Attachment



Attachment








Attachment, the special bonding between an infant and usually the mother that develops in the first 6 months of life, is generally accepted as the foundation of social development. Attachment figures are secure bases that encourage infants to explore their environments but remain reliable retreats when stress and uncertainty appear. Infants who develop a secure attachment to their mother have the willingness and confidence to seek out future relationships. Table 29-1 presents the developmental stages of attachment.



THE NATURE OF ATTACHMENT

John Bowlby (1969) and his colleagues observed a number of young children aged 15 to 30 months who not only were separated from their mothers, but also for weeks or months were cared for in hospitals or nurseries where they had no mother substitute. A predictable sequence of behaviors followed:


1. Protest, the first phase, appeared immediately and persisted for about 1 week. Loud crying, extreme restlessness, and rejection of all adult figures marked an infant’s distress.








Table 29-1 The Development of Attachment





































Age


Characteristics


Behavior


4 months


Perceptual discrimination, visual tracking of mother


Smiles and vocalizes more with mother than anyone else; shows distress at separation


9 months


Separation anxiety; stranger anxiety


Cries when mother leaves; clings at appearance of strangers


2-3 years


Intensity and frequency of attachment behavior remain constant


Notices impending departure, indicating a better understanding of surrounding world


3-4 years


Growing confidence, tendency to feel secure in a strange place with subordinate attachment figures (relatives)


Begins to accept mother’s temporary absence; plays with other children


4-10 years


Less-intense attachment behavior, but still strong


May hold parent’s hand while walking; anything unexpected causes child to turn to parent


Adolescence


Weakening attachment to parents; peers and other adults become important


Becomes attached to groups and group members


Adult


Attachment bond still discernible


In troubled times, adults turn to trusted friends; elderly direct attention toward younger generation


Source: Adapted from Bowlby, J. (1982). Attachment and loss. Am J Orthopsychiatry 52:664-678. Reprinted with permission from the American Journal of Orthopsychiatry. Copyright © 1982 by the American Orthopsychiatry Association, Inc.

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Oct 17, 2016 | Posted by in NURSING | Comments Off on Attachment

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