Hostname: page-component-78c5997874-8bhkd Total loading time: 0 Render date: 2024-11-10T15:18:17.885Z Has data issue: false hasContentIssue false

Attachment and Children with Disabilities: Knowledge and Views of Early Intervention Professionals

Published online by Cambridge University Press:  27 September 2018

Stacey L. Alexander*
Affiliation:
Department of Social Work and Social Policy, La Trobe University, Melbourne, Australia
Margarita Frederico
Affiliation:
Department of Social Work and Social Policy, La Trobe University, Melbourne, Australia
Maureen Long
Affiliation:
Department of Social Work and Social Policy, La Trobe University, Melbourne, Australia
*
address for correspondence: Stacey Alexander, Department of Social Work and Social Policy, La Trobe University, Melbourne, Victoria, 3086. E-mail: S.Alexander@latrobe.edu.au

Abstract

The parent–child bond known as attachment plays a pivotal role in the development and wellbeing of all young children. While research indicates that there are challenges for children with a disability in developing a secure attachment, little is known about early childhood intervention (ECI) professionals’ knowledge of attachment, how they view its importance in their work, and how they translate this knowledge into practice. To address this gap in research, a questionnaire was developed and administered to ECI professionals at an Australian ECI organisation. Qualitative analysis of results (N = 49) revealed an overall understanding of the role of attachment in child development and indicated that ECI professionals perceive attachment as being very important in their role of enhancing children's learning and wellbeing. Importantly, it emerged that less than half the participants learnt about attachment in their undergraduate training, with most learning about it ‘on the job’ and just over half the respondents felt comfortable in addressing attachment concerns with families. Some families are thus left at risk of being inadequately supported to manage attachment problems. Participants identified a desire for further training. This exploratory study has implications for orientation, training, practice, and further research.

Type
Articles
Copyright
Copyright © The Author(s) 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Salter Ainsworth, M. (1985). Patterns of infant-mother attachments: Antecedents and effects on development. Bulletin of the New York Academy of Medicine, 61 (9). Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1911899/Google Scholar
Atkinson, L., Paglia, A., Coolbear, J., Niccols, A., Parker, K., & Guger, S. (2000). Attachment security: A meta-analysis of maternal mental health correlates. Clinical Psychology Review, 20 (8), 10191040. doi:10.1016/S0272-7358(99)00023-9.Google Scholar
Australian Bureau of Statistics. (2008). Families with a young child with a disability. Retrieved from http://www.abs.gov.au/AUSSTAS/abs@.nsf/Lookup/4102.0Chapter4002008.Google Scholar
Australian Childhood Foundation. Retrieved from https://www.childhood.org.au.Google Scholar
Baker, B., McIntyre, L., Blacher, J., Crnic, K., Edelbrock, C., & Low, C. (2003). Pre-school children with and without developmental delay: Behaviour problems and parenting stress over time. Journal of Intellectual Disability Research, 47 (4–5), 217230. doi:10.1046/j.1365-2788.2003.00484.x.Google Scholar
Beebe, B., Jaffe, J., Markese, S., Buck, K., Chen, H., Cohen, P., . . . Feldstein, S. (2010). The origins of 12-month attachment: A microanalysis of 4-month mother–infant interaction. Attachment & Human Development, 12 (1–2), 3141. doi:10.1080/14616730903338985.Google Scholar
Belsky, J., & Fearon, P. (2002a). Early attachment security, subsequent maternal sensitivity, and later child development: Does continuity in development depend upon continuity of caregiving? Attachment & Human Development, 4 (3), 361387. doi:10.1080/14616730210167267.Google Scholar
Belsky, J., & Fearon, P. (2002b). Infant-mother attachment security, contextual risk, and early development: A moderational analysis. Development and Psychopathology, 14 (2), 293310. doi:10.1017/S0954579402002067.Google Scholar
Bernier, A., Carlson, S., Deschenes, M., & Matte-Gagne, C. (2012). Social factors in the development of early executive functioning: A closer look at the caregiving environment. Developmental Science, 15 (1), 1224. doi:10.1111/j.1467-7687.2011.01093.Google Scholar
Bowlby, J. (1982). Attachment (2nd ed. Vol. 1). New York: Basic Books.Google Scholar
Bowlby, J. (1988). A secure base: Parent-child attachment and healthy human development. New York: Basic Books.Google Scholar
Brown, S. (2010). Likert scale examples for surveys. Retrieved from http://www.extension.iastate.edu/Documents/ANR/LikertScaleExamplesforSurveys.pdf.Google Scholar
Carlson, E., Sampson, M., & Sroufe, L. (2003). Implications of attachment theory and research for developmental-behavioral pediatrics. Developmental and Behavioural Pediatrics, 24 (5), 364379.Google Scholar
Carter, A. S., Messinger, D. S., Stone, W. L., Celimli, S., Nahmias, A. S., & Yoder, P. (2011). A randomized controlled trial of Hanen's ‘More Than Words’ in toddlers with early autism symptoms. Journal of Child Psychology and Psychiatry, 52 (7), 741752. doi:https://doi.org/10.1111/j.1469-7610.2011.02395.xGoogle Scholar
Center on the Developing Child. Retrieved from https://developingchild.harvard.edu.Google Scholar
Charman, T., Ricketts, J., Dockrell, J., Lindsay, G., & Palikara, O. (2015). Emotional and behavioural problems in children with language impairments and children with autism spectrum disorders. International Journal of Language & Communication Disorders, 50 (1), 8493.Google Scholar
Charmaz, K. (2014). Constructing grounded theory (2nd ed.). Dorchester, Great Britain: SAGE.Google Scholar
Clements, M., & Barnett, D. (2002). Parenting and attachment among toddlers with congenital anomalies: Examining the strange situation and attachment Q-sort. Infant Mental Health Journal, 23 (6), 625642. doi:10.1002/imhj.10040Google Scholar
Crawford, T., Cohen, P., Chen, H., Anglin, D., & Ehrensaft, M. (2009). Early maternal separation and the trajectory of borderline personality disorder symptoms. Development and Psychopathology, 21 (3), 10131030. doi:10.1017/S0954579409000546.Google Scholar
Dallaire, D., & Weinraub, M. (2007). Infant-mother attachment security and children's anxiety and aggression at first grade. Journal of Applied Developmental Psychology, 28, 477492. doi:10.1016/j.appdev.2007.06.005.Google Scholar
Early Childhood Intervention Australia. (2016). National Guidelines: Best Practice in Early Childhood Intervention. Retrieved from https://www.ecia.org.au/documents/item/186.Google Scholar
Einfeld, S. L., & Tonge, B. J. (1996). Population prevalence of psychopathology in children and adolescents with intellectual disability: II. Epidemiological findings. Journal of Intellectual Disability Research: JIDR, 40 (Pt 2), 99109.Google Scholar
Emerson, E. (2003). Prevalence of psychiatric disorders in children and adolescents with and without intellectual disability. Journal of Intellectual Disability Research, 47 (1), 5158. doi: https://doi.org/10.1046/j.1365-2788.2003.00464.x.Google Scholar
Fearon, P., Bakermans-Kranenburg, M., van Ijzendoorn, M., Lapsley, A., & Roisman, G. (2010). The significance of insecure attachment and disorganization in the development of children's externalizing behavior: A meta-analytic study. Child Development, 81 (2), 435456. doi:10.1111/j.1467-8624.2009.01405.x.Google Scholar
Fonagy, P., Steele, H., & Steele, M. (1991). Maternal representations of attachment during pregnancy predict the organisation of infant-mother attachment at one year of age. Child Development, 62 (5), 891905.Google Scholar
CREATE Foundation. (2012). Supporting children and young people with a disability living in out-of-home care in Australia. Retrieved from South Brisbane, Queensland: create.org.au/wp-content/uploads/2014/12/03-CREATE-Research-Article_CYP-With-A-Disability-Living-in-OOHC_August-2012.pdf.Google Scholar
Granqvist, P., Sroufe, A., Dozier, M., Hesse, E., Steele, M., Van Ijzendoorn, M., . . . Duschinsky, R. (2017). Disorganized attachment in infancy: A review of the phenomenon and its implications for clinicians and policy-makers. Attachment & Human Development, 1–25. Retrieved from https://doi.org/10.1080/14616734.2017.1354040 doi:10.1080/14616734.2017.1354040.Google Scholar
Groh, A., Fearon, P., Bakermans-Kranenburg, M., Van Ijzendoorn, M., Steele, R., & Roisman, G. (2014). The significance of attachment security for children's social competence with peers: A meta-analytic study. Attachment & Human Development, 16 (2), 103136. doi:10.1080/14616734.2014.883636.Google Scholar
Groh, A., Roisman, G., van Ijzendoorn, M., Bakermans-Kranenburg, M., & Fearon, P. (2012). The significance of insecure and disorganized attachment for children's internalizing symptoms: A meta-analytic study. Child Development, 83 (2), 591610. doi:10.1111/j.1467-8624.2011.01711.x.Google Scholar
Gul, H., Erol, N., Akin, D., Gullu, B., Akcakin, M., Alpas, B., & Oner, O. (2016). Emotional availability in early mother-child interactions for children with autism spectrum disorders, other psychiatric disorders, and developmnetal delay. Infant Mental Health Journal, 37 (2), 151159. doi:10.1002/imhj.21558.Google Scholar
Guralnick, M. (2015). Merging policy perspectives and developmental perspectives in early intervention. Escritos de Psicologia, 8 (2), 613. doi:10.5231/psy.writ.2015.1004.Google Scholar
Hastings, R. (2002). Parental stress and behaviour problems of children with developmental disability. Journal of Intellectual and Developmental Disability, 27 (3), 149160. doi:10.1080/1366825021000008657.Google Scholar
Howe, D. (2006). Disabled children, parent-child interaction and attachment. Child and Family Social Work, 11, 95106.Google Scholar
Innocenti, M., Roggman, L., & Cook, G. (2013). Using the PICCOLO with parents of children with a disability. Infant Mental Health Journal, 34 (4), 307318. doi:10.1002/imhj.21394Google Scholar
John, A., Sheffield Morris, A., & Haliburton, A. (2012). Looking beyond maternal sensitivity: Mother-child correlates of attachment security among children with intellectual disabilities in urban India. Journal of Autism and Developmental Disorders, 42 (11), 23352345. doi:10.1007/s10803-012-1479-y.Google Scholar
Koren-Karie, N., Oppenheim, D., Dolev, S., Sher, E., & Etzion-Carasso, A. (2002). Mother's insightfulness regarding their infants' internal experience: Relations with maternal sensitivity and infant attachment. Developmental Psychology, 38 (4), 534542.Google Scholar
Madigan, S., Atkinson, L., Laurin, K., & Benoit, D. (2013). Attachment and internalizing behavior in early childhood: A meta-analysis. Developmental Psychology, 49 (4), 672689. doi:10.1037/a0028793.Google Scholar
Madigan, S., Bakermans-Kranenburg, M. J., Van Ijzendoorn, M. H., Moran, G., Pederson, D. R., & Benoit, D. (2006). Unresolved states of mind, anomalous parental behavior, and disorganized attachment: A review and meta-analysis of a transmission gap. Attachment & Human Development, 8 (2), 89111. doi:10.1080/14616730600774458Google Scholar
Main, M., & Solomon, J. (1986). Discovery of a new, insecure-disorganized/disoriented attachment pattern. In Brazelton, T. & Yogman, M. (Eds.), Affective development in infancy (pp. 95124). Norwood, New Jersey: Ablex.Google Scholar
Mercer, J. (2015). Examining Circle of Security™: A Review of Research and Theory. Research on Social Work Practice, 25 (3), 382392. doi:10.1177/1049731514536620Google Scholar
Mitchell, D., Hauser-Cram, P., & Crossman, M. (2015). Relationship dimensions of the ‘Down syndrome advantage’. Journal of Intellectual Disability Research, 59 (6), 506518. doi:10.1111/jir.12153.Google Scholar
Moulin, S., Waldfogel, J., & Washbrook, E. (2014). Baby Bonds: Parenting, attachment and a secure base for children. Retrieved from www.suttontrust.com/wp-content/uploads/2014/03/baby-bonds-final.pdf.Google Scholar
Naber, F., Swinkels, S., Buitelaar, J., Bakermans-Kranenburg, M., Ijzendoorn, M., Dietz, C., . . . Engeland, H. (2007). Attachment in toddlers with autism and other developmental disorders. Journal of Autism and Developmental Disorders, 37 (6), 11231138. doi:10.1007/s10803-006-0255-2.Google Scholar
Newby, P. (2014). Research methods for education (2nd ed.). New York: Routledge.Google Scholar
Newland, R., & Crnic, K. (2017). Developmental risk and goodness of fit in the mother-child relationship: Links to parenting stress and children's behaviour problems. Infant and Child Development, 26 (2), 118. Retrieved from doi:10.1002/icd.1980Google Scholar
Oppenheim, D., Koren-Karie, N., Dolev, S., & Yirmiya, N. (2012). Maternal sensitivity mediates the link between maternal insightfulness/resolution and child–mother attachment: The case of children with autism spectrum disorder. Attachment & Human Development, 14 (6), 567584. doi:10.1080/14616734.2012.727256.Google Scholar
Rees, C. (2005). Thinking about children's attachments. Archives of Disease in Childhood, 90 (10), 10581065. doi:10.1136/adc.2004.068650Google Scholar
Richter, L. (2004). The importance of caregiver-child interactions for the survival and healthy development of young children: A review. Geneva: World Health Organization Retrieved from apps.who.int/iris/bitstream/10665/42878/1/924159134X.pdf.Google Scholar
Risdal, D., & Singer, G. (2004). Marital adjustment in parents of children with disabilities: A historical review and meta-analysis. Research and Practice for Persons with Severe Disabilities, 29 (2), 95103. doi:10.2511/rpsd.29.2.95.Google Scholar
Rutgers, A., Bakermans-Kranenburg, M., van IJzendoorn, M., & van Berckelaer-Onnes, I. (2004). Autism and attachment: A meta-analytic review. Journal of Child Psychology and Psychiatry, 45 (6), 11231134.Google Scholar
Saldana, J. (2016). The coding manual for qualitative researchers (Vol. 3rd). Los Angeles: SAGE.Google Scholar
Salter Ainsworth, M., Blehar, M., Waters, E., & Wall, S. (1978). Patterns of attachment: A psychological study of the strange situation. Hillsdale, N.J.: Lawrence Erlbaum Associates.Google Scholar
Sealy, J., & Glovinsky, I. P. (2016). Strengthening the reflective functioning capacities of parents who have a child with a neurodevelopmental disability through a brief, relationship-focused intervention. Infant Mental Health Journal, 37 (2), 115124. doi:https://doi.org/10.1002/imhj.21557Google Scholar
Sloper, T., & Beresford, B. (2006). Families with disabled children. British Medical Journal, 333 (7575), 928. doi:10.1136/bmj.39017.633310.BE.Google Scholar
Sroufe, L. (2005). Attachment and development: A prospective, longitudinal study from birth to adulthood. Attachment and Human Development, 7 (4), 349367.Google Scholar
Sullivan, P., & Knutson, J. (2000). Maltreatment and disabilities: A population-based epidemiological study. Child Abuse & Neglect, 24 (10), 12571273.Google Scholar
Totsika, V., Hastings, R., Emerson, E., Lancaster, G., & Berridge, D. (2011). A population-based investigation of behavioural and emotional problems and maternal mental health: Associations with autism spectrum disorder and intellectual disability. Journal of Child Psychology and Psychiatry, 52 (1), 9199. doi:10.1111/j.1469-7610.2010.02295.x.Google Scholar
Totsika, V., Hastings, R., & Smith, K. (2013). Child behaviour problems and mother's mental health: What is the evidence in the UK population? Retrieved from Network Autism website: network.autism.org.uk/sites/default/files/ckfinder/files/Vaso Totsika Article (1).pdf.Google Scholar
van IJzendoorn, M. (1995). Adult attachment representations, parental responsiveness, and infant attachment: A meta-analysis on the predictive validity of the adult attachment interview. Psychological Bulletin, 117 (3), 387403.Google Scholar
van Ijzendoorn, M., Dijkstra, J., & Bus, A. (1995). Attachment, intelligence, and language: A meta-analysis. Social Development, 4 (2), 115128. doi:10.1111/j.1467-9507.1995.tb00055.x.Google Scholar
van Ijzendoorn, M., & Kroonenberg, P. (1988). Cross-cultural patterns of attachment: A meta-analysis of the strange situation. Child Development, 59 (1), 147156.Google Scholar
van Ijzendoorn, M., Rutgers, A., Bakermans-Kranenburg, M., Swinkels, S., van Daalen, E., Dietz, C., . . . van Engeland, H. (2007). Parental sensitivity and attachment in children with autism spectrum disorder: Comparison with children with mental retardation, with language delays, and with typical development. Child Development, 78 (2), 597608. doi:10.1111/j.1467-8624.2007.01016.xGoogle Scholar
van Ijzendoorn, M., Schuengel, C., & Bakermanskranenburg, M. (1999). Disorganized attachment in early childhood: Meta-analysis of precursors, concomitants, and sequelae. Developmental Psychopathology, 11 (2), 225250.Google Scholar