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Attachment and Autism: Parental Attachment Representations and Relational Behaviors in the Parent-Child Dyad

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Abstract

While attachment research has demonstrated that parents’ internal working models of attachment relationships tend to be transmitted to their children, affecting children’s developmental trajectories, this study specifically examines associations between adult attachment status and observable parent, child, and dyadic behaviors among children with autism and associated neurodevelopmental disorders of relating and communicating. The Adult Attachment Interview (AAI) was employed to derive parental working models of attachment relationships. The Functional Emotional Assessment Scale (FEAS) was used to determine the quality of relational and functional behaviors in parents and their children. The sample included parents and their 4- to 16-year-old children with autism and associated neurodevelopmental disorders. Hypothesized relationships between AAI classifications and FEAS scores were supported. Significant correlations were found between AAI classification and FEAS scores, indicating that children with autism spectrum disorders whose parents demonstrated secure attachment representations were better able to initiate and respond in two-way pre-symbolic gestural communication; organize two-way social problem-solving communication; and engage in imaginative thinking, symbolic play, and verbal communication. These findings lend support to the relevance of the parent’s state of mind pertaining to attachment status to child and parent relational behavior in cases wherein the child has been diagnosed with autism or an associated neurodevelopmental disorder of relating and communicating. A model emerges from these findings of conceptualizing relationships between parental internal models of attachment relationships and parent-child relational and functional levels that may aid in differentiating interventions.

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References

  • Ainsworth, M. D. S., Blehar, M. C., Waters, E., & Wall, S. (1978). Patterns of attachment: A psychological study of the strange situation. Hillside: Lawrence Erlbaum Associates.

    Google Scholar 

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders. (4th ed., text rev.). Washington, DC: Author.

  • Bakermans-Kranenburg, M. J., Juffer, F., & Van IJzendoorn, M. H. (1998). Interventions with video feedback and attachment discussions: Does type of maternal insecurity make a difference? Infant Mental Health Journal, 19, 202–219.

    Article  Google Scholar 

  • Bakermans-Kranenburg, M. J., & Van IJzendoorn, M. H. (2009). The first 10, 000 adult attachment interviews: Distributions of adult attachment representations in clinical and non-clinical groups. Attachment & Human Development, 11, 223–263.

    Article  Google Scholar 

  • Bakermans-Kranenburg, M. J., & Van IJzendoorn, M. H. (1993). A psychometric study of the adult attachment interview: Reliability and discriminant validity. Developmental Psychology, 29, 870–879.

    Article  Google Scholar 

  • Baron-Cohen, S. (1989). Are autistic children “Behaviorists”? An examination of their mental-physical and appearance-reality distinctions. Journal of Autism and Developmental Disorders, 19, 579–600.

    Article  PubMed  Google Scholar 

  • Baron-Cohen, S. (1991). Do people with autism understand what causes emotion? Child Development, 62, 385–395.

    Article  PubMed  Google Scholar 

  • Becker-Stoll, F., Delius, A., & Scheitenberger, S. (2001). Adolescents’ nonverbal emotional expressions during negotiation of a disagreement with their mothers: An attachment approach. International Journal of Behavioral Development, 25, 344–353.

    Article  Google Scholar 

  • Beebe, B. (2003). Brief mother-infant treatment: Psychoanalytically informed video feedback. Infant Mental Health Journal, 24, 24–52.

    Article  Google Scholar 

  • Benson, P. R. (2006). The impact of child symptom severity on depressed mood among parents of children with ASD: The mediating role of stress proliferation. Journal of Autism & Developmental Disorders, 36, 685–695.

    Article  Google Scholar 

  • Bernabei, P., Camaioni, L., & Levi, G. (1998). An evaluation of early development in children with autism and pervasive developmental disorders from home movies: Preliminary findings. Autism, 2, 243–258.

    Article  Google Scholar 

  • Biringen, Z., Robinson, J., & Emde, R. N. (1998). The emotional availability scales (3rd ed.) [Appendix B]. Attachment & Human Development, 2, 256–270.

    Google Scholar 

  • Bowlby, J. (1940). Influence of early environment in the development of neurosis and neurotic character. The International Journal of Psychoanalysis, 21, 154–178.

    Google Scholar 

  • Bowlby, J. (1969). Attachment and loss, vol. 1: Attachment. New York: Basic Books.

    Google Scholar 

  • Capps, L., Sigman, M., & Mundy, P. (1994). Attachment security in children with autism. Development and Psychopathology, 6, 249–261.

    Article  Google Scholar 

  • Charman, T. (2003). Why is joint attention a pivotal skill in autism? Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences, 358, 315–324.

    Article  PubMed  Google Scholar 

  • Cohen, J. (1988). Statistical power for the behavioral sciences (2nd ed.). Hillsdale: Erlbaum.

    Google Scholar 

  • Cohen, D. J., Paul, R., & Volkmar, F. R. (1987). Issues in the classification of pervasive developmental disorders and associated conditions. In D. J. Cohen, A. M. Donnellan, & R. Paul (Eds.), Handbook of autism and pervasive developmental disorders. New York: Wiley.

    Google Scholar 

  • Cohen, P., & Beebe, B. (2003). Video feedback with a depressed mother and her infant: A collaborative individual psychoanalytic and mother-infant treatment. Journal of Infant, Child, and Adolescent Psychotherapy, 2, 1–55.

    Google Scholar 

  • Crowell, J. A., & Feldman, S. S. (1989). Assessment of mothers; working models of relationships: Some clinical implications. Infant Mental Health Journal, 10, 173–184.

    Article  Google Scholar 

  • Dapretto, M., Davies, M. S., Pfeifer, J. H., Scott, A. A., Sigman, M., Bookheimer, S. Y. et al. (2006). Understanding emotions in others: Mirror neuron dysfunction in children with autism spectrum disorders. Nature Neuroscience, 9, 30–58.

    Google Scholar 

  • Dawson, D., & Lewy, A. (1989). Arousal, attention, and the socioemotional impairments of individuals with autism. In G. Dawson (Ed.), Autism: Nature, diagnosis, and treatment (pp. 49–74). New York: Guilford.

    Google Scholar 

  • DeGangi, G. A. (1995). Test of attention in infants. Dayton: Southpaw.

    Google Scholar 

  • DeGangi, G. A., & Greenspan, S. I. (1989). Test of sensory functions in infants. Los Angeles: Western Psychological Services.

    Google Scholar 

  • Dissanayake, C., & Crossley, S. A. (1996). Proximity and sociable behaviours in autism: Evidence for attachment. Journal of Child Psychology and Psychiatry, 37, 149–156.

    Article  PubMed  Google Scholar 

  • Dissanayake, C., & Crossley, S. A. (1997). Autistic children’s responses to separation and reunion with their mothers. Journal of Autism and Developmental Disorders, 27, 295–312.

    Article  PubMed  Google Scholar 

  • Dozier, M., Cue, K. L., & Barnett, L. (1994). Clinicians as caregivers: Role of attachment organization in treatment. Journal of Consulting and Clinical Psychology, 62, 793–800.

    Article  PubMed  Google Scholar 

  • Fonagy, P., & Target, M. (1997). Attachment and reflective function: Their role in self-organization. Development and Psychopathology, 9, 679–700.

    Google Scholar 

  • Fonagy, P., Target, M., Steele, H., & Steele, M. (1998). Reflective-Functioning Manual, version 5.0, for Application to Adult Attachment Interviews. London: University College London.

  • George, C., Kaplan, N., & Main, M. (1996). The Adult Attachment Interview (3rd ed.). Unpublished Manuscript, Department of Psychology, University of California, Berkeley.

  • Glass, G. V. (1976). Primary, secondary and meta-analysis of research. Educational Researcher, 10, 3–8.

    Google Scholar 

  • Greenspan, S. I., DeGangi, G. A., & Wieder, S. (2001). The functional emotional assessment scale (FEAS) for infancy and early childhood: Clinical and research applications. Bethesda: Interdisciplinary Council on Developmental and Learning Disorders.

    Google Scholar 

  • Greenspan, S. I., & Wieder, S. (1997). Developmental patterns and outcomes in infants and children with disorders in relating and communicating: A chart review of 200 cases of children with autistic spectrum diagnoses. Journal of Developmental and Learning Disorders, 1, 87–141.

    Google Scholar 

  • Greenspan, S. I., & Wieder, S. (1998). The child with special needs: Intellectual and emotional growth. Reading: Perseus Books.

    Google Scholar 

  • Grice, H. P. (1975). Logic and conversation. In P. Cole & J. L. Moran (Eds.), Syntax and semantics: Vol 3. Speech acts (pp. 41–58). New York: Academic.

    Google Scholar 

  • Grice, H. P. (1989). Studies in the way of words. Cambridge: Harvard University Press.

    Google Scholar 

  • Ingersoll, B., Dvortcsak, A., Whalen, C., & Sikora, D. (2005). The effect of a developmental, social-pragmatic language intervention on expressive language skills in young children with autistic spectrum disorders. Focus on Autism and Other Developmental Disabilities, 20, 213–222.

    Google Scholar 

  • Lecavalier, L., Leone, S., & Wiltz, J. (2006). The impact of behavior problems on caregiver stress in young people with autism spectrum disorders. Journal of Intellectual Disability Research, 50(3), 172–183.

    Google Scholar 

  • Leslie, A. M., & Frith, U. (1988). Autistic children’s understanding of seeing, knowing, and believing. British Journal of Developmental Psychology, 4, 315–324.

    Google Scholar 

  • Mahoney, G., & Perales, F. (2005). A comparison of the impact of relationship-focused intervention on young children with Pervasive Developmental Disorders and other disabilities. Journal of Developmental and Behavioral Pediatrics, 26, 77–85.

    Google Scholar 

  • Main, M., & Goldwyn, R. (1991). Adult Attachment Classification System. Version 5. Unpublished Manuscript, Department of Psychology, University of California, Berkeley.

  • Main, M., & Hesse, E. (1991). Parents’ unresolved experiences are related to infant disorganized attachment status: Is frightened and/or frightening parental behavior the linking mechanism? In M. T. Greenberg, D. Cicchetti, & E. M. Cummings (Eds.), Attachment in the preschool years: Theory, research, and intervention (pp. 161–182). Chicago: University of Chicago Press.

    Google Scholar 

  • Main, M., & Solomon, J. (1986). Discovery of an insecure disorganized/disoriented attachment pattern: Procedures, findings and implications for the classification of behavior. In T. B. Brazelton & M. Yogman (Eds.), Affective development in infancy (pp. 95–124). Norwood: Ablex.

    Google Scholar 

  • Marvin, R., Cooper, G., Hoffman, K., & Powell, B. (2002). The circle of security project: Attachment-based intervention with caregiver-pre-school child dyads. Attachment & Human Development, 4, 107–124.

    Article  Google Scholar 

  • Moran, G., Pederson, D. R., Petit, P., & Krupka, A. (1992). Maternal sensitivity and infant- mother attachment in a developmentally delayed sample. Infant Behavior & Development, 15, 427–442.

    Article  Google Scholar 

  • Oyen, A. S., Landy, S., & Hillburn-Cobb, C. (2000). Maternal attachment and sensitivity in an at-risk sample. Attachment & Human Development, 2, 203–217.

    Article  Google Scholar 

  • Pianta, R. C., & Marvin, R. S. (1993). Manual for classification of the reaction to diagnosis interview. Unpublished manuscript. University of Virginia, Charlottesville.

  • Plant, K. M., & Sanders, M. R. (2007). Predictors of care-giver stress in families of preschoolaged children with developmental disabilities. Journal of Intellectual Disability Research, 51, 109–124.

    Article  PubMed  Google Scholar 

  • Rao, P., & Beidel, D. (2009). The impact of children with high-functioning autism on parental stress, sibling adjustment, and family functioning. Behavior Modification, 33, 437–451.

    Article  PubMed  Google Scholar 

  • Rogers, S. J., & DiLalla, D. (1990). Age of symptom onset in young children with pervasive developmental disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 29, 863–872.

    Article  PubMed  Google Scholar 

  • Rogers, S. J., Ozonoff, S., & Maslin-Cole, C. (1991). A comparative study of attachment behavior in young children with autism or other psychiatric disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 483–488.

    Article  PubMed  Google Scholar 

  • Rogers, S. J., Ozonoff, S., & Maslin-Cole, C. (1993). Developmental aspects of attachment behavior in young children with pervasive developmental disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 1274–1282.

    Article  PubMed  Google Scholar 

  • Rogers, S. J., & Pennington, B. F. (1991). A theoretical approach to the deficits in infantile autism. Development and Psychopathology, 3, 137–162.

    Article  Google Scholar 

  • Rutgers, A. H., Bakermans-Kranenburg, M. J., Van IJzendoorn, M. H., & Van Berckelaer-Onnes, I. A. (2004). Autism and attachment: A meta-analytic review. Journal of Child Psychology and Psychiatry, 45, 1123–1134.

    Article  PubMed  Google Scholar 

  • Rutgers, A. H., Van IJzendoorn, M. H., Bakermans-Kranenburg, M. J., Swinkels, S. H., Van Daalen, E., Dietz, C. et al. (2007). Autism, attachment and parenting: A comparison of children with autism spectrum disorder, mental retardation, language disorder, and non-clinical children. Journal of Abnormal Child Psychology, 37, 859–870.

    Google Scholar 

  • Sagi, A., Van IJzendoorn, M. H., Scharf, M., Koren-Karie, N., Joels, T., & Mayseless, O. (1994). Stability and discriminant validity of the adult attachment interview: A psychometric study in young Israeli adults. Developmental Psychology, 30, 771–777.

    Article  Google Scholar 

  • Schieve, L. A., Blumberg, S. J., Rice, C., Visser, S. N., & Boyle, C. (2007). The relationship between autism and parenting stress. Pediatrics, 119, 114–121.

    Article  Google Scholar 

  • Sigman, M., & Mundy, P. (1989). Social attachments in autistic children. Journal of the American Academy of Child and Adolescent Psychiatry, 28, 74–81.

    Article  PubMed  Google Scholar 

  • Sigman, M., & Ungerer, J. (1984). Attachment behaviors in autistic children. Journal of Autism and Developmental Disorders, 14, 231–243.

    Article  PubMed  Google Scholar 

  • Sroufe, L. A. (1983). Infant-caregiver attachment and patterns of adaptation in preschool: The roots of maladaptation and competence. In M. Perlmutter (Ed.), Minnesota symposium in child psychology, vol 16 (pp. 41–91). Hillsdale: Erlbaum.

    Google Scholar 

  • Stahlecker, J. E., & Cohen, M. C. (1985). Application of the Strange Situation attachment paradigm to a neurologically impaired population. Child Development, 56, 502–507.

    Article  PubMed  Google Scholar 

  • Steele, M., & Baradon, T. (2004). The clinical use of the Adult Attachment Interview in parent-infant psychotherapy. Infant Mental Health Journal, 25, 284–299.

    Article  Google Scholar 

  • Steele, M., Steele, H., & Johansson, M. (2002). Maternal predictors of children’s social cognition: An attachment perspective. Journal of Child Psychology and Psychiatry, 43, 861–872.

    Article  PubMed  Google Scholar 

  • Van IJzendoorn, M. H. (1995). Adult attachment representations, parental responsiveness, and infant attachment: A meta-analysis of the predictive validity of the Adult Attachment Interview. Psychological Bulletin, 117, 387–403.

    Article  PubMed  Google Scholar 

  • Van IJzendoorn, M. H., Rutgers, A. H., Bakermans-Kranenburg, M. J., Van Daalen, E., Dietz, C., Buitelaar, J. K., et al. (2007). Parental sensitivity and attachment in children with autism spectrum disorder: Comparison with children with mental retardation, with language delays, and with typical development. Child Development, 78, 597–608.

    Article  PubMed  Google Scholar 

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Seskin, L., Feliciano, E., Tippy, G. et al. Attachment and Autism: Parental Attachment Representations and Relational Behaviors in the Parent-Child Dyad. J Abnorm Child Psychol 38, 949–960 (2010). https://doi.org/10.1007/s10802-010-9417-y

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