By Newman, Louise K.; Warren, Beulah; Mares, Sarah
Offers an evidence-based and sensible method of evaluate of little ones and their households throughout assorted settings.
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Extra info for Clinical skills in infant mental health : the first three years
Sample text
Zeanah, C. H. A clinical guide to infant mental health. (Manuscript submitted for publication). New York: Guilford Press. 25 CHAPTER 2 ] Attachment: Theory, disruptions and disorders KEY CONCEPTS • Importance of attachment theory in infant mental health • Secure and insecure attachment relationships and attachment disorganisation • Primary attachments and interpersonal functioning • Implications of early attachment disruption and attachment trauma PRINCIPLES • Attachment quality influences infant development • Attachment history affects parenting capacity • Attachment theory informs a range of clinical situations In Chapter 1, the emergence of an attachment relationship as one of the core aspects of psychological and emotional development in infancy was discussed.
16). The parent is asked to sit with and ‘follow’ the infant’s lead in interaction and play. This is a way of instructing the parent in aspects of providing a secure, responsive base for the child. , 1999). Daniel Stern (1985, 1995) has elaborated a theory of self-development based on data from infant research rather than clinical observation. His work includes the notion of ‘internal working models’ of relationships and schemata to describe ‘ways of being with’ that begin and are encoded in our earliest relationships.
Application to attachment disorganisation and disorder Where an attachment disorganisation or disorder is evident, specialist intervention is required from an experienced clinician. There is relatively scant evidence on effective treatment for established attachment disorders. A meta-analysis of the effectiveness of interventions for disorganised attachment relationships is provided in Bakermans-Kranenburg, van IJzendoorn and Juffer (2005). Issues of intervention are frequently raised in situations where children with adverse early attachment experiences are placed with alternative carers and continue to have difficulties with basic trust and intimacy.