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Clarification of terminology: The DMM avoids older attachment terms such as secure vs insecure, attachment categories and measures, attachment disorders, disorganized attachment, internal working models, and top level terms such as avoidant and ambivalent. It uses terms such as pathways of development instead of developmental trajectories.
The Infant CARE-Index (ICI) is procedure that assesses risk in parent/infant relationships. It was developed by Patricia Crittenden early in the development of the Dynamic-Maturational Model of Attachment and Adaptation (DMM) and can be used from birth, that is before infant's attachment strategies are established, and up to 15 months of age.
"Attachment disorder" is an ambiguous term, which may refer to reactive attachment disorder or to the more problematic insecure attachment styles (although none of these are clinical disorders). It may also be used to refer to proposed new classification systems put forward by theorists in the field, [ 247 ] and is used within attachment ...
Anxious-resistant insecure attachment is also called ambivalent attachment. [11] In general, a child with an anxious-resistant attachment style will typically explore little (in the Strange Situation) and is often wary of strangers, even when the caregiver is present. When the caregiver departs, the child is often highly distressed.
A child with the anxious-avoidant insecure attachment pattern will avoid or ignore the caregiver, showing little emotion when the caregiver departs or returns. The child will not explore very much regardless of who is there. Infants classified as anxious-avoidant (A) represented a puzzle in the early 1980s.
Medication can be used to treat similar conditions, like depression, anxiety, or hyperactivity, but there is no quick fix for reactive attachment disorder. A pediatrician may recommend a treatment plan, such as a mix of family therapy, individual psychological counseling, play therapy, special education services and parenting skills classes. [51]
Mary Main (1943 – January 6, 2023) was an American psychologist notable for her work in the field of attachment. A Professor at the University of California Berkeley, Main is particularly known for her introduction of the 'disorganized' infant attachment classification and for development of the Adult Attachment Interview and coding system for assessing states of mind regarding attachment.
Causal relationships between insecure attachment and mental illness may be complex. [7] [8] [15] Some risk factors for insecure attachment such as loss of parental figure, and sexual or physical abuse, are also risk factors for mental health disorders. [8] Self-report measures of attachment may be biased by mental health conditions.