Nina Koren-Karie

Shedding further light on the effects of various types and quality of Early Child Care on infant-mother attachment relationship The Haifa Study of Early Child Care

The Haifa Study of Early Child Care recruited a large-scale sample (N = 758) that represented the full SES spectrum in Israel, to examine the unique contribution of various child-care-related correlates to infant attachment. After controlling for other potential contributing variables--including mother characteristics, mother-child interaction, mother-father relationship, infant characteristics and development, and the environment--this study found that center-care, in and of itself, adversely increased the likelihood of infants developing insecure attachment to their mothers as compared with infants who were either in maternal care, individual nonparental care with a relative, individual nonparental care with a paid caregiver, or family day-care. The results suggest that it is the poor quality of center-care and the high infant-caregiver ratio that accounted for this increased level of attachment insecurity among center-care infants.

Mothers’ empathic understanding of their preschoolers’ internal experience: Relations with early attachment

This study examined the links between mothers’ empathic understanding of their preschoolers’ internal experience and early infant-mother attachment. The empathic understanding of 118 mothers of 4.5-year-olds was assessed by showing them three videotaped segments of observations of their children and themselves and interviewing them regarding their children’s and their own thoughts and feelings. Interviews were rated and then classi” ed into one empathic and three nonempathic categories, and mothers’ misperceptions of the observations were coded as well. Infant-mother attachment classifications obtained using the Strange Situation when infants were 12 months old were also available. Results showed associations between mothers’ empathic understanding classifications and children’s attachment classifications as well as differences between mothers of secure and insecure children on one of the two interview composite scores. Also, mothers of insecurely attached children had more misperceptions than those of securely attached children. The contributions of this study to the work on mothers’ representations of their children are discussed.

Maternal Insightfulness and Resolution of the Diagnosis Are Associated with Secure Attachment in Preschoolers with Autism Spectrum Disorders.

In the current study (a) maternal insightfulness into the experience of the child and (b) resolution with respect to the childs diagnosis and their associations with childrens security of attachment were examined in a sample of 45 preschoolers (mean age = 49 months) with autism spectrum disorders (ASD). It was hypothesized that mothers who were insightful and resolved would be more likely to have securely attached children than mothers who were neither insightful nor resolved. The findings supported this hypothesis. The implications of insightfulness and resolution for child attachment in the context of ASD are discussed.

Ecological Constraints for Intergenerational Transmission of Attachment

To determine whether the transmission of attachment across generations is free from contextual constraints, adult attachment representations were assessed in two kibbutz settings, home-based and communal sleeping. It was hypothesised that under extreme child-rearing circumstances, such as the communal sleeping arrangement, the transmission of attachment is not evident, whereas in the more regular home-based environment the expected transmission of attachment will be found. The participants were 45 mothers and 45 infants, about equal numbers of boys and girls, from 20 kibbutz infant houses with communal sleeping arrangements, and from 25 kibbutz infant houses with home-based sleeping arrangements. Mothers were administered the Adult Attachment Interview (AAI), and infants were assessed through the Ainsworth Strange Situation. Among the home-based pairs, a correspondence of 76% was found between AAI and Strange Situation classifications, whereas the correspondence was only 40% in the communal sleeping group. It is argued that living in a communal sleeping arrangement reduces the expected transmission of attachment.

Ecological constraints on the formation of infant–mother attachment relations: When maternal sensitivity becomes ineffective

Abstract This study investigated in a sample of infants and mothers that represented the full SES spectrum in Israel ( n =704) the hypothesis that low quality non-maternal care imposes ecological constraints on infant–mother attachment formation by moderating the relations between maternal sensitivity and infant attachment security. Infant attachment to mother was assessed with the Strange Situation Procedure (SSP) [Patterns of Attachment: A Psychological Study of the Strange Situation, Erlbaum, Hillsdale, NJ, 1978] and maternal sensitivity was assessed with the Emotional Availability Scales [The Emotional Availability Scales, Unpublished manuscript, University of Colorado, Health Science Center, Denver, 1993]. Results show that the expected links between maternal sensitivity and infant attachment security were found only for infants in individual care but not for infants in daycare centers, which were of low quality. The findings suggest that extensive exposure to difficult environments of non-maternal care constrains infants’ relations with their mothers by moderating the associations between maternal sensitive caregiving and infants’ attachment security.

Primary Appraisal of the Strange Situation A Cross-Cultural Analysis of Preseparation Episodes

Studies in various countries–among them Germany, Holland, Israel, Japan, Sweden, and the United States–have reported Strange Situation distributions that differ markedly across and within cultures, thus raising doubts as to whether infant behavior in the Strange Situation can be regarded as a valid index of the security of attachment, at least in a cross-cultural context. It is proposed here that a fuller understanding of infant behavior in the Strange Situation requires an assessment of what Connell and Goldsmith (1982) have referred to as the infants primary appraisal of this procedure. A crossnational comparison of data from seven laboratories ( N = 498) was carried out in order to determine (a) whether the preseparation episodes made any difference in attachment classifications and (b) whether infant behavior in different countries was indeed the same before separation from the mother. Furthermore, procedural variations have been taken into account. Using multivariate discriminant function techniques, information obtained during preseparation episodes was found to discriminate between attachment classifications. At the same time, however, in a series of multivariate analyses of variance, a relatively small number of cross-cultural differences in preseparation behavior were found. With the exception of the Israeli kibbutz and Swedish infants, our data suggest that infants in different countries make similar primary appraisals of the Strange Situation.

Reactive attachment disorder in maltreated twins follow-up: From 18 months to 8 years

Abstract The best means for the diagnosis and treatment of reactive attachment disorder of infancy and early childhood have not been established. Though some longitudinal data on institutionalized children is available, reports of maltreated young children who are followed over time and assessed with measures of attachment are lacking. This paper presents the clinical course of a set of maltreated fraternal twins who were assessed and treated from 19 months to 30 months of age and then seen in follow-up at 3 and 8 years of age. A summary of the early assessment and course is provided and findings from follow-up assessments of the cognitive, behavioral, and interpersonal functioning of each child is analysed. Follow-up measures, chosen to capture social-cognitive processing of these children from an attachment perspective, are highlighted. Finally, findings from the case are discussed from nosological and theoretical perspectives.

The insightfulness assessment: measuring the internal processes underlying maternal sensitivity

In her description of sensitive mothers, Ainsworth described not only maternal behaviors but also the internal processes underlying such behavior, including the capacity to “see things from the child’s point of view”. Ainsworth assessed this capacity from her extensive observations of mothers interacting with their infants, from records of mothers’ talk to the babies, and from brief interviews about their babies. Attachment researchers following Ainsworth focused primarily on observations of maternal sensitive behavior, however, and the processes underlying such behavior were mostly inferred from the mothers’ behavior. The Insightfulness Assessment (IA), a video replay procedure in which mothers are interviewed regarding their children’s thoughts and feelings after they watch brief video clips of their children, was developed to assess systematically and directly the mother’s ability to take the child’s perspective. This paper uses examples from the IA to show how it captures many of the internal processes underlying caregiving behavior which Ainsworth described. Data supporting the IA’s validity is reviewed, which suggest that the IA can complement observations of mothers’ caregiving behavior in order to obtain a more comprehensive assessment of maternal sensitivity.

Attachment and symbolic play in preschoolers with autism spectrum disorders.

The association between attachment and symbolic play was examined in a sample of 45 preschool age boys with autism spectrum disorders. Attachment was assessed using the strange situation procedure, and the frequency, duration, diversity and complexity of child-initiated symbolic play was assessed from observations of mother–child interactions during free play and doll play. We hypothesized that children with secure attachments will score higher on measures of symbolic play compared to children with insecure attachments, and that children with organized attachments will also score higher on measures of symbolic play compared to children with disorganized attachments. Only the second hypothesis received support, and the reasons for this, as well as the implications of the findings for attachment theory, are discussed.

Failed mourning in the Adult Attachment Interview: The case of Holocaust child survivors

In the present study attachment theory was used as a conceptual framework to investigate the long-term effects of the Holocaust on child survivors. Child survivors who as children lost both mothers and fathers as a result of the Holocaust (N=48), were administered the Adult Attachment Interview (AAI) in their late adulthood. They were expected to display enduring disorganization from their horrible experiences with loss of attachment figures, and indeed the results confirmed the lasting effects of the Holocaust on the survivors who displayed a very high rate of unresolved loss (U; 42%). At the same time, however, a number of child survivors (n=4) displayed clear markers of failed mourning that might be seen as another alternative to unsatisfactory completion of the mourning process (integral part of the traditional U-category). Such markers were never discussed in length by the traditional coding system of the AAI. The implications of viewing failed mourning as part of unresolved loss are discussed.