HEALTH AND DEPRIVATION: Inequality and the north

More than 200 adult attachment representation studies, presenting more than 10,500 Adult Attachment Interview (AAI; George, Kaplan, & Main, 1985) classifications, have been conducted in the past 25 years. In a series of analyses on the distributions of the AAI classifications in various cultural and age groups, fathers, and high-risk and clinical samples, we used the distribution of the combined samples of North American non-clinical mothers (23% dismissing, 58% secure, 19% preoccupied attachment representations, and 18% additionally coded for unresolved loss or other trauma) to examine deviations from this normative pattern, through multinomial tests and analyses of correspondence. The analyses were restricted to AAI classifications coded according to the Main, Goldwyn, and Hesse (2003) system. We did not find gender differences in the use of dismissing versus preoccupied attachment strategies, and the AAI distributions were largely independent of language and country of origin. Clinical subjects showed more insecure and unresolved attachment representations than the norm groups. Disorders with an internalizing dimension (e.g., borderline personality disorders) were associated with more preoccupied and unresolved attachments, whereas disorders with an externalizing dimension (e.g., antisocial personality disorders) displayed more dismissing as well as preoccupied attachments. Depressive symptomatology was associated with insecurity but not with unresolved loss or trauma, whereas adults with abuse experiences or PTSD were mostly unresolved. In order to find more reliable associations with clinical symptoms and disorders, future AAI studies may make more fruitful use of continuous AAI scales in addition to the conventionally used categorical classifications.

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The first 10,000 Adult Attachment Interviews: distributions of adult attachment representations in clinical and non-clinical groups.

Health impact assessment of active transportation: A systematic review

Researchers have used J. Bowlby's (1969/1982, 1973, 1980, 1988) attachment theory frequently as a basis for examining whether experiences in close personal relationships relate to the processing of social information across childhood, adolescence, and adulthood. We present an integrative life-span-encompassing theoretical model to explain the patterns of results that have emerged from these studies. The central proposition is that individuals who possess secure experience-based internal working models of attachment will process--in a relatively open manner--a broad range of positive and negative attachment-relevant social information. Moreover, secure individuals will draw on their positive attachment-related knowledge to process this information in a positively biased schematic way. In contrast, individuals who possess insecure internal working models of attachment will process attachment-relevant social information in one of two ways, depending on whether the information could cause the individual psychological pain. If processing the information is likely to lead to psychological pain, insecure individuals will defensively exclude this information from further processing. If, however, the information is unlikely to lead to psychological pain, then insecure individuals will process this information in a negatively biased schematic fashion that is congruent with their negative attachment-related experiences. In a comprehensive literature review, we describe studies that illustrate these patterns of attachment-related information processing from childhood to adulthood. This review focuses on studies that have examined specific components (e.g., attention and memory) and broader aspects (e.g., attributions) of social information processing. We also provide general conclusions and suggestions for future research.

Attachment and the processing of social information across the life span: theory and evidence.

Mentalizing-the capacity to understand others' and one's own behavior in terms of mental states-is a defining human social and psychological achievement. It involves a complex and demanding spectrum of capacities that are susceptible to different strengths, weakness, and failings; personality disorders are often associated with severe and consistent mentalizing difficulties (Fonagy & Bateman, 2008). In this article, we will argue for the role of mentalizing in the therapeutic relationship, suggesting that although mentalization-based treatment may be a specific and particular form of practice, the "mentalizing therapist" is a universal constituent of effective psychotherapeutic interventions.

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The role of mentalizing and epistemic trust in the therapeutic relationship.

In a longitudinal study of attachment, children (N = 147) aged 50 and 61 months heard their mother and a stranger make conflicting claims. In 2 tasks, the available perceptual cues were equally consistent with either person's claim but children generally accepted the mother's claims over those of the stranger. In a 3rd task, the perceptual cues favored the stranger's claims, and children generally accepted her claims over those of the mother. However, children's pattern of responding varied by attachment status. The strategy of relying on the mother or the stranger, depending on the available perceptual cues, was especially evident among secure children. Insecure-avoidant children displayed less reliance on their mother's claims, irrespective of the available cues, whereas insecure-resistant children displayed more.

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Young children's trust in their mother's claims: longitudinal links with attachment security in infancy.

Antenatal attachment representations (Adult Attachment Interview classification and reflective function score) were assessed in 25 couples and 3 solo mothers. Infant-parent interaction was observed separately for mothers (N = 21) and fathers (N = 17) at 6 months postpartum, from which measures of parents' ability to comment accurately on their infants' internal states (mind-mindedness) were obtained. Infant-parent attachment security was assessed at 12 (mother, N = 18) and 15 (father, N = 15) months. Autonomous parental Adult Attachment Interview classification, higher reflective function, and infant-parent attachment security were associated with greater mind-mindedness, with effects stronger for fathers than for mothers. A preliminary longitudinal analysis suggested that parental mind-mindedness may help explain intergenerational transfer of attachment security.

Links among antenatal attachment representations, postnatal mind–mindedness, and infant attachment security: A preliminary study of mothers and fathers

Background: Repetitive behaviours are an essential part of the diagnosis of autism but are also commonly seen in typically developing children. The current study investigated the frequency and factor structure of repetitive behaviours in a large community sample of 2-year-olds.

Methods:  A new measure, the Repetitive Behaviour Questionnaire (RBQ-2) was completed by 679 parents.

Results:  The RBQ-2 had good psychometric properties. A four-factor model provided the best fit for the data, accounting for 51% of the variance, and suggested 4 sub-scales: unusual sensory interests, repetitive motor movements, rigidity/adherence to routine and preoccupations with restricted patterns of interest. These sub-scales closely resembled repetitive behaviour subtypes within the ICD-10 criteria for autism. Repetitive behaviours of every type were frequently reported. Higher scores were found for all children, and especially boys, on the subscale relating to preoccupations with restricted patterns of interests.

Conclusion:  The results support the proposal that repetitive behaviours represent a continuum of functioning that extends to the typically developing child population.

Repetitive behaviours in typically developing 2‐year‐olds

Relations among indices of maternal mind-mindedness (appropriate and nonattuned mind-related comments) and children's: (a) internal state vocabulary and perspectival symbolic play at 26 months (N = 206), and (b) theory of mind (ToM) at 51 months (n = 161) were investigated. Appropriate comments were positively associated with ToM, but were unrelated to internal state language and perspectival symbolic play. Nonattuned comments were negatively correlated with internal state language and perspectival symbolic play, but were unrelated to ToM. Path analyses indicated that the best fit model assumed: (a) indirect links between nonattuned comments and ToM via children's perspectival symbolic play, (b) a direct link between appropriate comments and ToM, and (c) an indirect link between appropriate comments and ToM via children's concurrent receptive verbal ability.

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Mind-mindedness and theory of mind: Mediating roles of language and perspectival symbolic play

In a socially diverse sample of 206 infant–mother pairs, we investigated predictors of infants’ attachment security at 15 months, with a particular emphasis on mothers’ tendency to comment appropriately or in a non-attuned manner on their 8-month-olds’ internal states (so-called mind-mindedness). Multinomial logistic regression analyses showed that higher scores for appropriate mind-related comments and lower scores for non-attuned mind-related comments distinguished secure-group mothers from their counterparts in the insecure-avoidant, insecure-resistant, and insecure-disorganized groups. Higher scores for appropriate mind-related comments and lower scores for non-attuned mind-related comments also independently predicted dichotomous organized/disorganized attachment. General maternal sensitivity predicted neither attachment security nor organization, although sensitivity was found to relate to dichotomous secure/insecure attachment specifically in the context of low socioeconomic status. The findings highlight how appropriate and non-attuned mind-related comments make independent contributions to attachment and suggest that mind-mindedness is best characterized as a multidimensional construct.

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Mind-Mindedness as a Multidimensional Construct: Appropriate and Nonattuned Mind-Related Comments Independently Predict Infant-Mother Attachment in a Socially Diverse Sample.

Bronia Arnott

Papers

Young children's trust in their mother's claims: longitudinal links with attachment security in infancy.

Links among antenatal attachment representations, postnatal mind–mindedness, and infant attachment security: A preliminary study of mothers and fathers

Repetitive behaviours in typically developing 2‐year‐olds

Mind-mindedness and theory of mind: Mediating roles of language and perspectival symbolic play

Mind-Mindedness as a Multidimensional Construct: Appropriate and Nonattuned Mind-Related Comments Independently Predict Infant-Mother Attachment in a Socially Diverse Sample.