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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.
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.
Secure children have more positive and fewer negative peer reactions and establish more and better friendships. Insecure-ambivalent children have a tendency to anxiously but unsuccessfully seek positive peer interaction whereas insecure-avoidant children appear aggressive and hostile and may actively repudiate positive peer interaction.
Insecure children, particularly avoidant children, are especially vulnerable to family risk. Their social and behavioural problems increase or decline with deterioration or improvement in parenting. However, an early secure attachment appears to have a lasting protective function. [ 91 ]
It is a therapy approach consistent with the attachment-oriented experiential–systemic emotionally focused model [71] in three stages: (1) de-escalating negative cycles of interaction that amplify conflict and insecure connections between parents and children; (2) restructuring interactions to shape positive cycles of parental accessibility ...
However, researchers agree that the Anxious-Ambivalent/Resistant strategy is a response to unpredictably responsive caregiving, and that the displays of anger or helplessness towards the caregiver on reunion can be regarded as a conditional strategy for maintaining the availability of the caregiver by preemptively taking control of the interaction.
In addition to these findings supporting the global distributions of attachment classifications in Sapporo, Behrens et al. also discuss the Japanese concept of amae and its relevance to questions concerning whether the insecure-resistant (C) style of interaction may be engendered in Japanese infants as a result of the cultural practice of amae.
After ensuring that the child is in a safe and stable placement, effective attachment treatment must focus on creating positive interactions with caregivers." "Children who meet criteria for reactive attachment disorder and who display aggressive and oppositional behavior require adjunctive (additional) treatments."