preview

Attachment Problems

Decent Essays

Attachment problems can be caused by several different factors and it may actually be difficult to assess causality in some cases where the client history is incomplete or contradictory in places depending on the source. Ainsworth (1992) aptly summarized the attachment equation. First babies of sensitive mothers were more likely to be securely attached, while those who had less sensitive mothers were more likely to be insecurely attached. These insecurely attached children had more difficulty forming new skills and interests because of their lack of a secure base from which to work. Psychosocial factors that could contribute to attachment problems in childhood include problems with the infant, including a difficult temperament or physical …show more content…

These items may display themselves differently in different children, but certain symptoms are indicative that a there may be an attachment problem. According to the Attachment Disorder Quick Fact Sheet (2014), interpersonal problems may include: lack of trust in caregivers, resistance to nurturance, difficulty giving and receiving genuine affection, inability to interpret facial expressions and body cues, and consequent poor social skills. Emotional issues may include: problems with emotional self-reflection; problems recognizing the emotions of others, poor emotional regulation and problems with low self-esteem. Behaviors exhibited may include demanding, clingy, and over-controlling behavior; incessant chatter; temper tantrums; problems with self-control; regressed behavior; behavior that may mimic oppositional defiant disorder; and impulsivity. Cognitive and moral issues may include: a poor grasp of cause and effect; problems with self-reflection, abstract thinking, compassion, empathy and remorse; and uneven learning that may be exhibited through concentration problems in …show more content…

A full physical, mental, and social history of the family, and the child, should be taken with careful attention paid to any trauma that may have occurred to the parent(s), the child, or the family as a whole and any history of substance abuse within the family or those with whom the child had frequent contact. Questions should be asked about the beginnings of the symptoms, however, in some situations the family may be a foster or adoptive family that is trying to figure out the behavior of a child and has never seen any different behavior from the child and may not have a full history of them. When possible, physicians, former caretakers, former caseworkers, and others who might know the child’s history in the case of a foster or adopted child should be contacted and as much information should be gathered as possible. A Marschak Interaction Method Behavior Rating System may be useful here, for the current caretaker and child, if there is a trained clinician available to observe the mother-child dyad and complete the assessment. It has been observed that high parental stress may inhibit ideal parent-child interactions as well (McKay, Pickens, & Stewart, 1996) and because of this the clinician may want to provide an assessment to the parent(s) that evaluates this such as the Parenting Stress

Get Access