Attachment representations and adoption: associations between maternal states of mind and emotion narratives in previously maltreated children

This paper reports on associations observed between Adult Attachment Interviews (AAIs) obtained from adoptive mothers, and emotional themes appearing in doll play narratives obtained from their recently adopted children. The children, aged 4?-?8 years, carried into their adoptive placements a history of consistently serious maltreatment, including neglect and abuse. Results reveal strong and significant influences of maternal state of mind regarding attachment upon their adopted children's story-completions. Mothers whose AAIs were judged insecure (either dismissing or preoccupied) were likely to have adopted children who, three months after placement, provided story-completions with higher levels of aggressiveness as compared to the stories provided by children adopted by mothers with secure-autonomous AAIs. Children whose adoptive mothers provided AAIs indicative of unresolved (as opposed to resolved) mourning regarding past loss or trauma provided story completions with higher scores for emotional themes such as 'parent appearing child-like' and 'throwing out or throwing away'. Results also include a qualitative section that provides narrative excerpts of maternal AAIs and children's story-completions. Discussion concerns the contribution these findings make to the literature on intergenerational transmission of attachment patterns, and the implications these findings have for child clinical work and social policy. Cet article rend compte des rapports observés entre, d'une part, les Entretiens d'Attachement chez l'Adulte auxquels participaient des mères adoptives et, d'autre part, la thématique émotionnelle évoquée lors des récits de jeux de poupée fournis par leurs enfants, adoptés depuis peu. Ces enfants, âgés de 4 à 7 ans, reportent dans leur placement adoptif leur histoire antérieure de maltraitance; constante et sévère, celle-ci englobe carences graves et abus. Les résultats montrent l'influence considérable et significative, sur la manière dont les enfants adoptés terminent leurs récits, des états psychiques maternels par rapport à l'attachement. En ce qui concerne les méres dont le type d'attachement, évalué lors de l'Entretien, est jugé précaire (peu attentionné ou préoccupé), on constate, après trois mois de placement, que l'enfant adopté tend à fournir des fins de récit dont le niveau d'agressivité est plus élevé que celui donné par des enfants adoptés par des mères chez qui le type d'attachement est jugé sûr et autonome. Si l'évaluation de l'attachement chez la mère renvoie à l'existence de deuils non élaborés et de traumatismes, la thématique émotionnelle présentée par son enfant dans ces récits est de type "parent infantile" ou "jeter/rejeter". Les données rapportées comportent une dimension qualitative qui met en parallèle des extraits des Entretiens d'Attachement maternels et les fins de récit proposées par leurs enfants respectifs. Les auteurs discutent ensuite de la contribution que ces résultats pourraient apporter aux travaux concernant la transmission intergénérationnelle des modèles d'attachement. Les implications de cette étude pour le travail clinique auprès des enfants et pour la politique sociale au sens large sont également débattues. Questo articolo presenta le associazioni osservate tra l'Adult Attachment Interviews (AAIs) sottoposto a madri adottive e tematiche emotive emerse nelle narrative di gioco con le bambole espresse dai loro bambini recentemente adottati. I bambini di eta' dai 4 ai 7 anni portano nelle loro famiglie adottive storie di severo maltrattamento, che includono l'abuso e negligenza. I risultati rivelano che lo stato mentale materno in relazione all'attaccamento ha un' influenza forte e significativa sul completamento delle storie dei bambini adottati. Madri che all'AAI risultavano insicure (sia superficiali che troppo preoccupate) avevano alta probabilita' di aver adottato bambini che, tre mesi dopo l'arrivo, fornivano storie con un maggior livello di aggressivita' paragonato alle storie fornite da bambini adottati da madri con attaccamento all'AAI classificato come sicuro-autonomo. Bambini le cui madri adottive risultano all'AAI avere dei lutti non elaborati (invece che elaborati) riguardanti perdite del passato o traumi producono storie che danno un punteggio piu' alto nelle tematiche emotive come per esempio 'il genitore e' infantile' e 'che respinge o rifiuta'. I risultati comprendono anche una sezione qualitativa che riporta parti delle narrative delle madri al AAI e delle storie raccontate dai bambini. La discussione si sofferma sul contributo che questi risultati portano alla letteratura sulla trasmissione intergenerazionale di modelli di attaccamento e sulle implicazioni che tali risultati hanno per il lavoro clinico con bambini e per le politiche sociali. Dieser Artikel berichtet von Verbindugen zwischen Erwachsenen-Bindungsinterviews (AAIs), die von Adoptivmüttern erhalten wurden und emotionalen Themen, die inm Puppenspielnarrativen bei Kindern, die vor kurzem adoptiert worden waren, auftraten. Die Kinder zwischen 4 und 7 Jahren brachten in ihre Adoptionsplätze eine Geschichte von durchgehend ernster Misshandlung, einschliesslich Vernachlässigung und Missbrauch, mit. Die Ergebnisse zeigten starke und signifikante Einflüsse des mütterlichen Gemütszustands bezüglich Bindung auf die Fertigstellung der Geschichten der Adoptivkinder. Mütter, deren AAI als unsicher ( entweder abwehrend oder besorgt) eingeschätzt wurden, hatten eher Adoptivkinder, die drei Monate nach ihrer Plazierung Geschichten mit einem höherem Grad an Aggressivität herstellten, verglichen mit Geschichten, die von Kindern produziert wurden, die von Müttern mit sicherer-autonomer Bindung adoptiert worden waren. Kinder, deren Adoptivmütter AAIs zeigten, die indikativ für unverarbeitetes (im Gegensatz zu verarbeitetem) Trauern bezüglich vergangener Verluste oder Trauma waren, produzierten Geschichten mit höherem Zahlen von emotionalen Themen wie etwa 'Elternteil, das wie ein Kind erscheint' und 'hinauswerfen und wegwerfen'. Die Ergebnisse schliessen auch einen qualitative Abschnitt ein, in dem Exzerpte der Narrative der mütterlichen Interviews und der Geschichten der Kinder dargestellt werden. Die Diskussion dreht sich um den Beitrag, den diese Ergebnisse zur Literatur der Intergenerationsweitergabe von Bindungsmustern leistet und den Implikationen, die diese Ergebnisse für die klinische Arbeit mit Kindern und für die Sozialpolitik haben.     

Two Cultures Revisited: New Widening Gaps

Aristotle continues to be a highly cited author in cultural sciences (human and social sciences) and humanities. In the last two decades, his work attracted up to a hundred times more attention than the work of Konrad Lorenz or Edward O. Wilson, who have attempted to synthesize new knowledge on behavior and society and proposed alternatives to traditional, intuitively appealing, explanations. Aristotle's interpretations of the world, which appear to be intuitive to the human mind, were abandoned in natural sciences upon introduction of the experimental method. Human intuition may have been appropriate in conditions under which it was originally selected: for life of small non-anonymous groups of hunters and gatherers in the savannah. Intuition confines human understanding to a simple reality circumscribed by a boundary that can be called Aristotle's barrier. The barrier may only be crossed by experimentation, which is largely missing in cultural sciences. Snow's concept of two cultures may be revisited to characterize a splitting of natural sciences versus cultural sciences. It may also be applied to a widening gulf between science and technoscience. Diverging of the two cultures may have far-reaching consequences for prospects of humankind's survival.     

Disbelief and Trust in Psychoanalysis - A Case Study

A case of unorthodox psychoanalysis with a 27-year-old woman, during the years 1994-1998 is presented. The patient, Silja, suffered from severe character neurosis with depression. She studied humanities at the University of Helsinki with poor results, because of severe inner demands of perfection. The therapy was unorthodox, because it was necessary to change the method a few times. After two years of psychoanalysis, a life-threatening crisis occurred in 1996, and I was obliged to take a more active role and even give direct advice concerning her studies. This was successful, and she could achieve her B.A., the lower university degree. The change of method was necessary to avoid suicide. In the end we could resume psychoanalysis and analyse what had happened. Suddenly in the summer of 1998 Silja's depression disappeared and her looks improved. Therapy ended in November 1998, when she was ready to try on her own. According to her both the holding and love and also the direct advice were the most important elements in her cure. After a three years' follow-up her condition had further improved, she was married, had a job and was expecting a baby.     

Can Psychoanalysis be a Science?

This essay proposes to examine a limited number of critical assessments regarding the scientific status of psychoanalysis with reference to intents and purposes, claims and disclaimers, contrasting views of what constitutes a science and the nature of scientific thinking and how these might apply to psychoanalysis epistemologically. It assumes a certain degree of familiarity with criticisms that have been leveled against psychoanalysis from those who insist on absolutist testing for what some call true science, particularly on the part of those who are not practitioners of the art. It wonders about the concern with scientizing by those who actually practice it, or value it in some way or another. It suggests an open minded approach without premature or even warranted closure on the subject of human beings and of ways of getting to know them, let alone understanding them and perhaps being of help to them.     

So We Need Something Else for Reason to Mean

In this paper I give considerable attention to Richard Rorty's attempt to make plausible a conception of non-rational semantic and cultural change - change which Rorty insists on describing as identical with progress - in order to show the extent to which this attempt is compromised from the start by an unjustifiably narrow and inconsistent view of reason. The point of this immanent critique is not just to make Rorty's view of non-rational change look bad. It is meant to do more justice to his claim that intellectual and moral progress is inseparable from speaking and acting differently by incorporating this claim into a philosophically enlarged picture of reason. So the value of taking Rorty's claims about change seriously lies less in showing the shortcomings of his conception of reason than it does in bringing a sense of urgency to the need to renew the project begun by Kant, Hegel, and German Idealism - the project of conceiving reason as an agency of change by reinterpreting reason in terms of self-determining freedom.     

Counting black sheep: Contextualizing therapeutic relations

In this paper we draw on feminist and post-colonial theory to situate an account of a six-month therapy between a black, Asian woman therapist and a woman patient of mixed parentage, within contemporary Britain. We draw on this analysis to further the debates between psychotherapeutics and social theory, challenging each in three ways. First, in relation to the literature on culture, class, gender and sexuality in psychotherapy, we indicate how these enter into the therapeutic relation in distinct and intersecting ways, which, second, challenge the separation between inner and outer worlds frequently maintained within psychotherapy circles. Third, in terms of the correlative challenge psychotherapeutic perspectives pose for social theorists and activists, we highlight how the therapist's constructive and explicit use of her power and socio-cultural position was central to the progress of this client's therapy. Finally, we reflect on the broader questions around the theorizing of culture and gender within psychotherapy, including the available positions and representations of black therapists as well as black patients.     

The self in the couple relationship: part 1

This paper discusses the importance of the ‘good-enough’ development of the core self in the couple relationship. It argues that difficulties in the development of the self lie behind a significant number of troubled couple relationships. Part 1 focuses on individual psychotherapy and how changes to the core self are often attended by shifts in the marital relationship. It traces how this occurs through clinical material and analyses what kinds of changes to the self are needed for the couple relationship to function well. Psychodynamic theory is used to understand the core changes over time and how these are related to significant second-order change in the couple relationship. The construct of the ‘transitional space’ is used to theorize the couple relationship. Implications for the practice of individual psychotherapy are discussed. In Part 2, the significance of change in the experience of the self of one or both partners for a successful outcome of couples therapy is discussed, along with the place of work with individual partner(s) in the course of conjoint couples therapy.     

The counsellor and the GP: The gulf and the isthmus - or the dilemmas of difference

Research supervision in the field of counselling and psychotherapy is a fruitful area for investigation in view of the fact that the research supervisory relationship is powerful and highly charged, whether consciously acknowledged or not. Researchers trained as counsellors and psychotherapists possess the skills to facilitate the emergence of, and work creatively with, impasses and crises, both in the research itself and the supervisory relationship, as a result of their training and experience in dealing with crisis and catharsis in clinical work. This paper will demonstrate these points using a case vignette from my work as a supervisor of research dissertations undertaken by students on a Masters in Therapeutic Counselling course. Drawing on narrative analysis, clinical supervision theory and discursive analysis it will look at the strengths and weaknesses of a ‘psychotherapeutic’ approach to research supervision.     

Measuring Coping in Low-Income European American,African American,and Mexican American Adolescents: An Examination of Measurement Equivalence

We examined the cross-ethnic and cross-language equivalence of the Children's Coping Strategies Checklist (Ayers, T.S., Sandler, I.N., West, S.G. and Roosa, M.W. (1996). A dispositional and situational assessment of children's coping: Testing alternative models of coping. Journal of Personality , 64 (4), 923-958) by assessing item, functional, and scalar equivalence in a sample of 319 European American, African American, and Mexican American adolescents from low-income inner-city families. Depression, as measured by Children's Depression Inventory, was the criterion in the analyses of scalar equivalence. The results suggest considerable cross-ethnic and cross-language measurement equivalence of the Children's Coping Strategies Checklist. The findings also suggest some caution in using the Children's Depression Inventory in comparative studies of African American and Mexican American adolescents or in studies that treat these groups as homogeneous samples.