| Abstract: | 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. |
