[Attachment and attachment-based intervention: the Circle of Security intervention project in Hamburg].
Klinik für kinder-und Jugend -psychiatrie,-psychotherapie und-psychosomatik, Zentrum für Psychosoziale Medizin, Univversitätsklinik Hamburg-Eppendorf, Hamburg.Praxis der Kinderpsychologie und Kinderpsychiatrie (Impact Factor: 0.58). 01/2011; 60(6):417-29.
Since the early sixties empirical research into early childhood and the parent-infant relationship has increased, commonly informed by attachment theory. The mutually regulated interaction within the attachment and care giving relationship of mother and infant gives this relationship its exceptional emotional quality. Early attachment experiences organize socio-emotional and cognitive development beyond childhood. Attachment theory and research define observable behaviors and the level of internal representations as an intervening variable of the transmission of attachment patterns between mother and child. Basic attachment derived concepts are the starting points of the Circle of Security approach. The Circle of Security Intervention Project in Hamburg for mothers with postpartum mental illness and their infants is described in more detail. Specific aspects are discussed with reference to a diagnostic case study.
- Praxis der Kinderpsychologie und Kinderpsychiatrie 01/2011; 60(6):413-6. · 0.58 Impact Factor
- [Show abstract] [Hide abstract]
ABSTRACT: Clinically significant separation anxiety disorder in childhood leads to adult panic disorder and other anxiety disorders. The prevailing pathophysiological model of anxiety disorders, which emphasizes extinction deficits of fear-conditioned responses, does not fully consider the role of separation anxiety. Pathological early childhood attachments have far-reaching consequences for the later adult ability to experience and internalize positive relationships in order to develop mental capacities for self-soothing, anxiety tolerance, affect modulation, and individuation. Initially identified in attachment research, the phenomenon of separation anxiety is supported by animal model, neuroimaging, and genetic studies. A role of oxytocin is postulated. Adults, inured to their anxiety, often do not identify separation anxiety as problematic, but those who develop anxiety and mood disorders respond more poorly to both pharmacological and psychotherapeutic interventions. This poorer response may reflect patients' difficulty in forming and maintaining attachments, including therapeutic relationships. Psychotherapies that focus on relationships and separation anxiety may benefit patients with separation anxiety by using the dyadic therapist-patient relationship to recapture and better understand important elements of earlier pathological parent-child relationships.American Journal of Psychiatry 10/2013; 171(1). DOI:10.1176/appi.ajp.2013.13060781 · 12.30 Impact Factor
- [Show abstract] [Hide abstract]
ABSTRACT: The number of scientific evaluations of early preventions programs has considerably increased since the foundation of the national center of early prevention in Germany. Early primary and secondary intervention programs are designed to address parents with little children (prenatal until three years) to improve the parent-child-relationship and parental educational competencies. This is thought to enhance child development and to avoid maltreatment in terms of neglect and abuse. During a systematic review, six data-bases were searched for publications on studies about the effectiveness of early prevention programs in Germany between 2003 and 2013. Eight studies were found to fulfill inclusion criteria and were included in a meta-analysis. In comparison to the control groups the early prevention programs had a small effect on maternal symptom burden (d = 0.28), however there was no effect on maternal competences (d = 0.10) and perceived social support (d = -0.06). In addition, there was no effect on psychic child development (d = 0.05) but no effect on the physical development of the children (d = 0.00). Results are discussed as preliminary due to a current lack of a sufficient amount of studies in Germany.Praxis der Kinderpsychologie und Kinderpsychiatrie 11/2013; 62(8):598-619. · 0.58 Impact Factor
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.