The Importance of Attachment in Adolescence. Lesley Bell Therapeutic Social Worker
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1 The Importance of Attachment in Adolescence Lesley Bell Therapeutic Social Worker
2 What is Attachment Attachment is a deep and enduring emotional bond that connects one person to another across time and space (Mary Ainsworth, 1973 & John Bowlby, 1969).
3 Security Intersubjective communication Safety Availability Attunement Attachment Neuro Pathways Understanding Responsive Relationships
4 Secure Attachment Related to attuned parenting self reliance & resilience ability to make and keep friends empathy problem solving abilities & intellectual development good communication skills feelings of self worth and self efficacy Psychological and emotional regulation
5 Insecure Attachment Anxious Avoidant - related to cold, emotionally unavailable and distant parenting which elicits feelings of rejection - children often present as self- reliant, controlling and pseudo-adult Anxious Ambivalent - related to inconsistent/ unpredictable parenting - children present as clingy and desperate for adult attention
6 Disorganised Attachment Results from conflicted emotional states within the child when they need safety but their secure base is frightening them (trauma) Fear without solution Main & Hesse (1990) There is no organised strategy that works for the child Child struggles to: self regulate, mistrust, cant understand other s emotions, misinterprets others actions, displays controlling behaviour Can be associated with aggression, anxiety, depression, hyperactivity, behavioural issues Can lead to Reactive Attachment Disorder
7 Attachment and Neuroscience The fight-flight response of the amygdala Stress - increase in cortisol and adrenalin Mirror neurons - co-regulation Bonding hormones - oxytocin vasopressin Role of the pre-frontal cortex in attunement Neuro plasticity - hope
8 Adolescence & Attachment Rapid neurological, cognitive and social changes Secure attachment allows, as it did in infancy, for safe exploration Healthy transition to autonomy and adulthood is facilitated by secure attachment and emotional connectedness to parents Moretti & Peled (2004)
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11 Adolescent Behaviour or Attachment Difficulties? Withdrawn v s Avoids physical contact Argumentative v s Controlling Disobedient v s Conduct Issues Short Temper v s Anger issues Detached v s Little sign of conscience
12 Lewis and his Family Seila Rob (dad) 61 Mags (mum) 58 Lewis 13 Adrian 11 Pat 26 Linda 28
13 Assessment Factors Diagnosis of ADHD Symptoms of FASD (since diagnosed Alcohol related neuro developmental disorder) Aggression towards parents, sibling and peers High levels of anxiety & anxious to be with parents Low mood Need to be in control
14 Unable to maintain friendships Parental physical and mental health difficulties History of trauma and neglect Past and recent Child Protection Issues No contact with birth mother who continues to abuse alcohol Mutual mistrust
15 Systems around the child Team around the child Practice Attachment focused parenting Family work
16 Intervention Ensure supportive systems in place Team - Social Work, Education, Health (CAMHS) & Community Project Attachment focused work with parents Family work Purpose is to build a feeling of connectedness between Lewis and his parents
17 PACE Playfulness - hopefulness, lightness and more spontaneity Acceptance - unconditional acceptance of the child s experience Curiosity - an active, non-judgemental interest in child s experience Empathy - actively experiencing/ understanding of child s experience and reflecting this back. The child feels you get her
18 References Ainsworth, M. D. S. (1973). The development of infant-mother attachment. In B. Cardwell & H. Ricciuti (Eds.), Review of child development research (Vol. 3, pp. 1-94) Chicago: University of Chicago Press. Bowlby J. (1969). Attachment. Attachment and loss: Vol. 1. Loss. New York: Basic Books. Hughes, D. (2009). Attachment Focused Parenting Norton London.Main, M., & Hesse, E. (1990). Parents unresolved traumatic experiences are related to infant disorganized attachment status. In M. T. Greenberg, D. Ciccehetti & E. M. Cummings (Eds.), Attachment in the preschool years: Theory, research, and intervention (pp ). Chicago: University of Chicago Press. Marlene M Moretti, PhD and Maya Peled, MA Paediatric child health 2004 Oct; 9(8):
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