Clinical Implications of Attachment

By Jay Belsky; Teresa Nezworski | Go to book overview

10
Clinical Applications of Attachment Theory

Alicia F. Lieberman Jeree H. Pawl Infant--Parent Program University of California San Francisco

The field of infant mental health includes a broad spectrum of disciplines and approaches to promoting the well-being and development of infants. Activities within the field range from clinical interventions of various kinds of research efforts intended to explore the different parameters of development and their possible vicissitudes. Researchers and clinicians alike share an interest in elucidating how maturation and development unfold in the context of diverse sociocultural conditions, varying human relationships, genetic and temperamental differences, and the mutual influences among these factors. Another common interest is the effort to understand how early development influences later development. There is a broad professional consensus that early functioning and experience affect later functioning, although there may be disagreement about the potency of these influences and about the nature of the causal mechanisms underlying this effect.

Among infant mental health clinicians, an additional endeavor is to promote societal concern for the developing infant and to educate and intervene in instances where the infant's well-being is at risk. Even within the clinical realm, however, there is a wide spectrum of approaches to intervention. A major difference among programs is the extent to which the parent-child relationship is the primary focus of the intervention. In many infant programs, focus is either on the parent or the infant as individual recipients of treatment. Some programs emphasize direct work with the infants, as in settings where an "infant curriculum" is used to encourage attainment of developmental milestones. Other programs seek to alleviate the parent's personal difficulties as a means of reducing stress

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Clinical Implications of Attachment
Table of contents

Table of contents

  • Title Page v
  • Contents vii
  • Contributors xiii
  • Preface xv
  • I General Issues 1
  • 1: Clinical Implications of Attachment 3
  • References 15
  • 2: The Role of Infant-Caregiver Attachment in Development 18
  • Acknowledgment 30
  • Appendix: Attachment, Patterns of Adaptation, Continuity and Change 30
  • References 35
  • II Determinants of Attachment Security and Insecurity 39
  • 3: Maternal, Infant, and Social-Contextual Determinants of Attachment Security 41
  • Appendix: Attachment, Patterns of Adaptation, Continuity and Change 88
  • 4: Maternal Antecedents of Attachment Quality 95
  • Introduction 131
  • Appendix: Attachment, Patterns of Adaptation, Continuity and Change 132
  • 5: Relationships at Risk 136
  • Acknowledgments 164
  • References 164
  • References 167
  • III Consequences of Attachment Security and Insecurity 175
  • 6: Attachment and the Ontogeny of Conduct Problems 177
  • References 210
  • Summary and Conclusions 241
  • References 246
  • References 246
  • 8: Attachment and the Development of Behavior Problems 253
  • References 295
  • 9: Avoidance and Its Relation to Other Defensive Processes 300
  • Acknowledgments 318
  • References 318
  • IV Clinical Applications 325
  • 10: Clinical Applications of Attachment Theory 327
  • References 348
  • 11: Intervention in Insecure Infant Attachment 352
  • References 382
  • 12: A Clinical Approach to Attachment 387
  • References 415
  • Author Index 425
  • Subject Index 435
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