A social‐contextual understanding of concordance and discordance between maternal prenatal representations of the infant and infant–mother attachment

This prospective study examined the relationship between maternal prenatal representations of the infant and later infant–mother attachment, including contextual factors related to concordance and discordance among dyads over time. Participants were 173 pregnant women between the ages of 18 and 40 who were interviewed during their last trimester of pregnancy and 2 and 13 months after birth. Maternal representations were assessed by the Working Model of the Child Interview during pregnancy (WMCI; C.H. Zeanah, D. Benoit, L. Hirshberg, M.L. Barton, & C. Regan, 1994), and infant–mother attachment was assessed through the Strange Situation procedure (M.D.S. Ainsworth, M. Blehar, E. Waters, & S. Wall, 1978) when infants were 13 months old. There was substantial discordance between maternal and infant classifications, although a significant concordance rate was found when classifications were collapsed into balanced/secure and nonbalanced/insecure groups based on prenatal representations and postnatal infant attachment groups (60%; χ² = 6.90, p < .01; κ .20). As expected, discordance between maternal representations and infant–mother attachment was meaningfully related to contextual risk factors, maternal depression, and infant behaviors.     

Quality of attachment,perinatal risk,and mother–infant interaction in a high‐risk premature sample

Thirty‐three families, each with a premature infant born less than 33 gestational weeks, were observed in a longitudinal exploratory study. Infants were recruited in a neonatal intensive care unit, and follow‐up visits took place at 4 months and 12 months of corrected age. The severity of the perinatal problems was evaluated using the Perinatal Risk Inventory (PERI; A.P. Scheiner & M.E. Sexton, 1991 ). At 4 months, mother–infant play interaction was observed and coded according to the CARE‐index (P.M. Crittenden, 2003 ); at 12 months, the Strange Situation Procedure (SSP; M.D.S. Ainsworth, M.C. Blehar, E. Waters, & S. Wall, 1978 ) was administered. Results indicate a strong correlation between the severity of perinatal problems and the quality of attachment at 12 months. Based on the PERI, infants with high medical risks more frequently tended to be insecurely attached. There also was a significant correlation between insecure attachment and dyadic play interaction at 4 months (i.e., maternal controlling behavior and infant compulsive compliance). Moreover, specific dyadic interactive patterns could be identified as protective or as risk factors regarding the quality of attachment. Considering that attachment may have long‐term influence on child development, these results underline the need for particular attention to risk factors regarding attachment among premature infants.     

Unresolved states of mind, disorganized attachment relationships, and disrupted interactions of adolescent mothers and their infants

The links between unresolved maternal attachment status, disrupted maternal interaction in play situations, and disorganized attachment relationships were examined in a study of 82 adolescent mother-infant dyads. Maternal interactive behavior was measured using the Atypical Maternal Behavior Instrument for Assessment and Classification coding system. Additional rating scales were developed to correspond to the 5 dimensions of disrupted maternal behavior outlined by E. Bronfman, E. Parsons, and K. Lyons-Ruth (1999). A robust association was observed between disrupted maternal behavior and disorganized attachment. Ratings of disrupted maternal behavior revealed that disorganized attachment relationships were strongly related to ratings of fearful/disoriented behavior. Moreover, mothers who were unresolved were more likely than not-unresolved mothers to show disrupted patterns of interaction with their infants. Regression analyses suggested that disrupted behavior statistically mediated the association between unresolved status and disorganized attachment relationships.     

Consistency and inconsistency in infant emotional and social interactive behavior across contexts and caregivers

This study examined consistency in infant emotional and social interactive behavior in stressful and nonstressful situations with mothers and fathers. Infants were seen at 12 and 13 months, once with each parent. Emotion was assessed during free play and the Strange Situation. Strange Situation social interactive behaviors were also examined. Results demonstrated that (a) proximity seeking and contact maintaining are consistent cross-parent, (b) emotion is more consistent from free play to the Strange Situation with the father than with the mother, and (c) emotion is primarily consistent cross-parent within the Strange Situation, not in free play. These results suggest both infant- and relationship-based determinants of behavior within the Strange Situation. The greater cross-context consistency in infant emotion with the father is interpreted as supportive of the view that infant—father interactions reflect primarily affiliative, rather than attachment, relationships.     

INSIGHTFULNESS AND LATER INFANT ATTACHMENT IN CLINICALLY DEPRESSED AND NONCLINICAL MOTHERS

The aim of this pilot study was to investigate the relationship between maternal insightfulness and sensitivity and subsequent infant attachment security and disorganization in clinically depressed and nonclinical mother–infant groups. Nineteen depressed mothers with infants ages 3 to 11 months participated in this study. Twenty nonclinical mother–infant dyads were matched to the clinical sample according to infant sex and age. Maternal depression was assessed using the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (American Psychiatric Association, 1994), insightfulness using the Insightfulness Assessment (IA), and sensitivity using the Maternal Sensitivity Scales (M.D.S. Ainsworth, 1969). IA classifications and subscales were considered separately. Later infant attachment was assessed by the Strange Situation Procedure (M.D.S. Ainsworth, M.C. Blehar, E. Waters, & S. Wall, 1978). Depressed mothers tended to have less securely attached children than did nonclinical mothers. Within the clinical sample, the insightfulness categories correlated slightly moderately with attachment security, but were not related to attachment disorganization. Within the nonclinical sample, the IA categories were slightly moderately associated with attachment security and with disorganization. On IA subscales, relationship patterns differed in clinically depressed and nonclinical mother–infant dyads. These findings provide the first evidence of the predictive power of the IA categorization and subscales on subsequent infant attachment. They also may allow the development of different foci of intervention for enhancing insightful caregiving.     

Mother–Infant Joint Attention and Sharing: Relations to Disorganized Attachment and Maternal Disrupted Communication

The normative development of infant shared attention has been studied extensively, but few studies have examined the impact of disorganized attachment and disturbed maternal caregiving on mother–infant shared attention. The authors examined both maternal initiations of joint attention and infants’ responses to those initiations during the reunion episodes of the Strange Situation Procedure at 12 and 18 months of infant age. The mothers' initiations of joint attention and three forms of infant response, including shunning, simple joint attention, and sharing attention, were examined in relation to infant disorganized attachment and maternal disrupted communication. Mothers who were disrupted in communication with their infants at 18 months initiated fewer bids for joint attention at 12 months, and, at 18 months, mothers of infants classified disorganized initiated fewer bids. However, the infant' responses were unrelated to either the infant' or the mother' disturbed attachment. At both ages, disorganized infants and infants of disrupted mothers were as likely to respond to maternal bids as were their lower risk counterparts. Our results suggest that a disposition to share experiences with others is robust in infancy, even among infants with adverse attachment experiences, but this infant disposition may depend on adult initiation of bids to be realized.     

Attachment,culture, and the caregiving system: The cultural patterning of everyday experiences among Anglo and Puerto Rican mother–infant pairs

This investigation focuses on cultural differences in the relationship between maternal sensitivity, emotional expression, and control strategies during the first year of life and infant attachment outcomes at 12 months. Participants were middle‐class Puerto Rican and Anglo mother–infant pairs (N = 60). Ratings of physical control, emotional expression, and maternal sensitivity during mother–infant interactions in five everyday home settings, videotaped when the infants were 4, 8, and 12 months old, were examined in combination with 12‐month Strange Situation classifications. Results suggest that physical control shows a different pattern of relatedness to maternal sensitivity, emotional expression, and attachment outcomes among the Puerto Rican compared to the Anglo mothers in this study. These findings have implications for practitioners and researchers interested in normative parenting among diverse cultural groups. ©2003 Michigan Association for Infant Mental Health.     

Adult attachment as a predictor of maternal gatekeeping among new parents

This study examined the associations between expectant couples' adult attachment styles and new mothers' gatekeeping (i.e., maternal behaviors that may inhibit or encourage father involvement in parenting) at the transition to parenthood. Data were drawn from a study of 182 different-gender dual-earner couples followed from the third trimester of pregnancy through 3 months postpartum. In the third trimester, expectant parents reported their attachment anxiety and avoidance. At 3 months postpartum, mothers and fathers reported on mothers' gate opening and gate closing behaviors. Also, at 3 months postpartum, maternal gate opening and gate closing were coded during mother–father–infant interactions in play and caregiving. Actor–Partner Interdependence Models were conducted in IBM SPSS AMOS 21.0. Findings indicated that higher maternal anxiety predicted higher mother-reported maternal gate closing, whereas higher paternal avoidance and higher paternal anxiety predicted lower father-reported maternal gate opening. During caregiving, higher paternal anxiety predicted higher observed maternal gate closing, and higher maternal anxiety predicted lower observed maternal gate opening. Findings reveal the importance of attachment in coparenting relationships among new parents, as attachment anxiety and avoidance may shape maternal behaviors encouraging or hindering father involvement in parenting.     

DISORGANIZATION,FEAR AND ATTACHMENT: WORKING TOWARDS CLARIFICATION

In 1990, M. Main and J. Solomon introduced the procedures for coding a new “disorganized” infant attachment classification for the Ainsworth Strange Situation procedure (M.D.S. Ainsworth, M. Blehar, E. Waters, & S. Wall, 1978). This classification has received a high degree of interest, both from researchers and from child welfare and clinical practitioners. Disorganized attachment has primarily been understood through the lens of E. Hesse and M. Main's concept of “fright without solution,” taken to mean that an infant experiences a conflict between a desire to approach and flee from a frightening parent when confronted by the Strange Situation. Yet, looking back, it can be observed that the way Hesse and Main's texts were formulated and read has generated confusion; there have been repeated calls in recent years for renewed theory and clarification about the relationship between disorganization and fear. Responding to these calls, this article revisits the texts that introduced the idea of fright without solution, clarifying their claims through articulating more precisely the different meanings of the term fear. This clarified account will then be applied to consideration of pathways to infant disorganized behaviors.     

Influences of maternal postpartum depression on fathers and on father–infant interaction

Maternal postpartum depression (PPD) has been shown to negatively influence mother–infant interaction; however, little research has explored how fathers and father–infant interaction are affected when a mother is depressed. This study examined the influence of maternal PPD on fathers and identified maternal and paternal factors associated with father–infant interaction in families with depressed as compared with nondepressed mothers. A convenience sample of 128 mother–father–infant triads, approximately half of which included women with significant symptoms of PPD at screening, were recruited from a screening sample of 790 postpartum women. Mothers and fathers completed measures of depression, marital satisfaction, and parenting stress at 2 to 3 months' postpartum and were each videotaped interacting with their infants. Results indicate that maternal PPD is associated with increased paternal depression and higher paternal parenting stress. Partners of depressed women demonstrated less optimal interaction with their infants, indicating that fathers do not compensate for the negative effects of maternal depression on the child. Although mother–infant interaction did not influence father–infant interaction, how the mother felt about her relationship with the infant did, even more so than maternal depression. The links between maternal PPD, fathers, and father–infant interaction indicate a need for further understanding of the reciprocal influences between mothers, fathers, and infants.     

Attachment in low‐SES rural Appalachian infants: Contextual,infant, and maternal interaction risk and protective factors

Attachment classifications were obtained for 95 low‐socioeconomic‐status (SES) rural Appalachian infants in the Strange Situation procedure at 15 months. The distribution of secure (B) and insecure (A, C, D) infants was similar to other low‐SES samples and significantly different from low‐risk samples. Levels of contextual and infant risk, together with maternal responsiveness to crying and pattern of sensitivity from 4 to 9 months, predicted attachment security. High social support, when examined as a protective factor, related to reduced contextual risk, but not to increased likelihood of security. Exploratory discriminant function analyses showed that infants in secure relationships differed in positive directions on contextual and maternal interactional factors. Insecure‐organized (A and C) infants experienced contextual and maternal interaction risks, while insecure‐disorganized (D) infants were best distinguished by infant characteristics, including greater likelihood of being male and low use of mother as a secure base at 9 months. ©2001 Michigan Association for Infant Mental Health.     

Impact of fathers' alcoholism and associated risk factors on parent–infant attachment stability from 12 to 18 months

This study examined short‐term attachment stability and sought to identify predictors of stability and change within a sample characterized by fathers' alcoholism. Results suggest moderate stability of attachment classifications (60% for mothers, 53% for fathers) from 12 to 18 months. Higher paternal and maternal alcohol symptoms, maternal depression, and maternal antisocial behavior were found in families with stable insecure mother–infant attachment compared to those who were stable secure. Mother–infant stable insecurity was associated with higher levels of maternal negative affect expression during play. Father–infant stable insecurity was associated with lower levels of paternal positive affect expression and decreased sensitivity during play. Stable insecure children also had higher levels of negative affect during parent–infant interactions and higher negative emotionality during other episodes compared to stable secure children. Results indicate that infants who were insecure at both time points had the highest constellation of family risk characteristics.     

Temperamental precursors of infant attachment with mothers and fathers

The degree to which parent sensitivity and infant temperament distinguish attachment classification was examined. Multilevel modeling was used to assess the effect of parent sensitivity and infant temperament on infant–mother and infant–father attachment. Data were collected from mothers, fathers, and their infants (N = 135) when the infant was 3-, 5-, 7-, 12-, and 14-months old. Temperament was measured using the Infant Behavior Questionnaire-Revised ( Gartstein & Rothbart, 2003); parent sensitivity was coded during the Still Face Paradigm ( Tronick, Als, Adamson, Wise, & Brazelton, 1978); attachment was coded using the Strange Situation ( Ainsworth, Blehar, Waters, & Wall, 1978). Results indicate that mothers and fathers were less sensitive with insecure-avoidant infants. Whereas only one difference was found for infant–mother attachment groups and temperament, five significant differences emerged for infant–father attachment groups, with the majority involving insecure-ambivalent attachment. Infants classified as ambivalent with fathers were higher in perceptual sensitivity and cuddliness and these infants also showed a greater increase in low-intensity pleasure over time compared with other infants. Results indicate the importance of both parent sensitivity and infant temperament, though operating in somewhat different ways, in the development of the infant–mother and infant–father attachment relationship.     

Another look inside the gap: ecological contributions to the transmission of attachment in a sample of adolescent mother-infant dyads

Ecological contributions to attachment transmission were studied in a sample of 64 adolescent mother-infant dyads. Maternal sensitivity was assessed when infants were 6 and 10 months old, and infant security was assessed at 15 and 18 months. Maternal attachment state of mind was measured with the Adult Attachment Interview (AAI) after the 1st assessment. Ecological variables considered were maternal education and depression, paternal support, and infant maternal grandmother support. Results indicated that when the contribution of ecological variables was statistically controlled for, sensitivity was a significant mediator and state of mind no longer contributed to infant security. Sensitivity also mediated an association between maternal education and infant attachment, suggesting that attachment transmission is embedded in a more global process of infant attachment development.     

Attachment in preterm infants and their mothers: Neonatal risk status and maternal representations

High‐risk neonatal status, indexed by an intracranial hemorrhage (ICH), and maternal representations of past and present attachment relationships were examined as predictors of infant attachment in a sample of preterm infants. Participants included 50 19‐month‐old infants and their middle‐class, predominantly African American mothers. A maternal‐report questionnaire and a structured interview were used to assess past relationship history with mother and current relationship with infant, respectively. The Strange Situation Paradigm was used to assess attachment security. Multiple logistic regression analyses suggested that maternal representation of the infant—but not ICH or maternal childhood history—significantly predicted infant attachment security. ICH and maternal history of childhood rejection were predictive of disorganized infant attachment. The findings are consistent with previous data that suggest that maternal factors are more important than infant factors in determining infant attachment security. These data also suggest that neurological deficits may contribute to disorganized infant attachment. © 2000 Michigan Association for Infant Mental Health.     

Maternal sensitivity assessed during the strange situation procedure predicts child's attachment quality and reunion behaviors

The 72-item version maternal behavior Q-set (MBQS; Pederson & Moran, 1995) was used to assess maternal behaviors (N = 74) during the Strange Situation Procedure. Results indicated that the MBQS scores significantly differentiated infant attachment categories and were significantly associated with a series of infants’ reunion behaviors.     

Failure‐to‐thrive is associated with disorganized infant–mother attachment and unresolved maternal attachment

This study provides further evidence for the co‐occurrence of atypical patterns of attachment and failure‐to‐thrive (FTT). Eighty‐three children with FTT and 130 normally growing comparison children were seen in Ainsworth's Strange Situation at ages 11 to 32 months. These subjects were highly diverse with respect to social, economic, and ethnic characteristics. Children with FTT were significantly less likely to show secure and more likely to show anxious, disorganized attachments than normally growing comparisons: only 34% of FTTs were secure, while 46% showed disorganized attachments. In contrast, 66% of comparisons were secure and 16% were disorganized. In addition, a subsample of 59 mothers (23 FTT and 36 comparison) were interviewed with the Adult Attachment Interview (AAI). Mothers of FTTs were more than twice as likely as comparisons (65% versus 22%) to use discourse indicating unresolved loss or trauma. Similarly, mothers of FTTs were less likely to show autonomous (secure) discourse than mothers of well‐nourished children (13% versus 58%). There were no differences in infant or adult attachment classifications between organic and nonorganic FTT groups, further discrediting this as a psychologically meaningful distinction. These results support the notion that disturbed patterns of attachment are common in FTT, regardless of the etiology of growth failure. The findings suggest that evaluations and treatments of FTT should address psychological, as well as medical problems in these families. © 2000 Michigan Association for Infant Mental Health.     

Reflection in thought and action: Maternal parenting reflectivity predicts mind‐minded comments and interactive behavior

Recent research has identified mothers' mental reflective functioning and verbal mind‐minded comments as important predictors of subsequent infant attachment security. In the present study, we examine associations between mothers' (N = 95) parenting reflectivity expressed in an interview and observed parenting behavior, including verbal mind‐minded comments and interactive behavior during interaction with their 7‐month‐old infants. Parenting reflectivity was coded from the Working Model of the Child Interview. Maternal behavior was assessed via observations of mother–infant interaction during free play and structured teaching tasks. Both maternal appropriate mind‐minded comments as well as other indicators of maternal interactive behavior were coded. Parenting reflectivity was positively correlated with mind‐minded comments and behavioral sensitivity. Hierarchical multiple regression analyses indicated that parenting reflectivity contributed to maternal behavior beyond the contributions of mothers' educational status and depression symptoms. Discussion emphasizes the importance of individual differences in parental capacity to accurately perceive and mentalize their infants' experience, and the consequences of these differences for caregiving behavior.     

Concordance Between the Quality of Maternal and Paternal Parenting Behavior Within Couples

There is compelling evidence that the quality of maternal and paternal parenting behavior bears critical importance for child development. Yet, less is known of the degree of similarity between maternal and paternal parenting behavior in families, and especially little is known about the factors that may explain variation in degrees of similarity. This article aims to examine (a) the concordance (similarity) between the quality of mothers’ and fathers’ interactive behavior with their child and (b) the sociodemographic determinants of this concordance. The sample included 74 families (mother, father, and their child). The quality of maternal and paternal interactive behavior was assessed independently, and rated with the Maternal Behavior Q-Sort (mother–infant, 12 months; D. R. Pederson et al., 1990) or the Mutually Responsive Orientation scale (father–toddler, 18 months; N. Aksan et al., 2006). The results indicated that the overall correlation between the quality of mothers’ and fathers’ behavior was moderate. The concordance was greater among higher socioeconomic status families or when interacting with a boy, but did not differ according to the presence or absence of siblings in the family.     

Maternal depression and dyadic interaction: the role of maternal attachment style

Maternal mental health and the contents of her representational world are important determinants of early parent–child relationship. We examined, first, the role of prenatal and postnatal depressive symptoms and maternal attachment style in predicting the quality of mother–child interaction. Second, we analysed whether the secure‐autonomous attachment style can protect the dyadic interaction from the negative effects of maternal depression. The participants were 59 mother–infant pairs examined during pregnancy (T1), 4–5 months postpartum (T2) and when the children were approximately 14 months old (T3). Maternal attachment style was assessed with a modified Adult Attachment Interview ‐procedure, depressive symptoms with Edinburgh Postnatal Depression Scale, and observed mother–child interaction with Care Index. The results show that autonomous mothers were more sensitive and responsive and their children more co‐operative than dyads with dismissing maternal attachment style. As hypothesized, mothers with the combination of both prenatal and postpartum depressive symptoms were highly unresponsive in their dyadic interaction. Further, prenatal depressive symptoms had a stronger impact on maternal unresponsiveness than postnatal symptoms. As hypothesized, mother's autonomous attachment style protected the mother–child interaction from the negative impact of maternal postnatal depressive symptoms, whereas dyads with preoccupied mothers were especially at risk for interaction problems when mothers had postpartum depressive symptoms. Copyright © 2010 John Wiley & Sons, Ltd.