Why Infant Mental Health?           Three Reasons:   1)   Fetal Programming   2)   Attachment   3)   Therapy
Reason 2:                   Attachment  Neil W. Boris, MD  Tulane Institute of Infant and Early Childhood Mental Health
Infant Psychiatrist?
Reaching for Meds?!                      http://www.flickr.com/photos                      /74078214@N00/268846488/       ...
What Makes for Healthy Emotional          Development?• Sense of self• How to view/relate to others• How to regulate behav...
http://www.flickr.com/photos/19646481@N06/4121739977/via Flickr userLadyDragonflyCC
Developmental TheoriesWhat sets Attachment Theory apart?  – Linked to natural selection as driving force:
Protection of young = protection of genes                                    http://www.flickr.com/photos                 ...
Developmental TheoriesWhat sets Attachment Theory apart?  • Linked to natural selection as driving force.     Protection o...
Ethology and Harry Harlow’s monkeys     The concept of imprinting as     a cross-species phenomenon
Who is THIS guy????
Konrad Lorenz                           Nobel Prize in Medicine, 1973http://www.nobelprize.org/nobel_prizes/medicine/laure...
When imprinting studies go awry…
Definition of Attachment:      • Inborn system – feedback loop      • Operative throughout life      • External goal in in...
Circle of Security                       “The Feedback Loop”                                                              ...
2 Roles of Attachment FigureSECURE BASE       SAFE HAVEN
2 Roles of Attachment Figure     SECURE BASE                        SAFE HAVEN   Facilitate child’s exploration of    phy...
2 Roles of Attachment Figure     SECURE BASE                                  SAFE HAVEN   Facilitate child’s exploration...
Secure Base
Safe Haven
Why All The Fuss?1.   Selection of neuronal     pathways2.   Emotions – development and     regulation3.   Shaping of Inte...
Attachment:The “Internal Working Model”                    Story of the                    Relationship
Attachment: The “Internal Working              Model”• Relationship template (‘structure of the mind’)• Formed by experien...
Disorganized AttachmentI need you but you are sofrightened or frighteningthat I have no one to turn to and I don’t know wh...
Disorganized AttachmentI need you but you are sofrightened or frighteningthat I have no one to turn to and I don’t know wh...
The Clinical Power of Attachment• Tools to assess internal working models  – In caregivers and in children• Reliable ways ...
Thank you for your attention! Neil W. Boris, MD Tulane Institute of Infant and Early Childhood Mental Health
Upcoming SlideShare
Loading in …5
×

Reason 2: Attachment

1,622 views

Published on

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

No Downloads
Views
Total views
1,622
On SlideShare
0
From Embeds
0
Number of Embeds
5
Actions
Shares
0
Downloads
11
Comments
0
Likes
2
Embeds 0
No embeds

No notes for slide

Reason 2: Attachment

  1. 1. Why Infant Mental Health? Three Reasons: 1) Fetal Programming 2) Attachment 3) Therapy
  2. 2. Reason 2: Attachment Neil W. Boris, MD Tulane Institute of Infant and Early Childhood Mental Health
  3. 3. Infant Psychiatrist?
  4. 4. Reaching for Meds?! http://www.flickr.com/photos /74078214@N00/268846488/ via Flickr user ThomasThomas
  5. 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. 6. http://www.flickr.com/photos/19646481@N06/4121739977/via Flickr userLadyDragonflyCC
  7. 7. Developmental TheoriesWhat sets Attachment Theory apart? – Linked to natural selection as driving force:
  8. 8. Protection of young = protection of genes http://www.flickr.com/photos /27302727@N03/5188594987 / via Flickr user ROSS HONG KONG
  9. 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. 10. Ethology and Harry Harlow’s monkeys The concept of imprinting as a cross-species phenomenon
  11. 11. Who is THIS guy????
  12. 12. Konrad Lorenz Nobel Prize in Medicine, 1973http://www.nobelprize.org/nobel_prizes/medicine/laureates/1973/lorenz-lecture.pdf
  13. 13. When imprinting studies go awry…
  14. 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. 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. 16. 2 Roles of Attachment FigureSECURE BASE SAFE HAVEN
  17. 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. 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. 19. Secure Base
  20. 20. Safe Haven
  21. 21. Why All The Fuss?1. Selection of neuronal pathways2. Emotions – development and regulation3. Shaping of Internal Working Models/Representations Schore, 1999
  22. 22. Attachment:The “Internal Working Model” Story of the Relationship
  23. 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. 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. 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. 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. 27. Thank you for your attention! Neil W. Boris, MD Tulane Institute of Infant and Early Childhood Mental Health

×