Defining the caregiving system: Toward a theory of caregiving

The purpose of this paper is to present a preliminary framework for conceptualizing the caregiving behavioral system. Following Bowlby (1982), we propose that caregiving is organized within a goal-corrected behavioral system that is reciprocal to attachment. The set-goal of the system is to keep dependent offspring close or safe; its adaptive function is protection of the young. The caregiving system is designed to provide changing levels and forms of protection depending upon the developmental and individual requirements of the young. However, the evolutionary interests of the parent are not entirely overlapping with that of the child because the parent's evolutionary fitness depends on the fitness of all her offspring. Caregiving is one of several motivational systems in the parent. Depending upon circumstances, parents may select from a range of caregiving strategies, which are believed to correspond to the continuum of child attachment relationships (secure, avoidant, ambivalent). The adult caregiving system is believed to be guided by an internal representation or mental model of caregiving. This system has its roots in early attachment—caregiver experiences, but is distinct from them. We suggest that the caregiving representational system becomes consolidated initially in adolescence and undergoes change during the transition to parenthood and as a function of interaction with the child. Once this development is complete, situations of danger and safety should activate the caregiving behavioral system. Under normal circumstances, if the parent's own attachment system is aroused she would appeal to her own attachment figures rather than to the child. However, situations that engender feelings of helplessness in the mother (i.e., which cause her to perceive herself as unable to protect the child) may disorganize or disable the caregiving system on both the behavioral and representational levels.     

Caregiving: The Forgotten Element in Attachment

In attachment theory, an attachment behavioral control system in the child and a complementary caregiving system in the parent act together to protect the young. The attachment account, however, fails to supply a motivation for caregiving. As a result, it cannot give a theoretical explanation for the responsive and attentive behaviors empirically observed in caregivers of secure children. In this article, we present an account of caregiving that places emotion at the center of caregiving (the connection theoretical orientation). In this account, the dyadic emotion of caring serves as an autonomous motivation to see that the needs of a specific dependent are met. Unlike the "on-off" caregiving in attachment theories, connection caring is conceptualized as enduring and variable: Caregivers experience different levels of caring over the course of a relationship. Through the emotional concepts of caring, empathy, and responsibility, the connection theoretical orientation is able to provide the coherent account of caregiving that the attachment theoretical orientation's cybernetic concepts have been unable to supply.     

Aggression and sexuality in relation to toddler attachment: Implications for the caregiving system

Sexuality and aggression emerge in the second year of life as important motivational systems that organize substantial aspects of the toddler's behavior, affecting the operation of the attachment system and transforming the parents' perceptions and behaviors toward the child. The interconnection between different motivational systems in the parent and child is discussed as an important dimension in broadening our understanding of attachment in the context of the caregiving system. Normative and clinical examples are presented to illustrate how aggression and sexuality affect attachment and caregiving behaviors and representations in toddlerhood.     

Maternal depression and children's attachment representations during the preschool years

This longitudinal study aimed to investigate the impact of chronic and transient maternal depression on children's attachment representations at 4 years of age measured with the Attachment Story Completion Task ( Bretherton, Ridgeway, & Cassidy, 1990 ). The impact of concurrent maternal depressive symptoms was also considered. A secondary aim was to investigate the continuity of attachment classification at 15 months with child attachment representations at 4 years. Children of mothers who were concurrently depressed were more likely to have attachment representations characterized by uncontained physical aggression. In contrast, there were no significant relationships between exposure to prior chronic maternal depression and children's attachment representations at 4 years, nor were there any significant relationships between behavioural assessments of attachment during infancy and later representational assessments. Findings are discussed in the context of caregiving behaviours that may foster secure attachment relationships and influence a child's social‐emotional development, limitations of representational measures, as well as poor attachment stability.     

Internal working models of caregiving and security of attachment at age six

This study describes the relation between internal working models of caregiving, child attachment, and maternal behavior in the home. Thirty-two mothers of 6-year-old children were observed in the home and subsequently interviewed regarding experiential and affective dimensions of parenting. Interviews were examined in order to assess the quality of the mother's thinking regarding two dimensions of caregiving (secure base, competence) which we hypothesized to be related to attachment security. Results indicated a strong correspondence between internal working models of caregiving and child mental representations of attachments as measured from the child's response to a laboratory reunion. The correspondence between mental representations of caregiving and maternal behavior in the home was limited. Representation ratings were most strongly associated with competence-supporting behavior. Implications for infant mental health research and program evaluation are discussed.     

Attachment,caregiving, and relationship functioning in couples: Effects of self and partner

We examined the links among attachment, caregiving, and relationship functioning in both dating (Study 1) and married couples (Study 2), assessing both partners' perspectives. We found that (1) men and women generally evidenced caregiving characteristics similar to those of their parent% especially their same-sex parent; (2) individuals who reported giving more care to their partner evidenced less fearful-avoidant attachment (Studies 1 and 2) and less preoccupation with attachment (Study 2); and (3) individuals' own attachment models and their partner's attachment models and caregiving jointly predicted relationship functioning, but individuals' own attachment models remained strong predictors even after the partner's attachment and caregiving were taken into account. The results suggest that caregiving learned in childhood attachment relationships may be carried forward into adult romantic relationships, and they support the idea that attachment and caregiving are central components of romantic love.     

Dysregulated Motherhood: Exploring the Risk Features in a Mother’s Caregiving Representations

In the case of a mother with dysregulating attachment experiences and current enrolment in a parent-infant psychotherapy process, we explored which insecure, hostile/helpless, and prementalizing risk features were similar in her attachment and caregiving representations; which risk features were specific to her caregiving representations; and how these theory-defined features overlapped in detecting caregiving risks. Risk features in the attachment representations were assessed from the adult attachment interview and risk features in the caregiving representations from written psychotherapy notes. We found similar insecure (preoccupied and disorganized), prementalizing and hostile/helpless instances from both the attachment and the caregiving representations. However, confusion between self and child, greater variance in lapses into prementalizing, and specific and concrete fears and helplessness were unique to the caregiving representations. Hostile/helpless instances were found in tandem with almost all insecure and prementalizing instances, indicating this conceptualization captured risks in the caregiving representations most comprehensively. Fearful and helpless caregiving representations occurred somewhat independently from other risk conceptualizations, suggesting they need to be identified as independent phenomena. The results imply that detecting specific manifestations of intergenerational risks from caregiving representations is possible.     

Mothers' representations of caregiving and their adult children's representations of attachment: intergenerational concordance and relations to beliefs about mothering

Mothers (N= 35) and their adult children completed questionnaires and were interviewed in order to examine relationships between mothers' caregiving representations and their adult children's attachment representations, and relationships between attachment/caregiving representations and beliefs about mothering. Mothers' and their children's accounts of and present thinking about their past relationship were highly similar, indicating that the two parts develop concordant states of mind regarding their relationship. In contrast, there was no relationship between mothers' and their adult children's beliefs about mothering, suggesting that such beliefs are not simply passed on from generation to generation within families. Attachment/caregiving classification interacted with generation in influencing a belief that biological facts determine maternal behavior, young adults with preoccupied attachment being particularly prone to reject this idea. Attachment/caregiving classification also had a significant effect on participants' tendency to adhere to an idealized conception of mothering, this tendency being associated with a dismissive attachment/caregiving representation.     

Mothers' resolution of their children's diagnosis: Organized patterns of caregiving representations

In this paper we examine mothers' representations of one form of trauma to the caregiving system: the experience of receiving a diagnosis of a chronic illness or disability in their child. An interview and classification system was used with 91 mothers of children ages 15–50 months with cerebral palsy or epilepsy. Mothers were classified as Resolved or Unresolved with respect to their child's diagnosis and grouped into subcategories within these major groups. Roughly half of these mothers were classified as Unresolved with respect to their child's diagnosis. Diagnosis type, severity of condition, developmental age, and time since receiving diagnosis were all unrelated to the distribution of Resolved/Unresolved classifications. Patterns of resolution in which cognitive strategies predominated were the most frequent form within the Resolved classification. Findings provide support for the organizational nature of caregiving representations as well as a number of implications for clinical practice.     

Attachment orientation and reactions to anxiety expression in close relationships

This study examined perceptions, interpretations, and emotional reactions to a close partner's anxiety expression as mediators for the association between attachment orientation and caregiving effectiveness. One member of married or dating couples was exposed to a stressor and unobtrusively observed while interacting with his or her partner. Results revealed that anxious attachment was related to higher perceptions of partners' anxiety expression, feeling more personal distress, but not less effective caregiving. Avoidant attachment was related to lower perceptions of partners' anxiety expression and feeling more anger. Negative interpretations of partners' anxiety mediated the association between avoidant attachment and less effective caregiving. These findings suggest that attachment orientation is related to cognitive and emotional processes important for effective caregiving behavior.     

The evolved developmental niche and child sociomoral outcomes in Chinese 3-year-olds

Responsive parenting is known to lead to multiple positive child outcomes, including sociomoral development. We examined the extent to which additional caregiving practices are also critical for positive sociomoral outcomes in early childhood. We looked specifically at what we call the evolved developmental niche (EDN), as described for young children by anthropologists, which includes frequent touch, breastfeeding, caregiver responsiveness, multiple adult caregivers, play, and natural childbirth. We collected behaviour and attitude data on these practices from 383 mothers of 3-year-olds in China using a self-report maternal survey. Mothers also completed standardized measures of their child's behaviour regulation, empathy, and conscience. We found significant effects for most caregiving practices and attitudes on child outcomes after controlling for maternal income and education, and most effects remained significant after controlling for responsivity. These findings suggest that practices representative of the evolved developmental niche may be important, above and beyond responsivity alone, for fostering sociomoral development.     

Attachment,perceptions of care and caregiving to romantic partners and friends

Across two studies, we examined the extent to which adults' caregiving responses reflect the quality of care received from their attachment figures. Study 1 showed that romantic caregiving reflected the quality of perceived parental and partner care. Moreover, perceived partner care mediated the link between parental care and romantic caregiving, suggesting that one's parental care affects the type of care one seeks or receives from partners, which in turn affects one's romantic caregiving. This describes a possible process for the intergenerational transmission of caregiving styles. Romantic attachment anxiety was associated with compulsive caregiving to partners. Study 2 examined causal mechanisms by priming a representation of perceived peer care and examining its effect on caregiving responses. As hypothesized, caregiving responses reflected the quality of primed peer care and were associated with attachment orientation. Findings provide evidence that individuals mentally represent the thoughts, feelings and behaviours of the care‐seeker and the caregiver during interactions and both influence one's caregiving to partners and friends. Copyright © 2012 John Wiley & Sons, Ltd.     

Caregiving Burden and Parent–Child Quality of Life Outcomes in Neurodevelopmental Conditions: The Mediating Role of Behavioral Disengagement

The aim of this study was to analyze the direct and indirect effects, via parents’ behavioral disengagement coping, of caregiving burden on the quality of life (QL) of parents and their children with neurodevelopmental conditions. Self-completion questionnaires on the target variables were administered to a sample of 156 parents who had a child with a neurodevelopmental condition, namely epilepsy (n = 65) and cerebral palsy (n = 91). Structural equation modeling was used to test a mediation model and ascertain direct and indirect effects among study variables. Significant direct effects of caregiving burden on parents’ and their children’s QL were found. Additionally, caregiving burden had a significant indirect effect on parents’ QL, via behavioral disengagement, but not on their children’s QL. Finally, this model was found to be invariant across conditions and patients’ age groups. Caregiving burden may be elected as a strategic intervention target to improve parent–child QL outcomes in neuropediatric settings. Parents should be encouraged to avoid or reduce behavioral disengagement coping in relation to their caregiving stress, and alternatively adopt active coping strategies that may positively affect their children’s QL and impede or attenuate the deleterious effects of caregiving burden on their own QL.     

Recalled early maternal bonding and mother‐ and self‐related attitudes in young adult daughters: A cross‐cultural study in India and Belgium

The quality of child–parent relationships remains a vital aspect of development through the entire life span. Early childhood attachment develops into a lasting adult attachment bond in which the balance between caregiving and care‐receiving changes over time. Among young adult women a model was examined on the relationship of recalled early maternal bonding with (1) the current relationship with one's mother represented by variables such as adult attachment, filial responsibility and filial concern, and (2) self‐related attitudes represented by orientation to life and satisfaction with life. Participants were female university students from two quite different societies, India and Belgium, including 150 Hindi‐speaking and 150 English‐speaking students in India and 183 Dutch‐speaking students in Belgium. Instruments used were the Parental Bonding Instrument, the Adult Attachment Scale, a self‐constructed Filial Responsibility Scale, the Filial Anxiety Scale, the Orientation to Life Questionnaire, and the Satisfaction With Life Scale. Across the three languages and two cultures we first tested the construct/structural equivalence of the scales by means of exploratory factor analysis and congruence analysis. Results indicated that psychometric conditions of equivalence held for most instruments. In order to examine relationships between the variables, a LISREL path analysis was conducted across the three samples. A model closely similar to the theoretically postulated model was found to show a good fit with invariant parameters in the three samples. As expected, recalled early maternal bonding of young adult women appeared to have an impact on the current relationship with their mother and on aspects of their personal life experiences. Thus, the influence of recalled early maternal bonding on variables reflecting the relationship with one's mother and on self‐related variables were brought together in a single model that showed a good fit in all three samples.     

Attachment and Family Processes in Children's Psychological Adjustment in Middle Childhood

This study examined the links between parent–child attachment, whole family interaction patterns, and child emotional adjustment and adaptability in a sample of 86 community families with children between the ages of 8 and 11 years. Family interactions were observed and coded with the System for Coding Interactions and Family Functioning (SCIFF; Lindahl, 2001). Both parents and each target child completed the appropriate form of the Behavior Assessment System for Children‐2nd Edition (BASC‐2; Reynolds & Kamphaus, 2004). Target children also completed the Children's Coping Strategies Questionnaire (CCSQ; Yunger, Corby, & Perry, 2005). Hierarchical multiple regressions indicated that Secure mother–child attachment was a robust predictor of children's emotional symptoms, but father–child attachment strategies were not significant independent predictors. Positive Affect in family interactions significantly increased the amount of variance accounted for in children's emotional symptoms. In addition, Family Cohesion and Positive Affect moderated the relationship between father–child attachment and children's emotional symptoms. When data from all BASC‐2 informants (mother, father, child) were considered simultaneously and multidimensional constructs were modeled, mother–child security directly predicted children's adjustment and adaptive skills, but the influence of father–child security was fully mediated through positive family functioning. Results of the current study support the utility of considering dyadic attachment and family interaction patterns conjointly when conceptualizing and fostering positive emotional and behavioral outcomes in children.     

Mother–child and father–child mutuality in two contexts: consequences for young children's peer relationships

This study examines the role that context plays in links between relative balance, or mutuality in parent–child interaction and children's social competence. Sixty‐three toddlers and their parents were observed in a laboratory play session and caregiving activity (i.e. eating snack). Mutuality was operationalised as the relative balance in (a) partners' compliance to initiations, and (b) partners' expression of positive emotion. Caregivers rated children's social competence with peers, and children's prosocial and aggressive behaviour with peers was observed in their childcare arrangement. Contextual differences were observed in the manifestation of parent–child mutuality, with both mother–child and father–child dyads displaying higher mutual compliance scores in the play context than in the caregiving context. Father–child dyads also displayed higher levels of shared positive emotion during play than during the caregiving context. There were no differences in a way that parent–child mutuality during play and caregiving was associated with children's social competence with peers. Overall, the results suggest that parent–child mutuality is a quality of parent–child interaction that has consistent links to children's peer competence regardless of the context in which it occurs. Copyright © 2009 John Wiley & Sons, Ltd.     

Attachment dimensions and sexual motives

Little research has examined the relation between the attachment behavioral system and the sexual behavioral system, although these two systems, along with the caregiving system, are theorized to constitute romantic love ( Fraley & Shaver, 2000 ; Hazan & Shaver, 1987 ). College students (N = 400) completed measures of two dimensions of attachment style, anxiety and avoidance, and motives for having sex. Anxiety was predicted to be associated with having sex to reduce insecurity and foster intense intimacy. Avoidance was predicted to correlate inversely with having sex to foster intimacy and positively with nonromantic goals, such as increasing one's status and prestige among peers. The results supported both sets of predictions. People high on the attachment anxiety dimension reported having sex to reduce insecurity and establish intense closeness; people high on the attachment avoidance dimension reported having sex to impress their peer group, especially if they were having casual, uncommitted sex. Theoretical and practical implications of the findings are discussed.     

Adult attachment style and stress as risk factors for early maternal sensitivity and negativity

The current study examined the individual and joint effects of self‐reported adult attachment style, psychological distress, and parenting stress on maternal caregiving behaviors at 6 and 12 months of child age. We proposed a diathesis‐stress model to examine the potential deleterious effects of stress for mothers with insecure adult attachment styles. Data from 137 mothers were gathered by the longitudinal Durham Child Health and Development Study. Mothers provided self‐reports using C. Hazan and P. Shaver's ( 1987 ) Adult Attachment Style measure, the Brief Symptom Inventory (L.R. Derogatis & P.M. Spencer, 1982 ), and the Parent Stress Inventory (R.R. Abidin, 1995 ); observations of parenting data were made from 10‐min free‐play interactions. Consistently avoidant mothers were less sensitive with their infants than were consistently secure mothers; however, this effect was limited to avoidant mothers who experienced elevated levels of psychological distress. Results suggest that the association between insecure adult attachment style and insensitive parenting behavior is moderated by concurrent psychosocial stress. Clinical implications for these findings are discussed.     

Possible Insomnia Predicts Some Risky Behaviors Among Adolescents When Controlling for Depressive Symptoms

Attachment theory asserts that secure attachment representations are developed through sensitive and consistent caregiving. If sensitive caregiving is a constant characteristic of the parent, then siblings should have concordant attachment classifications. The authors explored maternal attachment quality assessed by the Attachment Q-Set, maternal sensitivity, and specific mother–child interactions between siblings. Hour-long observations took place in the homes of 9 preschool sibling pairs and their immediate caregivers. The interactions were analyzed using a modified version of Bales’ Small Group Analysis. The results reveal attachment discordance in a third of sibling pairs. While maternal sensitivity was higher with older siblings and mothers displayed more positive emotions when interacting with their younger siblings, attachment quality was not associated with birth order. Therefore, a shift toward a more contextual, family-based perspective of attachment is recommended to further understand how attachment strategies are created and maintained within the child's everyday context.