Your SlideShare is downloading. ×
0
Reason 2: Attachment
Reason 2: Attachment
Reason 2: Attachment
Reason 2: Attachment
Reason 2: Attachment
Reason 2: Attachment
Reason 2: Attachment
Reason 2: Attachment
Reason 2: Attachment
Reason 2: Attachment
Reason 2: Attachment
Reason 2: Attachment
Reason 2: Attachment
Reason 2: Attachment
Reason 2: Attachment
Reason 2: Attachment
Reason 2: Attachment
Reason 2: Attachment
Reason 2: Attachment
Reason 2: Attachment
Reason 2: Attachment
Reason 2: Attachment
Reason 2: Attachment
Reason 2: Attachment
Reason 2: Attachment
Reason 2: Attachment
Reason 2: Attachment
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×
Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

Reason 2: Attachment

986

Published on

0 Comments
2 Likes
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total Views
986
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
7
Comments
0
Likes
2
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  • 1. Why Infant Mental Health? Three Reasons: 1) Fetal Programming 2) Attachment 3) Therapy
  • 2. Reason 2: Attachment Neil W. Boris, MD Tulane Institute of Infant and Early Childhood Mental Health
  • 3. Infant Psychiatrist?
  • 4. Reaching for Meds?! http://www.flickr.com/photos /74078214@N00/268846488/ via Flickr user ThomasThomas
  • 5. What Makes for Healthy Emotional Development?• Sense of self• How to view/relate to others• How to regulate behavior and emotions• Done in the context of relationships• Starts before birth
  • 6. http://www.flickr.com/photos/19646481@N06/4121739977/via Flickr userLadyDragonflyCC
  • 7. Developmental TheoriesWhat sets Attachment Theory apart? – Linked to natural selection as driving force:
  • 8. Protection of young = protection of genes http://www.flickr.com/photos /27302727@N03/5188594987 / via Flickr user ROSS HONG KONG
  • 9. Developmental TheoriesWhat sets Attachment Theory apart? • Linked to natural selection as driving force. Protection of young = protection of genes • Based theory on observations • De-emphasized the role of “meeting oral needs”
  • 10. Ethology and Harry Harlow’s monkeys The concept of imprinting as a cross-species phenomenon
  • 11. Who is THIS guy????
  • 12. Konrad Lorenz Nobel Prize in Medicine, 1973http://www.nobelprize.org/nobel_prizes/medicine/laureates/1973/lorenz-lecture.pdf
  • 13. When imprinting studies go awry…
  • 14. Definition of Attachment: • Inborn system – feedback loop • Operative throughout life • External goal in infancy is to balance exploration and proximity to caregiver (“the secure base”) • Internal goal to achieve sense of felt securityhttp://www.psychology.sunysb.edu/attachment/online/inge_origins.pdf
  • 15. Circle of Security “The Feedback Loop” I need I need you to you to Watch over me Help me Enjoy with me Support My • Delight in me Exploration I need you to I need you to Welcome MyProtect me Coming To YouComfort meDelight in me © Cooper, Hoffman, Marvin andOrganize my feelings Powell
  • 16. 2 Roles of Attachment FigureSECURE BASE SAFE HAVEN
  • 17. 2 Roles of Attachment Figure SECURE BASE SAFE HAVEN Facilitate child’s exploration of physical environment Emotionally available Physically available ALLOWING THE CHILD TO GO INTO THE ENVIRONMENT TO EXPLORE
  • 18. 2 Roles of Attachment Figure SECURE BASE SAFE HAVEN Facilitate child’s exploration of  Responding sensitively in physical environment stressful/alarming situations Emotionally available  Provide reassurance Physically available  Provide comfort  Provide protection ALLOWING THE CHILD TO GO WELCOMING THE CHILD BACK INTO THE ENVIRONMENT TO FOR COMFORT/PROTECTION EXPLORE
  • 19. Secure Base
  • 20. Safe Haven
  • 21. Why All The Fuss?1. Selection of neuronal pathways2. Emotions – development and regulation3. Shaping of Internal Working Models/Representations Schore, 1999
  • 22. Attachment:The “Internal Working Model” Story of the Relationship
  • 23. Attachment: The “Internal Working Model”• Relationship template (‘structure of the mind’)• Formed by experience (influenced by temperament genes)• Accessible in adults by interview• Predicts later patterns of behavior in relationships (stable though malleable)
  • 24. Disorganized AttachmentI need you but you are sofrightened or frighteningthat I have no one to turn to and I don’t know what to do.
  • 25. Disorganized AttachmentI need you but you are sofrightened or frighteningthat I have no one to turn to and I don’t know what to do.
  • 26. The Clinical Power of Attachment• Tools to assess internal working models – In caregivers and in children• Reliable ways to pick out disorganized attachment• Therapies that are attachment-based• Promoting security is protective
  • 27. Thank you for your attention! Neil W. Boris, MD Tulane Institute of Infant and Early Childhood Mental Health

×