Disorganized attachment in infancy: a review of the phenomenon and its implications for clinicians and policy-makers

Pehr Granqvist, L. Alan Sroufe, Mary Dozier, Erik Hesse, Miriam Steele, Marinus H. van IJzendoorn, Judith Solomon, Carlo Schuengel, Pasco Fearon, Marian J Bakermans-Kranenburg, Howard Steele, Jude Cassidy, Elizabeth Carlson, Sheri Madigan, Deborah Jacobvitz, Sarah Foster, Kazuko Behrens, Anne Rifkin-Graboi, Naomi Gribneau, Gottfried Spangler & 23 others Mary J. Ward, Mary True, Susan Spieker, Sophie Reijman, Samantha Reisz, Anne Tharner, Frances Nkara, Ruth Goldwyn, June Sroufe, David Pederson, Deanne Pederson, Robert Weigand, Daniel Siegel, Nino Dazzi, Kristin Bernard, Peter Fonagy, Everett Waters, Sheree Toth, Dante Cicchetti, Charles H. Zeanah, Karlen Lyons-Ruth, Mary Main, Robbie Duschinsky

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

Disorganized/Disoriented (D) attachment has seen widespread interest from policy makers, practitioners, and clinicians in recent years. However, some of this interest seems to have been based on some false assumptions that (1) attachment measures can be used as definitive assessments of the individual in forensic/child protection settings and that disorganized attachment (2) reliably indicates child maltreatment, (3) is a strong predictor of pathology, and (4) represents a fixed or static “trait” of the child, impervious to development or help. This paper summarizes the evidence showing that these four assumptions are false and misleading. The paper reviews what is known about disorganized infant attachment and clarifies the implications of the classification for clinical and welfare practice with children. In particular, the difference between disorganized attachment and attachment disorder is examined, and a strong case is made for the value of attachment theory for supportive work with families and for the development and evaluation of evidence-based caregiving interventions.

Original languageEnglish
Pages (from-to)534-558
Number of pages25
JournalAttachment and Human Development
Volume19
Issue number6
DOIs
Publication statusPublished - 27 Jul 2017

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Administrative Personnel
Child Abuse
Pathology

Keywords

  • attachment disorder
  • attachment-based interventions
  • Disorganized attachment
  • infancy
  • maltreatment

Cite this

Granqvist, P., Sroufe, L. A., Dozier, M., Hesse, E., Steele, M., van IJzendoorn, M. H., ... Duschinsky, R. (2017). Disorganized attachment in infancy: a review of the phenomenon and its implications for clinicians and policy-makers. Attachment and Human Development, 19(6), 534-558. https://doi.org/10.1080/14616734.2017.1354040
Granqvist, Pehr ; Sroufe, L. Alan ; Dozier, Mary ; Hesse, Erik ; Steele, Miriam ; van IJzendoorn, Marinus H. ; Solomon, Judith ; Schuengel, Carlo ; Fearon, Pasco ; Bakermans-Kranenburg, Marian J ; Steele, Howard ; Cassidy, Jude ; Carlson, Elizabeth ; Madigan, Sheri ; Jacobvitz, Deborah ; Foster, Sarah ; Behrens, Kazuko ; Rifkin-Graboi, Anne ; Gribneau, Naomi ; Spangler, Gottfried ; Ward, Mary J. ; True, Mary ; Spieker, Susan ; Reijman, Sophie ; Reisz, Samantha ; Tharner, Anne ; Nkara, Frances ; Goldwyn, Ruth ; Sroufe, June ; Pederson, David ; Pederson, Deanne ; Weigand, Robert ; Siegel, Daniel ; Dazzi, Nino ; Bernard, Kristin ; Fonagy, Peter ; Waters, Everett ; Toth, Sheree ; Cicchetti, Dante ; Zeanah, Charles H. ; Lyons-Ruth, Karlen ; Main, Mary ; Duschinsky, Robbie. / Disorganized attachment in infancy : a review of the phenomenon and its implications for clinicians and policy-makers. In: Attachment and Human Development. 2017 ; Vol. 19, No. 6. pp. 534-558.
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abstract = "Disorganized/Disoriented (D) attachment has seen widespread interest from policy makers, practitioners, and clinicians in recent years. However, some of this interest seems to have been based on some false assumptions that (1) attachment measures can be used as definitive assessments of the individual in forensic/child protection settings and that disorganized attachment (2) reliably indicates child maltreatment, (3) is a strong predictor of pathology, and (4) represents a fixed or static “trait” of the child, impervious to development or help. This paper summarizes the evidence showing that these four assumptions are false and misleading. The paper reviews what is known about disorganized infant attachment and clarifies the implications of the classification for clinical and welfare practice with children. In particular, the difference between disorganized attachment and attachment disorder is examined, and a strong case is made for the value of attachment theory for supportive work with families and for the development and evaluation of evidence-based caregiving interventions.",
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Granqvist, P, Sroufe, LA, Dozier, M, Hesse, E, Steele, M, van IJzendoorn, MH, Solomon, J, Schuengel, C, Fearon, P, Bakermans-Kranenburg, MJ, Steele, H, Cassidy, J, Carlson, E, Madigan, S, Jacobvitz, D, Foster, S, Behrens, K, Rifkin-Graboi, A, Gribneau, N, Spangler, G, Ward, MJ, True, M, Spieker, S, Reijman, S, Reisz, S, Tharner, A, Nkara, F, Goldwyn, R, Sroufe, J, Pederson, D, Pederson, D, Weigand, R, Siegel, D, Dazzi, N, Bernard, K, Fonagy, P, Waters, E, Toth, S, Cicchetti, D, Zeanah, CH, Lyons-Ruth, K, Main, M & Duschinsky, R 2017, 'Disorganized attachment in infancy: a review of the phenomenon and its implications for clinicians and policy-makers' Attachment and Human Development, vol. 19, no. 6, pp. 534-558. https://doi.org/10.1080/14616734.2017.1354040

Disorganized attachment in infancy : a review of the phenomenon and its implications for clinicians and policy-makers. / Granqvist, Pehr; Sroufe, L. Alan; Dozier, Mary; Hesse, Erik; Steele, Miriam; van IJzendoorn, Marinus H.; Solomon, Judith; Schuengel, Carlo; Fearon, Pasco; Bakermans-Kranenburg, Marian J; Steele, Howard; Cassidy, Jude; Carlson, Elizabeth; Madigan, Sheri; Jacobvitz, Deborah; Foster, Sarah; Behrens, Kazuko; Rifkin-Graboi, Anne; Gribneau, Naomi; Spangler, Gottfried; Ward, Mary J.; True, Mary; Spieker, Susan; Reijman, Sophie; Reisz, Samantha; Tharner, Anne; Nkara, Frances; Goldwyn, Ruth; Sroufe, June; Pederson, David; Pederson, Deanne; Weigand, Robert; Siegel, Daniel; Dazzi, Nino; Bernard, Kristin; Fonagy, Peter; Waters, Everett; Toth, Sheree; Cicchetti, Dante; Zeanah, Charles H.; Lyons-Ruth, Karlen; Main, Mary; Duschinsky, Robbie.

In: Attachment and Human Development, Vol. 19, No. 6, 27.07.2017, p. 534-558.

Research output: Contribution to JournalArticleAcademicpeer-review

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AU - Hesse, Erik

AU - Steele, Miriam

AU - van IJzendoorn, Marinus H.

AU - Solomon, Judith

AU - Schuengel, Carlo

AU - Fearon, Pasco

AU - Bakermans-Kranenburg, Marian J

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AU - Carlson, Elizabeth

AU - Madigan, Sheri

AU - Jacobvitz, Deborah

AU - Foster, Sarah

AU - Behrens, Kazuko

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AU - True, Mary

AU - Spieker, Susan

AU - Reijman, Sophie

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AU - Goldwyn, Ruth

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AU - Pederson, Deanne

AU - Weigand, Robert

AU - Siegel, Daniel

AU - Dazzi, Nino

AU - Bernard, Kristin

AU - Fonagy, Peter

AU - Waters, Everett

AU - Toth, Sheree

AU - Cicchetti, Dante

AU - Zeanah, Charles H.

AU - Lyons-Ruth, Karlen

AU - Main, Mary

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