate the ways in which the inability to return or, in some instances, retreat to what Bowlby calls a “secure base” traps a man within a deadly web of negative affect, such as shame, within which he entangles his sons as well. This is an unfortunate act of filicide.     

Positive Psychology and Attachment: Positive Affect as a Mediator of Developmental Outcomes

Fredrickson’s (1998) broaden-and-build model and Bowlby’s (1969) attachment theory provide alternate explanations for positive cognitive, social, physical, and psychological outcomes, positive affect and secure attachments, respectively. This study examined whether affect mediates the relationship between attachment and positive outcomes. The sample consisted of 99 undergraduate students from a small, public liberal arts college in the mid-Atlantic region. For people high in attachment anxiety, but not those high in attachment avoidance, affect partially mediated social and psychological outcomes and fully mediated health outcomes. People who scored high in attachment anxiety reported less positive affect and more negative affect, which results in poorer social, physical, and psychological outcomes than those with lower levels of attachment anxiety. Perhaps children with caregivers who are more responsive to their needs experience more positive affect; and, it is the experience of positive affect that yields developmental advantages.     

Moving Toward a Secure Attachment Style: Can Repeated Security Priming Help?

Despite the abundant literature on attachment processes and the development of a secure or insecure attachment orientation during childhood, it is still unclear whether adult attachment style can be changed through systematic interventions, and if so how the change process works. One way to learn more about such change is to create it, on a small scale, in the laboratory. It is already known that a person's sense of security can be momentarily changed in the laboratory ( Mikulincer & Shaver, 2007a ). But there is clearly a difference between very short‐term and longer‐term change. According to Bowlby (1982) , the development of an attachment orientation in childhood is based on many encounters and interactions with caregivers, which gradually create a mental network of relatively stable expectations and concerns. Thus, it may take many episodes of security priming in a laboratory to begin to affect a young adult's attachment style in a lasting way. Here, we explore this possibility, review existing evidence from our own and other researchers’ laboratories, and discuss directions for future research.