Unsolvable Fear, Trauma, and Psychopathology: Theory, Research, and Clinical Considerations Related to Disorganized Attachment Across the Life Span

Clinical Psychology: Science and Practice

Volumn 8, Issue 3, 2001, Pages 275-298

  Cassidy, Jude ^a   Mohr, Jonathan J ^a  

^a UNIVERSITY OF MARYLAND   (United States)

Author keywords

Attachment; Caregiving; Disorganized; Psychopathology; Trauma

Indexed keywords

EID: 0009801246     PISSN: 09695893     EISSN: None     Source Type: Journal    
DOI: 10.1093/clipsy.8.3.275     Document Type: Article

References (116)

1. Adam, K. S., Sheldon-Keller, A. E., & West, M. (1996). Attachment organization and history of suicidal behavior in adolescents. Journal of Consulting and Clinical Psychology, 64, 264-292.
2. Ainsworth, M. D., Blehar, M., Waters, E., & Wall, S. (1978). Patterns of attachment. Hillsdale, NJ: Lawrence Erlbaum.
3. Ainsworth, M. D., & Eichberg, C. G. (1991). Effects on infant-mother attachment of mother's unresolved loss of an attachment figure or other traumatic experience. In P. Marris, J. Stevenson-Hinde, & C. Parkes (Eds.), Attachment across the life cycle (pp. 160-183). New York: Routledge.
4. Alexander, P. C. (1992). Application of attachment theory to the study of sexual abuse. Journal of Clinical and Consulting Psychology, 60 185-195.
5. American Psychiatric Association (APA). (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
6. Bakermans-Kranenburg, M.J., Schuengel, C., & van IJzendoorn, M. H. (1999). Unresolved loss due to miscarriage: An addition to the Adult Attachment Interview. Attachment and Human Development, 1, 157-170.
7. Barnett, D., Ganiban, J., Cicchetti, D. (1999). Maltreatment, negative expressivity, and the development of Type D attachments from 12 to 24 months of age. Monographs of the Society for Research in Child Development, 64, 97-118.
8. Bartholomew, K., & Shaver, P. R. (1998). Methods of assessing adult attachment: Do they converge? In J. A. Simpson & W. S. Rholes (Eds.), Attachment theory and close relationships (pp. 25-45). New York: Guilford.
9. Beck, A. T., Rush, A. J., Shaw, B., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford.
10. Belsky, J. (1999). Interactional and contextual determinants of attachment security. In J. Cassidy & P. R. Shaver (Eds.), Handbook of Attachment: Theory, research, and clinical applications (pp. 249-264). New York: Guilford.
11. Berlin, L. J., & Cassidy, J. (1999). Relations among relationships: Contributions from attachment theory. In J. Cassidy & P. R. Shaver (Eds.), Handbook of Attachment: Theory, research, and clinical applications (pp. 688-712). New York: Guilford.
12. Bordin, E. S. (1976). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, Research and Practice, 16, 252-260.
13. Bowlby, J. (1958). The nature of the child's tie to his mother. International Journal of Psycho-Analysis, 39, 350-373.
14. Bowlby, J. (1969/1982). Attachment and loss, Vol. 1: Attachment. New York: Basic Books.
15. Bowlby, J. (1973). Attachment and loss, Vol. 2: Separation. New York: Basic Books.
16. Bowlby, J. (1980). Attachment and loss, Vol. 3: Loss. New York: Basic Books.
17. Bowlby, J. (1988). A secure base. New York: Basic Books.
18. Brazelton, T. B., & Cramer, B. G. (1990). The earliest relationship: Parents, infants, and the drama of early attachment. New York: Addison-Wesley.
19. Breslau, N., Davis, G. C., Andreski, P., & Peterson, E. (1991). Traumatic events and posttraumatic stress disorder in an urban population of young adults. Archives of General Psychiatry, 48, 216-222.
20. Briere,J. (1996). Therapy for adults molested as children: Beyond survival. New York: Springer.
21. Carlson, E. A. (1998). A prospective longitudinal study of attachment disorganization/disorientation. Child Development, 69, 1107-1128.
22. Cassidy, J. (1988). Child-mother attachment and the self in six-year olds. Child Development, 59, 121-134.
23. Cassidy, J. (1999). The nature of the child's ties. In J. Cassidy & P. R. Shaver (Eds.), Handbook of Attachment: Theory, research, and clinical applications (pp. 3-20). New York: Guilford.
24. Cassidy, J. (2000). Adult romantic attachments: A developmental perspective on individual differences. Review of General Psychology, 4, 111-131.
25. Cassidy, J. (in press). Truth, lies, and intimacy: An attachment perspective. Attachment and Human Development.
26. Cassidy, J., & Berlin, L. J. (1994). The insecure/ambivalent pattern of attachment: Theory and research. Child Development, 65, 971-991.
27. Cassidy, J., & Marvin, R. S. (1992). Attachment organisation in three-and four-year olds: Coding guidelines. Unpublished manuscript.
28. Colin, V. L. (1996). Human attachment. New York: McGraw-Hill.
29. Cooper, G., Hoffman, K., Marvin, R. S., & Powell, B. (2000, June). The Circle of Security: Enhancing attachment in at-risk families. Paper presented at the annual meeting of the Early Head Start Program, Washington, DC.
30. Diamond, D., Clarkin, J., Levine, H., Levy, K., Foelsch, P., & Yeomans, F. (1999) Borderline conditions and attachment: A preliminary report. Psychoanalytic Inquiry, 19, 831-884.
31. Dozier, M., Stovall, K. C., & Albus, K. E. (1999). Attachment and psychopathology in adulthood. In J. Cassidy & P. R. Shaver (Eds.), Handbook of Attachment: Theory, research, and clinical applications (pp. 497-519). New York: Guilford.
32. Erickson, M. F., & Kurz-Riemer, K. (1999). Infants, toddlers, and families: A framework for support and intervention. New York: Guilford.
33. Fonagy, P. (1991). Thinking about thinking: Some clinical and theoretical considerations in the treatment of the borderline patient. International Journal of Psycho-Analysis, 72, 639-656.
34. Fonagy, P. (1997). Multiple voices vs. meta-cognition: An attachment theory perspective. Journal of Psychotherapy Integration, 7, 181-194.
35. Fonagy, P. (1999). Psychoanalysis and attachment theory. In J. Cassidy & P.R. Shaver (Eds.), Handbook of Attachment: Theory, research, and clinical applications (pp. 595-624). New York: Guilford.
36. Fonagy, P., Leigh, T., Steele, M., Steele, H., Kennedy, R., Mattoon, G., Target, M., & Gerber, A. (1996). The relation of attachment status, psychiatric classification, and response to psychotherapy. Journal of Consulting and Clinical Psychology, 64, 22-31.
37. Fonagy, P., Steele, M., Steele, H., Leigh, T., Kennedy, R., Mattoon, G., & Target, M. (1995). Attachment, the reflective self, and borderline states: The predictive specificity of the Adult Attachment Interview and pathological emotional development. In S. Goldberg, R. Muir, & J. Kerr (Eds.), Attachment theory: Social, developmental, and clinical perspectives (pp. 233-278). Hiilsdale, NJ: Analytic Press.
38. Fraiberg, S. (1980). Clinical studies in infant mental health: The first year of life. New York: Basic Books.
39. Freedy, J. R., & Donkervoet, J. C. (1995). Traumatic stress: An overview of the field. In J. R. Freedy & S. E. Hobfoll (Eds.), Traumatic stress: From theory to practice (pp. 3-28). New York: Plenum Press.
40. Fullerton, C. S., & Ursano, R. J. (1997). The other side of chaos: Understanding the patterns of posttraumatic responses. In C. S. Fullerton & R. J. Ursano (Eds.), Posttranmatic stress disorder: Acute and long-term responses to trauma and disaster (pp. 3-20). Washington, DC: American Psychiatric Association.
41. George, C., Kaplan, N., & Main, M. (1996). Adult Attachment Interview (3rd ed.). Unpublished manuscript, University of California at Berkeley.
42. Greenberg, M. T. (1999). Attachment and psychopathology in childhood. In J. Cassidy & P. R. Shaver (Eds.), Handbook of Attachment: Theory, research, and clinical applications (pp. 469-496). New York: Guilford.
43. Griffin, M. E. (1998). Understanding mothers' contribution to disorganized attachment: A behavioral analysis of mother-child interaction in a naturalistic setting. Unpublished doctoral dissertation, Northwestern University.
44. Herman, J. L., Perry, C., & Kolk, B. (1989). Childhood trauma in borderline personality disorder. American Journal of Psychiatry, 146, 490-495.
45. Hertzgaard, L., Gunnar, M., Erickson, M. R., & Nachmias, M. (1995). Adrenocortical response to the strange situation in infants with disorganized/disoriented attachment relationships. Child Development, 66, 1100-1106.
46. Hesse, E. (1996). Discourse, memory, and the Adult Attachment Interview: A note with emphasis on the emerging Cannot Classify category. Infant Mental Health Journal, 17, 4-11.
47. Hesse, E. (1999). The Adult Attachment Interview: Historical and current perspectives. In J. Cassidy & P. R. Shaver (Eds.), Handbook of Attachment: Theory, research, and clinical applications (pp. 395-433). New York: Guilford.
48. Hesse, E., & Main, M. (1999). Second-generation effects of unresolved trauma as observed in non-maltreating parents: Dissociated, frightened, and threatening parental behavior. Psychoanalytic Inquiry, 19, 481-540.
49. Hesse, E., & Main, M. (2000). Disorganized infant, child, and adult attachment: Collapse in behavioral and attentional strategies. Journal of the American Psychoanalytic Association, 48, 1097-1127.
50. Hesse, E., & van IJzendoorn, M. H. (1998). Parental loss of close family members and propensities towards absorption in offspring. Developmental Science, 1, 299-305.
51. Hesse, E., & van IJzendoorn, M. H. (1999). Propensities towards absorption are related to lapses in the monitoring or reasoning or discourse during the Adult Attachment Interview: A preliminary investigation. Attachment and Human Development, 1, 67-91.
52. Jacobsen, T., Edelstein, W., & Hofmann, V. (1994). A longitudinal study of the relation between representations of attachment in childhood and cognitive functioning in childhood and adolescence. Developmental Psychology, 30, 112-124.
53. Jacobvitz, D. (1998, March). Frightening caregiving: Links with mothers' loss and trauma. Paper presented at the biennial meeting of the Southwestern Society for Research in Human Development, Galveston, TX.
54. Jacobvitz, D., & Hazen, N. (1999). Developmental pathways from infant disorganization to childhood peer relationships. In J. Solomon & C. George (Eds.), Attachment disorganization (pp. 127-159). New York: Guilford.
55. Kagan, J. (1984). The nature of the child. New York: Basic Books.
56. Kaplan, N. (1987). Individual differences in 6-year-olds' thoughts about separation: Predicted from attachment to mother at age 1. Unpublished doctoral dissertation, University of California at Berkeley.
57. Kernberg, O. F. (1975). Borderline conditions and pathological narcissism. New York: Jason Aronson.
58. Kilpatrick, D. G., Edmunds, C. N., & Seymour, A. K. (1992). Rape in America: A report to the nation. Arlington, VA: National Victim Center and Medical University of South Carolina.
59. Kotch, J. D., Muller, G. O., & Blakely, C. H. (1999). Understanding the origins and incidence of child maltreatment. In T. P. Gullotta & S. J. McElhaney (Eds.), Violence in homes and communities: Prevention, intervention, and treatment. Issues in children's and families' lives, Vol. 11 (pp. 1-38). Thousand Oaks, CA: Sage.
60. Lieberman, A. R, & Pawl, J. H. (1990). Disorders of attachment and secure base behavior in the second year of life: Conceptual issues and clinical intervention. In M. T. Greenberg, D. Cicchetti, & E. M. Cummings (Eds.), Attachment in the preschool years (pp. 375-398). Chicago: University of Chicago Press.
61. Lieberman, A. F, & Zeanah, C. H. (1999). Contributions of attachment theory to infant-parent psychotherapy and other interventions with infants and young children. In J. Cassidy & P. R. Shaver (Eds.), Handbook of Attachment: Theory, research, and clinical applications (pp. 555-574). New York: Guilford.
62. Liotti, G. (1992). Disorganized/disoriented attachment in the etiology of the dissociative disorders. Dissociation: Progress in the dissociative disorders, 5, 196-204.
63. Liotti, G. (1995). Disorganized/disoriented attachment in the psychotherapy of the dissociative disorders. In S. Goldberg & R. Muir (Eds.). Attachment theory: Social, developmental, and clinical perspectives (pp. 343-363). Hillsdale, NJ: Analytic Press
64. Liotti, G. (1999a). Disorganization of attachment as a model for understanding dissociative psychopathology. In J. Solomon & C. George (Eds.), Attachment disorganization (pp. 291-317). New York: Guilford.
65. Liotti, G. (1999b). Understanding the dissociative processes: The contribution of attachment theory. Psychoanalytic Inquiry, 19, 757-783.
66. Liotti, G., & Intreccialagli, B. (1998). Metacognition and motivational systems in psychotherapy: A cognitive-evolutionary approach to the treatment of difficult patients. In C. Perns & P.D. McGorry (Eds.), Cognitive psychotherapy of psychotic and personality disorders: Handbook of theory and practice (pp. 333-349). Chichester, England: John Wiley & Sons.
67. Lyons-Ruth, K., & Block, D. (1996). The disturbed caregiving system: Relations among childhood trauma, maternal caregiving, and infant affect and attachment. Infant Mental Health Journal, 17, 257-275.
68. Lyons-Ruth, K., Bronfman, E., & Atwood, G. (1999). A relational diathesis model of hostile-helpless states of mind: Expressions in mother-infant interaction. In J. Solomon & C. George (Eds.), Attachment disorganization (pp. 33-70). New York: Guilford.
69. Lyons-Ruth, K., Bronfman, E., & Parsons, E. (1999). Maternal frightened, frightening, or atypical behavior and disorganized infant attachment patterns. Monographs of the Society for Research in Child Development, 64, 67-96.
70. Lyons-Ruth, K., &Jacobvitz, D. (1999). Attachment disorganization: Unresolved loss, relational violence, and lapses in behavioral and attentional strategies. In J. Cassidy & P. R. Shaver (Eds.), Handbook of Attachment: Theory, research, and clinical applications (pp. 520-554). New York: Guilford.
71. Main, M. (1981). Avoidance in the service of attachment: A working paper. In K. Immelmann, G. Barlow, L. Petrinovitch, & M. Main (Eds.), Behavioral development: The Bielefeld Interdisciplinary Project (pp. 651-693). New York: Cambridge University Press.
72. Main, M. (1990). Cross-cultural studies of attachment organization: Recent studies, changing methodologies, and the concept of conditional strategies. Human Development, 33, 48-61.
73. Main, M., & Cassidy, J. (1988). Categories of response to reunion with the parent at age six: Predictable from infant attachment classifications and stable over a 1-month period. Developmental Psychology, 24, 415-426.
74. Main, M., & Goldwyn, R. (1984). Predicting rejection of her infant from mother's representation of her own experience: Implications for the abused-abusing intergenerational cycle. Child Abuse & Neglect, 8, 203-217.
75. Main, M., & Goldwyn, R. (1998). Adult attachment scoring and classification system. Unpublished manuscript, University of California at Berkeley.
76. Main, M., & Hesse, E. (1990). Parents' unresolved traumatic experiences are related to infant disorganized attachment status: Is frightened and/or frightening parental behavior the linking mechanism? In M. T. Greenberg, D. Cicchetti, & E. M. Cummings (Eds.), Attachment in the preschool years: Theory, research, and intervention (pp. 161-182). Chicago: University of Chicago Press.
77. Main, M., & Hesse, E. (1992). Disorganized/disoriented infant behavior in the Strange Situation, lapses in the monitoring of reasoning and discourse during the parent's Adult Attachment Interview, and dissociative states. In M. Ammaniti & D. Stern (Eds.), Attaccamento e psicoanalisi (pp. 86-140). Rome: Laterza.
78. Main, M., & Hesse, E. (1998). Frightening, frightened, dissociated, deferential, sexualized and disorganized parental behavior: A coding system for frightening parent-infant interactions. Unpublished manuscript, University of California, Berkeley.
79. Main, M., Kaplan, N., & Cassidy, J. (1985). Security in infancy, childhood, and adulthood: A move to the level of representation. In I. Bretherton & E. Waters (Eds.), Growing points of attachment theory and research. Monographs of the Society for Research in Child Development, 50 (1-2, ser. no. 209), 66-104.
80. Main, M., & Solomon, J. (1986). Discovery of an insecure-disorganized/disoriented attachment pattern: Procedures, findings, and implications for the classification of behavior. In T. B. Brazelton, & M. Yogman (Eds.), Affective development in infancy (pp. 95-124). Norwood, NJ: Ablex.
81. Main, M., & Solomon, J. (1990). Procedures for identifying infants as disorganized/disoriented during the Ainsworth strange situation. In M. T. Greenberg, D. Cicchetti, & E. M. Cummings (Eds.), Attachment in the preschool years: Theory, research, and intervention (pp. 121-160). Chicago: University of Chicago Press.
82. Main, M., & Weston, D. (1981). The quality of the toddler's relationship to mother and to father: Related to conflict behavior and the readiness to establish new relationships. Child Development, 52, 932-940.
83. McDonough, S. (1993). Interaction guidance: Understanding and treating early infant-caregiver relationship disturbances. In C. Zeanah (Ed.), The handbook of infant mental health (pp. 414-426). New York: Guilford.
84. Mickelson, K. D., Kessler, R. C., & Shaver, P. R. (1997). Adult attachment in a nationally representative sample. Journal of Personality and Social Psychology, 73, 1092-1106.
85. Minuchin, S. (1974). Families and family therapy. Cambridge: Harvard University Press.
86. Moss, E., St-Laurent, D., & Parent, S. (1999). Disorganized attachment and developmental risk at school age. In J. Solomon & C. George (Eds.), Attachment disorganization (pp. 160-188). New York: Guilford.
87. Muscetta, S., Dazzi, N., De Coro, A., Ortu, F., & Speranza, A. M. (1999). "States of mind with respect to attachment" and change in a psychotherapeutic relationship: A study of the coherence of transcript in a short-term psychotherapy with an adolescent. Psychoanalytic Inqniry, 19, 885-921.
88. Nigg, J. T., Lohr, N. E., Westen, D., Gold, L. J., & Silk, K. R. (1992). Malevolent object representations in borderline personality disorder and major depression. Journal of Abnormal Psychology, 101, 61-67.
89. Nigg, J. T., Silk, K. R., Westen, D., Lohr, N. E., Gold, L. J., Goodrich, S., & Ogata, S. (1991). Object representations in the early memories of sexually abused borderline patients. American Journal of Psychiatry, 148, 864-869.
90. Ogawa, J. R., Sroufe, L. A., Weinfield, N. S., Carlson, E. A., & Egeland, B. (1997). Development and the fragmented self: Longitudinal study of dissociative symptomatology in a non-clinical sample. Development and Psychopathology, 9, 855-879.
91. Paris, J., & Zweig-Frank, H. (1992). A critical review of the role of childhood sexual abuse in the etiology of borderline personality disorder. Canadian Journal of Psychiatry, 37, 125-128.
92. Perry, B. D. (1999). The memories of states: How the brain stores and retrieves traumatic experience. In J. Goodwin & R. Attias (Eds.), Splintered reflections: Images of the body in trauma (pp. 9-38). New York: Basic Books.
93. Pianta, R. C., Marvin, R. S., & Morog, M. C. (1999). Resolving the past and present: Relations with attachment organization. In J. Solomon & C. George (Eds.), Attachment disorganization (pp. 379-398). New York: Guilford.
94. Resnick, H. S., Kilpatrick, D. G., Dansky, B. S., Saunders, B. E., & Best, C. L. (1993). Prevalence of civilian trauma and posttraumatic stress disorder in a representative sample of women. Journal of Consulting and Clinical Psychology, 61, 984-991.
95. Roche, S. M., & McConkey, K. M. (1990). Absorption: Nature, assessment, and correlates. Journal of Personality & Social Psychology, 59, 91-101.
96. Schneider, M. L., & Coe, C. L. (1993). Repeated social stress during pregnancy impairs neuromotor development on the primate infant. Developmental and Behavioral Pediatrics, 14, 81-87.
97. Schuengel, C., Bakermans-Kranenburg, M. J., & van IJzendoorn, M. H. (1999). Frightening maternal behavior linking unresolved loss and disorganized infant attachment. Journal of Consulting and Clinical Psychology, 67, 54-63.
98. Seligman, M. E. P. (1975). Helplessness. San Francisco: W. H. Freeman.
99. Siegel, D. J. (1999). The developing mind: Toward a neurobiology of interpersonal experience. New York: Guilford.
100. Solomon, J., & George, C. (1999a). The measurement of attachment security in infancy and childhood. In J. Cassidy & P. R. Shaver (Eds.), Handbook of Attachment: Theory, research, and clinical applications (pp. 287-318). New York: Guilford.
101. Solomon, J., & George, C. (1999b). The place of disorganization in attachment theory: Linking classic observations with contemporary findings. In J. Solomon & C. George (Eds.), Attachment disorganization (pp. 3-32). New York: Guilford.
102. Solomon, J., George, C., & De Jong, A. (1995). Children classified as controlling at age six: Evidence of disorganized representational strategies and aggression at home and school. Development and Psychopathology, 7, 447-464.
103. Spangler, G., & Fremmer-Bombik, E., & Grossmann, K. E. (1996). Social and individual determinants of attachment security, maternal sensitivity, and infant temperament during the first year. Infant Mental Health Journal, 17, 127-139.
104. Spangler, G., & Grossmann, K. E. (1993). Biobehavioral organization in securely and insecurely attached infants. Child Development, 64, 1439-1450.
105. Spangler, G., & Grossmann, K. (1999). Individual and physiological correlates of attachment disorganization in infancy. In J. Solomon & C. George (Eds.), Attachment disorganization (pp. 95-126). New York: Guilford.
106. Sroufe, L. A. (1990). Pathways to adaptation and maladaptation: Psychopathology as developmental deviation. In D. Cicchetti (Ed.), Rochester Symposium on Developmental Psychopathology, Vol. 1: The emergence of a discipline (pp. 13-40). Hillsdale, NJ: Lawrence Erlbaum.
107. Steele, H., Steele, M., & Fonagy, P. (1996). Associations among attachment classifications of mothers, fathers, and their infants. Child Development, 67, 541-555.
108. Tellegen, A., & Atkinson, G. (1974). Openness to absorbing and self-altering experiences ("absorption"), a trait related to hypnotic susceptibility. Journal of Abnormal Psychology, 83, 268-277.
109. Thompson, R. A. (1999). Early attachment and later development. In J. Cassidy & P. R. Shaver (Eds.), Handbook of Attachment: Theory, research, and clinical applications (pp. 265-286). New York: Guilford.
110. van IJzendoorn, M. H., & Bakermans-Kranenburg, M. J. (1996). Attachment representations in mothers, fathers, adolescents, and clinical groups: A meta-analytic search for normative data. Journal of Consulting and Clinical Psychology, 64, 8-21.
111. van IJzendoorn, M. H., Schuengel, C., & Bakermans-Kranenburg, M. J. (1999). Disorganized attachment in early childhood: Meta-analysis of precursors, concomitants, and sequalae. Development and Psychopathology, 11, 225-249.
112. Vaughn, B. E., & Bost, K. K. (1999). Attachment and temperament: Redundant, independent, or interacting influences on interpersonal adaptation and personality development? In J. Cassidy & P. R. Shaver (Eds.), Handbook of Attachment: Theory, research, and clinical applications (pp. 198-225). New York: Guilford.
113. Warren, S. L., Huston, L., Egeland, B., & Sroufe, L. A. (1997). Child and adolescent anxiety disorders and early attachment. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 637-644.
114. Wartner, U. G., Grossmann, K., Fremmer-Bombik, E., & Suess, G. (1994). Attachment patterns at age six in south Germany: Predictability from infancy and implications for pre-school behavior. Child Development, 65, 1014-1027.
115. Waters, D. B., & Lawrence, E. C. (1993). Competence, courage, and change: An approach to family therapy. New York: Norton.
116. Westen, D., Lohr, N. E., Silk, K. R., Gold, L. J., & Kerber, K. (1990). Object relations and social cognition in borderlines, major depressives, and normals: A Thematic Apperception Test analysis. Psychological Assessment, 2, 355-364.