Attachment within family systems: An overview

A family systems approach provides a context for the development and maintenance of dyadic attachment relationships. An attachment approach provides a focus on the expression of and response to attachment behavior within a family. Uniting the two approaches has implications for both research and intervention. Characteristics of attachment theory and family systems theory are briefly outlined: Both involve systemic thinking. Different styles of interacting at the level of the family as a whole, working models of relationships, and dyadic interactions appear to correspond in a coherent way. Further research is needed in order to identify which dimensions of family functioning are relevant to the development of secure attachments, and how the relevant dimensions may change with age and stage in the family life cycle. This will provide targets for preventive interventions, with the development of secure relationships as a primary goal.     

Systemic therapy and attachment narratives

In this paper we describe how we bring together three major systems of thought: attachment theory; family systems theories; and theories of narrative development, in an integrated approach to systemic practice that we call attachment narrative therapy (ANT). ANT provides a four‐stage framework for practice: creating a secure base; exploring narratives and attachment experiences within a systemic framework; considering alternatives and taking action; and the future and maintenance of the therapeutic base. Formulation, especially regarding the role of emotions and attachments in family dynamics and narratives, is at the heart of our approach and helps us hold ourselves accountable for our particular weave of theory and practice.     

The crucial roles of attachment in family therapy

This paper's aim is to enable family therapists from whatever approach to address family attachments during their work. It explores the role of attachment in the family, and how to enable therapists to increase security in the family so that family members can solve their own problems during and after therapy. The article gives a brief overview of the nature of family attachment relationships and the influence of secure and insecure attachments within the family and their narrative styles. This is described in language that a therapist might readily hold in mind and share the ideas in dialogue with families. The paper discusses the interplay between insecure attachments and other family problems, such as parental conflict and disagreements over authority. It also discusses ways of establishing a secure therapeutic base and the influence of the therapist's own attachment style. The implications for family therapy practice are described and illustrated by work with a specific family.     

Infant attachment in the Czech Republic: Categorical and dimensional findings from a post-communist country

Infant attachment remains virtually unexplored in former Eastern Bloc countries. The dimensional approach to infant attachment, which could ease common obstacles in cross-cultural attachment research, necessitates more empirical support. This study explores infant attachment in the Czech Republic, a post-communist country with a unique family policy, using both the categorical and the dimensional models. It also compares the Czech infant attachment distribution to infant attachment distributions in other countries and compares infant attachment distributions in European countries to the Baltimore study sample. In the Strange Situation Procedure, forty-nine (74 %) out of sixty-six mother-infant dyads (35 boys, M = 13.8, SD = 0.9) received the B classification. Despite the generous family policy and cultural emphasis on close mother-infant relationships, the Czech distribution of insecure categories did not differ from the Baltimore study sample. Out of other post-communist countries, only the infant attachment distribution in former East Germany differed from the Czech and the Baltimore study samples due to a lower proportion of type B and a higher proportion of type A infants. There were also more type A infants in the Italian sample. Interactive behavior scales accurately predicted attachment categories in 91 % of cases. Contact-maintenance and proximity-seeking scales substantially improve the assessment of insecure resistant behavior. Our findings support the universality and normativity of attachment and the utility of the dimensional approach.     

Mentalizing Family Violence Part 1: Conceptual Framework

This is the first of two companion papers describing concepts and techniques of a mentalization‐based approach to understanding and managing family violence. We review evidence that attachment difficulties, sudden high levels of arousal, and poor affect control contribute to a loss of mentalizing capacity, which, in turn, undermines social learning and can favor the transgenerational transmission of violent interaction patterns. It is suggested that physically violent acts are only possible if mentalizing is temporarily inhibited or decoupled. However, being mentalized in the context of attachment relationships in the family generates epistemic trust within the family unit and reduces the likelihood of family violence. The implications of this framework for therapeutic work with families are discussed.     

EMDR as a treatment for improving attachment status in adults and children

IntroductionThe purpose of the article is to examine the current literature regarding evidence for positive change in attachment status following Eye Movement Desensitization and Reprocessing (EMDR) therapy and to describe how an integrative EMDR and family therapy team model was implemented to improve attachment and symptoms in a child with a history of relational loss and trauma.LiteratureThe EMDR method is briefly described along with the theoretical model that guides the EMDR approach. As well, an overview of attachment theory is provided and its implication for conceptualizing symptoms related to a history of relational trauma. Finally, a literature review is provided regarding current preliminary evidence that EMDR can improve attachment status in children and adults.Clinical findingsA case study is described in which an EMDR and family therapy integrative model improved attachment status and symptoms in a child with a history attachment trauma.ConclusionThe case study and literature review provide preliminary evidence that EMDR may be a promising therapy in the treatment of disorders related to attachment trauma.     

母亲守门行为与父子依恋的关系：父亲教养投入的中介作用

以597个核心家庭的父亲、母亲和青少年为研究对象,通过问卷调查探讨了母亲守门行为与父子依恋的关系以及父亲教养投入在其中的中介作用。结果表明：（1）母亲开门行为正向预测父子依恋,母亲关门行为负向预测父子依恋;（2）母亲开门行为通过正向预测父亲教养投入的部分中介作用间接预测父子依恋,而母亲关门行为通过负向预测父亲教养投入的部分中介作用间接预测父子依恋。研究结果扩展了母亲守门行为的作用效果研究,对家庭教育实践具有一定的指导意义。     

祖辈协同教养与幼儿错误信念理解能力的关系:亲子依恋与祖辈同住的作用

为考察祖辈协同教养与幼儿错误信念理解之间的关系以及幼儿亲子依恋的中介作用,采用方便抽样的方法,调查了某城市三所幼儿园345名小班至大班的祖辈协同教养幼儿及其家庭教养人。对幼儿使用操作任务考察错误信念理解能力,对其家庭教养人利用自陈式问卷收集家庭教养方式和亲子依恋等数据。结果显示：(1)祖辈协同教养类型显著影响幼儿的错误信念理解水平和亲子依恋,“有祖辈同住”协同教养幼儿的错误信念理解水平以及依恋的安全性均显著低于“无祖辈同住”协同教养幼儿;(2)亲子依恋在祖辈协同教养的民主信任和教养冲突两个维度与幼儿错误信念理解能力之间分别存在显著的中介作用;(3)祖辈协同教养类型在教养冲突、亲子依恋、错误信念理解能力的中介模型中起调节作用,在“有祖辈同住”条件下,协同教养冲突显著负向预测幼儿的亲子依恋安全感。     

The Slovak-American “Swaddling Ethos”: Homeostat for Family Dynamics and Cultural Continuity

This paper explores the systemic relationships among cultural ethos, family dynamics, personality configuration, and child-rearing patterns among multi-generation Slovak-Americans. The “swaddling ethos” is posited to serve as a homeostat whose regulatory function can be discerned through the analysis of family structure and process, in particular through the explication of values, affective patterns, roles, boundaries, and structural units within the family. The core of the ethos is a dependency-security complex that attaches the individual to an extended family network of obligation, indebtedness, and reciprocity (ethnic, Slovak); induces rebellion against such attachment (mainstream, American); and undermines efforts toward separation-individuation, resulting in the perpetuation of an ethnic tradition.     

Relationships between adult attachment representations and family ritual quality: a prospective, longitudinal study

Meaningful family rituals have been associated with positive outcomes for families and children. No studies, however, have investigated predictors of family ritual quality, the identification of which would be important for understanding why some families create and enact meaningful family rituals while others lack rituals or have problematic rituals. We propose that adult attachment security may be an important predictor of family ritual quality because family rituals may provide a sense of stability and cohesiveness for the family. The purpose of this study was to examine relationships between adult attachment representations and the quality of family rituals, using a prospective, longitudinal design. Prior to the birth of their first child, 125 couples completed the Adult Attachment Interview, and a subsample of 70 mothers and 62 fathers completed the Family Rituals Questionnaire when their first child was 7 years old. Different patterns of relationships between attachment representations and family rituals were found for mothers and fathers. Maternal Insecure Attachment was associated with higher routinization of family rituals. Being in a couple with mixed attachment classifications (e.g., one Secure partner and one Insecure partner) was related to a pattern of low routinization and low meaning for family rituals. The results of this study are interpreted in terms of two patterns of rituals that have been described by clinicians--rigid ritualization and underritualization, and suggestions for working with these ritual patterns in families with Insecure attachment are provided.     

Les études des relations sociales précoces : sommes-nous trop « sécure » avec l'attachement ou trop « attaché » à la sécurité ?

During the past thirty years, empirical research has amply demonstrated the central role of early mother-child relations for subsequent social, cognitive and affective development. However, this confirmation of the vital role of primary attachment for later personal development has been accompanied by a relative neglect of the contribution of other social partners to the emerging competence of the young child. A critical review of the attachment literature underscores the need to replace the monotropic model of primary attachment by a more systemic model of development within the polyadic context of the family. For both theoretical and empirical reasons, a social ecological approach to early development permits overcoming the prosocial, positivistic biases of a single dimension, dyadic model of early socialization. The formulation of more systemic, multi-dimensional models of early family relations promises to advance our understanding of the complex adaptive processes that serve as developmental foundations for children’s emerging interpersonal competence.     

Benchmark Memories in Adulthood: Central Domains and Predictors of Their Frequency

This study extended earlier research on the reminiscence bump phenomenon in autobiographical memory by examining the central domains and predictors of benchmark memories from a life history timeline and from three selected significant events. Memories elicited by these methods demonstrated the reminiscence bump as occurring in early adulthood. The central domains representing this era involved events with family and relationships followed by those related to education and work. Individual differences in socio-emotional variables associated with self and identity formations (i.e., family climate, defensive style, self-complexity, and adult attachment) were associated with the reminiscence bump. These findings support the self-narrative hypothesis that the reminiscence phenomenon is related to the process of identity formation in late adolescence and early adulthood.     

How do people with different attachment styles balance work and family? A personality perspective on work-family linkage

This study explored whether different models of work-family relationship were possible for individuals with different attachment styles. A mail survey was conducted using employees (N = 481) at a midwestern university in the United States. Results suggested that (a) individuals with a preoccupied attachment pattern were more likely to experience negative spillover from the family/home to the work domain than those with a secure or dismissing style, (b) securely attached individuals experienced positive spillover in both work and family domains more than those in the other groups, and (c) preoccupied individuals were much less likely to use a segmentation strategy than the other 3 attachment groups. However, when the conventional job satisfaction life satisfaction relationship was examined, the data provided unique support for the spillover model. Implications of the findings for both attachment and work family relationship literatures are discussed.     

Die Bindungstheorie als Basis psychotherapeutischer Interventionen in der Terminalphase

Recent attachment research has shown that every person develops, already in early childhood, special attachment strategies activated in cases whenever the person cannot cope on his own with dangers. These strategies are classified into four categories: “secure”, “insecure-avoidant”, “insecure-ambivalent/enmasked” and “disoriented/disorganized” attachment patterns. The death of a next person represents a situation of a unique and final separation causing psychical disturbances for the patient himself and his relatives. It is, therefore, an especially effective trigger for the activation of the attachment system. This article aims on relating attachment theory to an attachment-oriented therapy, that would open, particularly in the field of palliative medicine, possibilities of application which have been neglected. Case studies illustrate how these insights may be applied during the psychotheraputic care for patients and their relatives. As dying patients generally are brought by their family to the clinic, physicians have a particularly favourable situation to observe the attachment patterns in the family and integrate these informations into their treatment strategy: for example in case of “avoidant” attachment patterns, to bring cautiously the denied emotions into the communication and to support hopes for the fulfilment of needs for affection and protection; or in case of so-called “ambivalent/entangled” attachment patterns to help to disentangle too close relationships; or in case of “disorganized” attachment patterns to support emotional regulation and help to clear the relationships. It is obvious that this approach based on attachment theory and offering alleviations during the process of dying, is not only on a palliative board relevant, but may be applied with success in the medical care of dying patients and their relatives.     

Attachment styles among young adults: a test of a four-category model

A new 4-group model of attachment styles in adulthood is proposed. Four prototypic attachment patterns are defined using combinations of a person's self-image (positive or negative) and image of others (positive or negative). In Study 1, an interview was developed to yield continuous and categorical ratings of the 4 attachment styles. Intercorrelations of the attachment ratings were consistent with the proposed model. Attachment ratings were validated by self-report measures of self-concept and interpersonal functioning. Each style was associated with a distinct profile of interpersonal problems, according to both self- and friend-reports. In Study 2, attachment styles within the family of origin and with peers were assessed independently. Results of Study 1 were replicated. The proposed model was shown to be applicable to representations of family relations; Ss' attachment styles with peers were correlated with family attachment ratings.     

Theme-focused family therapy: the inner emotional world of the family

This paper is an account of a method of family work developed for social workers in social services departments which allows them to work with the emotional impact on children and adults of traumatic events in family life. Theme-focused family therapy has been designed to meet the needs of the families and also to enable social workers and their supervisors to develop both psychodynamic and systemic perspectives m their work with families. It is a staged approach, moving from individual work to a structured family interview through to a series of theme-focused family sessions. It is phased in this way both to facilitate the development of a therapeutic attachment between social worker and family and to take account of the crises that can interrupt planned work in social services departments. Theme-focused family therapy is carried out in partnership with families, and gives children a voice and a leading role in the therapeutic process. The approach is illustrated with a case example.     

父亲协同教养行为与青少年同伴依恋的关系:父子依恋的中介作用与青少年情绪性的调节作用

以3045位青少年为被试,采用父母协同教养问卷青少年评价版的父亲卷、青少年依恋问卷中的父子依恋和同伴依恋分问卷、中学生人格五因素问卷的情绪性维度进行测量,基于家庭系统理论、协同教养的生态模型和依恋的内部工作模式理论构建了一个有调节的中介模型。结果发现：（1）父子依恋在父亲协同教养的团结、贬低行为与青少年同伴依恋之间发挥中介作用;（2）青少年的情绪性在父子依恋影响青少年同伴依恋的关系中起调节作用,即情绪性调节了中介过程的后半路径,具体而言,当青少年情绪性升高时,父子依恋对青少年同伴依恋的促进作用减弱。本研究的结果有助于完善协同教养的相关理论,对加强青少年家庭中的父亲协同教养行为具有实践意义。     

Attachment styles and contingencies of self-worth

Previous research on attachment theory has focused on mean differences in level of self-esteem among people with different attachment styles. The present study examines the associations between attachment styles and different bases of self-esteem, or contingencies of self-worth, among a sample of 795 college students. Results showed that attachment security was related to basing self-worth on family support. Both the preoccupied attachment style and fearful attachment style were related to basing self-worth on physical attractiveness. The dismissing attachment style was related to basing self-worth less on others' approval, family support, and God's love.     

Young Women’s Experience of Anorexia,Family Dynamics and Triangulation

The study explored the experience of triadic family relationships of six young women with a diagnosis of Anorexia Nervosa alongside a consideration of their attachment strategies. The research methods employed semi-structured individual interviews, a family sculpt and use of an adapted version of the Adolescent Separation Anxiety Test (SAT). This adaptation featured a unique development for this study of photographs depicting triadic family separation and conflict situations. These attempted to offer an integrated view of their experience of anorexia and of family relationships alongside a consideration of the attachment strategies evoked. Interpretative Phenomenological Analysis was used to generate themes that captured the young women’s experience, and a modified version of the SAT protocol coding was used to explore attachment strategies. The main themes to emerge from the data were found to be: Relational distance to attachment figures, Barriers to emotional connection, and Perception of parents’ relationship. Attachment strategies were shown to influence perceptions of family relationships and of triadic processes and conflicts. Clinical implications of the findings are discussed alongside limitations of the study and indications for future research.     

家庭经济压力与青少年抑郁:歧视知觉和亲子依恋的作用

对703名初中生(平均年龄14.30岁)进行问卷调查, 探讨了青少年歧视知觉、亲子依恋在家庭经济压力与青少年抑郁关系中的中介和调节作用。结果表明:(1)在控制了性别、年级后, 家庭经济压力对青少年抑郁具有显著的正向预测作用;(2)在家庭经济压力对抑郁的正向预测关系中, 歧视知觉起中介作用;(3)家庭经济压力通过歧视知觉对抑郁的中介作用受到亲子依恋的调节, 相对于亲子依恋水平较高的青少年, 中介效应仅在亲子依恋水平较低的青少年中显著。