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Sunday, December 30, 2018

Attachment theory

From Wikipedia, the free encyclopedia

An Inuit family is sitting on a log outside their tent. The parents, wearing warm clothing made of animal skins, are engaged in domestic tasks. Between them sits a toddler, also in skin clothes, staring at the camera. On the mother's back is a baby in a papoose.
For infants and toddlers, the "set-goal" of the behavioral system is to maintain or achieve proximity to attachment figures, usually the parents.
 
Attachment theory is a psychological model attempting to describe the dynamics of long-term and short-term interpersonal relationships between humans. "Attachment theory is not formulated as a general theory of relationships; it addresses only a specific facet": how human beings respond within relationships when hurt, separated from loved ones, or perceiving a threat.

Provided any caregiver, all infants become attached--however individual differences in the quality of the relationships remain significant. 

In infants, attachment as a motivational and behavioral system directs the child to seek proximity with a familiar caregiver when they are alarmed, with expectation they will receive protection and emotional support. 

John Bowlby believed that the tendency for primate infants to develop attachments to familiar caregivers was the result of evolutionary pressures, since attachment behavior would facilitate the infant's survival in the face of dangers such as predation or exposure to the elements.

The most important tenet of attachment theory is an infant needs to develop a relationship with at least one primary caregiver for the child's successful social and emotional development, and in particular for learning how to regulate their feelings. Any caregiver is likely to become the principal attachment figure if they provide most of the child care and related social interaction. In the presence of a sensitive and responsive caregiver, the infant will use the caregiver as a "safe base" from which to explore. 

This relationship can be dyadic, as in the mother-child dyad often studied in Western culture, or it can involve a community of caregivers (siblings/extended family/teachers) as can be seen in areas of Africa and South America.

It should be recognized "even sensitive caregivers get it right only about fifty per cent of the time. Their communications are either out of sync, or mismatched. There are times when parents feel tired or distracted. The telephone rings or there is breakfast to prepare. In other words, attuned interactions rupture quite frequently. But the hallmark of a sensitive caregiver is that the ruptures are managed and repaired."

Attachments between infants and caregivers form even if this caregiver is not sensitive and responsive in social interactions with them. This has important implications. Infants cannot exit unpredictable or insensitive caregiving relationships. Instead they must manage themselves as best they can within such relationships. 

Based on her established Strange Situation Protocol, research by developmental psychologist Mary Ainsworth in the 1960s and 1970s found children will have different patterns of attachment depending on how they experienced their early caregiving environment. Early patterns of attachment, in turn, shape — but do not determine — the individual's expectations in later relationships.

Four different attachment classifications have been identified in children:
  1. Secure attachment occurs when children feel they can rely on their caregivers to attend to their needs of proximity, emotional support and protection. It is considered to be the best attachment style.
  2. Anxious-ambivalent attachment occurs when the infant feels separation anxiety when separated from the caregiver and does not feel reassured when the caregiver returns to the infant.
  3. Anxious-avoidant attachment occurs when the infant avoids their parents.
  4. Disorganized attachment occurs when there is a lack of attachment behavior.
In the 1980s, the theory was extended to attachment in adults. Attachment applies to adults when adults feel close attachment to their parents, their romantic and platonic partners and their friends. 

Attachment theory has become the dominant theory used today in the study of infant and toddler behavior and in the fields of infant mental health, treatment of children, and related fields.

Infant attachment

A young mother smiles up at the camera. On her back is her baby gazing at the camera with an expression of lively interest.
The attachment system serves to achieve or maintain proximity to the attachment figure. In close physical proximity this system is not activated, and the infant can direct its attention to the outside world.
 
Within attachment theory, attachment means "a biological instinct in which proximity to an attachment figure is sought when the child senses or perceives threat or discomfort. Attachment behaviour anticipates a response by the attachment figure which will remove threat or discomfort". Such bonds may be reciprocal between two adults, but between a child and a caregiver these bonds are based on the child's need for safety, security and protection, paramount in infancy and childhood. 

John Bowlby begins by noting organisms at different levels of the phylogenetic scale regulate instinctive behavior in distinct ways, ranging from primitive reflex-like "fixed action patterns" to complex plan hierarchies with subgoals and strong learning components. In the most complex organisms, instinctive behaviors may be "goal-corrected" with continual on-course adjustments (such as a bird of prey adjusting its flight to the movements of the prey). 

The concept of cybernetically controlled behavioral systems organized as plan hierarchies (Miller, Galanter, and Pribram, 1960) thus came to replace Freud's concept of drive and instinct. Such systems regulate behaviors in ways that need not be rigidly innate, but—depending on the organism—can adapt in greater or lesser degrees to changes in environmental circumstances, provided these do not deviate much from the organism's environment of evolutionary adaptedness. Such flexible organisms pay a price, however, because adaptable behavioral systems can more easily be subverted from their optimal path of development. 

For humans, Bowlby speculates, the environment of evolutionary adaptedness probably resembles present-day hunter-gatherer societies for the purpose of survival, and, ultimately, genetic replication.

Attachment theory is not an exhaustive description of human relationships, nor is it synonymous with love and affection, although these may indicate bonds exist. Some infants direct attachment behaviour (proximity seeking) toward more than one attachment figure almost as soon as they start to show discrimination between caregivers; most come to do so during their second year. These figures are arranged hierarchically, with the principal attachment figure at the top.

The set-goal of the attachment behavioural system is to maintain the accessibility and availability of the attachment figure. Many cultures use multiple forms of attachment including the dyadic model most prominent in Western cultures and allomothering.

Alarm is the term used for activation of the attachment behavioural system caused by fear of danger. 

Anxiety is the anticipation or fear of being cut off from the attachment figure. If the figure is unavailable or unresponsive, separation distress occurs.

In infants, physical separation can cause anxiety and anger, followed by sadness and despair. By age three or four, physical separation is no longer such a threat to the child's bond with the attachment figure. Threats to security in older children and adults arise from prolonged absence, breakdowns in communication, emotional unavailability, or signs of rejection or abandonment.

Behaviors

A baby leans at a table staring at a picture book with intense concentration.
Insecure attachment patterns can compromise exploration and the achievement of self-confidence. A securely attached baby is free to concentrate on their environment.
 
The attachment behavioural system serves to achieve or maintain proximity to the attachment figure.

Pre-attachment behaviours occur in the first six months of life. During the first phase (the first eight weeks), infants smile, babble, and cry to attract the attention of potential caregivers. Although infants of this age learn to discriminate between caregivers, these behaviours are directed at anyone in the vicinity. 

During the second phase (two to six months), the infant discriminates between familiar and unfamiliar adults, becoming more responsive toward the caregiver; following and clinging are added to the range of behaviours. The infant's behaviour toward the caregiver becomes organized on a goal-directed basis to achieve the conditions that make it feel secure.

By the end of the first year, the infant is able to display a range of attachment behaviours designed to maintain proximity. These manifest as protesting the caregiver's departure, greeting the caregiver's return, clinging when frightened, and following when able.

With the development of locomotion, the infant begins to use the caregiver or caregivers as a "safe base" from which to explore. Infant exploration is greater when the caregiver is present because the infant's attachment system is relaxed and it is free to explore. If the caregiver is inaccessible or unresponsive, attachment behavior is more strongly exhibited. Anxiety, fear, illness, and fatigue will cause a child to increase attachment behaviors.

After the second year, as the child begins to see the caregiver as an independent person, a more complex and goal-corrected partnership is formed. Children begin to notice others' goals and feelings and plan their actions accordingly. For example, whereas babies cry because of pain, two-year-olds cry to summon their caregiver, and if that does not work, cry louder, shout, or follow.

Tenets

Common attachment behaviours and emotions, displayed in most social primates including humans, are adaptive. The long-term evolution of these species has involved selection for social behaviors that make individual or group survival more likely. The commonly observed attachment behaviour of toddlers staying near familiar people would have had safety advantages in the environment of early adaptation, and has similar advantages today. Bowlby saw the environment of early adaptation as similar to current hunter-gatherer societies. There is a survival advantage in the capacity to sense possibly dangerous conditions such as unfamiliarity, being alone, or rapid approach. According to Bowlby, proximity-seeking to the attachment figure in the face of threat is the "set-goal" of the attachment behavioral system.

A young father lies on his back on a quilt on the floor. He holds his baby daughter up above him with his arms straight and his hands round her ribcage. The baby has her arms and legs stretched out and arches her back smiling directly at the camera.
Early experiences with caregivers gradually give rise to a system of thoughts, memories, beliefs, expectations, emotions, and behaviours about the self and others.
 
Bowlby's original account of a sensitivity period during which attachments can form of between six months and two to three years has been modified by later researchers. These researchers have shown there is indeed a sensitive period during which attachments will form if possible, but the time frame is broader and the effect less fixed and irreversible than first proposed. 

With further research, authors discussing attachment theory have come to appreciate social development is affected by later as well as earlier relationships. Early steps in attachment take place most easily if the infant has one caregiver, or the occasional care of a small number of other people. According to Bowlby, almost from the beginning, many children have more than one figure toward whom they direct attachment behaviour. These figures are not treated alike; there is a strong bias for a child to direct attachment behaviour mainly toward one particular person. Bowlby used the term "monotropy" to describe this bias. Researchers and theorists have abandoned this concept insofar as it may be taken to mean the relationship with the special figure differs qualitatively from that of other figures. Rather, current thinking postulates definite hierarchies of relationships.

Early experiences with caregivers gradually give rise to a system of thoughts, memories, beliefs, expectations, emotions, and behaviours about the self and others. This system, called the "internal working model of social relationships", continues to develop with time and experience.

Internal models regulate, interpret, and predict attachment-related behaviour in the self and the attachment figure. As they develop in line with environmental and developmental changes, they incorporate the capacity to reflect and communicate about past and future attachment relationships. They enable the child to handle new types of social interactions; knowing, for example, an infant should be treated differently from an older child, or that interactions with teachers and parents share characteristics. This internal working model continues to develop through adulthood, helping cope with friendships, marriage, and parenthood, all of which involve different behaviours and feelings.

The development of attachment is a transactional process. Specific attachment behaviours begin with predictable, apparently innate, behaviours in infancy. They change with age in ways determined partly by experiences and partly by situational factors. As attachment behaviours change with age, they do so in ways shaped by relationships. A child's behaviour when reunited with a caregiver is determined not only by how the caregiver has treated the child before, but on the history of effects the child has had on the caregiver.

Cultural differences

In Western culture child-rearing, there is a focus on single attachment to primarily the mother. This dyadic model is not the only strategy of attachment producing a secure and emotionally adept child. Having a single, dependably responsive and sensitive caregiver (namely the mother) does not guarantee the ultimate success of the child. Results from Israeli, Dutch and east African studies show children with multiple caregivers grow up not only feeling secure, but developed "more enhanced capacities to view the world from multiple perspectives." This evidence can be more readily found in hunter-gatherer communities rather than Western day-care contexts. 

In hunter-gatherer communities, in the past and present, mothers are the primary caregivers but share the maternal responsibility of ensuring the child's survival with a variety of different allomothers. So while the mother is important, she is not the only opportunity for relational attachment a child can make. Several group members (with or without blood relation) contribute to the task of bringing up a child, sharing the parenting role and therefore can be sources of multiple attachment. There is evidence of this communal parenting throughout history that "would have significant implications for the evolution of multiple attachment."

In "non-metropolis" India (where "dual income nuclear families" are more the norm / dyadic mother relationship is), where a family normally consists of 3 generations (and if lucky 4: grandparents, parents & child / children, and maybe great-grandparents too), the child / children by default have four / six caregivers from whom to select for their "attachment figure". And a child's "uncles and aunts" (father's siblings and their spouses) also contribute to the child's psycho-social enrichment.

Although it has been debated for years, and there are tedious differences among cultures, research shows that the three basic aspects of Attachment Theory are in fact universal. The Hypotheses are: 1)that secure attachment is the most desirable state, and the most prevalent. 2) maternal sensitivity influences infant attachment patterns and 3) specific infant attachments predict later social and cognitive competence. 

Attachment classification in children: The Strange Situation Protocol

The most common and empirically supported method for assessing attachment in infants (11 months–17 months) is the Strange Situation Protocol, developed by Mary Ainsworth as a result of her careful in-depth observations of infants with their mothers in Baltimore, USA. The Strange Situation Protocol is a research tool that was not intended for diagnostic purposes. While the procedure may be used to supplement clinical impressions, the resulting classifications should not be confused with the psychiatric diagnosis 'Reactive Attachment Disorder (RAD)'. The clinical concept of RAD differs in a number of fundamental ways from the theory and research driven attachment classifications based on the Strange Situation Procedure. The idea that insecure attachments are synonymous with RAD is, in fact, not accurate and leads to ambiguity when formally discussing attachment theory as it has evolved in the research literature. This is not to suggest that the concept of RAD is without merit, but rather that the clinical and research conceptualizations of insecure attachment and attachment disorder are not synonymous. 

The 'Strange Situation' is a laboratory procedure used to assess infants' pattern of attachment to their caregiver by introducing an unexpected threat, two brief separations from the mother followed by reunion. In the procedure, the mother and infant are placed in an unfamiliar playroom equipped with toys while a researcher films the procedure through a one-way mirror. The procedure consists of eight sequential episodes in which the infant experiences both separation from and reunion with the mother as well as the presence of an unfamiliar person (the Stranger). The protocol is conducted in the following format unless modifications are otherwise noted by a particular researcher:
  • Episode 1: Mother (or other familiar caregiver), Baby, Experimenter (30 seconds)
  • Episode 2: Mother, Baby (3 mins)
  • Episode 3: Mother, Baby, Stranger (3 mins)
  • Episode 4: Stranger, Baby (3 mins or less)
  • Episode 5: Mother, Baby (3 mins)
  • Episode 6: Baby Alone (3 mins or less)
  • Episode 7: Stranger, Baby (3 mins or less)
  • Episode 8: Mother, Baby (3 mins)
Mainly on the basis of their reunion behaviour (although other behaviors are taken into account) in the Strange Situation Paradigm (Ainsworth et al., 1978; see below), infants can be categorized into three 'organized' attachment categories: Group B (later called 'secure'), Group A (later called 'anxious avoidant'), and Group C (later called 'anxious ambivalent'). There are subclassifications for each group (see below). 

Beginning in 1970, a series of expansions were added to Ainsworth's original patterns. They include the following: B4 (1970), A/C (1985) D/disorganized (1986), B5 (1988, 1992) A+, C+, & Depressed (1992, 2010). At later ages, additional categories have been described. Each of these patterns reflects a different kind of attachment relationship of the infant with the mother/caregiver. An infant may have a different pattern of attachment to each parent as well as to alternate caregivers. Pattern of attachment is thus not a part of the infant, but is characteristic of the protective and comforting quality of a specific relationship. These attachment patterns are associated with behavioral patterns and can help further predict a child's future personality.

Attachment patterns

"The strength of a child's attachment behavior in a given circumstance does not indicate the 'strength' of the attachment bond. Some insecure children will routinely display very pronounced attachment behaviours, while many secure children find that there is no great need to engage in either intense or frequent shows of attachment behavior." “Individuals with different attachment styles have different beliefs about romantic love period, availability, trust capability of love partners and love readiness.” 

Secure attachment

A toddler who is securely attached to his or her parent (or other familiar caregiver) will explore freely while the caregiver is present, typically engages with strangers, is often visibly upset when the caregiver departs, and is generally happy to see the caregiver return. The extent of exploration and of distress are affected, however, by the child's temperamental make-up and by situational factors as well as by attachment status. A child's attachment is largely influenced by their primary caregiver's sensitivity to their needs. Parents who consistently (or almost always) respond to their child's needs will create securely attached children. Such children are certain that their parents will be responsive to their needs and communications.

In the traditional Ainsworth et al. (1978) coding of the Strange Situation, secure infants are denoted as "Group B" infants and they are further sub-classified as B1, B2, B3, and B4. Although these sub-groupings refer to different stylistic responses to the comings and goings of the caregiver, they were not given specific labels by Ainsworth and colleagues, although their descriptive behaviors led others (including students of Ainsworth) to devise a relatively "loose" terminology for these subgroups. B1's have been referred to as "secure-reserved", B2's as 'secure-inhibited', B3's as "secure-balanced", and B4's as "secure-reactive". In academic publications however, the classification of infants (if subgroups are denoted) is typically simply "B1" or "B2" although more theoretical and review-oriented papers surrounding attachment theory may use the above terminology.

Securely attached children are best able to explore when they have the knowledge of a secure base (their caregiver) to return to in times of need. When assistance is given, this bolsters the sense of security and also, assuming the parent's assistance is helpful, educates the child in how to cope with the same problem in the future. Therefore, secure attachment can be seen as the most adaptive attachment style. According to some psychological researchers, a child becomes securely attached when the parent is available and able to meet the needs of the child in a responsive and appropriate manner. At infancy and early childhood, if parents are caring and attentive towards their children, those children will be more prone to secure attachment.

Anxious-ambivalent attachment

Anxious-ambivalent attachment is also misnamed as "resistant attachment". In general, a child with an anxious-ambivalent pattern of attachment will typically explore little (in the Strange Situation) and is often wary of strangers, even when the parent is present. When the mother departs, the child is often highly distressed. The child is generally ambivalent when his mother returns. The anxious-ambivalent strategy is a response to unpredictably responsive caregiving, and the displays of anger (ambivalent resistant) or helplessness (ambivalent passive) towards the caregiver on reunion can be regarded as a conditional strategy for maintaining the availability of the caregiver by preemptively taking control of the interaction.

The C1 (ambivalent resistant) subtype is coded when "resistant behavior is particularly conspicuous. The mixture of seeking and yet resisting contact and interaction has an unmistakably angry quality and indeed an angry tone may characterize behavior in the preseparation episodes".

Regarding the C2 (ambivalent passive) subtype, Ainsworth et al. wrote:
Perhaps the most conspicuous characteristic of C2 infants is their passivity. Their exploratory behavior is limited throughout the SS and their interactive behaviors are relatively lacking in active initiation. Nevertheless, in the reunion episodes they obviously want proximity to and contact with their mothers, even though they tend to use signalling rather than active approach, and protest against being put down rather than actively resisting release ... In general the C2 baby is not as conspicuously angry as the C1 baby.
Research done by McCarthy and Taylor (1999), found that children with abusive childhood experiences were more likely to develop ambivalent attachments. The study also found that children with ambivalent attachments were more likely to experience difficulties in maintaining intimate relationships as adults.

Anxious-avoidant attachment

An infant with an anxious-avoidant pattern of attachment will avoid or ignore the caregiver—showing little emotion when the caregiver departs or returns. The infant will not explore very much regardless of who is there. Infants classified as anxious-avoidant (A) represented a puzzle in the early 1970s. They did not exhibit distress on separation, and either ignored the caregiver on their return (A1 subtype) or showed some tendency to approach together with some tendency to ignore or turn away from the caregiver (A2 subtype). Ainsworth and Bell theorized that the apparently unruffled behaviour of the avoidant infants was in fact a mask for distress, a hypothesis later evidenced through studies of the heart-rate of avoidant infants.

Infants are depicted as anxious-avoidant when there is:
... conspicuous avoidance of the mother in the reunion episodes which is likely to consist of ignoring her altogether, although there may be some pointed looking away, turning away, or moving away ... If there is a greeting when the mother enters, it tends to be a mere look or a smile ... Either the baby does not approach his mother upon reunion, or they approach in "abortive" fashions with the baby going past the mother, or it tends to only occur after much coaxing ... If picked up, the baby shows little or no contact-maintaining behavior; he tends not to cuddle in; he looks away and he may squirm to get down.
Ainsworth's narrative records showed that infants avoided the caregiver in the stressful Strange Situation Procedure when they had a history of experiencing rebuff of attachment behaviour. The infant's needs were frequently not met and the infant had come to believe that communication of emotional needs had no influence on the caregiver. 

Ainsworth's student Mary Main theorized that avoidant behaviour in the Strange Situation Procedure should be regarded as "a conditional strategy, which paradoxically permits whatever proximity is possible under conditions of maternal rejection" by de-emphasizing attachment needs.

Main proposed that avoidance has two functions for an infant whose caregiver is consistently unresponsive to their needs. Firstly, avoidant behavior allows the infant to maintain a conditional proximity with the caregiver: close enough to maintain protection, but distant enough to avoid rebuff. Secondly, the cognitive processes organizing avoidant behavior could help direct attention away from the unfulfilled desire for closeness with the caregiver—avoiding a situation in which the child is overwhelmed with emotion ("disorganized distress"), and therefore unable to maintain control of themselves and achieve even conditional proximity.

Disorganized/disoriented attachment

Ainsworth herself was the first to find difficulties in fitting all infant behavior into the three classifications used in her Baltimore study. Ainsworth and colleagues sometimes observed "tense movements such as hunching the shoulders, putting the hands behind the neck and tensely cocking the head, and so on. It was our clear impression that such tension movements signified stress, both because they tended to occur chiefly in the separation episodes and because they tended to be prodromal to crying. Indeed, our hypothesis is that they occur when a child is attempting to control crying, for they tend to vanish if and when crying breaks through." Such observations also appeared in the doctoral theses of Ainsworth's students. Crittenden, for example, noted that one abused infant in her doctoral sample was classed as secure (B) by her undergraduate coders because her strange situation behavior was "without either avoidance or ambivalence, she did show stress-related stereotypic headcocking throughout the strange situation. This pervasive behavior, however, was the only clue to the extent of her stress". Beginning in 1983, Crittenden offered A/C and other new organized classifications (see below). Drawing on records of behaviors discrepant with the A, B and C classifications, a fourth classification was added by Ainsworth's colleague Mary Main. In the Strange Situation, the attachment system is expected to be activated by the departure and return of the caregiver. If the behaviour of the infant does not appear to the observer to be coordinated in a smooth way across episodes to achieve either proximity or some relative proximity with the caregiver, then it is considered 'disorganized' as it indicates a disruption or flooding of the attachment system (e.g. by fear). Infant behaviors in the Strange Situation Protocol coded as disorganized/disoriented include overt displays of fear; contradictory behaviours or affects occurring simultaneously or sequentially; stereotypic, asymmetric, misdirected or jerky movements; or freezing and apparent dissociation. Lyons-Ruth has urged, however, that it should be more widely "recognized that 52% of disorganized infants continue to approach the caregiver, seek comfort, and cease their distress without clear ambivalent or avoidant behavior".

There is rapidly growing interest in disorganized attachment from clinicians and policy-makers as well as researchers. However, the disorganized/disoriented attachment (D) classification has been criticized by some for being too encompassing, including Ainsworth herself. In 1990, Ainsworth put in print her blessing for the new 'D' classification, though she urged that the addition be regarded as "open-ended, in the sense that subcategories may be distinguished", as she worried that too many different forms of behavior might be treated as if they were the same thing. Indeed, the D classification puts together infants who use a somewhat disrupted secure (B) strategy with those who seem hopeless and show little attachment behaviour; it also puts together infants who run to hide when they see their caregiver in the same classification as those who show an avoidant (A) strategy on the first reunion and then an ambivalent-resistant (C) strategy on the second reunion. Perhaps responding to such concerns, George and Solomon have divided among indices of disorganized/disoriented attachment (D) in the Strange Situation, treating some of the behaviors as a 'strategy of desperation' and others as evidence that the attachment system has been flooded (e.g. by fear, or anger). Moreover, Crittenden argues that some behaviour classified as Disorganized/disoriented can be regarded as more 'emergency' versions of the avoidant and/or ambivalent/resistant strategies, and function to maintain the protective availability of the caregiver to some degree. Sroufe et al. have agreed that "even disorganized attachment behaviour (simultaneous approach-avoidance; freezing, etc.) enables a degree of proximity in the face of a frightening or unfathomable parent". However, "the presumption that many indices of 'disorganization' are aspects of organized patterns does not preclude acceptance of the notion of disorganization, especially in cases where the complexity and danger of the threat are beyond children's capacity for response." For example, "Children placed in care, especially more than once, often have intrusions. In videos of the Strange Situation Procedure, they tend to occur when a rejected/neglected child approaches the stranger in an intrusion of desire for comfort, then loses muscular control and falls to the floor, overwhelmed by the intruding fear of the unknown, potentially dangerous, strange person."

Main and Hesse found most of the mothers of these children had suffered major losses or other trauma shortly before or after the birth of the infant and had reacted by becoming severely depressed. In fact, fifty-six per cent of mothers who had lost a parent by death before they completed high school had children with disorganized attachments. Subsequent studies, whilst emphasising the potential importance of unresolved loss, have qualified these findings. For example, Solomon and George found unresolved loss in the mother tended to be associated with disorganized attachment in their infant primarily when they had also experienced an unresolved trauma in their life prior to the loss.

Categorization differences across cultures

Across different cultures deviations from the Strange Situation Protocol have been observed. A Japanese study in 1986 (Takahashi) studied 60 Japanese mother-infant pairs and compared them with Ainsworth's distributional pattern. Although the ranges for securely attached and insecurely attached had no significant differences in proportions, the Japanese insecure group consisted of only resistant children with no children categorized as avoidant. This may be because the Japanese child rearing philosophy stressed close mother infant bonds than in Western cultures. In Northern Germany, Grossmann et al. (Grossmann, Huber, & Wartner, 1981; Grossmann, Spangler, Suess, & Unzner, 1985) replicated the Ainsworth Strange Situation with 46 mother infant pairs and found a different distributions of attachment classifications with a high number of avoidant infants: 52% avoidant, 34% secure, and 13% resistant (Grossmann et al., 1985). Another study in Israel found there was a high frequency of an ambivalent pattern which according to Grossman et al. (1985) could be attributed a greater parental push toward children's independence. Although it has been debated for years, and there are tedious differences among cultures, research shows that the three basic aspects of Attachment Theory are in fact universal. The Hypotheses are: 1)that secure attachment is the most desirable state, and the most prevalent. 2) maternal sensitivity influences infant attachment patterns and 3) specific infant attachments predict later social and cognitive competence. 

Later patterns and the dynamic-maturational model

Techniques have been developed to allow verbal ascertainment of the child's state of mind with respect to attachment. An example is the "stem story", in which a child is given the beginning of a story that raises attachment issues and asked to complete it. For older children, adolescents and adults, semi-structured interviews are used in which the manner of relaying content may be as significant as the content itself. However, there are no substantially validated measures of attachment for middle childhood or early adolescence (approximately 7 to 13 years of age). Some studies of older children have identified further attachment classifications. Main and Cassidy observed that disorganized behavior in infancy can develop into a child using caregiving-controlling or punitive behaviour in order to manage a helpless or dangerously unpredictable caregiver. In these cases, the child's behaviour is organized, but the behavior is treated by researchers as a form of 'disorganization' (D) since the hierarchy in the family is no longer organized according to parenting authority.

Patricia McKinsey Crittenden has elaborated classifications of further forms of avoidant and ambivalent attachment behavior. These include the caregiving and punitive behaviors also identified by Main and Cassidy (termed A3 and C3 respectively), but also other patterns such as compulsive compliance with the wishes of a threatening parent (A4).

Crittenden's ideas developed from Bowlby's proposal that "given certain adverse circumstances during childhood, the selective exclusion of information of certain sorts may be adaptive. Yet, when during adolescence and adulthood the situation changes, the persistent exclusion of the same forms of information may become maladaptive".

Crittenden proposed that the basic components of human experience of danger are two kinds of information:

1. 'Affective information' – the emotions provoked by the potential for danger, such as anger or fear. Crittenden terms this "affective information". In childhood this information would include emotions provoked by the unexplained absence of an attachment figure. Where an infant is faced with insensitive or rejecting parenting, one strategy for maintaining the availability of their attachment figure is to try to exclude from consciousness or from expressed behaviour any emotional information that might result in rejection. 

2. Causal or other sequentially-ordered knowledge about the potential for safety or danger. In childhood this would include knowledge regarding the behaviors that indicate an attachment figure's availability as a secure haven. If knowledge regarding the behaviors that indicate an attachment figure's availability as a secure haven is subject to segregation, then the infant can try to keep the attention of their caregiver through clingy or aggressive behavior, or alternating combinations of the two. Such behaviour may increase the availability of an attachment figure who otherwise displays inconsistent or misleading responses to the infant's attachment behaviors, suggesting the unreliability of protection and safety.

Crittenden proposes that both kinds of information can be split off from consciousness or behavioural expression as a 'strategy' to maintain the availability of an attachment figure (See section above on Disorganized/disoriented attachment for distinction of "Types"): "Type A strategies were hypothesized to be based on reducing perception of threat to reduce the disposition to respond. Type C was hypothesized to be based on heightening perception of threat to increase the disposition to respond." Type A strategies split off emotional information about feeling threatened and type C strategies split off temporally-sequenced knowledge about how and why the attachment figure is available. By contrast, type B strategies effectively utilize both kinds of information without much distortion. For example: a toddler may have come to depend upon a type C strategy of tantrums in working to maintain the availability of an attachment figure whose inconsistent availability has led the child to distrust or distort causal information about their apparent behavior. This may lead their attachment figure to get a clearer grasp on their needs and the appropriate response to their attachment behaviors. Experiencing more reliable and predictable information about the availability of their attachment figure, the toddler then no longer needs to use coercive behaviors with the goal of maintaining their caregiver's availability and can develop a secure attachment to their caregiver since they trust that their needs and communications will be heeded.

Significance of patterns

Research based on data from longitudinal studies, such as the National Institute of Child Health and Human Development Study of Early Child Care and the Minnesota Study of Risk and Adaption from Birth to Adulthood, and from cross-sectional studies, consistently shows associations between early attachment classifications and peer relationships as to both quantity and quality. Lyons-Ruth, for example, found that "for each additional withdrawing behavior displayed by mothers in relation to their infant's attachment cues in the Strange Situation Procedure, the likelihood of clinical referral by service providers was increased by 50%."

There is an extensive body of research demonstrating a significant association between attachment organizations and children's functioning across multiple domains. Early insecure attachment does not necessarily predict difficulties, but it is a liability for the child, particularly if similar parental behaviours continue throughout childhood. Compared to that of securely attached children, the adjustment of insecure children in many spheres of life is not as soundly based, putting their future relationships in jeopardy. Although the link is not fully established by research and there are other influences besides attachment, secure infants are more likely to become socially competent than their insecure peers. Relationships formed with peers influence the acquisition of social skills, intellectual development and the formation of social identity. Classification of children's peer status (popular, neglected or rejected) has been found to predict subsequent adjustment. Insecure children, particularly avoidant children, are especially vulnerable to family risk. Their social and behavioral problems increase or decline with deterioration or improvement in parenting. However, an early secure attachment appears to have a lasting protective function. As with attachment to parental figures, subsequent experiences may alter the course of development.

Studies have suggested that infants with a high-risk for Autism Spectrum Disorders (ASD) may express attachment security differently from infants with a low-risk for ASD. Behavioral problems and social competence in insecure children increase or decline with deterioration or improvement in quality of parenting and the degree of risk in the family environment.

Some authors have questioned the idea that a taxonomy of categories representing a qualitative difference in attachment relationships can be developed. Examination of data from 1,139 15-month-olds showed that variation in attachment patterns was continuous rather than grouped. This criticism introduces important questions for attachment typologies and the mechanisms behind apparent types. However, it has relatively little relevance for attachment theory itself, which "neither requires nor predicts discrete patterns of attachment."

There is some evidence that gender differences in attachment patterns of adaptive significance begin to emerge in middle childhood. Insecure attachment and early psychosocial stress indicate the presence of environmental risk (for example poverty, mental illness, instability, minority status, violence). Environmental risk can cause insecure attachment, while also favoring the development of strategies for earlier reproduction. Different reproductive strategies have different adaptive values for males and females: Insecure males tend to adopt avoidant strategies, whereas insecure females tend to adopt anxious/ambivalent strategies, unless they are in a very high risk environment. Adrenarche is proposed as the endocrine mechanism underlying the reorganization of insecure attachment in middle childhood.

Changes in attachment during childhood and adolescence

Childhood and adolescence allows the development of an internal working model useful for forming attachments. This internal working model is related to the individual's state of mind which develops with respect to attachment generally and explores how attachment functions in relationship dynamics based on childhood and adolescent experience. The organization of an internal working model is generally seen as leading to more stable attachments in those who develop such a model, rather than those who rely more on the individual's state of mind alone in forming new attachments. 

Age, cognitive growth, and continued social experience advance the development and complexity of the internal working model. Attachment-related behaviors lose some characteristics typical of the infant-toddler period and take on age-related tendencies. The preschool period involves the use of negotiation and bargaining. For example, four-year-olds are not distressed by separation if they and their caregiver have already negotiated a shared plan for the separation and reunion.

Three children aged about six years are in a group on the ground, a boy and girl kneeling and another boy seated cross-legged. The two kneeling children hold marbles. There are other marbles in a bag on the ground. They appear to be negotiating over the marbles. The third child is watching.
Peers become important in middle childhood and have an influence distinct from that of parents.
 
Ideally, these social skills become incorporated into the internal working model to be used with other children and later with adult peers. As children move into the school years at about six years old, most develop a goal-corrected partnership with parents, in which each partner is willing to compromise in order to maintain a gratifying relationship. By middle childhood, the goal of the attachment behavioral system has changed from proximity to the attachment figure to availability. Generally, a child is content with longer separations, provided contact—or the possibility of physically reuniting, if needed—is available. Attachment behaviours such as clinging and following decline and self-reliance increases. By middle childhood (ages 7–11), there may be a shift toward mutual coregulation of secure-base contact in which caregiver and child negotiate methods of maintaining communication and supervision as the child moves toward a greater degree of independence.

The attachment system used by adolescents is seen as a "safety regulating system" whose main function is to promote physical and psychological safety. There are 2 different events that can trigger the attachment system. Those triggers include, the presence of a potential danger or stress, internal and external, and a threat of accessibility and or availability of an attachment figure. The ultimate goal of the attachment system is security, so during a time of danger or inaccessibility the behavioral system accepts felt security in the context of the availability of protection. By adolescence we are able to find security through a variety of things, such as food, exercise, and social media. Felt security can be achieved through a number of ways, and often without the physical presence of the attachment figure. Higher levels of maturity allows adolescent teens to more capably interact with their environment on their own because the environment is perceived as less threatening. Adolescents teens will also see an increase in cognitive, emotional and behavioral maturity that dictates whether or not teens are less likely to experience conditions that activate their need for an attachment figure. For example, when teenagers get sick and stay home from school, surely they want their parents to be home so they can take care of them, but they are also able to stay home by themselves without experiencing serious amounts of distress.

Here are the attachment style differences during adolescence. Secure adolescents are expected to hold their mothers at a higher rate than all other support figures, including father, boy and girlfriends, and best friends. Insecure adolescents identify more strongly with their peers than their parents as their primary attachment figures. Their friends are seen as a significantly strong source of attachment support. Dismissing adolescents rate their parents as a less significant source of attachment support and would consider themselves as their primary attachment figure. Preoccupied adolescents would rate their parents a their primary source of attachment support and would consider themselves as a much less significant source of attachment support.

Attachment in adults

Attachment theory was extended to adult romantic relationships in the late 1980s by Cindy Hazan and Phillip Shaver. Four styles of attachment have been identified in adults: secure, anxious-preoccupied, dismissive-avoidant and fearful-avoidant. These roughly correspond to infant classifications: secure, insecure-ambivalent, insecure-avoidant and disorganized/disoriented.

Securely attached adults tend to have positive views of themselves, their partners and their relationships. They feel comfortable with intimacy and independence, balancing the two. Feeling secure has to do with a person's perception of control, feelings of competence, and a belief that they possess the ability to meet the challenges that they will face in the future. With adults, attachments in general, are more cumulative and much more multifaceted than earlier attachments. There are more exchanges of support within someones inner circle relationships or secure relationships, such as respect, confiding, reassurance, sick care, talking about one's health, and talking about things that could worry or upset them. these types of exchanges provide adults with a secure base that they are able to depend on on a daily basis.

Anxious-preoccupied adults seek high levels of intimacy, approval and responsiveness from partners, becoming overly dependent. They tend to be less trusting, have less positive views about themselves and their partners, and may exhibit high levels of emotional expressiveness, worry and impulsiveness in their relationships. the anxiety that adults feel prevent the establishment of satisfactory defense exclusion. Thus, it is possible that individuals that have been anxiously attached to their attachment figure or figures have not been able to develop sufficient defenses against separation anxiety. Because their lack of preparation these individuals will then overreact to the anticipation of separation or the actual separation from their attachment figure. The anxiety comes from an individuals intense and/or unstable relationship that live the anxious or preoccupied individual in relatively defenseless. Adults with this attachment style tend to look way too far into things, whether that's a text message or a face-to-face conversation. Their thought and actions can lead to a painful cycle of self-fulfilling prophecies and even self-sabotage. They often seek a dismissive-avoidant partner.

Dismissive-avoidant adults desire a high level of independence, often appearing to avoid attachment altogether. They view themselves as self-sufficient, invulnerable to attachment feelings and not needing close relationships. They tend to suppress their feelings, dealing with conflict by distancing themselves from partners of whom they often have a poor opinion. Adults lack the interest of forming close relationships and maintaining emotional closeness with the people around them. They have a great amount of distrust in others but at the same time possess a positive model of self, they would prefer to invest in their own ego skills. Because of their distrust they cannot be convinced that other people have the ability to deliver emotional support. They try to create high levels of self-esteem by investing disproportionately in their abilities or accomplishments. These adults maintain their positive views of self, based on their personal achievements and competence rather than searching for and feeling acceptance from others. These adults will explicitly reject or minimize the importance of emotional attachment and passively avoid relationships when they feel as though they are becoming too close. They strive for self-reliance and independence. When it comes to the opinions of others about themselves, they are very indifferent and are relatively hesitant to positive feedback from their peers. Dismissive avoidance can also be explained as the result of defensive deactivation of the attachment system to avoid potential rejection, or genuine disregard for interpersonal closeness.

Fearful-avoidant adults have mixed feelings about close relationships, both desiring and feeling uncomfortable with emotional closeness. They tend to mistrust their partners and view themselves as unworthy. Like dismissive-avoidant adults, fearful-avoidant adults tend to seek less intimacy, suppressing their feelings.

Sexually, securely attached individuals are less likely to be involved in one-night stands or sexual activity outside of the primary relationship, and more likely to report mutual initiation and enjoyment of sex. 

Dismissive-avoidant individuals tend to report activities reflecting low psychological intimacy (one-night sex, extra-dyadic sex, sex without love), as well as less enjoyment of physical contact. Research has demonstrated that for both sexes, insecure-ambivalent attachment was related to enjoyment of holding and caressing, but not of more clearly sexual behaviors. 

Relationally, insecure individuals tend to be partnered with insecure individuals, and secure individuals with secure individuals. Insecure relationships tend to be enduring but less emotionally satisfying compared to the relationship(s) of two securely attached individuals. 

Attachment styles are activated from the first date onwards and impact relationship dynamics and how a relationship ends. Secure attachment has been shown to allow for better conflict resolution in a relationship and for one's ability to exit an unsatisfying relationship compared to other attachment types. Secure individuals authentic high self-esteem and positive view of others allows for this as they are confident that they will find another relationship. Secure attachment has also shown to allow for the successful processing of relational losses (e.g. death, rejection, infidelity, abandonment etc.) Attachment has also been show to impact caregiving behavior in relationships, too (Shaver & Cassidy, 2018) 

A young couple relax under a tree. The man lies on his back looking up at the woman. The woman, with striking long blond hair and sunglasses, is seated by his head, looking down at him and with her hand placed round his head. Both are laughing
Attachment styles in adult romantic relationships roughly correspond to attachment styles in infants but adults can hold different internal working models for different relationships.
 
Two main aspects of adult attachment have been studied. The organization and stability of the mental working models that underlie the attachment styles is explored by social psychologists interested in romantic attachment. Developmental psychologists interested in the individual's state of mind with respect to attachment generally explore how attachment functions in relationship dynamics and impacts relationship outcomes. The organization of mental working models is more stable while the individual's state of mind with respect to attachment fluctuates more. Some authors have suggested that adults do not hold a single set of working models. Instead, on one level they have a set of rules and assumptions about attachment relationships in general. On another level they hold information about specific relationships or relationship events. Information at different levels need not be consistent. Individuals can therefore hold different internal working models for different relationships.

There are a number of different measures of adult attachment, the most common being self-report questionnaires and coded interviews based on the Adult Attachment Interview. The various measures were developed primarily as research tools, for different purposes and addressing different domains, for example romantic relationships, platonic relationships, parental relationships or peer relationships. Some classify an adult's state of mind with respect to attachment and attachment patterns by reference to childhood experiences, while others assess relationship behaviours and security regarding parents and peers.

History

Maternal deprivation

The early thinking of the object relations school of psychoanalysis, particularly Melanie Klein, influenced Bowlby. However, he profoundly disagreed with the prevalent psychoanalytic belief that infants' responses relate to their internal fantasy life rather than real-life events. As Bowlby formulated his concepts, he was influenced by case studies on disturbed and delinquent children, such as those of William Goldfarb published in 1943 and 1945.

Two rows of little boys, about 20 in total, kneel before their beds in the dormitory of a residential nursery. Their eyes are shut and they are in an attitude of prayer. They wear long white night gowns and behind them are their iron framed beds.
Prayer time in the Five Points House of Industry residential nursery, 1888. The maternal deprivation hypothesis published in 1951 caused a revolution in the use of residential nurseries.
 
Bowlby's contemporary René Spitz observed separated children's grief, proposing that "psychotoxic" results were brought about by inappropriate experiences of early care. A strong influence was the work of social worker and psychoanalyst James Robertson who filmed the effects of separation on children in hospital. He and Bowlby collaborated in making the 1952 documentary film A Two-Year Old Goes to the Hospital which was instrumental in a campaign to alter hospital restrictions on visits by parents.

In his 1951 monograph for the World Health Organization, Maternal Care and Mental Health, Bowlby put forward the hypothesis that "the infant and young child should experience a warm, intimate, and continuous relationship with his mother in which both find satisfaction and enjoyment", the lack of which may have significant and irreversible mental health consequences. This was also published as Child Care and the Growth of Love for public consumption. The central proposition was influential but highly controversial. At the time there was limited empirical data and no comprehensive theory to account for such a conclusion. Nevertheless, Bowlby's theory sparked considerable interest in the nature of early relationships, giving a strong impetus to, (in the words of Mary Ainsworth), a "great body of research" in an extremely difficult, complex area. Bowlby's work (and Robertson's films) caused a virtual revolution in hospital visiting by parents, hospital provision for children's play, educational and social needs and the use of residential nurseries. Over time, orphanages were abandoned in favor of foster care or family-style homes in most developed countries.

Following the publication of Maternal Care and Mental Health, Bowlby sought new understanding from the fields of evolutionary biology, ethology, developmental psychology, cognitive science and control systems theory. He formulated the innovative proposition that mechanisms underlying an infant's emotional tie to the caregiver(s) emerged as a result of evolutionary pressure. He set out to develop a theory of motivation and behaviour control built on science rather than Freud's psychic energy model. Bowlby argued that with attachment theory he had made good the "deficiencies of the data and the lack of theory to link alleged cause and effect" of Maternal Care and Mental Health.

A young mother kneels in a garden with her two children. A baby sits astride her knee facing outwards and looking away from the camera. A toddler stands slightly in front of his mother holding a spade and frowning at the camera.
Infant exploration is greater when the caregiver is present; with the caregiver present, the infant's attachment system is relaxed and they are free to explore.

Ethology

Bowlby's attention was first drawn to ethology when he read Konrad Lorenz's 1952 publication in draft form (although Lorenz had published earlier work). Other important influences were ethologists Nikolaas Tinbergen and Robert Hinde. Bowlby subsequently collaborated with Hinde. In 1953 Bowlby stated "the time is ripe for a unification of psychoanalytic concepts with those of ethology, and to pursue the rich vein of research which this union suggests." Konrad Lorenz had examined the phenomenon of "imprinting", a behavior characteristic of some birds and mammals which involves rapid learning of recognition by the young, of a conspecific or comparable object. After recognition comes a tendency to follow. 

A young woman in rubber boots is walking through a muddy clearing in a wood at Kostroma Moose Farm followed by a very young moose, struggling to keep up
This bottle-fed young moose has developed an attachment to its caregiver.
 
Certain types of learning are possible, respective to each applicable type of learning, only within a limited age range known as a critical period. Bowlby's concepts included the idea that attachment involved learning from experience during a limited age period, influenced by adult behavior. He did not apply the imprinting concept in its entirety to human attachment. However, he considered that attachment behaviour was best explained as instinctive, combined with the effect of experience, stressing the readiness the child brings to social interactions. Over time it became apparent there were more differences than similarities between attachment theory and imprinting so the analogy was dropped. Ethologists expressed concern about the adequacy of some research on which attachment theory was based, particularly the generalization to humans from animal studies. Schur, discussing Bowlby's use of ethological concepts (pre-1960) commented that concepts used in attachment theory had not kept up with changes in ethology itself. Ethologists and others writing in the 1960s and 1970s questioned and expanded the types of behavior used as indications of attachment. Observational studies of young children in natural settings provided other behaviors that might indicate attachment; for example, staying within a predictable distance of the mother without effort on her part and picking up small objects, bringing them to the mother but not to others. Although ethologists tended to be in agreement with Bowlby, they pressed for more data, objecting to psychologists writing as if there were an "entity which is 'attachment', existing over and above the observable measures." Robert Hinde considered "attachment behavior system" to be an appropriate term which did not offer the same problems "because it refers to postulated control systems that determine the relations between different kinds of behavior."

Psychoanalysis

Several lines of school children march diagonally from top right to bottom left. Each carries a bag or bundle and each raises their right arm in the air in a salute. Adults stand in a line across the bottom right hand corner making the same gesture.
Evacuation of smiling Japanese school children in World War II from the book Road to Catastrophe
 
Psychoanalytic concepts influenced Bowlby's view of attachment, in particular, the observations by Anna Freud and Dorothy Burlingham of young children separated from familiar caregivers during World War II. However, Bowlby rejected psychoanalytical explanations for early infant bonds including "drive theory" in which the motivation for attachment derives from gratification of hunger and libidinal drives. He called this the "cupboard-love" theory of relationships. In his view it failed to see attachment as a psychological bond in its own right rather than an instinct derived from feeding or sexuality. Based on ideas of primary attachment and Neo-Darwinism, Bowlby identified what he saw as fundamental flaws in psychoanalysis: the overemphasis of internal dangers rather than external threat, and the view of the development of personality via linear phases with regression to fixed points accounting for psychological distress. Bowlby instead posited that several lines of development were possible, the outcome of which depended on the interaction between the organism and the environment. In attachment this would mean that although a developing child has a propensity to form attachments, the nature of those attachments depends on the environment to which the child is exposed.

From early in the development of attachment theory there was criticism of the theory's lack of congruence with various branches of psychoanalysis. Bowlby's decisions left him open to criticism from well-established thinkers working on similar problems.

Internal working model

The philosopher Kenneth Craik had noted the ability of thought to predict events. He stressed the survival value of natural selection for this ability. A key component of attachment theory is the attachment behavior system. where certain behaviors have a predictable outcome (i.e. proximity) and serve as self-preservation method (i.e. protection). All taking place outside of an individuals awareness, This internal working model allows a person to try out alternatives mentally, using knowledge of the past while responding to the present and future. Bowlby applied Craik's ideas to attachment, when other psychologists were applying these concepts to adult perception and cognition.

Infants absorb all sorts of complex social-emotional information from the social interactions that they observe. They notice the helpful and hindering behaviors of one person to another. From these observations they develop expectations of how two characters should behave, known as a "secure base script." These scripts provide as a template of how attachment related events should unfold and they are the building blocks of ones internal working models. The infant's internal working model is developed in response to the infant's experience based internal working models of self, and environment, with emphasis on the caregiving environment and the outcomes of his or her proximity-seeking behaviors. Theoretically, secure child and adult script, would allow for an attachment situation where one person successfully utilizes another as a secure base from which to explore and as a safe haven in times of distress. In contrast, insecure individuals would create attachment situations with more complications. For example, If the caregiver is accepting of these proximity-seeking behaviors and grants access, the infant develops a secure organization; if the caregiver consistently denies the infant access, an avoidant organization develops; and if the caregiver inconsistently grants access, an ambivalent organization develops. In retrospect, internal working models are constant with and reflect the primary relationship with our caregivers. Childhood attachment has a direct impact on our adult relationships. 

A parent's internal working model that is operative in the attachment relationship with her infant can be accessed by examining the parent's mental representations. Recent research has demonstrated that the quality of maternal attributions as markers of maternal mental representations can be associated with particular forms of maternal psychopathology and can be altered in a relative short time-period by targeted psychotherapeutic intervention.

Developments

In the 1970s, problems with viewing attachment as a trait (stable characteristic of an individual) rather than as a type of behavior with organizing functions and outcomes, led some authors to the conclusion that attachment behaviors were best understood in terms of their functions in the child's life. This way of thinking saw the secure base concept as central to attachment theory's logic, coherence, and status as an organizational construct. Following this argument, the assumption that attachment is expressed identically in all humans cross-culturally was examined. The research showed that though there were cultural differences, the three basic patterns, secure, avoidant and ambivalent, can be found in every culture in which studies have been undertaken, even where communal sleeping arrangements are the norm.

On the right a young boy of Asiatic appearance with a pudding basin haircut, leans over a baby lying on its back on the left. The boy and baby are touching noses. The baby gazes up at the boy with an expression of intense interest.
Research indicates that attachment pattern distributions are consistent across cultures, although the manner in which attachment is expressed may differ.
 
Selection of the secure pattern is found in the majority of children across cultures studied. This follows logically from the fact that attachment theory provides for infants to adapt to changes in the environment, selecting optimal behavioural strategies. How attachment is expressed shows cultural variations which need to be ascertained before studies can be undertaken; for example Gusii infants are greeted with a handshake rather than a hug. Securely attached Gusii infants anticipate and seek this contact. There are also differences in the distribution of insecure patterns based on cultural differences in child-rearing practices. The scholar Michael Rutter in 1974 studied the importance of distinguishing between the consequences of attachment deprivation upon intellectual retardation in children and lack of development in the emotional growth in children. Rutter's conclusion was that a careful delineation of maternal attributes needed to be identified and differentiated for progress in the field to continue. 

The biggest challenge to the notion of the universality of attachment theory came from studies conducted in Japan where the concept of amae plays a prominent role in describing family relationships. Arguments revolved around the appropriateness of the use of the Strange Situation procedure where amae is practiced. Ultimately research tended to confirm the universality hypothesis of attachment theory. Most recently a 2007 study conducted in Sapporo in Japan found attachment distributions consistent with global norms using the six-year Main and Cassidy scoring system for attachment classification.

Critics in the 1990s such as J. R. Harris, Steven Pinker and Jerome Kagan were generally concerned with the concept of infant determinism (nature versus nurture), stressing the effects of later experience on personality. Building on the work on temperament of Stella Chess, Kagan rejected almost every assumption on which attachment theory's cause was based. Kagan argued that heredity was far more important than the transient developmental effects of early environment. For example, a child with an inherently difficult temperament would not elicit sensitive behavioural responses from a caregiver. The debate spawned considerable research and analysis of data from the growing number of longitudinal studies. Subsequent research has not borne out Kagan's argument, possibly suggesting that it is the caregiver's behaviours that form the child's attachment style, although how this style is expressed may differ with the child's temperament. Harris and Pinker put forward the notion that the influence of parents had been much exaggerated, arguing that socialization took place primarily in peer groups. H. Rudolph Schaffer concluded that parents and peers had different functions, fulfilling distinctive roles in children's development. Psychoanalyst/psychologists Peter Fonagy and Mary Target have attempted to bring attachment theory and psychoanalysis into a closer relationship through cognitive science as mentalization. Mentalization, or theory of mind, is the capacity of human beings to guess with some accuracy what thoughts, emotions and intentions lie behind behaviours as subtle as facial expression. It has been speculated that this connection between theory of mind and the internal working model may open new areas of study, leading to alterations in attachment theory. Since the late 1980s, there has been a developing rapprochement between attachment theory and psychoanalysis, based on common ground as elaborated by attachment theorists and researchers, and a change in what psychoanalysts consider to be central to psychoanalysis. Object relations models which emphasize the autonomous need for a relationship have become dominant and are linked to a growing recognition within psychoanalysis of the importance of infant development in the context of relationships and internalized representations. Psychoanalysis has recognized the formative nature of a child's early environment including the issue of childhood trauma. A psychoanalytically based exploration of the attachment system and an accompanying clinical approach has emerged together with a recognition of the need for measurement of outcomes of interventions.

A couple stand on the front steps of a house. The man, aged about 30, dressed in grey flannels and a white shirt, holds a baby girl in his arms and gazes at her. The woman, dressed in a frock and co-respondent shoes from the 1930s stands next to them, touching the baby girl and smiling at the camera. The baby is dressed in a white frilly frock, white shoes and with a white ribbon in her hair.
Authors considering attachment in non-western cultures have noted the connection of attachment theory with Western family and child care patterns characteristic of Bowlby's time.
 
One focus of attachment research has been the difficulties of children whose attachment history was poor, including those with extensive non-parental child care experiences. Concern with the effects of child care was intense during the so-called "day care wars" of the late-20th century, during which some authors stressed the deleterious effects of day care. As a result of this controversy, training of child care professionals has come to stress attachment issues, including the need for relationship-building by the assignment of a child to a specific care-giver. Although only high-quality child care settings are likely to provide this, more infants in child care receive attachment-friendly care than in the past. A natural experiment permitted extensive study of attachment issues as researchers followed thousands of Romanian orphans adopted into Western families after the end of the Nicolae Ceauşescu regime. The English and Romanian Adoptees Study Team, led by Michael Rutter, followed some of the children into their teens, attempting to unravel the effects of poor attachment, adoption, new relationships, physical problems and medical issues associated with their early lives. Studies of these adoptees, whose initial conditions were shocking, yielded reason for optimism as many of the children developed quite well. Researchers noted that separation from familiar people is only one of many factors that help to determine the quality of development. Although higher rates of atypical insecure attachment patterns were found compared to native-born or early-adopted samples, 70% of later-adopted children exhibited no marked or severe attachment disorder behaviors.

Authors considering attachment in non-Western cultures have noted the connection of attachment theory with Western family and child care patterns characteristic of Bowlby's time. As children's experience of care changes, so may attachment-related experiences. For example, changes in attitudes toward female sexuality have greatly increased the numbers of children living with their never-married mothers or being cared for outside the home while the mothers work. This social change has made it more difficult for childless people to adopt infants in their own countries. There has been an increase in the number of older-child adoptions and adoptions from third-world sources in first-world countries. Adoptions and births to same-sex couples have increased in number and gained legal protection, compared to their status in Bowlby's time. Issues have been raised to the effect that the dyadic model characteristic of attachment theory cannot address the complexity of real-life social experiences, as infants often have multiple relationships within the family and in child care settings. It is suggested these multiple relationships influence one another reciprocally, at least within a family.

Principles of attachment theory have been used to explain adult social behaviors, including mating, social dominance and hierarchical power structures, in-group identification, group coalitions, and negotiation of reciprocity and justice. Those explanations have been used to design parental care training, and have been particularly successful in the design of child abuse prevention programs. 

While a wide variety of studies have upheld the basic tenets of attachment theory, research has been inconclusive as to whether self-reported early attachment and later depression are demonstrably related.

Biology of attachment

In addition to longitudinal studies, there has been psychophysiological research on the biology of attachment. Research has begun to include neural development, behavior genetics and temperament concepts. Generally, temperament and attachment constitute separate developmental domains, but aspects of both contribute to a range of interpersonal and intrapersonal developmental outcomes. Some types of temperament may make some individuals susceptible to the stress of unpredictable or hostile relationships with caregivers in the early years. In the absence of available and responsive caregivers it appears that some children are particularly vulnerable to developing attachment disorders.

The quality of caregiving received at infancy and childhood directly affects an individuals neurological systems systems which controls stress regulation. In psychophysiological research on attachment, the two main areas studied have been autonomic responses, such as heart rate or respiration, and the activity of the hypothalamic–pituitary–adrenal axis. a system that is responsible for the body's reaction to stress. Infants' physiological responses have been measured during the Strange Situation procedure looking at individual differences in infant temperament and the extent to which attachment acts as a moderator. Recent studies convey that early attachment relationships become molecularly instilled into the being, thus affecting later immune system functioning.  Empirical Evidence communicates that early negative experiences produces pro inflammatory phenotype cells in the immune system, which is directly related to cardiovascular disease, autoimmune diseases, and certain types of cancer.  
 
Recent improvements involving methods of research, have enabled researchers to further investigate the neural correlates of attachment in humans. These advances include identifying key brain structures, neural circuits, neurotransmitter systems, and neuropeptides are all involved in attachment system functioning and can tell us more about a certain individual, even predict their behavior.  There is initial evidence that caregiving and attachment involve both unique and overlapping brain regions Another issue is the role of inherited genetic factors in shaping attachments: for example one type of polymorphism of the gene coding for the D2 dopamine receptor has been linked to anxious attachment and another in the gene for the 5-HT2A serotonin receptor with avoidant attachment. studies show that attachment in adulthood is simultaneously related to biomarkers of immunity. For example, individuals with an avoidance attachment attachment style produce higher levels of the pro inflammatory cytokine interleukin-6 (IL-6) when reacting to an interpersonal stressor  While individuals representing an anxious attachment style you tend to see elevated cortisol production and lower numbers of T cells. .Although children vary genetically and each individual requires different attachment relationships, there is consistent evidence that maternal warmth during infancy and childhood creates a safe haven for individuals resulting in superior immune system functioning.  One theoretical basis for this is that it makes biological sense for children to vary in their susceptibility to rearing influence.

Practical applications

As a theory of socioemotional development, attachment theory has implications and practical applications in social policy, decisions about the care and welfare of children and mental health.

Child care policies

Social policies concerning the care of children were the driving force in Bowlby's development of attachment theory. The difficulty lies in applying attachment concepts to policy and practice. In 2008 C.H. Zeanah and colleagues stated, "Supporting early child-parent relationships is an increasingly prominent goal of mental health practitioners, community-based service providers and policy makers ... Attachment theory and research have generated important findings concerning early child development and spurred the creation of programs to support early child-parent relationships." Seeing that early child parent relationships is crucial for child development. You would assume that individuals would be educated on child development and the importance of the early parent-child relationship. However, our current education system is more concerned with sex education rather than healthy relationship tactics and skills needed to parent in a sensitive, responsive manner. If Researchers and educators could work together and develop future-parent curriculum for the high school and university levels, It would benefit society as a whole. With the dynamic nature of social and economic environments, many families struggle balancing work and family responsibilities. Finding quality childcare while at work or school is another issue for many families.NIHD recent study convey that top notch day care contributes to secure attachment relationships in children.  people have commented on this matter stating that “legislative initiatives reflecting higher standards for credentialing and licensing childcare workers, requiring education in child development and attachment theory, and at least a two-year associate's degree course as well as salary increases and increased stature for childcare positions” Corporations should implement more flexible work arrangements that recognize child care as essential for all its employees. This includes re-examination of parental leave policies. Too many parents are forced to return to work too soon post childbirth because of company policy or financial necessity. No matter the reason this inhibits early parent child bonding. In addition to this, there should be increased attention to the training and screening of childcare workers. In his article reviewing Attachment Theory, Sweeney suggested, among several policy implications, “legislative initiatives reflecting higher standards for credentialing and licensing childcare workers, requiring education in child development and attachment theory, and at least a two-year associate's degree course as well as salary increases and increased stature for childcare positions” 

Historically, attachment theory had significant policy implications for hospitalized or institutionalized children, and those in poor quality daycare. Controversy remains over whether non-maternal care, particularly in group settings, has deleterious effects on social development. It is plain from research that poor quality care carries risks but that those who experience good quality alternative care cope well although it is difficult to provide good quality, individualized care in group settings.

Attachment theory has implications in residence and contact disputes, and applications by foster parents to adopt foster children. In the past, particularly in North America, the main theoretical framework was psychoanalysis. Increasingly attachment theory has replaced it, thus focusing on the quality and continuity of caregiver relationships rather than economic well-being or automatic precedence of any one party, such as the biological mother. Rutter noted that in the UK, since 1980, family courts have shifted considerably to recognize the complications of attachment relationships. Children tend to have attachment relationships with both parents and often grandparents or other relatives. Judgements need to take this into account along with the impact of step-families. Attachment theory has been crucial in highlighting the importance of social relationships in dynamic rather than fixed terms.

Attachment theory can also inform decisions made in social work, especially in humanistic social work (Petru Stefaroi), and court processes about foster care or other placements. Considering the child's attachment needs can help determine the level of risk posed by placement options. Within adoption, the shift from "closed" to "open" adoptions and the importance of the search for biological parents would be expected on the basis of attachment theory. Many researchers in the field were strongly influenced by it.

Clinical practice in children

Although attachment theory has become a major scientific theory of socioemotional development with one of the widest research lines in modern psychology, it has, until recently, been less used in clinical practice. 

A young father dressed in a pink cotton shirt holds his child and gazes at the camera looking proud but tired. The little girl, wearing a sleeveless dress, sits on her father's arm and frowns directly at the camera.
Children tend to have attachment relationships with both parents and often grandparents or other relatives.
 
The attachment theory focused on the attention of the child when the mother is there and the responses that the child shows when the mother leaves, which indicated the attachment and bonding of the mother and the child. The attention therapy is the done while the child is being restrained by the therapists and the responses displayed were noted. The tests were done to show the responses of the child.

This may be partly due to lack of attention paid to clinical application by Bowlby himself and partly due to broader meanings of the word 'attachment' used among practitioners. It may also be partly due to the mistaken association of attachment theory with the pseudoscientific interventions misleadingly known as "attachment therapy".

Prevention and treatment

In 1988, Bowlby published a series of lectures indicating how attachment theory and research could be used in understanding and treating child and family disorders. His focus for bringing about change was the parents' internal working models, parenting behaviors and the parents' relationship with the therapeutic intervenor. Ongoing research has led to a number of individual treatments and prevention and intervention programs. In regards to personal development, children from all the age groups were tested to show the effectiveness of the theory that is being theorized by Bowlby. They range from individual therapy to public health programs to interventions designed for foster caregivers. For infants and younger children, the focus is on increasing the responsiveness and sensitivity of the caregiver, or if that is not possible, placing the child with a different caregiver. An assessment of the attachment status or caregiving responses of the caregiver is invariably included, as attachment is a two-way process involving attachment behavior and caregiver response. Some programs are aimed at foster carers because the attachment behaviors of infants or children with attachment difficulties often do not elicit appropriate caregiver responses. Modern prevention and intervention programs have proven successful.

Reactive attachment disorder and attachment disorder

One atypical attachment pattern is considered to be an actual disorder, known as reactive attachment disorder or RAD, which is a recognized psychiatric diagnosis (ICD-10 F94.1/2 and DSM-IV-TR 313.89). Against common misconception, this is not the same as 'disorganized attachment'. The essential feature of reactive attachment disorder is markedly disturbed and developmentally inappropriate social relatedness in most contexts that begins before age five years, associated with gross pathological care. There are two subtypes, one reflecting a disinhibited attachment pattern, the other an inhibited pattern. RAD is not a description of insecure attachment styles, however problematic those styles may be; instead, it denotes a lack of age-appropriate attachment behaviors that may appear to resemble a clinical disorder. Although the term "reactive attachment disorder" is now popularly applied to perceived behavioural difficulties that fall outside the DSM or ICD criteria, particularly on the Web and in connection with the pseudo-scientific attachment therapy, "true" RAD is thought to be rare.

"Attachment disorder" is an ambiguous term, which may be used to refer to reactive attachment disorder or to the more problematical insecure attachment styles (although none of these are clinical disorders). It may also be used to refer to proposed new classification systems put forward by theorists in the field, and is used within attachment therapy as a form of unvalidated diagnosis. One of the proposed new classifications, "secure base distortion" has been found to be associated with caregiver traumatization.

Clinical practice in adults and families

As attachment theory offers a broad, far-reaching view of human functioning, it can enrich a therapist's understanding of patients and the therapeutic relationship rather than dictate a particular form of treatment. Some forms of psychoanalysis-based therapy for adults—within relational psychoanalysis and other approaches—also incorporate attachment theory and patterns.

Social connection

From Wikipedia, the free encyclopedia

Social connection is the experience of feeling close and connected to others. It involves feeling loved, cared for, and valued, and forms the basis of interpersonal relationships.
Connection is the energy that exists between people when they feel seen, heard and valued; when they can give and receive without judgement; and when they derive sustenance and strength from the relationship. —Brené Brown, Professor of Social Work at the University of Houston
Increasingly, social connection is understood as a core human need, and the desire to connect as a fundamental drive. It is crucial to development; without it, social animals experience distress and face severe developmental consequences. In humans, one of the most social species, social connection is essential to nearly every aspect of health and well-being. Lack of connection, or loneliness, has been linked to inflammation, accelerated aging and cardiovascular health risk, suicide, and all cause mortality.

Feeling socially connected is related to the quality and number of connections one has with family, friends, and acquaintances. Going beyond the individual level, it also involves a feeling of connecting to a larger community. Connectedness on a community level benefits both individuals and society.

Related terms

  • Social support is the help, advice, and comfort that we receive from those with whom we have stable, positive relationships. Importantly, it appears to be the perception, or feeling, of being supported, rather than objective number of connections, that appears to buffer stress and affect our health and psychology most strongly.
  • Close relationships refer to those relationships between friends or romantic partners that are characterized by love, caring, commitment, and intimacy.
  • Attachment is a deep emotional bond between two people, a "lasting psychological connectedness between human beings." Attachment theory, developed by John Bowlby during the 1950s, is a theory that remains influential in psychology today.

A basic need

Social connection involves feeling loved, cared for, and valued, and is as important to our well-being as food or water.
 
In his influential theory on the hierarchy of needs, Abraham Maslow proposed that our physiological needs are the most basic and necessary to our survival, and must be satisfied before we can move on to satisfying more complex social needs like love and belonging. However, research over the past few decades has begun to shift our understanding of this hierarchy. Social connection and belonging may in fact be a basic need, as powerful as our need for food or water. Mammals are born relatively helpless, and rely on their caregivers not only for affection, but for survival. This may be evolutionarily why mammals need and seek connection, and also for why they suffer prolonged distress and health consequences when that need is not met.

In 1965, Harry Harlow conducted his landmark monkey studies. He separated baby monkeys from their mothers, and observed which surrogate mothers the baby monkeys bonded with: a wire "mother" that provided food, or a cloth "mother" that was soft and warm. Overwhelmingly, the baby monkeys preferred to spend time clinging to the cloth mother, only reaching over to the wire mother when they became too hungry to continue without food. This study questioned the idea that food is the most powerful primary reinforcement for learning. Instead, Harlow's studies suggested that warmth, comfort, and affection (as perceived from the soft embrace of the cloth mother) are crucial to the mother-child bond, and may be a powerful reward that mammals may seek in and of itself. Although historic, it is important to acknowledge that this study does not meet current research standards for the ethical treatment of animals.

In 1995, Roy Baumeister proposed his influential belongingness hypothesis: that human beings have a fundamental drive to form lasting relationships, to belong. He provided substantial evidence that indeed, the need to belong and form close bonds with others is itself a motivating force in human behavior. This theory is supported by evidence that people form social bonds form relatively easily, are reluctant to break social bonds, interpret situations with how they affect their relationships in mind. He also contends that our emotions are so deeply linked to our relationships that one of the primary functions of emotion may be to form and maintain social bonds, and that both partial and complete deprivation of relationships leads to not only painful but pathological consequences. Satisfying or disrupting our need to belong, our need for connection, has been found to influence cognition, emotion, and behavior.

Neurobiology

Brain areas

Social connection activates the reward system of the brain.
 
While it appears that social isolation triggers a "neural alarm system" of threat-related regions of the brain (including the amygdala, dorsal anterior cingulate cortex (dACC), anterior insula, and periaqueductal gray (PAG)), separate regions may process social connection. Two brain areas that are part of the brain's reward system are also involved in processing social connection and attention to loved ones: the ventromedial prefrontal cortex (VMPFC), a region that also responds to safety and inhibits threat responding, and the ventral striatum (VS) and septal area (SA), part of a neural system that is activated by taking care of one's own young.

Key neurochemicals

Opioids
In 1978, neuroscientist Jaak Panksepp observed that small doses of opiates reduced the distressed cries of puppies that were separated from their mothers. As a result, he developed the brain opioid theory of attachment, which posits that endogenous (internally produced) opioids underlie the pleasure that social animals derive from social connection, especially within close relationships. Extensive animal research supports this theory. Mice who have been genetically modified to not have mu-opioid receptors (mu-opioid receptor knockout mice), as well as sheep with their mu-receptors blocked temporarily following birth, do not recognize or bond with their mother. When separated from their mother and conspecifics, rats, chicks, puppies, guinea pigs, sheep, dogs, and primates emit distress vocalizations, however giving them morphine (i.e. activating their opioid receptors), quiets this distress. Endogenous opioids appear to be produced when animals engage in bonding behavior, while inhibiting the release of these opioids results in signs of social disconnection. In humans, blocking mu-opioid receptors with the opioid antagonist, naltrexone, has been found to reduce feelings of warmth and affection in response to a film clip about a moment of bonding, and to increase feelings of social disconnection towards loved ones in daily life as well as in the lab in response to a task designed to elicit feelings of connection. Although the human research on opioids and bonding behavior is mixed and ongoing, this suggests that opioids may underlie feelings of social connection and bonding in humans as well.
Oxytocin
Opioids and oxytocin are neurochemicals that support the mother-child bond in humans and other mammals.
 
In mammals, oxytocin has been found to be released during childbirth, breastfeeding, sexual stimulation, bonding, and in some cases stress. In 1992, Sue Carter discovered that administering oxytocin to prairie voles would accelerate their monogamous pair-bonding behavior. Oxytocin has also been found to play many roles in the bonding between mother and child. In addition to pair-bonding and motherhood, oxytocin has been found to play a role in prosocial behavior and bonding in humans. Nicknamed the “love drug” or “cuddle chemical,” plasma levels of oxytocin increase following physical affection, and are linked to more trusting and generous social behavior, positively biased social memory, attraction, and anxiety and hormonal responses. Further supporting a nuanced role in adult human bonding, greater circulating oxytocin over a 24 hour period was associated with greater love and perceptions of partner responsiveness and gratitude, however was also linked to perceptions of a relationship being vulnerable and in danger. Thus oxytocin may play a flexible role in relationship maintenance, supporting both the feelings that bring us closer and the distress and instinct to fight for an intimate bond in peril.

Health

Consequences of disconnection

A wide range of mammals, including rats, prairie voles, guinea pigs, cattle, sheep, primates, and humans, experience distress and long-term deficits when separated from their parent. In humans, long-lasting health consequences result from early experiences of disconnection. In 1958, John Bowlby observed profound distress and developmental consequences when orphans lacked warmth and love of our first and most important attachments: our parents. Loss of a parent during childhood was found to lead to altered cortisol and sympathetic nervous system reactivity even a decade later, and affect stress response and vulnerability to conflict as a young adult.

In addition to the health consequences of lacking connection in childhood, chronic loneliness at any age has been linked to a host of negative health outcomes. In a meta-analytic review conducted in 2010, results from 308,849 participants across 148 studies found that people with strong social relationships had a 50% greater change of survival. This effect on mortality is not only on par with one of the greatest risks, smoking, but exceeds many other risk factors such as obesity and physical inactivity. Loneliness has been found to negatively affect the healthy function of nearly every system in the body: the brain, immune system, circulatory and cardiovascular systems, endocrine system, and genetic expression.

Between 15-30% of the general population feels chronic loneliness.
 
Not only is social isolation harmful to health, but it is more and more common. As many as 80% of young people under 18 years old, and 40% of adults over the age of 65 report being lonely sometimes, and 15-30% of the general population feel chronic loneliness. These numbers appear to be on the rise, and researchers have called for social connection to be public health priority.

The "social" immune system

One of the main ways social connection may affect our health is through the immune system. The immune system's primary activity, inflammation, is the body's first line of defense against injury and infection. However, chronic inflammation has been tied to atherosclerosis, Type II diabetes, neurodegeneration, and cancer, as well as compromised regulation of inflammatory gene expression by the brain. Research over the past few decades has revealed that the immune system not only responds to physical threats, but social ones as well. It has become clear that there is a bidirectional relationship between circulating biomarkers of inflammation (e.g. the cytokine IL-6) and feelings of social connection and disconnection; not only are feelings of social isolation are linked to increased inflammation, but experimentally induced inflammation alters social behavior and induces feelings of social isolation. This has important health implications. Feelings of chronic loneliness appear to trigger chronic inflammation. However, social connection appears to inhibit inflammatory gene expression and increase antiviral responses. Performing acts of kindness for others were also found to have this effect, suggesting that helping others provides similar health benefits.

Why might our immune system respond to our perceptions of our social world? One theory is that it may have been evolutionarily adaptive for our immune system to "listen" in to our social world to anticipate the kinds of bacterial or microbial threats we face. In our evolutionary past, feeling socially isolated may have meant we were separated from our tribe, and therefore more likely to experience physical injury or wounds, requiring an inflammatory response to heal. On the other hand, feeling connected may have meant we were in relative physical safety of community, but at greater risk of socially transmitted viruses. To meet these threats with greater efficiency, the immune system responds with anticipatory changes. A genetic profile was discovered to initiate this pattern of immune response to social adversity and stress — up-regulation of inflammation, down-regulation of antiviral activity — known as Conserved Transcriptional Response to Adversity. The inverse of this pattern, associated with social connection, has been linked to positive health outcomes as well as eudaemonic well-being.

Positive pathways

Social connection and support have been found to reduce the physiological burden of stress and contribute to health and well-being through several other pathways as well, although there remains a subject of ongoing research. One way social connection reduces our stress response is by inhibiting activity in our pain and alarm neural systems. Brain areas that respond to social warmth and connection (notably, the septal area) have inhibitory connections to the amygdala, which have the structural capacity to reduce threat responding.

Another pathway by which social connection positive affects health is through the parasympathetic nervous system (PNS), the "rest and digest" system which parallels and offsets the "flight or fight" sympathetic nervous system (SNS). Flexible PNS activity, indexed by vagal tone, helps regulate the heart rate has been linked to a healthy stress response as well as numerous positive health outcomes. Vagal tone has been found to predict both positive emotions and social connectedness, which in turn result in increased vagal tone, in an "upward spiral" of well-being. Social connection often occurs along with and causes positive emotions, which themselves benefit our health.

Measures

Social Connectedness Scale

This scale was designed to measure general feelings of social connectedness as an essential component of belongingness. Items on the Social Connectedness Scale reflect feelings of emotional distance between the self and others, and higher scores reflect more social connectedness.


Measuring feelings of social isolation or disconnection can be helpful as an indirect measure of feelings connectedness. This scale is designed to measure loneliness, defined as the distress that results when one feels disconnected from others.

Relationship Closeness Inventory (RCI)

This measure conceptualizes closeness in a relationship as a high level of interdependence in two people's activities, or how much influence they have over one another. It correlates moderately with self-reports of closeness, measured using the Subjective Closeness Index (SCI).


These scales were developed to measure the difference between liking and loving another person -- critical aspects of closeness and connection. Good friends were found to score highly on the liking scale, and only romantic partners scored highly on the loving scale. They support Zick Rubin's conceptualization of love as containing three main components: attachment, caring, and intimacy

Personal Acquaintance Measure (PAM)

This measure identifies six components that can help determine the quality of a person's interactions and feelings of social connectedness with others:
  1. Duration of relationship
  2. Frequency of interaction with the other person
  3. Knowledge of the other person's goals
  4. Physical intimacy or closeness with the other person
  5. Self-disclosure to the other person
  6. Social network familiarity—how familiar is the other person with the rest of your social circle

Experimental manipulations

Social connection is a unique, elusive, person-specific quality of our social world. Yet, can it be manipulated? This is a crucial question for how it can be studied, and whether it can be intervened on in a public health context. There are at least two approaches that researchers have taken to manipulate social connection in the lab:

Social connection task

This task was developed at UCLA by Tristen Inagaki and Naomi Eisenberger to elicit feelings of social connection in the laboratory. It consists of collecting positive and neutral messages from 6 loved ones of a participant, and presenting them to the participant in the laboratory. Feelings of connection and neural activity in response to this task have been found to rely on endogenous opioid activity.

Closeness-generating procedure

Arthur Aron at the State University of New York at Stony Brook and collaborators designed a series of questions designed to generate interpersonal closeness between two individuals who have never met. It consists of 36 questions that subject pairs ask each other over a 45 minute period. It was found to generate a degree of closeness in the lab, and can be more carefully controlled than connection within existing relationships.

Envy

From Wikipedia, the free encyclopedia

Portrait of a demented woman or The monomaniac of jealousy (also named The Hyena of la Salpêtrière), by Théodore Géricault, c. 1819-1822, Museum of Fine Arts of Lyon

Envy (from Latin invidia) is an emotion which "occurs when a person lacks another's superior quality, achievement, or possession and either desires it or wishes that the other lacked it".

Aristotle defined envy as pain at the sight of another’s good fortune, stirred by “those who have what we ought to have.” Bertrand Russell said that envy was one of the most potent causes of unhappiness. Not only is the envious person rendered unhappy by his or her envy, Russell explained, but that person may also wish to inflict misfortune on others, in forms of emotional abuse and violent acts of criminality. Although envy is generally seen as something negative, Russell also believed that envy was a driving force behind the movement of economies and must be endured to achieve the "keep up with Jones" system. He believed this is what helps to maintain democracy, a system where no one can achieve more than anyone else.

Types of envy

Psychologists have recently suggested that there are two types of envy: malicious envy and benign envy—malicious envy being proposed as a sick force that ruins a person and his/her mind and causes the envious person to blindly want the "hero" to suffer; on the other hand, benign envy being proposed as a type of positive motivational force that causes the person to aspire to be as good as the "hero"—but only if benign envy is used in a right way. However, Sherry Turkle considers that the advent of social media and selfie culture is creating an alienating sense of “self-envy” psyche in users, and posits this further affects problem areas attached to attachments. Envy and gloating have parallel structures as emotions.

The only type of envy that can have positive effects is benign envy. According to researchers, benign envy can provide emulation, improvement motivation, positive thoughts about the other person, and admiration. This type of envy, if dealt with correctly, can positively effect a persons future by motivating them to be a better person and to succeed. Our human instinct is to avoid negative aspects in life such as the negative emotion, envy. However, it is possible to turn this negative emotional state into a motivational tool that can help a person to become successful in the future.

Socioevolutionary view

Invidia, allegorical painting by Giotto di Bondone, ca. 1305-1306

One theory that helps explain envy and its effects on human behavior is the Socioevolutionary theory. Based upon (Charles) Darwin's (1859) theory of evolution through natural selection, socioevolutionary theory predicts that humans behave in ways that enhance individual survival and the reproduction of their genes. Thus, this theory provides a framework for understanding social behavior and experiences, such as the experience and expression of envy, as rooted in biological drives for survival and procreation. Recent studies have demonstrated that inciting envy actually changes cognitive function, boosting mental persistence and memory.

Schadenfreude

Schadenfreude means taking pleasure in the misfortune of others and can be understood as an outgrowth of envy in certain situations.

Envy and Schadenfreude are very similar and are linked emotional states. Both emotions are considered very complex and often times looked down upon, which is understandable considering they are both antisocial behaviors. Given the detrimental states of these emotions, it is very important to understand their development in the early stages of childhood. 

The two social emotions, envy and schadenfreude act together as sister emotions during the developmental stages in adolescents. Both emotions have a strong presence during these early stages in a child's life. However, as a person ages ,the more they begin to conceal these “bad” emotions and learn to regulate. 

In previous studies, it has been shown that envy becomes less prevalent as a child gets older. Researchers believe that this results from an increase in the regulation of envious type emotions as a person ages and gains more wisdom about life. Depending on age, the correlation of envy and schadenfreude increases. For example a younger child is more likely to make spiteful decisions when they feel envious towards a person.

Regarding possessions or status

Often, envy involves a motive to "outdo or undo the rival's advantages". In part, this type of envy may be based on materialistic possessions rather than psychological states. Basically, people find themselves experiencing an overwhelming emotion due to someone else owning or possessing desirable items that they do not. For example, your next door neighbor just bought a brand new ocarina—a musical instrument you've been infatuated with for months now but can't afford. Feelings of envy in this situation would occur in the forms of emotional pain, a lack of self-worth, and a lowered self-esteem/well-being

In Nelson Aldrich's Old Money, he states that "envy is so integral and painful a part of what animates human behavior in market societies that many people have forgotten the full meaning of the word, simplifying it into one of the symptoms of desire. It is that (a symptom of desire), which is why it flourishes in market societies: democracies of desire, they might be called, with money for ballots, stuffing permitted. But envy is more or less than desire. It begins with the almost frantic sense of emptiness inside oneself, as if the pump of one's heart were sucking on air. One has to be blind to perceive the emptiness, of course, but that's what envy is, a selective blindness. Invidia, Latin for envy, translates as "nonsight," and Dante had the envious plodding along under cloaks of lead, their eyes sewn shut with leaden wire. What they are blind to is what they have, God-given and humanly nurtured, in themselves".

Overcoming

Envy may negatively affect the closeness and satisfaction of relationships. Overcoming envy might be similar to dealing with other negative emotions (anger, resentment, etc.). Individuals experiencing anger often seek professional treatment (anger management) to help understand why they feel the way they do and how to cope. Subjects experiencing envy often have a skewed perception on how to achieve true happiness. By helping people to change these perceptions, they will be more able to understand the real meaning of fortune and satisfaction with what they do have. According to Lazarus "coping is an integral feature of the emotion process". There are very few theories that emphasize the coping process for emotions as compared to the information available concerning the emotion itself.

There are numerous styles of coping, of which there has been a significant amount of research done, for example, avoidant versus approach. Coping with envy can be similar to coping with anger. The issue must be addressed cognitively in order to work through the emotion. According to the research done by Salovey and Rodin (1988), "more effective strategies for reducing initial envy appear to be stimulus focused rather than self-focused.". Salovey and Rodin (1988) also suggest "self-bolstering (e.g., "thinking about my good qualities") may be an effective strategy for moderating these self-deprecating thoughts and muting negative affective reactions". Further research needs to be done in order to better understand envy, as well as to help people cope with this emotion.

Benefits

Envy can be a painful emotion that can result from an unflattering social comparison of someone who is perceived to be a superior person. Aristotle defined envy as the pain a person experiences at the sight of another person’s good fortune. While envy is seen to be negative, it is the driving force behind the “keeping up with the Jones” philosophy. This means that there is always something to work toward, and to never become complacent with life.

Envy can tell a person many things about themselves. It can tell them who they admire, what they want, and where they can grow. Being envious of another person can seem negative at that moment but has the potential to have positive effects in the future. For example, if a person envies someone who is successful it might drive them to work harder and to be more diligent which can in turn can attribute to their success in the long run.

Envy and Adolescence

Children show evidence of envy at an early age. Adults can be just as envious, however, they tend to be better at concealing the emotion. Envy plays a significant role in the development of adolescents. Comparing oneself is a universal aspect of human nature. No matter the age or culture, social comparison happens all over the globe. Comparison can range from physical attributes, material possessions and intelligence. However,children are more likely to envy over material objects such as shoes, video games, iPhone ect. Kids believe these material objects are correlated to their status. 

Social status has been found to have a strong connection with self-esteem. An adolescents self-esteem is very fragile during early years and is heavily impacted by peer opinion. If a child is comfortable with who they are and self-confident they are less likely to become envious of others material objects because they do not self-identify with materials. Material objects are not the only things that adolescents become envious over, however it is the most prevalent.
 
As children get older they develop stronger non-materialistic envy such as romantic relationships, physical appearance, achievement, and popularity. Sometimes envious feelings are internalized in children, having a negative impact on their self-esteem. Envy comes from comparing, these comparisons can serve as a reminder that they have failed social norms and do not fit in with their peers. A feeling of inadequacy can arise and become destructive to a child’s happiness and cause further internal damage. 

A child's identity is formed during their early years. Identity development is considered the central task during adolescence. When children grow up understanding who they are, they are able to better define what their strengths and weaknesses are while comparing themselves to others. Comparison can have two outcomes, it can be healthy in aiding in self-improvement or it can be unhealthy and result in envy/jealousy which can develop into depression. This is why self-exploration and identity development are critical in adolescent years.

It is important to identify healthy and unhealthy envy in a child at an early age. If a child is showing signs of unhealthy envy, it is best to teach the child productive ways to handle these emotions. It is much easier to teach a child how to control their emotions while they are young rather than allowing them to develop a habit that is hard to break when they are older.

Envy and adulthood

The things that drive people mad with envy changes throughout their lifetime. Studies have shown that the younger the person, the more likely they are to be envious of others. Adults under the age of 30 are more likely to experience envy compared to those 30 years and older. However, what people become envious over differs across adulthood. 

Younger adults, under the age of 30, have been found to envy others social status, relationships, and attractiveness. This starts to fade when a person hits there 30's, typically, at this point in life the person begins to accept who they are as an individual and compare themselves to others less often. However, they still envy others, just over different aspects in life, such as, career or salary. Studies have shown a decrease in envy as a person ages, however, envious feelings over money was the only thing that consistently increased as a person got older.

As a person ages, they begin to accept their social status. Nonetheless, envious feelings will be present throughout a persons life. It is up to the individual on whether they will let these envious feelings motivate or destroy them.

Narcissists

Individuals with narcissistic personality disorder are often envious of others or believe others are envious of them.

A narcissist may secure a sense of superiority in the face of another person's ability by using contempt to minimize the other person.

In philosophy

Aristotle (in Rhetoric) defined envy (φθόνος phthonos) "as the pain caused by the good fortune of others", while Kant defined it as "a reluctance to see our own well-being overshadowed by another's because the standard we use to see how well off we are is not the intrinsic worth of our own well-being but how it compares with that of others".

Religious views

In Buddhism

In Buddhism, the term irshya is commonly translated as either envy or jealousy. Irshya is defined as a state of mind in which one is highly agitated to obtain wealth and honor for oneself, but unable to bear the excellence of others.

The term mudita (sympathetic joy) is defined as taking joy in the good fortune of others. This virtue is considered the antidote to envy and the opposite of schadenfreude.

In Christianity

The Seven Deadly Sins - Envy, engraving by Jacques Callot. The snake and the dog are both symbols for envy.
 
Envy Arch in the nave with a gothic fresco from 1511 of a man with a dog-head, which symbolizes envy (Dalbyneder Church [da], Denmark)
 
Both in the Old and New Testament there are various descriptions of envy and events related to it, mostly with a dramatic outcome.

Envy is one of the Seven deadly sins in Roman Catholicism. In the Book of Genesis envy is said to be the motivation behind Cain murdering his brother, Abel, as Cain envied Abel because God favored Abel's sacrifice over Cain's. 

Envy was regarded by Paul of Tarsus to be a sin of the flesh. Envy is among the things that comes from the heart, defiling a person. The whole body is full of darkness when the eye, the lamp of body, is bad. He who is glad at calamity will not go unpunished, said Solomon. Envy ruins the body's health, making bones rot and prohibiting the inheritance of the kingdom of God. Sometimes, as a punishment, people are left in their sins, falling prey to envy and other heavy sins.

Envy is credited as the basis of all toil and skills of people. For example, mankind will choose occupations to gain wealth, fame and pleasures to equal or exceed their neighbors. Envy is, therefore, a sin deeply ingrained in human nature. It comes into being when man lacks certain things, a circumstance that exists when God is not approached for provision or when the provision is used for one's own selfish passions and pleasures.

Envy may be caused by wealth (Isaac, envied the Philistines), by the brightness of wealth, power and beauty (Assyria kingdom envied of other kingdoms), by political and military rising (Saul eyed David from the moment he heard the women song of joy), fertility (Leah, envied of Rachel), social ascent (Joseph whom his brothers were jealous of), countless miracles and healings (the apostles envied of high priest and the Sadducees), popularity (Paul and Barnabas, envied of unfaithful Jewish from Antioch), the success of Christianization of many Thessalonians (Paul and Silas, envied of unfaithful Jews from Thessalonica), virtues and true power to heal, to make miracles and to teach people (Jesus envied of the chief priests).

In the NT, Jewish Christians are admonished to not look with evil eye at the last converts ("Gentiles" or Pagan Christians) to avoid therefore becoming the last ones, missing the kingdom of God. They should be happy for anyone saved, like Christ, who came to save the lost, as the shepherd seeking the lost sheep. Zacchaeus, the chief tax collector, was among the lost ones and he succeeded in bringing salvation to him and to his house.

Sometimes arisen out of sophistry, envy cannot coexist with true and spiritual wisdom, but with false, earthly, unspiritual, demonic wisdom.

Throwing away envy is a crucial condition in our path to salvation. Envy was seen by the Apostle Paul as a real danger even within the first Christian communities. Envy should remain a sin of the past, defeated by God's teaching, which, as in the tenth commandment, forbids us from coveting our neighbour's things, woman, and servants, and urges us to rejoice with those who rejoice and weep with those who weep, as Apostle Paul said, and to love our neighbors as ourselves. Because brotherly, Christian love banishes definitively envy from our hearts.

In Hinduism

"One who does not envy but is a compassionate friend to all ... such a devotee is very dear to Me." - Lord Krishna in the Bhagavad Gita, Chapter 12, Verse 15.
 
In Hinduism, envy is considered a disastrous emotion. Hinduism maintains that anything which causes the mind to lose balance with itself leads to misery. This concept is put forth in the epic Mahabharata, wherein Duryodhana launches the Kurukshetra war out of envy of the perceived prosperity of his cousins. He is known to have remarked:
Father! The prosperity of the Pandavas (cousins) is burning me deeply! I cannot eat, sleep or live in the knowledge that they are better off than me!
Thus, Hinduism teaches that envy can be overcome simply by recognizing that the man or woman who is the object of one's envy is merely enjoying the fruits of their past karmic actions and that one should not allow such devious emotions to take control of their mind, lest they suffer the same fate as the antagonists of the Mahabharata.

In Islam

In Islam, envy (Hassad حسد in Arabic) is an impurity of the heart and can destroy one's good deeds. One must be content with what God has willed and believe in the justice of the creator. A Muslim should not allow his envy to inflict harm upon the envied person.

Muhammad said,
Do not envy each other, do not hate each other, do not oppose each other, and do not cut relations, rather be servants of Allah as brothers. It is not permissible for a Muslim to disassociate from his brother for more than three days such that they meet and one ignores the other, and the best of them is the one who initiates the salaam. -- Sahih al-Bukhari [Eng. Trans. 8/58 no. 91], Sahih Muslim [Eng. Trans. 4/1360 no. 6205, 6210]
A Muslim may wish for himself a blessing like that which someone else has, without wanting it to be taken away from the other person. This is permissible and is not called hasad. Rather, it is called ghibtah.

"There is to be no envy except in two cases: (towards) a person to whom Allah has granted wisdom, and who rules by this and teaches it to the people, and (towards) a person to whom Allah has granted wealth and property along with the power to spend it in the cause of the Truth." [Al-Bukhaari & Muslim]

In Judaism

In Judaism (in the Hebrew Bible 'jealousy', is a key feature of God's personality – He is furious in jealousy (for His own people's undivided worship). YeHoVaH is jealous for His own. The God of Israel is, "slow to anger and great in compassion" (Exodus 34:6) but when His jealousy and anger had accumulated there was an outburst of punishment. (Exodus 34:6; Numbers 14:18; Psalm 103:8; Ps 86:15; Ps 145:8; Jonah 4:2; Nahum 1:3; Nehemiah 9:17; Joel 2:13 etc.) While jealousy is branded as a negative and unwanted emotion generally in society today and also in Christianity, which had developed out of Judaism, in the Biblical (so-called Old Testament) context it is a strong aspect of God's character and therefor not a flawed characteristic – unlike envy, which God does denounce. (Exodus 20:14; Deuteronomy 5:9 and verse18) We envy people when we want what they have. We are jealous when we want to keep for ourselves what belongs exclusively to us. Therefore we see the frightening permission God gave husbands who became jealous of their wives, to make them take a curse upon themselves, in case they had slept with another man while they belonged to their husband. (Numbers 5:11 – 31) This points to the intimacy and exclusivity He is interested in, from His own people. Ephraim 'committed harlotry' against YHVH and thereby defiled the nation of Israel. Therefore He withdrew Himself from them, to their detriment: "Woe to those when I depart from them!" (Hosea 9:12), He warns. "They will cry to YHVH, but he will hide His face from them". (Micah 3:4) A wounded Lover speaking. "You paid, but were not paid; for your harlotry. Therefore, oh harlot, hear the Word of YHVH: I shall set My jealousy against you and they will deal furiously with you." (Ezekiel 23:25) YHVH showed Ezekiel how the people in Jerusalem set up 'an image that provokes jealousy'. (Ezekiel 8:11, 12, 1 Kings 14:22, 2 Chronicles 14:2) God also loves like a jealous lover: He told Moses to make a breastplate for Aaron the priest, to wear when he goes into the Most Holy Place. On the breastplate he had to display the names of all the tribes of Israel, so He could see it whenever Aaron went in to work where YHVH's Presence was (Exodus 28:29). Somewhere else He says, I have your name engraved in the palm of My hand. (Isaiah 49:16) The God of Israel wants with His people a marriage of faithfulness, fairness, kindness and compassion – and that they should know Him. (Hosea 2:21,22) He is even jealous for the land itself, the land of Israel. (Joel 2:18) "I am jealous for Jerusalem and for Zion with a great jealousy.. YHVH will yet comfort Zion and will yet choose Jerusalem.. For I will be to her a wall of fire all around; and the glory in her midst." (Zechariah 1:14, 17, Zechariah 2:9) The Hebrew Bible says Judah provoked YHVH to jealousy with all their sins and their false gods. (1 Kings 14:22) There is a notable difference in meaning between jealousy (of something that is one's own) and envy (which is covetousness of another one's possessions). (Exodus 20: 14; Proverbs 27:4)

Cultural references

In English-speaking cultures, envy is often associated with the color green, as in "green with envy", and yellow. Yellow is the color of ambivalence and contradiction; a color associated with optimism and amusement; but also with betrayal, duplicity, and jealousy. The phrase "green-eyed monster" refers to an individual whose current actions appear motivated by jealousy not envy. This is based on a line from Shakespeare's Othello. Shakespeare mentions it also in The Merchant of Venice when Portia states: "How all the other passions fleet to air, as doubtful thoughts and rash embraced despair and shuddering fear and green-eyed jealousy!" 

The character Envy from Fullmetal Alchemist series is one of the seven homunculi named after the seven deadly sins. 

The character of Zelena on ABC's Once Upon a Time, takes on the title "The Wicked Witch of the West" after envy itself dyes her skin in the episode "It's Not Easy Being Green".

In the parable "Garden of Statues", a character goes mad with envy because of all the attention his sculptor neighbor is getting. 

In Nelson W. Aldrich Jr.'s Old Money, he states that people who suffer from a case of malicious envy are blind to what good things they already have, thinking they have nothing, causing them to feel emptiness and despair.

Politics of Europe

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