School Refusal

What is the definition of attachment? If you look it up in a dictionary it explains that it is ‘an emotional bond between an infant or toddler and primary caregiver, a strong bond being vital for the child’s normal behavioural and social development’. That strong bond between infant and caregiver is believed to happen between the ages of 6-8 months although Bowlby (1958) suggests that the infants are born into this world pre-programmed to form attachments, they have innate behaviours in the way of crying, smiling, crawling and cooing which will stimulate attention and comforting responses from the caregivers. These behaviours are called social releasers. Kagan et al (1978)

Mary Ainsworth is known for her ‘Strange Situation’ (Custance 2010) studies with children. Her theory was that the quality of an infant’s attachment depends largely on the kind of attention the infant has received. She observed the attachment styles of children, mostly aged between 12 and 24 months, by placing them in an environment and recording their reactions to their mothers (or primary caregivers) leaving the room and then returning. Based on these observations Ainsworth concluded that there are different types of attachment. Three types of attachment are: ‘anxious-avoidant’, where the child shows little upset with the stranger, but will avoid contact with the parent on their return. The ‘securely attached’ child is one that will show moderate levels of proximity seeking towards the parents and is upset by their departure but deals with the parents return positively, often returning to play. The third type is the ‘anxious-resistant’ child; greatly upset by the parent’s departure and on reunion seems angry and will not be comforted or picked up (Custance 2010).

Infant attachment is the first relationship a child experiences and is crucial to the child’s survival (BOOK). A mother’s response to her child will yield either a secure bond or insecurity with the infant. Parents who respond “more sensitively and responsively to the child’s distress” establish a secure bond faster than “parents of insecure children”. (Attachment and Emotion, page 475) The quality of the attachment has “profound implications for the child’s feelings of security and capacity to form trusting relationships” (Book). Simply stated, a positive early attachment will likely yield positive physical, socio-emotional, and cognitive development for the child. (BOOK)

Attachment is described as an "affectionate reciprocal relationship between an individual and another individual." Much psychological research has been carried out into the types of attachments that infants form with their caregivers, and the results gained from these studies show how early attachments can affect children whether positively or negatively.

Although secure attachment during infancy is the foundation for continued healthy positive development during the lifespan, it is important to understand that other factors can have a significant effect on development later in life (i.e. illness, loss, and trauma). However, research has shown the importance of consistent care giving that is responsive and nurturing and the caregivers’ ability to effectively accommodate more difficult temperament characteristics ,as well as other factors, influence the development of healthy attachment{{64 Bakermans-Kranenburg, Marian 2003}}. Research has also shown that infancy and early childhood is the period of development where scaffolding begins and continues (Vygotsky, 1978; Zhao & Orey,1999).

Attachment is a term used to describe the dependency relationship a child develops towards his or her primary caregivers. It is first observable during the latter half of the first year of life and develops progressively over the first four years of life. It is most readily observed in the behavior of children when they are sick, injured, tired, anxious, hungry or thirsty. Although early attachment research focused on the mother and infant, it is now generally accepted that children develop multiple attachment relationships. An ‘attachment figure’ is defined as someone who provides physical and emotional care has continuity and consistency in the child’s life, and who has an emotional investment in the child’s life. This can include parents (biological, foster, adopted), grandparents, siblings, aunts and uncles, and alternate caregivers (e.g. child-care workers). Given that children are able to form multiple attachments, the question has been asked as to which attachment relationship is most influential on children’s developmental outcomes.

The concept of infant-mother attachment is as important to the child as the birth itself. The effect this relationship has on a child shall affect that child for its entire life. A secure attachment to the mother or a primary caregiver is imperative for a child’s development. Ainsworth’s study shows that a mother is responsive to her infant’s behavioral cues which will develop into a strong infant-mother attachment. This will result in a child who can easily, without stress, be separated from his mother and without any anxiety. Of course the study shows a child with a weak infant-mother relationship will lead to mistrust, anxiety, and will never really be that close with the mother. Without the

An infant with a secure attachment style has a natural bond with their parent, where they are able to trust them, at the same time leaving their side to discover and explore their surroundings. In an insecure/resistant attachment the relationship the child has with their mother or caregiver is very clingy, thus making them very upset once the caregiver is away. When the mother or caregiver is back they are not easily comforted and resist their effort in comforting them. In an insecure/avoidant attachment the infant is, “indifferent and seems to avoid the mother, they are as easily comforted by a stranger, as by their parent” (Siegler 2011, p.429). Lastly, the disorganized/disoriented attachment is another insecure attachment style in which the infant has no way of coping with stress making their behavior confusing or contradictory. Through these brief descriptions of the attachment theory, many researchers have defined the turning point in which each attachment definition can have an influence on one’s self esteem, well-being and their marital relationship.

John Bowlby, who originally developed the theory of attachment, describes it as a “lasting psychological connectedness between human beings” (Somerville, 2009). Furthermore, there are four main characteristic of infant attachment, proximity maintenance, safe haven, secure base, and separation distress. Proximity maintenance is the desire to stay close to the people we have formed an attachment. Safe haven refers to the action of returning to the attachment figure for comfort and safety when danger or fear is present. A secure base is a place where the attachment figure acts as a base of security from which a child can explore the surrounding world. Separation distress is the anxiety that occurs when the attachment figure is absent (Cherry, 2011).

John Bowlby (1969) used the word “attachment” to explain the deep-rooted bonds that develop between children and their primary caregivers. Mother–infant attachment refers primarily to the lasting bonds between an infant and his or her mother (Bowlby, 1969). During this process an infant selectively seeks his or her mother when anxious in an effort to create a “secure base” while achieving comfort and feelings of safety.

Attachments are intrinsic to a child’s development both in the short term and for the duration of their lives. Infants have an innate need to develop an attachment with their mother to ensure their survival and are equipped with evolutionary characteristics called social releasers; physical social releasers such as large eyes and a small chin are found to be more aesthetically pleasing to the parents so they are more likely to care for them and behavioural social releasers for example, crying; very young infants typically only cry if they 're hungry, cold or in pain (Gross 2015 p535) this alerts the parents to an infants immediate need. At around 7 or 8 months of age children begin to make specific attachments for reasons other than survival, children display proximity maintaining behaviour normally with the mother,

By responding with care and comfort, this enables for an “attachment bond” to form between the infant and caregiver, most commonly the mother (White et al., 2013). Following on from Bowlby’s theory, Mary Ainsworth investigated the theory of attachment through observing the reactions of infants when their mothers left them alone with strangers. The investigation was named as the “Ainsworth’s strange situation assessment” (White et al., 2013). It was discovered through this investigation that infants who had secure attachments with their mothers were upset when separated and were easily soothed when the mother returns. This investigation implies that infants with secure attachment to their mothers show signs of normal social development.

In the first few months of life, the sole purpose of any child’s behaviour is to survive. This, more often than not, results in actions that reduce the risk of harm and increase the chances of longevity. Of these behaviours, some argue that the most influential is attachment behaviour. “Attachment behaviour is any form of behaviour that results in a person attaining or maintaining proximity to some other clearly identified individual who is conceived as better able to cope with the world”(Bowlby, 1982). Therefore, children will make an effort to stay close to and under the protection of their primary caregiver. According to Webster, “through interactions with their primary caregiver, the child develops expectations and understandings about the workings of relationships. These mental representations of relationships become internalized to the degree that they influence feelings, thought and behaviour automatically and unconsciously” (1999, p.6). Moreover, the response of the identified individual plays a huge role in the child’s perception of the outside world. If the caregiver responds to the child’s needs in a caring and protective manner, the child will feel safe and comfortable in his or her surroundings. If, on the other hand, the caregiver is often emotionally and/or physically unavailable, the child is likely to

SAD is one of the most commonly diagnosed anxiety disorders among children. It is completely normal for adolescents, especially in very young adolescents, to experience some degree of separation anxiety. In comparison, separation anxiety disorder is excessive worry or anxiety that goes beyond the expected amount for the child's developmental level. SAD is characterized by excessive anxiety concerning separation from home or from those to whom a child is attached. While some tend to believe that this anxiety disorder is more common among females than males, it has been determined that SAD occurs at approximately the same rate in males and females (Eisen & Schaefer, 2005). Separation Anxiety Disorder is not permanent. It can be cured; however children with SAD are at higher risk for the development of other anxiety disorders and depression not only in adolescence, but in adulthood as well. Studies have shown that children who are diagnosed with SAD are much more likely to have are much more likely to develop panic disorder, bipolar disorder, attention deficit hyperactivity disorder and several others later in life. Studies have also shown that children diagnosed with SAD have similar symptoms that occur among them. Primary symptoms include excessive worry about potential harm to self or major attachment figures, frequent nightmares about separation, physical ailments such as nausea, headaches, stomach pains, as well as

Attachment theory is a concept that explores the importance of attachment in respect to direct development. “It is a deep and enduring emotional bond that connects one person to another across time and space” (Bowlby, 1969; McLeod, 2009). It is the relationship that develops within the first year of the infant’s life between them and their caregiver. The theory also relates to the quality of the attachment that is shown in the behavior of the infant (Rieser-Danner, 2016). Attachment theory shows that infants need a close nurturing relationship with their caregiver in order to have a healthy relationship. Lack of response from the caregiver