The Interface Between Attachment and Intersubjectivity: Another Contribution from Karlen Lyons-Ruth

Karlen Lyons-Ruth's latest very important article places the mechanisms of attachment in a new, intersubjective context against a background of evolutionary biology. The present discussion adds a further way to think about Lyons-Ruth's discussion of intersubjectivity, relating it to the work of the Hungarian developmentalists Csibra and Gergely. Their theory makes the intersubjective processes highlighted by Lyons-Ruth central in human evolution and individual development. The human mind is unique in that it learns about the meaning of the external world—especially the social and emotional world—through another subjectivity; that means that the other person must be available to “teach.” Lyons-Ruth's findings are compatible with the prediction, from Csibra and Gergely's theory, that the withdrawal of the caregiver would be crucial to later pathology. It means the absence of the essential source of information both about the self (through contingent mirroring) and about loved others and the rest of the world. Because the study sample size is small, the finding of an absence of interaction between genes and environmental influences cannot be conclusive.     

Links Between Disorganized Attachment Classification and Clinical Symptoms in School-Aged Children

Research examining the links between disorganized attachment and clinical symptoms largely has neglected middle childhood due to lack of available measurement tools. The few studies that have examined these links in other developmental phases have found higher clinical symptoms in disorganized individuals. Our study extended this research by using a recently-developed attachment interview measure ideally suited to evaluate disorganized attachment in middle childhood. We examined concurrent associations among disorganized attachment in 8–12 year old children and symptoms of psychopathology theoretically hypothesized for their links with disorganized attachment. Using child- and parent-reports, we measured symptoms of depression, social anxiety, shyness, inattention, and thought problems. During our two-session study, 97 children completed the Child Attachment Interview, and children and parents completed clinical questionnaires. Results suggested that disorganized attachment was associated with higher child reports of depressive symptoms and shyness, and with parent-reports of social anxiety, inattention, and thought problems, and that disorganized children are more likely to have symptoms that meet clinical criteria. Implications for the relation of attachment to psychopathology are discussed.     

Disorganized Attachment and Inhibitory Capacity: Predicting Externalizing Problem Behaviors

The aim of the present study was to investigate whether attachment insecurity, focusing on disorganized attachment, and the executive function (EF) component of inhibition, assessed at age 5, were longitudinally related to general externalizing problem behaviors as well as to specific symptoms of ADHD and Autism spectrum disorder (ASD), and callous-unemotional (CU) traits. General externalizing problem behaviors were also measured at age 5 to allow for a developmental analysis. Outcome variables were rated by parents and teachers. The sample consisted of 65 children with an oversampling of children with high levels of externalizing behaviors. Attachment was evaluated using a story stem attachment doll play procedure. Inhibition was measured using four different tasks. The results showed that both disorganized attachment and poor inhibition were longitudinally related to all outcome variables. Controlling for initial level of externalizing problem behavior, poor inhibition predicted ADHD symptoms and externalizing problem behaviors, independent of disorganized attachment, whereas for ASD symptoms no predictive relations remained. Disorganized attachment independently predicted CU traits.     

The Seattle Longitudinal Study: Relationship Between Personality and Cognition

This article reviews the history, measures and principal findings of the Seattle Longitudinal Study. This study began in 1956 focusing upon age differences and age changes in cognitive abilities. Its sampling frame is a large HMO in the Pacific Northwest. The study has been expanded to investigate various influences on cognitive aging including, cognitive styles, personality traits, life styles, and family environment. Current interest is also in the early detection of risk for dementia. In addition, this article reports original analyses of the relation of personality dimensions to cognitive abilities (both concurrent and longitudinal). While personality remains relatively stable over the adult life span, modest proportions of variance are shared between various personality traits and the cognitive abilities.     

The Importance of Emotion Regulation in Understanding Attachment and Intersubjectivity: A Comment on Lyons-Ruth

This discussion provides a commentary on Lyons-Ruth's article examining the interface between attachment and intersubjectivity. First, this commentary posits that it may be useful to conceptualize proximity-seeking behaviors more broadly in order to encompass the types of communicative bids observed in the affective face-to-face interactions of parents and infants. Such a revision to this concept underscores the similarity between primitive proximity-seeking behaviors and the drive for intersubjectivity, which may fundamentally constitute part of the same motivational system. Finally, this article argues that both Lyons-Ruth and others have discussed the role of the attachment relationship as promoting the regulation of affects of all valences as opposed to just distress and that the augmentation and regulation of positive affect within the attachment relationship may be a promising direction for future research and theory.     

Links Between Reactive Attachment Disorder,Caregiving and Temperament: A Differential Susceptibility Perspective

Abstract

The links between Reactive Attachment Disorder (RAD) and temperament received relatively little research attention, in spite of their clinical and social relevance. Children with RAD sustain disproportionate burdens of early adversity related to their caregiving environment. However, there seem to be important individual differences in susceptibility to adversity, since only a small number of children show signs of RAD. Based on the work of Zeanah and Fox, this review aims to bring new insights to this relevant clinical issue in light of recent research. A differential susceptibility hypothesis will be considered as a promising and innovative approach toward a further understanding of the links between temperament and RAD.     

Adult Attachment Interview and Psychoanalytic Perspective: A Single Case Study

In this single case study we present a female patient diagnosed with a narcissistic personality disorder and a borderline organization. The interplay between attachment and psychoanalytic perspective will be focused. The analyst describes his impressions of the initial interview with the patient and essential steps during treatment. The patient was interviewed with the Adult Attachment Interview and classified as “insecure preoccupied” with an “unresolved state of mind” concerning loss and abuse. The analyst was asked to comment the AAI's essential characteristics of this patient. We discuss converging and diverging aspects of clinical and attachment interpretation in this single case.     

On the Relation Between Job Characteristics and Depression: A Longitudinal Study

The current study assumes that workers actively influence the characteristics of their work environment. Not only will one's work environment (job characteristics) affect personal characteristics, such as feelings of depression; depression in turn is expected to affect the characteristics of one's work environment as well. Using a sample of 593 young Dutch workers, a longitudinal model relating feelings of depression and job characteristics to each other was tested using structural equation modeling. The results largely supported our expectations. Depressive workers were less likely to experience a job transition than non-depressive workers. If depressive workers did experience a job transition, work outcomes were less positive than for nondepressive workers. Thus, it appears that the relation between job characteristics and depression can be construed as a reciprocal relation. Implications and limitations of the study are discussed.     

Longitudinal Associations Between Perceived Parent-Adolescent Attachment Relationship Quality and Generalized Anxiety Disorder Symptoms in Adolescence

This longitudinal study examined the direction of effects between adolescents' generalized anxiety disorder (GAD) symptoms and perceived parent-adolescent attachment relationship quality, as well as the moderating role of gender and age. 1,313 Dutch adolescents (48.5% boys) from two age cohorts of early (n?=?923, M(age)?=?12 at W1) and middle (n?=?390, M(age)?=?16 at W1) adolescents completed questionnaires regarding their attachment relationship to parents and GAD symptoms in four waves. Cross-lagged path analyses demonstrated that adolescents' GAD symptoms and perceived father-adolescent attachment relationship quality bidirectionally negatively affected each other over time. For mothers, adolescents' GAD symptoms negatively predicted perceived mother-adolescent attachment relationship quality over time. The within-wave correlated residuals between perceived attachment relationship quality with fathers and GAD symptoms were stronger for boys than for girls and stronger for the cohort of middle adolescents than for the cohort of early adolescents. This study demonstrates that both the parents' and the adolescents' gender as well as the adolescents' age affects the relation between adolescents' GAD symptoms and perceived parent-adolescent attachment relationship quality.     

Suicide and Attachment: Fear of Abandonment and Isolation from a Developmental Perspective

Suicide risk has been found to be associated with particular attachment styles. The purpose of this paper is to discuss suicide risk in terms of family dynamics, and the development of attachments with others. Theories of suicide and development, including those by Freud, Erikson, Bowlby, Richman, and Kaplan, and their clinical implications, are discussed. Literary works by Kafka and Plath are also discussed in the context of suicide and attachment. It is concluded that families characterized by excessive enmeshment and/or detachment often produce an atmosphere of isolation and intolerance which increases suicide risk.     

The Relationship Between Attachment Style and Postformal Thought

The purpose of the present study was to investigate the relationship between attachment styles and postformal thought ability and to test the comparability of three methods of testing for postformal thought. In a sample of 119 participants, postformal thought levels and attachment styles were assessed using postformal thought questionnaires and an attachment style scale. It was predicted that individuals with secure attachment styles would exhibit higher levels of postformal thought ability than individuals with anxious–ambivalent or avoidant attachment styles. It was also predicted that the three postformal tests would have equivalent results. Results indicated that attachment and postformal thought were not related and that the three measures of postformal thought were equivalent. Results are discussed in terms of the relationship between attachment styles and individuals’ abilities to perform complex problem-solving tasks and/or dilemmas.     

Associations Between Attachment Narratives and Self-Report Measures of Attachment in Middle Childhood: Extending Evidence for the Validity of the Child Attachment Interview

The assessment of attachment security in infancy and adulthood is well-studied, but middle childhood has been relatively neglected in the literature. The Child Attachment Interview (CAI) represents a promising assessment of attachment in middle childhood; recent evidence supports its reliability and validity in restricted samples. We assessed the construct validity of the CAI among a diverse sample of 104 8–12 year-old children (M _age  = 9.80 years; 50 boys; 49 % family income <$40,000; 38 % Latino/a). We evaluated associations among CAI variables and self-report measures of attachment (convergent validity). Further, we evaluated whether CAI variables uniquely relate to theoretically-relevant constructs (internalizing symptoms) above and beyond self-reported attachment (incremental validity) and a theoretically-distinct construct, child temperament (discriminant validity). Our findings support the CAI’s validity, and have important implications for assessing and understanding attachment processes in middle childhood, as well as their development across the lifespan.     

The Nature of Interpretation: Intersubjectivity and the Third Position

The American Journal of Psychoanalysis -     

The Correspondence Between Attachment Dimensions and Prayer in College Students

Attachment theory applied to religious behavior suggests that at a given point in time, "avoidant" individuals (who experience discomfort with closeness) engage in less prayer overall, and less prayer during times of stress than nonavoidant individuals. Additionally, "anxious" individuals (who worry about abandonment) would be expected to engage in more help-seeking prayer than nonanxious individuals. To test these hypotheses in a college sample, the frequency of three types of prayer were individually regressed on avoidance, anxiety, anxiety × avoidance, stress, stress × avoidance, stress × anxiety, in addition to the control variables of age, church attendance during childhood and adolescence, gender, gender × avoidance, and gender × anxiety. The hypotheses were supported in so far as: (a) avoidance was significantly and negatively related to colloquial (conversational) and meditative (contemplative) prayer, (b) stress × avoidance showed the predicted relation to colloquial and meditative prayer, and (c) anxiety was a significant predictor of petitionary (materialistic help-seeking) prayer, only.     

Unemployment and Mental Health: A Longitudinal Perspective

Using longitudinal data, the current study examined the relation between mental health and unemployment. It was assumed that these concepts would mutually influence each other—that is, while the perceived characteristics of the situation of being unemployed affect mental health, mental health may also influence the intention to look for a job, amount and type of job-searching behavior, and the chances of finding a job. Drawing on partly longitudinal data from 229 unemployed Dutch youth, a model relating mental health, perceptions of the unemployment situation, job-searching behaviors, and employment status was tested using structural equation modeling and logistic regression analysis. While the expectations were largely supported, there were also several unexpected results, most notably that participants who felt powerless were more likely to be active job seekers, while only mental health (and not job-seeking behavior) was (weakly) related to the likelihood of finding a job.     

Seeking Security in the Face of Fear: The Disorganized Dilemma

Attachment theory has been instrumental in identifying insecure disorganized attachment as a developmental pathway that leads to severe psychopathology in adults. Psychotherapy with these patients is challenging, offering a confusing pattern of relatedness, difficulties in mentalizing, problems expressing affect, utilizing dissociative defenses, and trying to gain an understanding of their subjectivity. This article provides a theoretical overview of disorganized attachment focusing on its etiology and how it presents throughout the life span. It reviews important therapeutic guidelines that help navigate the relationship with adults and presents a case study highlighting some clinical challenges.