CHILD-ADULT ATTACHMENT:

A LENS FOR VIEWING DECISIONS

THAT AFFECT CHILDREN AND FAMILIES

 

Martha Farrell Erickson, Ph.D. Lyn Glenn

Director

Children, Youth and Family Consortium

University of Minnesota

270A McNamara Center

200 Oak Street SE

Minneapolis, MN 55455

612/626-1253

©1998, Children, Youth and Family Consortium

 

Child Adult Attachment

Executive Summary

Child-adult attachment must become a lens through which we view decisions touching the lives of children. Our children are the hope of the future, but they are in trouble. Over 14.3% live in poverty; 2.7 million are neglected or abused, more and more are dropping out of school and out of life; suicide among teenagers is on the rise; adolescent children are having children; they are killing each other, and they are killing their future.

What can we do? Where is the hope?

When we look for information on what can make a difference for our children, research points to a relationship with a caring, supportive adult. While relationships play an important role at all stages of development, recent research points to the importance of a child's earliest relationship with his/her primary caregiver when attachment occurs.

A secure attachment in infancy lays the foundation for healthy, competent development in later years. Without it, children are at risk. They are likely to have difficulty forming relationships, exhibit anti-social behavior, and lack confidence, enthusiasm and persistence that facilitate success in school and work. Recent research shows the early relationship with a caregiver becomes a prototype for interactions and relationships a child will have later in life.

Attachment must be used as a lens to review any programs that affect children. The scope of considerations is broad: societal attitudes and beliefs about children; health care and mental health services and education; economic influences; workplace policies and practices; the judicial system; foster care and adoption decisions; child care; single parent families; mentor programs; and many more.

Society must support children's opportunities to develop strong, secure attachments.

What is attachment? Is it the same as bonding?

Bonding refers to what happens between an infant and caregiver during a relatively short period of time--the warm, close feelings a parent experiences in the first hours and days of the infant's life. Bonding is basically one-sided--the parent's experience with her/his new infant.

In contrast, attachment is a mutual, reciprocal relationship in which the child is an active, knowing partner. It is a relationship that develops gradually during the early months and years of a child's life.

How do secure attachments develop?

Research demonstrates that the major factor leading to a secure attachment is the caregiver's sensitivity and responsivity to the child's needs. The securely attached child has learned to trust that the caregiver will meet his or her needs, and equally important, the child has learned to trust in his or her own ability to solicit care. In order for parents to have the emotional and physical energy to meet the needs of their children, their own basic needs for housing, food, clothing, transportation and healthcare must be met. Parents must have emotional support for themselves and they need knowledge and understanding of child development. Under those conditions of support and stability, parents can consistently provide care and nurturance for their children.

What happens when children form secure attachments?

The securely attached child is more likely to be cooperative, enthusiastic, socially competent, less aggressive and more empathic than a child who has not formed a secure attachment. As the child matures, basic trust in the caregiver and in self is carried forward, influencing the child's expectations and behavior in subsequent relationships with other adults and peers. While not an inoculation against later problems, secure attachments in infancy lay the foundation for later health and well-being.

What happens when children do not have a secure attachment?

Children who have not been able to develop a secure attachment are likely to exhibit the following behaviors:

A general lack of persistence and confidence in mastering one's environment; over-dependence on teachers for help and attention; lack of confidence, self-esteem and motivation to learn; difficulty forming friendships; disobedience and aggression; social withdrawal. Their behavior makes them vulnerable to becoming either a victim or victimizer. As their behavior drives others away, their negative models of self and others are reinforced.

What are some ways attachment can guide us in policy and program development?

There are no quick, easy answers, but we must consider how we can ensure that children have the best possible chance to develop a secure attachment with at least one caring adult. A few actions that can help accomplish this goal include:

• Supporting natural neighborhood caregivers (e.g. churches, youth centers);

• Providing education and support for new parents; offering family life/child development education starting in junior and senior high school;

• Supporting workplace policies that are sympathetic to and understanding of family issues;

• Establishing criteria and programs to identify families with potential attachment problems early so supportive intervention may be offered;

• More effectively incorporating knowledge of attachment into decisions related to adoption, foster care, and child custody disputes;

• Providing long-term mentorship programs to allow children additional opportunities to form meaningful relationships with caring adults.

 

Child-Adult Attachments

In one year in the United States of America:

27 million children are reported each year to be neglected or abused and that number has tripled since 1980.

• 20% of white infants and 70% of black infants are born to young, unmarried mothers.

• 380,000 children drop out of school each year.

• 53% of all identified homicide perpetrators in 1993 were under the

age of 25

• The number of arrests for homicides committed by youth under age 18 increased by 168% from 1984-1993

• By 2010, the number of violent crimes committed by youth is projected to double

Introduction

Too many people in our nation are disconnected, caring little and doing less. Children are growing up seeing violence as their only option, their only voice. How did we arrive at this point of rampant violence and alienation? Where did we go wrong?

Certainly there are many causes on many levels, but one major reason we have reached this point is captured by recent research on the important role of attachment in human development. This research, as explained in detail later, demonstrates how a child's earliest relationships with adults influence subsequent learning, feelings, and behavior--the ability and willingness to behave responsibly and care for others. It is research that has much to say to anyone who makes decisions that affect children and families.

On the surface, this research may seem to be obvious and common-sense. Of course it's important for young children to be loved and cared for by adults! But attachment research leads to a deeper understanding of what those early relationships mean for the child's lifelong development and for us as a society. This research also points the way to some of the things we must do to get ourselves back on track. Attachment research does not, however, suggest quick fixes. To put this research knowledge to work in addressing our society's deepest problems, we will have to commit to policies and actions that do not necessarily yield immediate dramatic benefits, but will come to fruition years later--policies that will lead us to greater safety, comfort, and well-being in the America of the future.

In writing this paper we in no way are offering a prescription for how to "fix" our troubled society. But this paper is, we believe, an important step in examining one of the critical root causes of the problems we have today: the fact that countless children are growing up without ever knowing the warmth and security of a stable, loving attachment with a parent or other adult. We do not--and can not--provide easy answers to what programs and policies will make a difference; but we do begin to articulate some of the questions that should frame the discussion. And we do this in the context of research knowledge that must be incorporated into any discussion of how to restore, revitalize, and empower American families and communities.

Specifically, in this paper, we:

• clarify the meaning of child-caregiver "attachment" and its importance in lifelong development;

• summarize research findings that demonstrate how different types of early attachment influence the course of a child's development;

• identify factors that have been shown to support the development of "secure" attachments between children and their primary caregivers;

• articulate a set of questions that begins to examine how public policy and programs either support or hinder children's opportunities to form secure attachments that will nurture their development and help them grow to be responsible, caring members of our society.

We invite you to join us in this most important exploration of how we can put this knowledge to work on behalf of our children today and for their children of tomorrow.

What can we do? Where is the hope?

When we look for solid information about what can make a difference for our children, the one thing that research points to over and over is a relationship with a caring, supportive adult. We can ask a series of questions: What enables some kids to survive hardship and trauma? What allows children who were abused to grow up to be loving parents? What enables children to succeed in school even though they come from a family of high school dropouts? The number one answer to each of these questions is caring, supportive relationships. Our hope lies in making sure that all children know that at least one adult is there for them, to love them and care for them.

While relationships play a central role at all stages of development, recent research points in particular to the importance of a child's earliest relationships with his her primary caregivers, what researchers refer to as "attachment." As explained in detail later, a secure attachment in infancy lays the foundation for healthy development in later years. Without a secure attachment in infancy, children are significantly at risk for a wide range of poor outcomes, including difficulty in forming relationships, antisocial behavior, and a lack of the confidence, enthusiasm, and persistence that would facilitate success in school and work.

This information about the importance of attachment is both old and new. It is old information in that for generations many people have known firsthand just how much their early relationships influenced how they think of themselves, how they relate to others, and in general, how they live their lives. It is new in that recent research provides strong scientific evidence of the critical role of attachment in human development and takes us to new depth and detail in understanding how attachments are formed and how they influence who we are.

We know enough about the importance of attachment--and, more broadly, about supportive relationships with adults--that we can and must act on this knowledge. Some people say that we already have wasted a generation of children, that we have allowed children to grow up without a sense of their own worth and without the security of knowing that there are adults who love and care for them. We are paying an enormous political and social price for the neglect of our children, with increased violence, crime, and a growing sense of fear and disunity. We cannot afford to waste the generation of babies being born today.

One major step that we can take is to begin right now to examine the ways in which we as a society either support or hinder children's opportunities to develop strong, secure attachments. For example:

• What are the societal attitudes and beliefs about children that lead some parents to either accept or deny their children's dependency needs?

• What are the economic conditions that make it possible or impossible for adults to be available (physically and emotionally) to meet their children's needs?

• What workplace policies and practices allow or prevent families from fulfilling their basic caregiving functions?

• To what extent do family court procedures and decisions support or hinder children's attachments to their adult caregivers?

• In cases where children can not have a secure attachment in their own family, how do we give them the opportunity to form attachments to other adults through such avenues as childcare, school, church, or mentor programs?

• And to what extent do we provide education and support to parents and other caregivers to help them build the kind of adult-child relationships that will support the children's optimal development?

Understanding child-adult attachment must become a lens through which we consider all decisions that touch the lives of children. This is not a conservative, liberal, Democrat or Republican, issue. It is a universal, human issue. When we use knowledge of attachment to guide our thinking about programs and policies that affect children, we may arrive at some decisions that sound conservative and others that sound liberal. It is time to move beyond these divisive labels and come together to figure out how we can give today's children a chance to grow up to be healthy, competent, caring adults.

If we are going to use attachment as a guiding concept, we need to begin with a clear understanding of what attachment is and is not. Following are answers to some of the questions that frequently are raised about attachment.

What is attachment? Is it the same as bonding?

The words attachment and bonding are often misunderstood and are sometimes thought to mean same thing. While it may not be problematic for the general public to use these words interchangeably, decision-makers who wish to be guided by research on attachment and bonding must understand the different meanings attached to these two words. Research on human development points to important differences in the relative importance of bonding and attachment.

Bonding vs. attachment. In research literature on parent-child relationships, the term bonding has been used to refer to what happens between an infant and caregiver during the first hours and days of life--the kind of warm, close feelings that a parent experiences as he or she relates to the infant with coos and gurgles, holding and looking at the child. Research in the 1970s suggested that this early bonding experience was vital to the long-term development of the child and that, without such early close contact, the relationship between the infant and caregiver could be irrevocably damaged.

While these research findings led to some positive changes in maternal-child care (e.g. allowing parents and babies to "room-in" during the hospital stay), the findings also generated anxiety among parents who, for one reason or another, did not experience a warm bonding time with their newborns. It is important to know that subsequent research has challenged the earlier findings on neonatal bonding, citing methodological flaws in the earlier research. Although such bonding time can be a positive experience for families, enriching the time after the baby's birth, there is no strong evidence that the lack of a neonatal bonding experience will be harmful to the child's longterm development or to the parent-child relationship. On the other hand, as described later, research on attachment (as distinguished from neonatal bonding) provides strong evidence of its importance to lifelong development.

 

As defined in most research literature, bonding is distinct from attachment in two important ways.

First, bonding refers to a phenomenon that is relatively short-term (i.e. hours or days after birth), whereas attachment is a relationship that develops gradually over the early months and years of the child's life.

• Secondly, bonding describes an experience that, to a large extent, is more one-sided than attachment. In the early moments of life the infant is not mature enough to be an active, knowing partner in a relationship with the caregiver.

Thus bonding is largely the parent's experience. In contrast, attachment is a mutual, reciprocal relationship in which the child becomes a full partner, purposefully working to maintain the relationship with the caregiver. Attachment starts to develop as soon as the infant and caregiver begin to interact, but it is not fully established until the infant matures enough physically, emotionally, and intellectually to be a full and knowing partner in the relationship--usually near the end of the first year of life.

Infants have a strong inclination to form attachments and nearly all children develop at least one attachment as long as there is an adult around to whom the child has an opportunity to become attached. However, attachments vary in quality and not all attachments serve the best interest of the child. Recent research has shown that this early relationship with the caregiver becomes a prototype for interactions and relationships the child will have later in life. This becomes significant for social and political reasons that will be discussed later.

How can you tell if a child's attachment is secure?

The behaviors that characterize a secure attachment are best described within the context of the most common procedure used by researchers to assess qualitative differences in attachment: the Ainsworth Strange Situation Procedure. Developed in the 1960's by attachment pioneer Dr. Mary Ainsworth, this assessment procedure involves bringing a child and caregiver into a small room unfamiliar to the child, and video-taping them as they interact during a series of eight brief episodes. These episodes are designed to observe the child's play and exploration in the presence and absence of the caregiver and the child’s inclination to be comforted when distressed; reaction to a stranger, response to two brief separations from the caregiver, and most importantly, the child's behavior when the caregiver reenters the room following the separation episodes. This procedure is specifically designed to assess the attachment of infants who are approximately 11 to 20 months of age, when the need to maintain closeness to the caregiver is an especially important developmental phenomenon.

In general, a secure attachment is reflected in a child's ability to use the caregiver as a secure base from which to explore the world, and to see the caregiver as a reliable source of comfort during times of stress and distress. Specifically, during the Strange Situation Procedure, a child who is securely attached plays and explores with confidence and enthusiasm in the presence of the attachment figure, periodically sharing a look, vocalization, a smile, or showing the caregiver a toy. This child is not unduly upset by the presence of a stranger as long as the caregiver is nearby. When the caregiver leaves the room, the securely attached child may be upset or may merely show a decreased interest in play. Although there are wide individual differences in how infants respond during the Strange Situation, regardless of the degree of upset, the securely attached child will show clear signs of pleasure and/or relief when the caregiver returns. If crying, the child will readily seek and accept comfort from the caregiver, and that comfort will be effective in helping the child settle and return to play and exploration. If not distressed, those with secure attachments show active greetings and strongly initiate interaction. It is important to note that the amount or intensity of crying during separation is not a measure of the child's security with the parent; rather what is important is the degree to which the child responds to the caregiver once he or she returns, by ceasing crying or seeking contact.

This behavior may be readily observed in naturalistic situations--a doctor's office, for example--as a securely attached child crawls or toddles about the waiting room, looking back occasionally to the caregiver for assurance and comfort. The child explores, using the caregiver as a secure base. If the caregiver were to leave the room, the child's confidence to explore would disappear. At this period of development, a child's security is in the relationship, rather than within the child. But we can infer--and, in fact, research supports--that as the child matures, the security felt in the relationship will be internalized as a part of who the child is. The child who has felt secure in earlier attachment with a primary caregiver will be more secure in moving out into the world, exploring and learning from all that life has to offer.

How does a secure attachment develop and why is it important?

A secure attachment as described above grows and develops over time, and is the product of the ongoing interactions between infant and caregiver. Quality of attachment is influenced by many variables, including child characteristics, parent characteristics, and external social, and economic factors that support or hinder the parent-child relationship. But research has demonstrated that the major factor leading to a secure attachment is the caregiver's sensitivity and responsivity to the child's cues and signals. The securely attached child has learned to trust that the caregiver will consistently meet his or her needs, and, equally important, the child has learned to trust in his or her own ability to solicit care. Experience tells the child that, "When I give a signal, it counts. I have the power to see that my needs are met."

As the child matures and ventures out into the larger social world, the basic trust in the caregiver and in self is carried forward, influencing the child's expectations and behavior in subsequent relationships with other adults and peers. While not an inoculation against later problems, secure attachments in infancy lay the foundation for healthy development and provide children with the beginning tools they need to reach their developmental potential. Secure attachment serves as a platform for the child to become an active, responsible member of society. Specifically, attachment researchers, who have followed children longitudinally from birth, observe that in preschool and the early school years the securely attached child is likely to be: cooperative with teachers and peers; enthusiastic in approaching learning tasks and social situations; persistent in problem solving; socially competent and able to form relationships easily; and less aggressive and more empathic than children who have not had a secure attachment in infancy. In general, teachers rate securely attached children as having higher self-esteem and being more competent.

Not surprisingly, teachers and peers tend to respond positively to these children, and this reinforces the positive expectations of the securely attached children. In effect, we see a self-perpetuating cycle of interactions, increasing the likelihood that the securely attached child will carry these positive attitudes, expectations, and behaviors into adulthood.

Interestingly, these research findings bring into question two longstanding American child rearing myths:

The first of these is the spoiling myth which says if you pick a baby up too much or respond to every need, you will spoil the child, making the child more demanding and moody. Attachment research demonstrates just the opposite: the baby whose needs are responded to consistently is actually less demanding and easier to care for. In the future this child is likely to be less fearful and more engaged with the world. Note that this is not to imply that children at later ages should be given all that they ask for. Limit-setting and adult guidance are critical as children mature. But children need to know that their needs are taken seriously, that they can actively seek and get a response from others, and that they are worthy of such care.

• The second myth states that little boys should not be hugged, cuddled or receive attention when they cry or seek comfort, because they will grow up to be weak, less resourceful, and less competent. As with the spoiling myth, attachment research shows the opposite to be true. Little girls and little boys benefit when a consistent caregiver is available to respond to their needs. They learn that the world is a safe place, that they can ask for comfort and understanding, and that they can be--and deserve to be--a part of a close, social network.

What happens when children do not have a secure attachment?

Although all children are powerfully inclined to become attached, many children do not experience the sensitive, consistent care that encourages secure attachment. These children are described as being anxiously attached. Researchers estimate that approximately 30% of all children are anxiously attached. Tragically, among families encumbered by poverty, highly stressful life circumstances, and lack of support, at least 40% of the children develop anxious attachments.

Two categories of anxious attachment will be discussed here: anxious-resistant/ambivalent attachment and anxious-avoidant attachment While both patterns represent "anxious" attachment, which bodes poorly for the individual's lifelong development, there are important differences in the behaviors that characterize each pattern. (Note that a fourth category of attachment, common among children who have been traumatized by abuse, also has been identified in recent research. This pattern is not discussed here because more research is needed to discern the implications for a child's long term development.)

Anxious-resistant/ambivalent attachment

The first pattern of anxious attachment is characterized as "anxious-resistant/ambivalent" attachment. When assessed using the Strange Situation Procedure, a child with anxious-resistant/ambivalent attachment may seem preoccupied with maintaining contact with the caregiver, clinging or checking back so often that the child never completely engages in play and exploration. The child appears to be so unsure of the caregiver's availability and predictability that the child dares not venture out, even within the confines of a small room, and seems strikingly passive. At the same time, the child, in the midst of uncertainty, must be unduly vigilant in relation to the caregiver. Usually extremely upset by separation from the caregiver, this child nevertheless appears ambivalent during reunion, often alternating between desperate clinginess and active resistance when the caregiver offers comfort. The caregiver's efforts to comfort the child are usually not successful and the child continues to fuss rather than going about the natural one-year-old business of playing and learning from the world.

The child's behavior as described above is an understandable adaptation to inconsistent, unpredictable care during the early months of the child's life. The child is never sure whether cries and calls will be answered, and whether the attachment figure(s) will meet his/her basic needs to be changed, fed, cuddled or comforted. These babies sometimes have been observed as newborns to be neurologically immature, so perhaps they are also more challenging for the parent to nurture in a sensitive, consistent way. (It is important to note, however, that given sensitive care even these difficult babies can develop a secure attachment. Their parents may just need more support and information in order to adapt successfully to the needs of the child.) For whatever reasons, the child with an anxious-resistant/ambivalent attachment learns that the world is not a place of comfort and trust, and that s/he can not be successful in soliciting the care s/he needs.

Not surprisingly, in making the transition to preschool and elementary school, this child often lacks the autonomy and initiative that the new school situation demands. Longitudinal research has demonstrated that a child with anxious-resistant/ambivalent attachment is likely to be overly dependent on teachers for help and attention, lack confidence and self-esteem, form friendships less easily, become easily frustrated in interactions with others, and be socially withdrawn from peers. These behavior patterns render the child vulnerable to becoming a victim of peers. Recent new research shows that these children have poorer peer relationships up through adolescence.

Just as securely attached children tend to be drawn into a cycle that perpetuates their positive expectations and behaviors, anxiously attached children also tend to perpetuate what they have experienced. For example, their overly dependent behavior may exhaust those who work with them, causing people to pull away–replicating the erratic care they experienced early in life. Without disruptions to this cycle, these children are likely to carry these attitudes and behavior patterns forward into adulthood.

Anxious-avoidant attachment

The second pattern of anxious attachment , the "anxious-avoidant type," is also highly predictive of poor developmental outcomes for children and looks quite different from the type just described. During the "Strange Situation Procedure," the child with anxious-avoidant attachment interacts minimally, if at all, with the caregiver. Even in the unfamiliar environment, the child may look precociously independent, playing alone without apparent need to touch base with the caregiver. When the caregiver leaves for a short time, the anxious-avoidant child shows no visual sign of distress. Most importantly, when the caregiver returns, this child actively avoids interaction, averting his or her face, or perhaps moving to the other side of the room.

The anxious-avoidant pattern of attachment stems from experience with a caregiver who is chronically unresponsive to the baby's efforts to solicit and receive care and attention. Early in life this baby may have worked hard to engage the caregiver. (As previously mentioned, nearly all babies have a strong inclination to attach.) But by one year of age this baby has effectively given up. It is almost as if the infant is saying, "I’m going to reject you before you can reject me." Parents of a child with this type of attachment also may be intrusive and interfering, imposing their agenda on the baby without regard for the needs and interests the baby is communicating. For example, a parent might forcefully shove a bottle in the baby's mouth even as the baby turns away or pushes the bottle away. Or a parent might smother the baby's face with kisses as the baby squirms to get away. Whether the parent is detached, intrusive, or both, the baby learns, "What I want doesn't count."

By the time an anxious-avoidant child is in preschool, significant behavior problems are often apparent. Longitudinal studies show that teachers and independent observers characterize these children as disobedient, aggressive and/or socially withdrawn, unpopular with peers, impulsive and lacking self-control, motivation and persistence in learning. These children also may exhibit unusual behaviors such as tics, self-stimulation, or self abuse. Furthermore, these children tend to lack empathy towards others; when a peer is distressed they may inflict hurt instead of offering sympathy. As with the anxious-resistant/ambivalent pattern, children with the anxious-avoidant pattern also experience poorer peer relationships from childhood through adolescence. Again, as with other attachment groups, these patterns are likely to continue into adulthood unless something-- or someone--helps the child move toward a more positive view of self and others. Unfortunately, it may require almost heroic efforts to stay engaged with a child whose challenging behavior pushes you away.

What factors help parents and children develop a secure attachment?

This may be the most important question of all. If we know what it takes to enable children to develop a secure attachment, this knowledge must be our guide in program development and policy implementation. Research points to several critical factors, all of which sound relatively simple and basic--but are often not basic to our programs and policies.

• When parents' basic needs for housing, food, clothing, transportation, and healthcare are met, parents have the emotional and physical energy to meet the needs of their children.

When parents have emotional support for themselves, they are better able to care for their children in a sensitive, consistent way.

When parents have knowledge of child development, particularly an understanding of the meaning of certain key child behaviors, such as separation anxiety in the infant or negativism in the toddler, they have more realistic behavioral expectations for the child and "see the world through the eyes of the child." Knowledge, understanding, and perspective-taking are fundamental to the sensitive care that facilitates secure attachment.

Finally, how a parent cares for his/her children is strongly influenced by the care the parent received in his/her own childhood. Of course, we cannot go back and change a parent's history, but research indicates that what is most important is how a parent thinks now about his/her own history. In particular, we do best with our own children when we:

- face the pain we experienced in childhood (and everyone did experience hurt on some level, at some times);

- acknowledge the lasting influence of those childhood experiences, particularly on the way we relate to our own children and others with whom we form intimate relationships;

- recognize that we all have choices now, and that we can choose what to repeat and what not to repeat from our own childhood experiences;

- muster all the available resources to help us live up to those choices.

Aren't some kids resilient and able to do fine in spite of poor early attachment?

Resilience is a popular word in the child development research literature today. It refers to children who "bounce back," who become competent and well-adjusted despite the challenging circumstances of their lives. Since a secure attachment relationship helps children develop the skills needed to face adversity and challenge, it is important to consider just what resilience might mean in the context of child-adult attachments. First of all, while some children may appear more or less resilient, this does not mean that they are invulnerable. The impact of a lack of secure attachment may manifest itself in a variety of ways, some more subtle than others. For example, some individuals may develop skills to succeed in the workplace, but may be incapable of deep, meaningful commitment in intimate relationships.

On the other hand, certainly some children do show greater resiliency than others. In particular, there surely are children who are competent and well-adjusted despite the lack of a secure attachment in infancy. While resiliency has been shown to relate to a variety of inherent and environmental factors, across all studies of vulnerability and resilience, the single most important factor accounting for good outcomes in the face of high-risk circumstances is a relationship with a caring, supportive adult. This brings us full circle to attachment: children need at least one secure attachment in the early months of life within the child's own home. When this is not possible, we must ensure that the child has an opportunity to develop an attachment elsewhere that can help the child develop trust in others and learn that s/he is worthy of love and care.

So...what do we do about this? What are some of the ways that attachment can and should guide us in policy and program development?

There is no "cookbook" to tell us exactly what this research means for policy and program development. But this research--so simple and yet so profound--must be used to begin a serious dialogue about how our policies and programs take into account children's need for secure attachments. We stated before that the concept of attachment should become a lens through which we consider all decisions that have an impact on the lives of children and families. As a society, we have a moral obligation to see that our children have this most basic foundation for their healthy development. As a society torn apart by violence and alienation, we cannot afford to create or leave in place barriers that interfere with a child's chance for a secure attachment.

As a starting point for a policy dialogue that includes attachment, we have generated the following questions. This list is by no means exhaustive, nor do we have ready-made answers for these questions. But asking the questions is a place to begin to make a difference for today's children and generations to follow.

• How can we ensure education and support for new parents? (Home visiting; parenting classes; adequate training and supervision for service providers so that they understand attachment issues and are prepared to address the "therapeutic" issues that research says are important.)

• To what extent do workplace policies support or hinder parents' opportunities to form secure attachments with their infants and young children? (Parental leave; childcare, onsite if possible; flexible scheduling.)

• Will it be effective to provide family life/child development education for students in our secondary schools to prepare young people for the challenges of parenting?

How can we identify families with potential attachment problems as early as possible (e.g., incorporating knowledge of attachment into periodic screening of infants and young children) so that supportive services can be offered in a timely manner?

What do we really know about effective ways to prevent and/or treat attachment problems? To what extent is this knowledge influencing practice? What additional research is needed?

• How can we incorporate knowledge of attachment more effectively into decisions related to adoption, foster care, and child custody disputes?

Especially for children who do not have the benefit of secure attachment at home, how can we increase the likelihood that they will find a meaningful attachment with some other adult caregiver? For example, how do policies and practices in child care facilities help or hinder attachments? What opportunities are available for sustained relationships with adults within a school setting? How can mentorship programs be encouraged and expanded? How can we support the natural caregivers and the child within a community's churches, youth programs, recreational programs, etc.?

Since research on adult-child attachment is relatively recent and has received only limited distribution, how can we disseminate this knowledge to educators, healthcare professionals, human service providers, policy-makers, the judicial system, and the general public, for the benefit of today's children and tomorrow's America?


The authors thank Alan Sroufe, Byron Egeland and Amy Susman-Stillman for their contributions to this paper. For further information about the research on which this paper is based, contact the Children, Youth and Family Consortium at the University of Minnesota, 612/625-7849 or cyfc@umn.edu.