Who developed the Attachment and Health psychological model?
Internal working model of attachment
Internal working model of attachment is a psychological approach that attempts to describe the development of mental representations, specifically the worthiness of the self and expectations of others' reactions to the self. This model is a result of interactions with primary caregivers which become internalized, and is therefore an automatic process. John Bowlby implemented this model in his attachment theory in order to explain how infants act in accordance with these mental representations. It is an important aspect of general attachment theory.
Attachment and Health
According to attachment theory people with insecure attachment have less effective strategies for dealing with negative emotions compared to people with secure attachment. One way in which insecurely individuals may try to regulate their distress is by using strategies or behaviours that are attractive for their short term relief but may have deleterious risks over years like eating, drug use or risky sex. 
In a survey of 356 primary care patients in Toronto, rates of smoking, harmful drinking and obesity, were all found to be highest in those with the most severe anxious and avoidant attachment. Both attachment anxiety and attachment avoidance have been linked in separate studies to increasing the risk of eating disorders and substance use in adolescents.
Personality psychology
Early examples of approaches to cognitive style are listed by Baron (1982). These include Witkin's (1965) work on field dependency, Gardner's (1953) discovering people had consistent preference for the number of categories they used to categorise heterogeneous objects, and Block and Petersen's (1955) work on confidence in line discrimination judgments. Baron relates early development of cognitive approaches of personality to ego psychology. More central to this field have been:Various scales have been developed to assess both attributional style and locus of control. Locus of control scales include those used by Rotter and later by Duttweiler, the Nowicki and Strickland (1973) Locus of Control Scale for Children and various locus of control scales specifically in the health domain, most famously that of Kenneth Wallston and his colleagues, The Multidimensional Health Locus of Control Scale. Attributional style has been assessed by the Attributional Style Questionnaire, the Expanded Attributional Style Questionnaire, the Attributions Questionnaire, the Real Events Attributional Style Questionnaire and the Attributional Style Assessment Test.Recognition that the tendency to believe that hard work and persistence often results in attainment of life and academic goals has influenced formal educational and counseling efforts with students of various ages and in various settings since the 1970s research about achievement. Counseling aimed toward encouraging individuals to design ambitious goals and work toward them, with recognition that there are external factors that may impact, often results in the incorporation of a more positive achievement style by students and employees, whatever the setting, to include higher education, workplace, or justice programming.
Attachment theory
Psychoanalytic concepts influenced Bowlby's view of attachment, in particular, the observations by Anna Freud and Dorothy Burlingham of young children separated from familiar caregivers during World War II. However, Bowlby rejected psychoanalytical explanations for early infant bonds including "drive theory" in which the motivation for attachment derives from gratification of hunger and libidinal drives. He called this the "cupboard-love" theory of relationships. In his view it failed to see attachment as a psychological bond in its own right rather than an instinct derived from feeding or sexuality. Based on ideas of primary attachment and Neo-Darwinism, Bowlby identified what he saw as fundamental flaws in psychoanalysis: the overemphasis of internal dangers rather than external threat, and the view of the development of personality via linear "phases" with "regression" to fixed points accounting for psychological distress. Bowlby instead posited that several lines of development were possible, the outcome of which depended on the interaction between the organism and the environment. In attachment this would mean that although a developing child has a propensity to form attachments, the nature of those attachments depends on the environment to which the child is exposed.
Attachment and Health
Attachment and health interact on multiple levels. Attachment is a biologically based system tied to our response to distress and attachment styles appear to confer differences in stress physiology. Illness and pain themselves act as an “activating signal” for attachment systems, and health care providers act as attachment figures in their role addressing illness and pain. Accordingly, attachment styles influence patient perception of illness, health care utilization, medication compliance and treatment response.
History of attachment theory
Bowlby's first official representations were carried out for the relationship theory in three very controversial lectures in 1957 by the British Psychoanalytical Society in London. The formal origin of attachment theory can be traced to the publication of two 1958 papers, one being Bowlby's "The Nature of the Child's Tie to his Mother", in which the precursory concepts of "attachment" were introduced, and Harry Harlow's "The Nature of Love", based on the results of experiments which showed, approximately, that infant rhesus monkeys spent more time with soft mother-like dummies that offered no food than they did with dummies that provided a food source but were less pleasant to the touch. Bowlby followed this up with two more papers, "Separation Anxiety" (1960a), and "Grief and Mourning in Infancy and Early Childhood" (1960b). At about the same time, Bowlby's former colleague, Mary Ainsworth was completing extensive observational studies on the nature of infant attachments in Uganda with Bowlby's ethological theories in mind. Mary Ainsworth's innovative methodology and comprehensive observational studies informed much of the theory, expanded its concepts and enabled some of its tenets to be empirically tested. Attachment theory was finally presented in 1969 in "Attachment" the first volume of the "Attachment and Loss" trilogy. The second and third volumes, "Separation: Anxiety and Anger" and "Loss: Sadness and Depression" followed in 1972 and 1980 respectively. "Attachment" was revised in 1982 to incorporate more recent research.
Attachment therapy
In 2001, 2003 and 2006, ATTACh, an organization set up by Foster Cline and associates, issued a series of statements in which they progressively changed their stance on coercive practices. In 2001, after the death of Candace Newmaker they stated "The child will never be restrained or have pressure put on them in such a manner that would interfere with their basic life functions such as breathing, circulation, temperature, etc." A White Paper, formally accepted in April 2007, "unequivocally state(s) our opposition to the use of coercive practices in therapy and parenting." They acknowledge ATTACh's historical links with catharsis, provocation of rage, and intense confrontation, among other overtly coercive techniques (and indeed continue to offer for sale books by controversial proponents) but state that the organization has evolved significantly away from earlier positions. They state that their recent evolution is due to a number of factors including tragic events resulting from such techniques, an influx of members practicing other techniques such as attunement and a "fundamental shift ... away from viewing these children as driven by a conscious need for control toward an understanding that their often controlling and aggressive behaviors are automatic, learned defensive responses to profoundly overwhelming experiences of fear and terror." While being of the view that authoritative practices are necessary, and that nurturing touch and treatment aimed at the perceived developmental rather than chronological age are an integral part of the therapy, the White Paper promotes the techniques of attunement, sensitivity and regulation and deprecates coercive practices such as enforced holding or enforced eye contact.
Attachment measures
Scores on the anxiety and avoidance scales can still be used to classify people into the four adult attachment styles. 
The four styles of attachment defined in Bartholomew and Horowitz's model were based on thoughts about self and thoughts about partners. The anxiety scale in the ECR and ECR-R reflect thoughts about self. Attachment anxiety relates to beliefs about self-worth and whether or not one will be accepted or rejected by others. The avoidance scale in the ECR and ECR-R relates to thoughts about partners. Attachment avoidance relates to beliefs about taking risks in approaching or avoiding other people. Combinations of anxiety and avoidance can thus be used to define the four attachment styles. The secure style of attachment is characterized by low anxiety and low avoidance; the preoccupied style of attachment is characterized by high anxiety and low avoidance; the dismissive avoidant style of attachment is characterized by low anxiety and high avoidance; and the fearful avoidant style of attachment is characterized by high anxiety and high avoidance.
Mental toughness
Peter Clough et al. (2002) proposed a model of mental toughness, conceptualising it more like a personality trait. Their model has four components: confidence; challenge; control and commitment. In initially conceptualising mental toughness and developing the MTQ48 questionnaire measurement tool, the approach taken by Clough et al. (2002) was to combine existing psychological theory and applied sport psychology in an attempt to bridge the gap between research and practice. Clough et al. saw clear comparisons between their emerging mental toughness data and the concept of hardiness, a key individual difference and resistance resource that helps buffer stress and has become an accepted concept in health psychology within the study of the stress-illness relationship. Clough et al. are clear that mental toughness is concept with broad application and should not be limited to the sports domain. They feel that sports specific measures are unlikely to move the field forward in any meaningful ways. The development work relating to their model is fully described and discussed in their book on mental toughness.
Attachment and Health
Bartholomew and Horowitz proposed and verified a working model based on two dimensions; the view of the self (self-esteem) and the view of others (sociability)
Attachment therapy
The practice of holding therapy is not confined to the US. Prior and Glaser cite at least one clinic in the UK. Attachment therapists from the USA have conducted conferences in the UK. The British Association for Adoption and Fostering, (BAAF), has issued an extensive position statement on the subject which covers not only physical coercion but also the underlying theoretical principles. It had been thought, until recently, that therapists calling themselves "attachment therapists" practising in the UK tended to be practising conventional forms of psychotherapy based on attachment theory. In 2009 The British Journal of Social Work accepted an article rehabilitating holding therapy, "To Have and to Hold: Questions about a Therapeutic Service for Children" describing an earlier study involving the Keys Attachment Centre in Rossendale, Lancashire and the surrounding Keys Attachment Homes. In 2012, first-hand accounts from a survivor and a number of professionals provided evidence that the coercive Evergreen model of holding therapy had been systematically used to treat children in Local Authority care within a programme in North West England.
Internal working model of attachment
The most influential figure for the idea of the internal working model of attachment is Bowlby, who laid the groundwork for the concept in the 1960’s. He was inspired by both psychoanalysis, especially object relations theory, and more recent research into ethology, evolution and information-processing.
Marinus van IJzendoorn
Van IJzendoorn's main research topic is attachment across the life-span. Attachment has been briefly defined as children's "strong disposition to seek proximity to and contact with a specific figure and to do so in certain situations, notably when they are frightened, tired or ill". Inspired by Darwinian evolutionary theory and Harlow's experimental work with rhesus monkeys, John Bowlby was the first to propose that human genetic selection had favoured attachment behaviours since they increased infant-parent proximity, which in turn enhanced the chances for infant survival. Attachment is considered to be an inborn capacity of every exemplar of the human species. Individual differences in the quality of attachment emerge in the first years of life, and central to attachment theory is the idea that parenting, more specifically parental sensitive responsiveness to the infant's distress signals, determines whether children develop a secure or an insecure attachment relationship with their primary caregiver. Van IJzendoorn introduced in 1995 the quantitative model of the ‘transmission gap’ between parents’ attachments and their infants’ attachment as mediated by parental sensitive responsiveness. This model generated a host of empirical studies trying to bridge the gap (see for a meta-analysis of this work).
Attachment theory
In the 1970s, problems with viewing attachment as a trait (stable characteristic of an individual) rather than as a type of behaviour with organising functions and outcomes, led some authors to the conclusion that attachment behaviours were best understood in terms of their functions in the child's life. This way of thinking saw the secure base concept as central to attachment theory's logic, coherence, and status as an organizational construct. Following this argument, the assumption that attachment is expressed identically in all humans cross-culturally was examined. The research showed that though there were cultural differences, the three basic patterns, secure, avoidant and ambivalent, can be found in every culture in which studies have been undertaken, even where communal sleeping arrangements are the norm.Selection of the secure pattern is found in the majority of children across cultures studied. This follows logically from the fact that attachment theory provides for infants to adapt to changes in the environment, selecting optimal behavioural strategies. How attachment is expressed shows cultural variations which need to be ascertained before studies can be undertaken; for example Gusii infants are greeted with a handshake rather than a hug. Securely attached Gusii infants anticipate and seek this contact. There are also differences in the distribution of insecure patterns based on cultural differences in child-rearing practices. The scholar Michael Rutter in 1974 studied the importance of distinguishing between the consequences of attachment deprivation upon intellectual retardation in children and lack of development in the emotional growth in children. Rutter's conclusion was that a careful delineation of maternal attributes needed to be identified and differentiated for progress in the field to continue.
Attachment and Health
In the late 1980s Cindy Hazan and Phillip Shaver applied attachment theory to adult romantic relationships based on observations of the interactions between adult romantic partners.☃☃ They noticed that romantic partners often prefer to be physically close, become anxious when they are separated and that stressful situations can be buffered by the presence of a romantic partner. Three main methods of measuring adult attachment have been developed (see attachment measures), with slightly different purposes and variable amounts of concordance between them. Some aim to categorize attachment style while others rate degrees of attachment anxiety and avoidance.
History of attachment theory
In his 1951 monograph for the World Health Organization, "Maternal Care and Mental Health", Bowlby put forward the hypothesis that "the infant and young child should experience a warm, intimate, and continuous relationship with his mother (or permanent mother substitute) in which both find satisfaction and enjoyment" and that not to do so may have significant and irreversible mental health consequences. This proposition was both influential in terms of the effect on the institutional care of children, and highly controversial. There was limited empirical data at the time and no comprehensive theory to account for such a conclusion.
Attachment-based therapy (children)
Developed by Daniel Schechter and colleagues. They developed an experimental paradigm informed by attachment theory called the Clinician Assisted Videofeedback Exposure Sessions to test whether traumatized mothers, who often suffered psychological sequalae from a history of abuse and violence, could "change their mind" about their young children. The technique used was to watch video-excerpts of play, separation and similarly stressful moments in the presence of a clinician who asks the mother to think about what she (and her child) might be thinking and feeling at the time of the excerpt and at the moment of videofeedback. It applies the principles of mentalization as an aide to emotional regulation with these traumatized parents. It also involves elements of prolonged exposure treatment, the video-based treatment Interaction Guidance, and psychodynamically-oriented child–parent psychotherapy. Schechter and colleagues showed a significant change in the way mothers perceived their own child and their relationship together.
Attachment-based therapy (children)
This is a parent education and psychotherapy intervention developed by Glen Cooper, Kent Hoffman, Robert Marvin, and Bert Powell designed to shift problematic or 'at risk' patterns of attachment – caregiving interactions to a more appropriate developmental pathway. It is stated that it is explicitly based on contemporary attachment and congruent developmental theories. Its core constructs are Ainsworth’s ideas of a Secure Base and a Haven of Safety (Ainsworth et al. 1978). The aim of the protocol is to present these ideas to the parents in a user-friendly, common-sense fashion that they can understand both cognitively and emotionally. This is done by a graphic representation of the child's needs and attachment system in circle form, summarising the child's needs and the safe haven provided by the caregiver. The protocol has so far been aimed at and tested on preschoolers up to the age of 4 years.
Codependency
In their book, “Attached.”, Dr. Amir Levine and Rachel S. F. Heller, address what they call the “codependency myth” by asserting that attachment theory is a more scientific and helpful model for understanding and dealing with attachment in adults.
Affect infusion model
The Affect infusion model (AIM) is a theoretical model in the field of human psychology. Developed by social psychologist Joseph Paul Forgas in the early 1990s, it attempts to explain how mood affects one's ability to process information. A key assertion of the AIM is that the effects of mood tend to be exacerbated in complex situations that demand substantial cognitive processing. In other words, as situations become more complicated and unanticipated, mood becomes more influential in driving evaluations and responses.
Dependency need
Dependency needs can sometimes be associated with Attachment Theory. Attachment can be defined as a "deep and enduring emotional bond that connects one person to another across time and space." (Ainsworth, 1973; Bowlby, 1969) Attachment is thought to first occur between an infant and his or her primary caregiver. (Hetherington & Parke, 1999) Harry Harlow and his research in developmental psychology showed that attachment between infant and caregiver is vitally important to the psychological development of the infant and requires physical contact with a warm and responsive mother. (Larsen & Buss, 2008) These early experiences and reactions of the infants to the primary caregivers become working models for later adult relationships. (Larsen & Buss, 2008) Therefore, conclusions can be visibly drawn linking attachment and dependency need; vital, infantile needs for mothering, love, affection, shelter, protection, security, food, and warmth (dependency need) can stem from the type of interaction between that of an infant and his or her primary caregiver. Three different types of attachment styles, securely attached, avoidantly attached, and ambivalent attached, can result from varying levels and styles of care a primary caregiver provides an infant.
Attachment-based therapy (children)
This is a foster care intervention devised by J.A. Larrieu and C.H Zeanah in 1998. The program is designed to address the developmental and health needs of children under the age of 5 who have been maltreated and placed in foster care. It is funded by the state government of Louisiana and private funds. It is a multidisciplinary approach involving psychiatrists, psychologists, social workers, paediatricians and paraprofessionals—all with expertise in child development and developmental psychopathology.
Diathesis–stress model
The use of the term "diathesis" in medicine and in the specialty of psychiatry dates back to the 1800s; however, the diathesis–stress model was not introduced and used to describe the development of psychopathology until it was applied to explaining schizophrenia in the 1960s by Paul Meehl.
The diathesis–stress model is used in many fields of psychology, specifically for studying the development of psychopathology. It is useful for the purposes of understanding the interplay of nature and nurture in the susceptibility to psychological disorders throughout the lifespan. Diathesis–stress models can also assist in determining who will develop a disorder and who will not. For example, in the context of depression, the diathesis–stress model can help explain why Person A may become depressed while Person B does not, even when exposed to the same stressors. More recently, the diathesis–stress model has been used to explain why some individuals are more at risk for developing a disorder than others. For example, children who have a family history of depression are generally more vulnerable to developing a depressive disorder themselves. A child who has a family history of depression and who has been exposed to a particular stressor, such as exclusion or rejection by his or her peers, would be more likely to develop depression than a child with a family history of depression that has an otherwise positive social network of peers.
Attachment theory and psychology of religion
Attachment theory and psychology of religion research explores the ways that a belief in God can fulfill the criteria of an attachment figure and examines how individual differences in attachment lead to correspondence or compensation pathways.
Attachment parenting
In 1984, developmental psychologist Aletha Solter published her book "The Aware Baby" about a parenting philosophy that advocates attachment, extended breastfeeding and abstinence from punishment, similarly to what William Sears later wrote; however, the point that Solter stressed most was an encouragement of the child's emotional expression in order to heal stress and trauma.
Dyadic developmental psychotherapy
Similarities to certain attachment therapy practices have also provoked controversy. It has been suggested that the therapy appears to use age regression and holding techniques—features of attachment therapy not congruent with attachment theory. Becker-Weidman cites Daniel Hughes's 1997 book "Facilitating Developmental Attachment", which contains sections on the use of age regression and holding therapy, as a source document for dyadic developmental psychotherapy. The advocacy group Advocates for Children in Therapy include dyadic developmental psychotherapy in their list of "attachment therapies by another name", and continue to list Hughes as a proponent of attachment therapy, citing statements of his that appear to endorse holding therapy. In particular, they cite material from Hughes's website about the use of physical contact in therapy as follows:
Health realization
Health realization (HR) is a resiliency approach to personal and community psychology first developed in the 1980s by Roger C. Mills and George Pransky, and based on ideas and insights these psychologists elaborated from attending the lectures of philosopher and author Sydney Banks. HR first became known for its application in economically and socially marginalized communities living in highly stressful circumstances (see "Community Applications" below).
Social connection
Attachment is a deep emotional bond between two people, a "lasting psychological connectedness between human beings." Attachment theory, developed by John Bowlby during the 1950s, is a theory that remains influential in psychology today.
Attachment theory and psychology of religion
Attachment theory began with evolutionary psychologist John Bowlby in 1969. Attachment theory was initially grounded in the observation that human beings appear to be born with an innate psychobiological system (the "attachment behavioral system") that motivates them to seek proximity to significant others ("attachment figures"). This revolutionary theory has found application in topics such as friendships, romantic relationships, coping with stress, loneliness and grief.
Attachment measures
The MCAST is a semi-structured doll play 'story stem' methodology, developed by Jonathan Green, Charlie Stanley, Ruth Goldwyn and Vicky Smith, to evaluate and understand the internal (mental) representations of their attachment relationship with a specific primary caregiver in children of 4 to 8.5 years. The concepts and procedures used have a basis in the Strange Situation Procedure and Adult Attachment Interview, and involves 4 story stem vignettes involving two dolls representing the caregiver-child dyad of interest and a dolls house, presented with affective arousal to mobilise attachment representations in a way that children of this age range find accessible and engaging. Responses are usually videotaped in order to reliably rate aspects of the child's represented narrative content and behaviour, and the child's own behaviour, to ascertain an attachment classification, with a particular focus on disorganised attachment, as well as providing other supporting ratings. Clinical development of the MCAST started in 1992, validation was published in 2000, and it has been since used in a range of cultural contexts and clinical and at-risk groups. Training is required for its use.
Attachment measures
Developed by Carol George and Malcolm West in 1999, this is a free response task that involved telling stories in response to eight picture stimuli (1 warm-up & 7 attachment scenes). A good description can be found in George and West's 1999 paper in the journal Attachment and Human Development. A book describing the measure is forthcoming from Guilford Press in spring 2011.
Attachment therapy
Attachment therapy is a controversial category of alternative child mental health interventions intended to treat attachment disorders. The term generally includes accompanying parenting techniques. Other names or particular techniques include "the Evergreen model", "holding time", "rage-reduction", "compression therapy", "rebirthing", "corrective attachment therapy" and Coercive Restraint Therapy. It is found primarily in the United States, and much of it is centered in about a dozen clinics in Evergreen, Colorado, where Foster Cline, one of the founders, established his clinic in the 1970s. This article describes this particular set of interventions although in clinical literature the term "attachment therapy" is sometimes used loosely to mean any intervention based on attachment theory, particularly outside the US. Attachment therapy as described in this article should not be confused with other schools of therapy which are more empirically based and which aim to address problems stemming from disrupted attachment to caregivers.
Attachment theory
Attachment styles are activated from the first date onwards and impact relationship dynamics and how a relationship ends. Secure attachment has been shown to allow for better conflict resolution in a relationship and for one's ability to exit an unsatisfying relationship compared to other attachment types. Secure individuals authentic high self-esteem and positive view of others allows for this as they are confident that they will find another relationship. Secure attachment has also shown to allow for the successful processing of relational losses (e.g. death, rejection, infidelity, abandonment etc.) Attachment has also been shown to impact caregiving behavior in relationships, too (Shaver & Cassidy, 2018)
Two main aspects of adult attachment have been studied. The organization and stability of the mental working models that underlie the attachment styles is explored by social psychologists interested in romantic attachment. Developmental psychologists interested in the individual's state of mind with respect to attachment generally explore how attachment functions in relationship dynamics and impacts relationship outcomes. The organization of mental working models is more stable while the individual's state of mind with respect to attachment fluctuates more. Some authors have suggested that adults do not hold a single set of working models. Instead, on one level they have a set of rules and assumptions about attachment relationships in general. On another level they hold information about specific relationships or relationship events. Information at different levels need not be consistent. Individuals can therefore hold different internal working models for different relationships.
Attachment and Health
In 2012 Maunder and Hunter combined the internal working model with the attitudes, behaviours and emotional expression of the different styles to create a prototype based classification that included severity of insecurity. This model was designed to be clinically useful, allowing healthcare providers to identify and predict the behaviours of patients whose attachment systems were activated by pain and illness.
Gordon Neufeld
Gordon Neufeld (1946) is a developmental psychologist and author of the book "Hold on to Your Kids: Why Parents Need to Matter More Than Peers" (co-authored with Canadian physician Gabor Maté) that has been translated into 10 languages.
The Neufeld approach (his attachment-based developmental model) is based on the attachment theory formulated by John Bowlby.
He developed a theory of attachment that includes six stages in the development of the capacity for relationship, the construct of polarization that explains both shyness and defensive detachment. His model of attachment is universal in both its application (adults as well as children) and implementation (school as well as home).
Affect consciousness
A specific AC-psychotherapy treatment model (ACT – not to be confused with acceptance and commitment therapy, which is a more recent model) has been developed and systematically tested (Monsen et al.,
1995a, b) for treating severe and complex mental disorders. It has later been revised and tested in a randomized controlled study with chronic pain patients (Monsen & Monsen, 1999, 2000). A recent revision of the model has been described by Monsen & Solbakken (2013) and is currently being tested empirically.
Attachment therapy
Attachment therapy prospered during the 1980s and '90s as a consequence of both the influx of older adopted orphans from Eastern European and third world countries and the inclusion of reactive attachment disorder in the 1980 Diagnostic and Statistical Manual of Mental Disorders which attachment therapists adopted as an alternative name for their existing unvalidated diagnosis of attachment disorder.
Aaron Antonovsky
In 1972, he helped establish the medical school at Ben-Gurion University of the Negev, and held the Kunin-Lunenfeld Chair in Medical Sociology. During his twenty years in that Department, Antonovsky developed his theory of health and illness, which he termed salutogenesis. This model was described in his 1979 book, "Health, Stress and Coping", followed by his 1987 work, "Unraveling the Mystery of Health". The books were acclaimed among health scholars as an important contribution to understanding the relationship between health and illness.
Nurture kinship
Within the discipline of psychology, the formation of social and emotional ties are treated by attachment theory. Drawing on animal studies from the 1950s onwards, John Bowlby and colleagues described how—for all primates, including humans—the reliable provision of nurture and care leads to strong bonds of attachment between the carer and cared-for.
Attachment theory
Across different cultures deviations from the Strange Situation Protocol have been observed. A Japanese study in 1986 (Takahashi) studied 60 Japanese mother-infant pairs and compared them with Ainsworth's distributional pattern. Although the ranges for securely attached and insecurely attached had no significant differences in proportions, the Japanese insecure group consisted of only resistant children with no children categorized as avoidant. This may be because the Japanese child rearing philosophy stressed close mother infant bonds than in Western cultures. In Northern Germany, Grossmann et al. (Grossmann, Huber, & Wartner, 1981; Grossmann, Spangler, Suess, & Unzner, 1985) replicated the Ainsworth Strange Situation with 46 mother infant pairs and found a different distributions of attachment classifications with a high number of avoidant infants: 52% avoidant, 34% secure, and 13% resistant (Grossmann et al., 1985). Another study in Israel found there was a high frequency of an ambivalent pattern which according to Grossman et al. (1985) could be attributed a greater parental push toward children's independence. Although it has been debated for years, and there are tedious differences amongst cultures, research shows that the three basic aspects of Attachment Theory are in fact universal. The Hypotheses are: 1)that secure attachment is the most desirable state, and the most prevalent. 2) maternal sensitivity influences infant attachment patterns and 3) specific infant attachments predict later social and cognitive competence.
Elaboration likelihood model
The study of attitudes and persuasion began as the central focus of social psychology, featured in the work of psychologists Gordon Allport (1935) and Edward Alsworth Ross (1908). Allport described attitudes as "the most distinctive and indispensable concept in contemporary social psychology". Considerable research was devoted to the study of attitudes and persuasion from the 1930s through the late 1970s. These studies embarked on various relevant issues regarding attitudes and persuasion, such as the consistency between attitudes and behaviors and the processes underlying attitude/behavior correspondence. However, Petty and Cacioppo noticed a major problem facing attitude and persuasion researchers to the effect that there was minimal agreement regarding "if, when, and how the traditional source, message, recipient, and channel variables affected attitude change". Noticing this problem, Petty and Cacioppo developed the elaboration likelihood model as their attempt to account for the differential persistence of communication-induced attitude change. Petty and Cacioppo suggested that different empirical findings and theories on attitude persistence could be viewed as stressing one of two routes to persuasion which they presented in their elaboration likelihood model.
Attachment and Health
Maunder and Hunter outline 3 ways in which insecure attachment can serve as a risk factor for health problems: 1) it may increase one’s susceptibility to stress by changing stress physiology, 2) it may be related to potentially harmful behaviours undertaken to regulate affect, and 3) it may change the way people interact with the healthcare system.
Kübler-Ross model
The model was first introduced by Swiss-American psychiatrist Elisabeth Kübler-Ross in her 1969 book "On Death and Dying", and was inspired by her work with terminally ill patients. Motivated by the lack of instruction in medical schools on the subject of death and dying, Kübler-Ross examined death and those faced with it at the University of Chicago medical school. Kübler-Ross' project evolved into a series of seminars which, along with patient interviews and previous research, became the foundation for her book. Although Kübler-Ross is commonly credited with creating stage models, earlier bereavement theorists and clinicians such as Erich Lindemann, Collin Murray Parkes, and John Bowlby used similar models of stages of phases as early as the 1940s.
The Practice and Theory of Individual Psychology
The Practice and Theory of Individual Psychology is a work on psychology by Alfred Adler, first published in 1924. In his work, Adler develops his personality theory, suggesting that the situation into which a person is born, such as family size, sex of siblings, and birth order, plays an important part in personality development. Adler is among the many therapists who have noted the significance and impact of the relationship between attitudes towards oneself and others, and highlighting the relationship between regard for self and love of another. Adler claimed that the tendency to disparage others arises out of feelings of inferiority. Adler also describes the self as part of a reflection of the thoughts of others, seeing self-esteem as determined, in part, by feelings toward significant others. According to Adler, people are inherently motivated to engage in social activities, relate to other people, and acquire a style of life that is fundamentally social in nature.
Ilan Meyer
Meyer developed a model of that describes the relationship of social stressors and mental disorders and helps to explain LGBT health disparities. The model has guided his and other investigators’ population research on LGBT health disparities by identifying the mechanisms by which social stressors impact health and describing the harm to LGBT people from prejudice and stigma. The Institute of Medicine (IOM) cited the model as one of four cross-cutting perspectives (the only one stemming from LGBT scholarship) recommended for the study of LGBT health.
Attachment theory
Critics in the 1990s such as J. R. Harris, Steven Pinker and Jerome Kagan were generally concerned with the concept of infant determinism (nature versus nurture), stressing the effects of later experience on personality. Building on the work on temperament of Stella Chess, Kagan rejected almost every assumption on which attachment theory's cause was based. Kagan argued that heredity was far more important than the transient developmental effects of early environment. For example, a child with an inherently difficult temperament would not elicit sensitive behavioural responses from a caregiver. The debate spawned considerable research and analysis of data from the growing number of longitudinal studies. Subsequent research has not borne out Kagan's argument, possibly suggesting that it is the caregiver's behaviours that form the child's attachment style, although how this style is expressed may differ with the child's temperament. Harris and Pinker put forward the notion that the influence of parents had been much exaggerated, arguing that socialization took place primarily in peer groups. H. Rudolph Schaffer concluded that parents and peers had different functions, fulfilling distinctive roles in children's development. Psychoanalyst/psychologists Peter Fonagy and Mary Target have attempted to bring attachment theory and psychoanalysis into a closer relationship through cognitive science as mentalization. Mentalization, or theory of mind, is the capacity of human beings to guess with some accuracy what thoughts, emotions and intentions lie behind behaviours as subtle as facial expression. It has been speculated that this connection between theory of mind and the internal working model may open new areas of study, leading to alterations in attachment theory. Since the late 1980s, there has been a developing rapprochement between attachment theory and psychoanalysis, based on common ground as elaborated by attachment theorists and researchers, and a change in what psychoanalysts consider to be central to psychoanalysis. Object relations models which emphasise the autonomous need for a relationship have become dominant and are linked to a growing recognition in psychoanalysis of the importance of infant development in the context of relationships and internalized representations. Psychoanalysis has recognized the formative nature of a child's early environment including the issue of childhood trauma. A psychoanalytically based exploration of the attachment system and an accompanying clinical approach has emerged together with a recognition of the need for measurement of outcomes of interventions. 
One focus of attachment research has been the difficulties of children whose attachment history was poor, including those with extensive non-parental child care experiences. Concern with the effects of child care was intense during the so-called "day care wars" of the late-20th century, during which some authors stressed the deleterious effects of day care. As a result of this controversy, training of child care professionals has come to stress attachment issues, including the need for relationship-building by the assignment of a child to a specific care-giver. Although only high-quality child care settings are likely to provide this, more infants in child care receive attachment-friendly care than in the past. A natural experiment permitted extensive study of attachment issues as researchers followed thousands of Romanian orphans adopted into Western families after the end of the Nicolae Ceauşescu regime. The English and Romanian Adoptees Study Team, led by Michael Rutter, followed some of the children into their teens, attempting to unravel the effects of poor attachment, adoption, new relationships, physical problems and medical issues associated with their early lives. Studies of these adoptees, whose initial conditions were shocking, yielded reason for optimism as many of the children developed quite well. Researchers noted that separation from familiar people is only one of many factors that help to determine the quality of development. Although higher rates of atypical insecure attachment patterns were found compared to native-born or early-adopted samples, 70% of later-adopted children exhibited no marked or severe attachment disorder behaviours.
Attachment therapy
It has been described as a potentially abusive and pseudoscientific intervention that has resulted in adverse outcomes for children, including at least six documented child fatalities. Since the 1990s there have been a number of prosecutions for deaths or serious maltreatment of children at the hands of "attachment therapists" or parents following their instructions. Two of the most well-known cases are those of Candace Newmaker in 2000 and the Gravelles in 2003. Following the associated publicity, some advocates of attachment therapy began to alter views and practices to be less potentially dangerous to children. This change may have been hastened by the publication of a Task Force Report on the subject in January 2006, commissioned by the American Professional Society on the Abuse of Children (APSAC) which was largely critical of attachment therapy. In April 2007, ATTACh, an organization originally set up by attachment therapists, formally adopted a White Paper stating its unequivocal opposition to the use of coercive practices in therapy and parenting, promoting instead newer techniques of attunement, sensitivity and regulation. Some leading attachment therapists have also specifically moved away from coercive practices.
Scientist–practitioner model
David Shakow is largely responsible for the ideas and developments of the Boulder Model. On May 3, 1941, while he was chief psychologist at Worcester State Hospital, Shakow drafted his first training plan to educate clinical psychology graduate students during a Conference at The New York Psychiatric Institute, now referred to as Shakow's 1941 American Association for Applied Psychology Report. In the report, Shakow outlined a 4-year education track:Overall, the report aimed to help clinical graduate students perfect their abilities to complete diagnoses, therapy, and scientific research. The report was endorsed and recommended its review to the American Association for Applied Psychology (AAAP). Later in the year, the AAAP accepted the recommendation and planned a conference to address training guidelines for graduate programs. The following year the Penn State Conference was held with 3 subcommittees containing representatives from educational institutions, health establishments, and business/industry. These measures were taken to ensure that the final model was not biased towards Shakow's profession, although only minute changes were made to his original model.
Conversational model
The conversational Model of psychotherapy was devised by the English psychiatrist Robert Hobson, and developed by the Australian psychiatrist Russell Meares. Hobson listened to recordings of his own psychotherapeutic practice with more disturbed clients, and became aware of the ways in which a patient's self – their unique sense of personal being – can come alive and develop, or be destroyed, in the flux of the conversation in the consulting room.
Positive mental attitude
Positive mental attitude (PMA) is a concept first introduced in 1937 by Napoleon Hill in the book "Think and Grow Rich". The book never actually uses the term, but discusses about the importance of positive thinking as a contributing factor of success. Napoleon, along with W. Clement Stone, founder of Combined Insurance, later wrote "Success Through a Positive Mental Attitude," defines positive mental attitude as comprising the 'plus' characteristics represented by words as faith, integrity, hope, optimism, courage, initiative, generosity, tolerance, tact, kindliness and good common sense.
Mindfulness
Acceptance and commitment therapy or (ACT) (typically pronounced as the word "act") is a form of clinical behavior analysis (CBA) used in psychotherapy. It is a psychological intervention that uses acceptance and mindfulness strategies mixed in different ways with commitment and behavior-change strategies, to increase psychological flexibility. The approach was originally called "comprehensive distancing". It was developed in the late 1980s by Steven C. Hayes, Kelly G. Wilson, and Kirk Strosahl.
Attachment theory
Attachment theory was extended to adult romantic relationships in the late 1980s by Cindy Hazan and Phillip Shaver. Four styles of attachment have been identified in adults: secure, anxious-preoccupied, dismissive-avoidant and fearful-avoidant. These roughly correspond to infant classifications: secure, insecure-ambivalent, insecure-avoidant and disorganized/disoriented.
Biopsychosocial model
The biopsychosocial model is a model of health that includes biological, psychological, and social factors, The model was proposed by George L. Engel in 1977 for understanding health and illness. It has been criticized for lacking philosophical coherence and being undisciplined.
Marc David Lewis
Through a sabbatical at the University of Oregon in 2000-2001, Lewis took the next step in developing his integrated model by delving into the neural underpinnings of emotion regulation. His current research program tests this model by examining brain and behavior in normal and clinically referred children and assessing neural changes corresponding with successful treatment. His papers on the contribution of dynamic systems theory and affective neuroscience to understanding human development and clinical syndromes have appeared in journals such as "Child Development", "Behavioral and Brain Sciences", "Development and Psychopathology", and "Perspectives on Psychological Science". He has also co-authored two books with his wife, Dr. Isabela Granic. The first is an edited volume of dynamic systems approaches to emotional development. The second is a guide for parents about when to attempt sleep training with toddlers. 
Dr. Lewis' most recent book, "Memoirs of an Addicted Brain", is an account of his addiction to drugs as a young man with accompanying explanations of the neurobiological processes underlying various drug experiences as well as the process of addiction itself.
Attachment theory
Attachment theory is a psychological model attempting to describe the dynamics of long-term and short-term interpersonal relationships between humans. "Attachment theory is not formulated as a general theory of relationships; it addresses only a specific facet": how human beings respond in relationships when hurt, separated from loved ones, or perceiving a threat.
Attachment therapy
Matthew Speltz of the University of Washington School of Medicine states that the roots of attachment therapy are traceable to psychologist Robert Zaslow and his "Z-process" in the 1970s. Zaslow attempted to force attachment in those suffering from autism by creating rage while holding them against their will. He believed this would lead to a breakdown in their defense mechanisms, making them more receptive to others. Zaslow thought attachment arose when an infant experienced feelings of pain, fear and rage, and then made eye contact with the carer who relieved those feelings. If an infant did not experience this cycle of events by having his fear and rage relieved, the infant would not form an attachment and would not make eye contact with other people. Zaslow believed that creating pain and rage and combining them with eye contact would cause attachment to occur, long after the normal age for such developments. Holding therapies derive from these "rage-reduction" techniques applied by Zaslow. The holding is not used for safety purposes but is initiated for the purpose of provoking strong negative emotions such as fear and anger. The child's release typically depends upon his or her compliance with the therapist's clinical agenda or goals. In 1971, Zaslow surrendered his California psychology license following an injury to a patient during rage-reduction therapy. Zaslow's ideas on the use of the Z-process and holding for autism have been dispelled by research on the
genetic/biologic causes of autism.
Attachment disorder
Attachment theory is primarily an evolutionary and ethological theory. In relation to infants, it primarily consists of "proximity seeking" to an "attachment figure" in the face of threat, for the purpose of survival. Although an attachment is a "tie," it is not synonymous with love and affection, despite their often going together and a healthy attachment is considered to be an important foundation of all subsequent relationships. Infants become attached to adults who are sensitive and responsive in social interactions with the infant, and who remain as consistent caregivers for some time. Parental responses lead to the development of patterns of attachment which in turn lead to 'internal working models' which will guide the individual's feelings, thoughts and expectations in later relationships.
Attachment and Health
Working models are representatives of the cognitive schema, or psychological structure (often unconscious), which underlie the different attachment classifications. Working models develop in children over time based on their experiences with their attachment figures. The cognitive schema for attachment consists of views of the efficacy of self and other to create security in times of distress.
Psychotherapy and social action model
The psychotherapy and social action model was initially proposed by Sue Holland, a psychotherapist with a background in community action. Holland developed this framework in 1980 following her experience working with women coping with psychological disorders at a housing estate in West London. At this estate, Holland observed the psychological difficulties experienced by women, noticing that their mental health was fundamentally tied to the social and economic obstacles they encountered as females in their society. In addition, Holland took issue with the way Depression (mood) was being treated at the shelter, believing that individualized treatment, especially with the use of psychotropic medication, was not successfully addressing the root of the dysfunction for these women. Instead, Holland posited a pathway from individual treatment to sociopolitical action that empowered women to deal with their mental dysfunction both privately and socially. As such, the psychotherapy and social action model is rooted in the ideals of both traditional psychotherapy and feminist empowerment.
Object relations theory
Attachment theory, researched by John Bowlby and others, has continued to deepen our understanding of early object relationships. While a different strain of psychoanalytic theory and research, the findings in attachment studies have continued to support the validity of the developmental progressions described in object relations. Recent decades in developmental psychological research, for example on the onset of a "theory of mind" in children, has suggested that the formation of the mental world is enabled by the infant-parent interpersonal interaction which was the main thesis of British object-relations tradition (e.g. Fairbairn, 1952).
Neurological reparative therapy
Attachment may have the greatest amount of literature developed over the longest period of time. The early work of John Bowlby, and subsequent work of Mary Ainsworth and Mary Main, represent the foundations of attachment theory. Research has supported the link between initial attachment of the child and subsequent social success or failure throughout the developmental years and into adulthood. Attachment has been found to be a major aspect of the development of the brain related to social adjustment, mood control, drive, responsibility, and defining the personality. As the brain matures, the emotional and sensory areas of the brain develop based upon the quality of attachment. A poor attachment early in life has been associated with a wide range of problems, including poor self-regulation, poor coping, undeveloped resiliency, abnormal social and moral development, and an increased risk of psychopathology.
Caring in intimate relationships
Attachment theory, an influential theoretical framework for the study of intimate relationships and personality development, argues that all humans are born with the capacity and motivation to engage in caregiving behaviours aimed at providing protection and support to close others. These behaviours are organized by an innate behavioural system, called the "caregiving system", which is believed to have emerged over the course of primate evolution to ensure the survival of vulnerable offspring. That is, because infants in many primate species, including humans, are highly altricial ("i.e.", developmentally immature and helpless at birth), they cannot survive without caregiver support and protection. Attachment theory proposes that this evolutionary pressure favoured the emergence of the caregiving behavioural system, which functions to safeguard the vulnerable dependent from harm by providing him or her with protection, comfort, and help during times of threat or need. Although this system was first conceptualized in child–parent bonds, its operation has since been established in adult intimate relationships, where both partners may occasionally take on the role of caregiver.
Religion and personality
Attachment Theory is another example of a personality indicator with the ability to help researchers understand religiosity and spirituality. The basic premise of attachment theory is that infants form relationships with their caregivers, and depending on the type of attachment, personality and future relationships will be influenced accordingly. The idea behind how the theory relates to the psychology of religion is that these future relationships can be with the particular god, or higher power.
Social emotional development
Attachment refers to the strong bond that individuals develop with special people in their lives. Though we can have attachment relationships with significant others in adulthood, such as marital partners, most humans’ first and most influential attachment is with their primary caregiver(s) as infants. John Bowlby and Mary Ainsworth first delineated and tested attachment theory as an evolutionarily informed process in which the emotional ties to a caregiver are adaptive for survival. Their research supported the presence of four stages of attachment formation:
Internal working model of attachment
However, when Bowlby developed his attachment theory, cognitive psychology was still at its beginning. Only in 1967, Neisser proposed a theory of mental representation based on schemas which later led to the development of schema theory. It was said that these scripts might be the base of the structure of internal working models.
Analytical psychology
One archetypal approach, sometimes called "the imaginal school" by James Hillman, was written about by him in the late 1960s and early 1970s. Its adherents, according to Samuels (1985), include Murray Stein, Rafael Lopez-Pedraza and Wolfgang Giegerich. Thomas Moore also was influenced by some of Hillman's work. Developed independently, other psychoanalysts have created strong approaches to archetypal psychology. Mythopoeticists and psychoanalysts such as Clarissa Pinkola Estés who believes that ethnic and aboriginal people are the originators of archetypal psychology and have long carried the maps for the journey of the soul in their songs, tales, dream-telling, art and rituals; Marion Woodman who proposes a feminist viewpoint regarding archetypal psychology. Some of the mythopoetic/archetypal psychology creators either imagine the Self not to be the main archetype of the collective unconscious as Jung thought, but rather assign each archetype equal value. Others, who are modern progenitors of archetypal psychology (such as Estés), think of the Self as the thing that contains and yet is suffused by all other archetypes, each giving life to the other.
Attachment and Health
While strong social support has been linked to greater resilience to stress and lower medical morbidity and mortality, the mechanism behind this association is poorly understood. In the late 1990s, Paul Ciechanowski investigated the role of attachment styles in patients managing diabetes, finding that individuals with an avoidant-dismissive style were less likely to be compliant with treatment recommendations and had less well-controlled disease as measured by glycosylated hemoglobin. Larger scale evidence comes from a large American survey of self-reported attachment styles and physical illness conducted by McWilliams and Bailey. They found that those with insecure attachment reported more physical illness than securely attached individuals. Specifically, they found preoccupied individuals reported more heart disease, and dismissive individuals more pain conditions. A prospective study followed children until the age of 32 and found a similar pattern of results. They found that people with anxious-resistant (dismissive) styles of attachment reported vague, non-specific symptoms more often, and those with anxious-preoccupied classification had a higher rate of inflammation-based illnesses. This prospective study was particularly important because of the difficulty assigning causation in the often observed relationship between chronic pain and insecure attachment. Further support is derived from experimental pain studies that have demonstrated numerous risk factors for the development of a chronic pain disorder associated with insecure adult attachment including lower perceived control of pain, higher pain catastrophizing and higher perceived pain intensity.
Herman Witkin
Herman A. Witkin (2 August 1916 – 8 July 1979) was an American psychologist who specialized in the spheres of cognitive psychology and learning psychology. He was a pioneer of the theory of cognitive styles and learning styles (developed in cooperation with Solomon Asch, Donald Goodenough etc.). He preferred to diagnose not by questionnaires but by other means, such as projective tests, task-solving tests etc. He was the author of the concept of field-dependency vs. field-independency. The majority of Witkin's research was done during his tenures at the SUNY Downstate Medical Center College of Medicine in Brooklyn, NY and at Educational Testing Service (ETS) in Princeton, New Jersey, where he worked until his death in 1979. A "Review of General Psychology" survey, published in 2002, ranked Witkin as the 96th most cited psychologist of the 20th century.
Patricia McKinsey Crittenden
Patricia McKinsey Crittenden (born 1945) is an American psychologist known for her work in the development of attachment theory and science, her work in the field of developmental psychopathology, and for creation of the Dynamic-Maturational Model of Attachment and Adaptation (DMM).
Attachment theory
In his 1951 monograph for the World Health Organization, "Maternal Care and Mental Health", Bowlby put forward the hypothesis that "the infant and young child should experience a warm, intimate, and continuous relationship with his mother in which both find satisfaction and enjoyment", the lack of which may have significant and irreversible mental health consequences. This was also published as "Child Care and the Growth of Love" for public consumption. The central proposition was influential but highly controversial. At the time there was limited empirical data and no comprehensive theory to account for such a conclusion. Nevertheless, Bowlby's theory sparked considerable interest in the nature of early relationships, giving a strong impetus to, (in the words of Mary Ainsworth), a "great body of research" in an extremely difficult, complex area. Bowlby's work (and Robertson's films) caused a virtual revolution in hospital visiting by parents, hospital provision for children's play, educational and social needs and the use of residential nurseries. Over time, orphanages were abandoned in favour of foster care or family-style homes in most developed countries.
Following the publication of "Maternal Care and Mental Health", Bowlby sought new understanding from the fields of evolutionary biology, ethology, developmental psychology, cognitive science and control systems theory. He formulated the innovative proposition that mechanisms underlying an infant's emotional tie to the caregiver(s) emerged as a result of evolutionary pressure. He set out to develop a theory of motivation and behaviour control built on science rather than Freud's psychic energy model. Bowlby argued that with attachment theory he had made good the "deficiencies of the data and the lack of theory to link alleged cause and effect" of "Maternal Care and Mental Health".
Attachment disorder
Recognised assessment methods of attachment styles, difficulties or disorders include the Strange Situation procedure (Mary Ainsworth), the separation and reunion procedure and the Preschool Assessment of Attachment ("PAA"), the Observational Record of the Caregiving Environment ("ORCE") and the Attachment Q-sort ("AQ-sort").
More recent research also uses the Disturbances of Attachment Interview or "DAI" developed by Smyke and Zeanah, (1999). This is a semi-structured interview designed to be administered by clinicians to caregivers. It covers 12 items, namely having a discriminated, preferred adult, seeking comfort when distressed, responding to comfort when offered, social and emotional reciprocity, emotional regulation, checking back after venturing away from the care giver, reticence with unfamiliar adults, willingness to go off with relative strangers, self endangering behavior, excessive clinging, vigilance/hypercompliance and role reversal.
ICD-10 describes Reactive Attachment Disorder of Childhood, known as RAD, and Disinhibited Disorder of Childhood, less well known as DAD. DSM-IV-TR also describes Reactive Attachment Disorder of Infancy or Early Childhood. It divides this into two subtypes, Inhibited Type and Disinhibited Type, both known as RAD. The two classifications are similar and both include:
ICD-10 includes in its diagnosis psychological and physical abuse and injury in addition to neglect. This is somewhat controversial, being a "commission" rather than "omission" and because abuse in and of itself does not lead to attachment disorder.
Yukio Ishizuka
In 1976, while many psychiatrists continued to be preoccupied with the definition of psychological illnesses (Diagnostic Statistical Manuals), Ishizuka turned to a monograph by M. Jahoda published in 1958 entitled « Current Concepts of Positive Mental Health.» Jahoda offered six conditions for developing and evaluating future models of Positive Mental Health. In doing so, she pointed out the limits of the ‘disease’ model and set guidelines to define models of health applicable both in wellness and disease. 
Concluding that the ‘medical’ or ‘disease model’ used in psychiatry was not fit to understand healthy human beings or to assist them in ‘normal’ or optimal functioning, Ishizuka began to build such a model. His exposure to the East, and training in the West helped him develop a model of health across different cultures. Focusing almost entirely on the experience of his diverse patients, he challenged what he knew to define a model of health and personality applicable both in extreme distress and optimal health.
Attachment and Health
Attachment theory predicts that people high in attachment avoidance and people high in attachment anxiety would display different utilization of health care resources based on their prototypical behavioural responses when stressed. The theory predicts that people high in attachment avoidance, when faced with an illness, are likely to minimize their symptoms, and wait longer to see a health care provider, since they view their own distress as a sign of unacceptable vulnerability and also because their internal working model dictates that other people are not useful in helping them manage distress. For those high in attachment anxiety, they would have higher distress when faced with an illness, less perceived ability to manage it on their own, and thus visit health care services more frequently to try to attain security. For those with high anxiety and high avoidance, or fearful attachment, they would be predicted to present less frequently than those with secure attachment, but show up in a crisis when they do, which may interfere with optimal care. Research findings have generally been supportive of these predictions. One of the earliest studies in the field found correlations between preoccupied attachment and increased symptom reporting and an inverse relationship between avoidant attachment and visits to health professionals. High attachment anxiety has been associated with increased symptom reporting and visits to healthcare providers, and high attachment avoidance associated with less visits and decreased treatment compliance
History of attachment theory
Following the publication of "Maternal Care and Mental Health", Bowlby sought new understanding from such fields as evolutionary biology, ethology, developmental psychology, cognitive science and control systems theory and drew upon them to formulate the innovative proposition that the mechanisms underlying an infants tie emerged as a result of evolutionary pressure. He realised that he had to develop a new theory of motivation and behaviour control, built on up-to-date science rather than the outdated psychic energy model espoused by Freud. Bowlby expressed himself as having made good the "deficiencies of the data and the lack of theory to link alleged cause and effect" in "Maternal Care and Mental Health" in his later work "Attachment and Loss" published between 1969 and 1980.
History of attachment theory
Current attachment theory focuses on social experiences in early childhood as the source of attachment in childhood and in later life. Attachment theory was developed by Bowlby as a consequence of his dissatisfaction with existing theories of early relationships.
Attachment-based psychotherapy
Therapists apply psychotherapy to patients with attachment disorders by applying a method of listening and reflecting on the experiences of the patient that caused their difficulty in making emotional connections. The therapist’s objective is to get the patient to open up to them so the patient can explore the experiences that are causing them to have dysfunctional relationships and to recreate the experience from the point of view of the therapist in order to resolve any emotional or social disruptions within the patient’s life. According to Dan Hughes this process is known as “attunement, disruption, and repair”. The first part of the treatment, the attunement, consists of the forging of a personal relationship between the therapist and the patient, it is the first step for the patient toward creating healthy attachments. Attachment patients live stressful lives with very little emotional attachments to people, thus it is the therapist's job to create a secure, accepting, caring, non-judgmental, and reliable environment where the patient can feel comfortable sharing their most traumatic experiences.
Applied psychology
The founder of applied psychology was Hugo Münsterberg. He came to America (Harvard) from Germany (Berlin, Laboratory of Stern), invited by William James, and, like many aspiring psychologists during the late 19th century, originally studied philosophy. Münsterberg had many interests in the field of psychology such as purposive psychology, social psychology and forensic psychology. In 1907 he wrote several magazine articles concerning legal aspects of testimony, confessions and courtroom procedures, which eventually developed into his book, "On the Witness Stand". The following year the Division of Applied Psychology was adjoined to the Harvard Psychological Laboratory. Within 9 years he had contributed eight books in English, applying psychology to education, industrial efficiency, business and teaching. Eventually Hugo Münsterberg and his contributions would define him as the creator of applied psychology. In 1920, the International Association of Applied Psychology (IAAP) was founded, as the first international scholarly society within the field of psychology.
Attachment parenting
Attachment parenting (AP) is a parenting philosophy that proposes methods which aim to promote the attachment of parent and infant not only by maximal parental empathy and responsiveness but also by continuous bodily closeness and touch. The term "attachment parenting" was coined by the American pediatrician William Sears.
John Bowlby
According to attachment theory, attachment in infants is primarily a process of "proximity seeking" to an identified "attachment figure" in situations of perceived distress or alarm for the purpose of survival. Infants become attached to adults who are sensitive and responsive in social interactions with the infant, and who remain as consistent caregivers for some months during the period from about 6 months to two years of age. Parental responses lead to the development of patterns of attachment which in turn lead to "internal working models" which will guide the individual's feelings, thoughts, and expectations in later relationships. More specifically, Bowlby explained in his three volume series on attachment (1973, 1980, & 1982) that all humans develop an internal working model of the self and an internal working model of others. The self-model and other-model are built off of early experiences with their primary caregiver and shape an individual's expectation on future interactions with others and interactions within interpersonal relationships. The self-model will determine how the individual sees themselves, which will impact their self-confidence, self-esteem, and dependency. The other-model will determine how an individual sees others, which will impact their avoidance or approach orientation, loneliness, isolation, and social interactions. In Bowlby's approach, the human infant is considered to have a need for a secure relationship with adult caregivers, without which normal social and emotional development will not occur.
Aaron Antonovsky
A key concept in Antonovsky's theory concerns how specific personal dispositions serve to make individuals more resilient to the stressors they encounter in daily life. Antonovsky identified these characteristics, which he claimed helped a person better cope (and remain healthy) by providing that person a "sense of coherence" about life and its challenges; Helen Antonovski (his wife) developed a scale ("Orientation to life questionnaire") in 1987 to measure it. Recent research in psychoneuroimmunology has supported the relationship between emotions and health contained in Antonovsky's theory. Antonovsky died in 1994, but research using his theory continues by social scientists.
Attachment in children
Attachment theory (Bowlby 1969, 1973, 1980) is rooted in the ethological notion that a newborn child is biologically programmed to seek proximity with caregivers, and this proximity-seeking behavior is naturally selected. Through repeated attempts to seek physical and emotional closeness with a caregiver and the responses the child gets, the child develops an internal working model (IWM) that reflects the response of the caregiver to the child. According to Bowlby, attachment provides a secure base from which the child can explore the environment, a haven of safety to which the child can return when he or she is afraid or fearful. Bowlby's colleague Mary Ainsworth identified that an important factor which determines whether a child will have a secure or insecure attachment is the degree of sensitivity shown by their caregiver:
Stan Tatkin
Stan Tatkin is the founder of the PACT Training Institute and the developer of PACT—A Psychobiological Approach to Couple Therapy. PACT is an integration of neuroscience, arousal regulation, and attachment theory. This therapy modality centers on early attachment and its effect on the development of the brain and the nervous system. Also, PACT encourages couples to participate in secure-functioning relationships, even if the individuals themselves do not have secure attachment.
Attachment disorder
Two of the most well-known cases are those of Candace Newmaker in 2001 and the Gravelles in 2003 through 2005. Following the associated publicity, some advocates of attachment therapy began to alter views and practices to be less potentially dangerous to children. This change may have been hastened by the publication of a Task Force Report on the subject in January 2006, commissioned by the American Professional Society on the Abuse of Children (APSAC) which was largely critical of attachment therapy, although these practices continue. In April 2007, ATTACh, an organisation originally set up by attachment therapists, formally adopted a White Paper stating its unequivocal opposition to the use of coercive practices in therapy and parenting.
Attachment in adults
Mary Ainsworth and John Bowlby founded modern attachment theory on studies of children and their caregivers. Children and caregivers remained the primary focus of attachment theory for many years. Then, in the late 1980s, Cindy Hazan and Phillip Shaver applied attachment theory to adult relationships. Hazan and Shaver noticed that interactions between adults shared similarities to interactions between children and caregivers. For example, romantic or platonic partners desire to be close to one another. Adults feel comforted when their attachments are present and anxious or lonely when they are absent. Romantic relationships, for example, serve as a secure base that help people face the surprises, opportunities, and challenges life presents. Similarities such as these led Hazan and Shaver to extend attachment theory to adult relationships.
Attachment theory
Although attachment theory has become a major scientific theory of socioemotional development with one of the widest research lines in modern psychology, it has, until recently, been less used in clinical practice.
The attachment theory focused on the attention of the child when the mother is there and the responses that the child shows when the mother leaves, which indicated the attachment and bonding of the mother and the child. The attention therapy is the done while the child is being restrained by the therapists and the responses displayed were noted. The tests were done to show the responses of the child.
Attachment parenting
Stress has been surveyed and documented in many studies. The theoretical foundation was created in the 1960s by Richard Lazarus. In 1974, Hans Selye introduced the differentiation between distress and eustress, and in 1984, psychoanalyst Heinz Kohut proposed the concept of "optimal frustration"; Kohut postulated that the harmony between parents and child needs some well allotted disruption in order to empower the child to develop a healthy personality. In resilience psychology, too, there is broad agreement today that it harms children if their parents keep any stress away from them indiscriminately; by doing so, they suggest to the child that everyday problems are painful and overall to be avoided.
History of attachment theory
Attachment theory, originating in the work of John Bowlby, is a psychological, evolutionary and ethological theory that provides a descriptive and explanatory framework for understanding interpersonal relationships between human beings.
Active perception
Active Perception is part of the broader field of ecological psychology. Ecological Psychology (and theories of Ecological Perception) was formulated by gestalt psychologists in the 1930s, and refined by Gibson through the 1950s to 1970s. The theory has held strong, although for the approximately 80 years that it has been around, it has always been considered a niche area of psychology. Ecological Perception has had little traction in medicine, for instance, until recently, when a series of coherent hypotheses proposed that active perception is the basis for developmental disorders and psychiatric symptoms.
Robert Rocco Cottone
Traditional counseling approaches are based on philosophies that attend to the individual experiencing emotional distress. This emphasis dates back to Freud, who defined an individual "psyche"—an internal non-physical aspect of self that is the framework for dealing with conflicts within the personality. Subsequent approaches to mental health primarily addressed individual problems as originating inside the person. Cottone's contribution to counseling and psychotherapy, along with other social theorists, was to apply relationship theory (focusing on interaction between people) to processes that were previously viewed as largely non-relational or individual. This was first accomplished in the field of vocational rehabilitation in the 1970s and 1980s with his "systemic theory of vocational rehabilitation". Until that time, vocational rehabilitation was viewed primarily as a psychological or medical program. He essentially developed a fully social model of vocational rehabilitation, meaning that individuals with disabilities are helped to fit within healthy and supportive relationship contexts (families, communities, cultures) rather than screened in or out of a rehabilitation program presumably on psychological traits or abilities. Cottone later developed a "paradigm" framework for counseling and psychotherapy, a theory about counseling theories that emphasized that all counseling is a relationship between a client (or clients) and a counselor. He argued that regardless of the treatment philosophy (which he classified broadly as the organic-medical, psychological, systemic-relational, and social constructivism paradigms) a crucial element of counseling is the social process of consensualizing (coming to agreement about the nature of problems and the nature of solutions). At the turn of the century he developed a social constructivism model of decision making, which is a fully relational model. By his model, decisions are made in the interpersonal processes of negotiating, consensualizing, and arbitrating (rather than an individual making a decision in his or her head). His most recent effort has been to apply relationship theory to the study of religion. He developed a relational philosophy of religion, providing a postmodern definition of belief: "acting with others as if some socially defined concept represents truth." Accordingly, religious truths are imbedded within communities of believers and not as external universal truths. His most compelling concept is a "bracketed absolute truth," or a "consensuality." A bracketed absolute truth is unquestionably true to people in a community (e.g., a religious community or a group of mental health professionals), but to people outside of the community, the group's truth looks relative. He used the example of the Heaven's Gate community, a religious group that committed mass suicide apparently without coercion. The group members believed an alien spaceship followed the Hale-Bopp comet and was to clear the earth of humanity (recycling). They committed suicide apparently so their spirits could rise up to the alien spaceship and escape the onslaught. Cottone argued that the ideals of Heaven's Gate were bracketed absolute truths, which were powerful in affecting the behavior of adherents to the degree that group members took their lives in deference to "truths" that looked ridiculous to outsiders. The idea of bracketed absolute truth (consensuality) explains how communities of believers (whether religious or not) hold fast to doctrine for better or for worse. Finally, Cottone attempted to unite science and religion through relationship theory. He defined science not as a process of establishing objective universal truths, but rather as a social process that reflects the culture, traditions, and definitions of groups of scientists who (together) establish consensualities about how to practice science. Science, consequently, is viewed as a process of relationships, as people come to believe together in the methods of defining scientific truths. Therefore, science (physical or social), religion, or any belief system, is viewed as a result of interpersonal interaction. Science and religion are thereby united at a high theoretical level as representing bracketed absolute truths.
Attachment therapy
Speltz cites child psychiatrist Martha Welch and her 1988 book, "Holding Time", as the next significant development. Like Zaslow and Tinbergen, Welch recommended holding therapy as a treatment for autism. Like Tinbergen, Welch believed autism was caused by the failure of the attachment relationship between mother and child. Mothers were instructed to hold their defiant child, provoking anger and rage, until such time as the child ceased to resist, at which point a bonding process was believed to begin.
Academic Model Providing Access to Healthcare (AMPATH)
The Academic Model Providing Access to Healthcare (AMPATH) is an academic medical partnership between North American academic health centers led by the Indiana University School of Medicine in Indianapolis, Indiana and the Moi University School of Medicine, centered in Eldoret, Kenya. It is the first food-and-drug treatment model to be established in Africa. The program seeks to provide comprehensive HIV care services through its three-way mission: care, research, and training; It currently serves 3.5 million people, with over 60 urban and rural clinics in Western Kenya.
Richard Shiffrin
Richard Shiffrin (born March 13, 1942) is professor of cognitive science in the Department of Psychological and Brain Sciences at Indiana University, Bloomington. Shiffrin has contributed a number of theories of attention and memory to the field of psychology. He co-authored the Atkinson–Shiffrin model of memory in 1968 with Richard Atkinson, who was his academic adviser at the time. In 1977, he published a theory of attention with Walter Schneider. With Jeroen G.W. Raaijmakers in 1980, Shiffrin published the Search of Associative Memory (SAM) model, which has served as the standard model of recall for cognitive psychologists well into the 2000s. He extended the SAM model with the Retrieving Effectively From Memory (REM) model in 1997 with Mark Steyvers.
Attachment measures
This is a semi-structured interview designed by Target et al. (2003) for children aged 7 to 11. It is based on the Adult Attachment Interview, adapted for children by focussing on representations of relationships with parents and attachment related events. Scores are based on both verbal and non-verbal communications.
Attachment theory
The early thinking of the object relations school of psychoanalysis, particularly Melanie Klein, influenced Bowlby. However, he profoundly disagreed with the prevalent psychoanalytic belief that infants' responses relate to their internal fantasy life rather than real-life events. As Bowlby formulated his concepts, he was influenced by case studies on disturbed and delinquent children, such as those of William Goldfarb published in 1943 and 1945. Bowlby's contemporary René Spitz observed separated children's grief, proposing that "psychotoxic" results were brought about by inappropriate experiences of early care. A strong influence was the work of social worker and psychoanalyst James Robertson who filmed the effects of separation on children in hospital. He and Bowlby collaborated in making the 1952 documentary film "A Two-Year Old Goes to the Hospital" which was instrumental in a campaign to alter hospital restrictions on visits by parents.
Attachment theory
The philosopher Kenneth Craik had noted the ability of thought to predict events. He stressed the survival value of natural selection for this ability. A key component of attachment theory is the attachment behavior system. where certain behaviors have a predictable outcome (i.e. proximity) and serve as self-preservation method (i.e. protection). All taking place outside of an individuals awareness, This internal working model allows a person to try out alternatives mentally, using knowledge of the past while responding to the present and future. Bowlby applied Craik's ideas to attachment, when other psychologists were applying these concepts to adult perception and cognition.
Developmental psychology
Attachment style can affect the relationships between people. Attachment is established in early childhood and attachment continues into adulthood. An example of secure attachment continuing in adulthood would be when the person feels confident and is able to meet their own needs. An example of anxious attachment during adulthood is when the adult chooses a partner with anxious-avoidant attachment.
Attachment theory
Internal models regulate, interpret, and predict attachment-related behaviour in the self and the attachment figure. As they develop in line with environmental and developmental changes, they incorporate the capacity to reflect and communicate about past and future attachment relationships. They enable the child to handle new types of social interactions; knowing, for example, an infant should be treated differently from an older child, or that interactions with teachers and parents share characteristics. This internal working model continues to develop through adulthood, helping cope with friendships, marriage, and parenthood, all of which involve different behaviours and feelings.
Attachment theory
Beginning in 1970, a series of expansions were added to Ainsworth's original patterns. They include the following: B4 (1970), A/C (1985) D/disorganized (1986), B5 (1988, 1992) A+, C+, & Depressed (1992, 2010). At later ages, additional categories have been described. Each of these patterns reflects a different kind of attachment relationship of the infant with the mother/caregiver. An infant may have a different pattern of attachment to each parent as well as to alternate caregivers. Pattern of attachment is thus not a part of the infant, but is characteristic of the protective and comforting quality of a specific relationship. These attachment patterns are associated with behavioral patterns and can help further predict a child's future personality.
Addiction psychology
The Disease Model in Addiction
David Shakow
David Shakow (1901–1981) was an American psychologist. He is perhaps best known for his development of the Scientist-Practitioner Model (or "Boulder Model") of graduate training for clinical psychologists, adopted by the American Psychological Association in 1949.
Attachment theory
Attachment theory has become the dominant theory used today in the study of infant and toddler behavior and in the fields of infant mental health, treatment of children, and related fields.