Book contents
- Frontmatter
- Contents
- List of contributors
- Foreword
- Preface
- Part I Basic issues
- 1 What we want from adult psychiatrists and their colleagues: ‘Telling it like it is’
- 2 Parenthood and adult mental health
- 3 Parental psychiatric disorder and the developing child
- 4 Parental psychiatric disorder and the attachment relationship
- 5 The construction of parenting and its context
- Part II Comprehensive assessment and treatment
- Part III Specific disorders: the impact on parent–child relationships
- Part IV Specific treatments and service needs
- Part V Child-sensitive therapeutic interventions
- Part VI Models for collaborative services and staff training
- Afterword
- Index
- References
4 - Parental psychiatric disorder and the attachment relationship
from Part I - Basic issues
Published online by Cambridge University Press: 09 August 2009
Book contents
- Frontmatter
- Contents
- List of contributors
- Foreword
- Preface
- Part I Basic issues
- 1 What we want from adult psychiatrists and their colleagues: ‘Telling it like it is’
- 2 Parenthood and adult mental health
- 3 Parental psychiatric disorder and the developing child
- 4 Parental psychiatric disorder and the attachment relationship
- 5 The construction of parenting and its context
- Part II Comprehensive assessment and treatment
- Part III Specific disorders: the impact on parent–child relationships
- Part IV Specific treatments and service needs
- Part V Child-sensitive therapeutic interventions
- Part VI Models for collaborative services and staff training
- Afterword
- Index
- References
Summary
Introduction
In contrast to the attachment of children to their parents and other important adults, the attachment of parents to their children has received little attention. Indeed it is not clear that the term ‘attachment’ should be used in the same way when referring to parents. However, consideration of the attachment of children to parents will lead to some indicators of the parental contribution to the attachment relationship, and to ways in which this might be threatened by parental mental illness, and what might be protective processes in the face of such threats.
Attachment – background
Bowlby's attachment theory (Bowlby, 1969) proposed that the child's early relationships with parents are internalized as ‘working models’ for later relationships. These early attachment relationships are characterized by attachment (proximity seeking) behaviour by the infant when there is a perceived threat or stressor such as the presence of a stranger, unfamiliar circumstances, tiredness or illness; and exploration from the ‘secure base’ of the parent, in general when the level of perceived threat is low. Although children's parents and other important caregivers are often referred to as attachment figures, it should be borne in mind that many other kinds of interaction take place between parents and children. These include ensuring safety and providing structure and discipline, and participating in joint activities such as play, games or conversation about each others' lives.
Keywords
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- Information
- Parental Psychiatric DisorderDistressed Parents and their Families, pp. 50 - 61Publisher: Cambridge University PressPrint publication year: 2004
References
Ainsworth, M., Blehar, M., Waters, E. & Wall, S. (1978). Patterns of Attachment. Hillsdale, NJ: Lawrence Erlbaum Associates
, & (1991). Early sexual abuse and clinical depression in adult life. British Journal of Psychiatry, 159, 115–22Google Scholar
Bowlby, J. (1969). Attachment and Loss: Attachment. New York: Basic Books
, , & (1993). Autobiographical memory in depression: state or trait marker?British Journal of Psychiatry, 162, 118–21Google Scholar
, & (1995). Behaviour problems in childhood and stressors in early adult life. I. A 20 year follow-up of London school children. Psychological Medicine, 25, 231–46Google Scholar
(1992). Quality of attachment in pre-school years. Development and Psychopathology, 4, 209–42Google Scholar
& (2002). Effects of marital conflict on children: recent advances and emerging themes in process-orientated research. Journal of Child Psychology and Psychiatry, 43, 31–64Google Scholar
, & (1991). Maternal representations of attachment during pregnancy predict the organisation of infant–mother attachment at age one. Child Development, 62, 891–905Google Scholar
, , et al. (1996). The relation of attachment status, psychiatric classification and response to psychotherapy. Journal of Consulting and Clinical Psychology, 64, 22–31Google Scholar
Gorrel Barnes, G. (1996). The mentally ill parent and the family system. In Parental Psychiatric Disorder: Distressed Parents and their Families, ed. M. Göpfert, J. Webster & M. V. Seeman, pp. 42–59. Cambridge: Cambridge University Press
, , , & (1991). The neuropsychology of schizophrenia. Behavioural and Brain Sciences, 14, 1–84Google Scholar
Hall, A. (1996). Parental psychiatric disorder and the developing child. In Parental Psychiatric Disorder: Distressed Parents and their Families, ed. M. Göpfert, J. Webster & M. V. Seeman, pp. 17–41. Cambridge: Cambridge University Press
, & (1990). Loss of parent in childhood and adult psychiatric disorder: a tentative overall model. Development and Psychopathology, 2, 311–27Google Scholar
, , et al. (2001). Child sexual abuse, poor parental care and adult depression: evidence for different mechanisms. British Journal of Psychiatry, 179, 104–9Google Scholar
, , et al. (2001). Verbal self-monitoring and auditory verbal hallucinations in patients with schizophrenia. Psychological Medicine, 31, 705–15Google Scholar
& (1995). Autobiographical memory functioning in depression and reports of early abuse. Journal of Abnormal Psychology, 104, 585–91Google Scholar
Lyons-Ruth, K. & Jacobvitz, D. (1999). Attachment disorganisation: unresolved loss, relational violence, and lapses in behavioural and attentional strategies. In Handbook of Attachment: Theory, Research, and Clinical Application, ed. J. Cassidy & P. R. Shaver. New York: Guilford Press
Lyons-Ruth, K., Bronfman, E. & Parsons, E. (1999). Atypical attachment in infancy and early childhood among children at developmental risk. IV. Maternal frightened, frightening, or atypical behavior and disorganized infant attachment patterns. In Atypical Patterns of Infant Attachment: Theory, Research and Current Directions, ed. J. Vondra & D. Barnett, Vol. 64, pp. 67–96. Monographs of the Society for Research in Child Development
Main, M. & Goldwyn, R. (1984). Adult attachment scoring and classification system. Unpublished manuscript, University of California at Berkley
Main, M. & Hesse, E. (1990). Adult lack of resolution of attachment-related trauma related to infant disorganized/disorientated behaviour in the Ainsworth Strange Situation: linking parental states of mind to infant behaviour in a stressful situation. In Attachment in the Pre-school Years: Theory, Research and Intervention, ed. M. T. Greenberg, D. Cicchetti & M. Cummings pp. 339–426. Chicago: University of Chicago Press
& (1998). Annotation: implications of violence between intimate partners for child psychologists and psychiatrists. Journal of Child Psychology and Psychiatry, 39, 137–44Google Scholar
(1992). The impact of post-natal depression on infant development. Journal of Child Psychology and Psychiatry, 33, 543–61Google Scholar
, , , & (1994). Personality disorder and the mental representation of early social experience. Development and Psychopathology, 6, 375–88Google Scholar
, , & (1993). Partners, peers, and pathways: assortative pairing and continuities in conduct disorder. Development and Psychopathology, 5, 763–83Google Scholar
, & (1990). The fate of early experience following developmental change: longitudinal approaches to individual adaptation in childhood. Child Development, 61, 1363–73Google Scholar
Stern, D. (1985). The Interpersonal World of the Infant. New York: Basic Books
(1991). The person with delusions. British Journal of Psychiatry, 159 (Suppl. 14), 57–61Google Scholar
, , , & (2001). Attachment stability and emotional and behavioural regulation from infancy to pre-school age. Development and Psychopathology, 13, 13–34Google Scholar
& (1999). Marital conflict management skills, parenting style, and early-onset conduct problems: processes and pathways. Journal of Child Psychology and Psychiatry, 40, 917–28Google Scholar
, & (2000). Attachment from infancy to early adulthood in a high risk sample: continuity, discontinuity, and their correlates. Child Development, 71, 695–702Google Scholar
Williams, J. M. G. (1996). Autobiographical memory in depression. In Remembering our Past: Studies in Autobiographical Memory, ed. D. Rubin. Cambridge: Cambridge University Press
Winnicott, D. (1956). Primary maternal preoccupation. In Through Paediatrics to Psychoanalyses. (Reprinted 1992.) Carnac Books
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