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"dynamic maturational model"

Lux Ratnamohan, Sarah Mares, Derrick Silove
OBJECTIVE: To build an account of how bereaved Tamil refugee and asylum seeker children, resettled in Australia, had processed the loss of their dead or missing fathers. METHOD: Phenomenological and discourse analysis was applied to attachment narratives of nine children (aged 11-17 years) and their surviving mothers in families that lost fathers in war-related circumstances. The narratives were analysed through the lens of Crittenden's Dynamic-Maturational Model of Attachment and Adaptation (DMM) and Klass' cross-cultural model of grief...
April 2018: Clinical Child Psychology and Psychiatry
Lux Ratnamohan, Kasia Kozlowska
Pain is a signal of danger, and danger activates the attachment system. When a parent responds to a child's pain with appropriate protection and comfort, more often than not, the pain resolves. But what happens in families when a child's pain becomes chronic and continues to signal a danger that has long passed? This study explored patterns of attachment in 48 children and adolescents with chronic functional pain and 48 healthy controls using structured attachment interviews. Patterns of attachment were identified using the Dynamic Maturational Model of Attachment...
October 2017: Clinical Child Psychology and Psychiatry
Steve Farnfield
AIMS: This study examined concordance in the attachment strategies of school-aged siblings with reference to environmental risk in terms of poverty and maltreatment. It also investigated the effect of child maltreatment and maternal mental illness on children's psychosocial functioning in terms of the Dynamic-Maturational Model of Attachment and Adaptation (DMM) including unresolved trauma and the DMM Depressed modifier. METHODS: The attachment strategies of 30 sibling pairs, aged 5-14 years, were assessed using the School-age Assessment of Attachment (SAA)...
July 2017: Clinical Child Psychology and Psychiatry
Rebecca Carr-Hopkins, Calem De Burca, Felicity A Aldridge
AIMS: Our goal was to identify an assessment package that could improve treatment planning for troubled children and their families. To assess the validity of our tools, we tested the relations among the School-Age Assessment of Attachment, the Family Drawing and children's risk status. We used the Dynamic-Maturational Model of Attachment and Adaptation to interpret the assessments in the hope of identifying a gradient of risk, and explore whether a new coding method improved the validity of Family Drawings and their utility as a tool to complement the School-Age Assessment of Attachment...
July 2017: Clinical Child Psychology and Psychiatry
Patricia M Crittenden, Katrina Robson, Alison Tooby, Charles Fleming
AIMS: We explored the relation between mothers' protective attachment strategies and those of their school-age children. METHODS: In total, 49 child-mother dyads participated in a short longitudinal study when the children were 5.5 and 6.0 years old. Their strategies were first assessed with the Preschool Assessment of Attachment (PAA) and then with the School-age Assessment of Attachment (SAA). Mothers were assessed with the Adult Attachment Interview (AAI). The Dynamic-Maturational Model of Attachment and Adaptation (DMM) was used to classify the assessments...
July 2017: Clinical Child Psychology and Psychiatry
Ben Grey, Steve Farnfield
Reder and Duncan's well-known studies of the 1990s on fatal child abuse drew attention to how parental scripts regarding their children could dangerously distort relationships in ways that were sometimes fatal to children. This article reports on a new system for assessing the 'meaning of the child to the parent', called the Meaning of the Child Interview (MotC). Parents are interviewed using the established Parent Development Interview, or equivalent, and the transcript of the interview is then analysed according to parental sensitivity and likely risk to the child...
April 2017: Clinical Child Psychology and Psychiatry
Francesca Nuccini, Marcella Paterlini, Giancarlo Gargano, Andrea Landini
This prospective longitudinal study compared the psychological development and patterns of attachment of 20 prematurely born children and 20 full-term children at 7 years of age. The School-age Assessment of Attachment (SAA) was used, and hypotheses and interpretation of the findings were drawn from the Dynamic-Maturational Model of Attachment and Adaptation (DMM). Significant differences between prematurely born and full-term children were found: 10% versus 0% at "high" risk, 55% versus 25% at "moderate" risk, and 35% versus 75% at "low" risk...
July 2015: Clinical Child Psychology and Psychiatry
Simon R Wilkinson
The major challenge for a clinician is integration of the wisdom available in the wide range of therapeutic paradigms available. I have found the principles guiding dialectic behaviour therapy (DBT; see Miller, Rathus, & Linehan, 2007, for applying DBT to adolescents) extremely useful in my practice running a general adolescent unit; similarly, the understanding of the different information processing and learning principles associated with each of the Type A and C attachment strategies, as understood in dynamic maturational model (DMM), has guided me through the dark corners of treatment...
January 2016: Clinical Child Psychology and Psychiatry
Udita Iyengar, Sohye Kim, Sheila Martinez, Peter Fonagy, Lane Strathearn
A mother's unresolved trauma may interfere with her ability to sensitively respond to her infant, thus affecting the development of attachment in her own child, and potentially contributing to the intergenerational transmission of trauma. One novel construct within the Dynamic Maturational Model of Attachment and Adaptation (DMM) coding of the Adult Attachment Interview (AAI) is "reorganization," a process whereby speakers are actively changing their understanding of past and present experiences and moving toward attachment security...
2014: Frontiers in Psychology
Sophie Bishop, Jacqui Stedmon, Rudi Dallos
This study explored mothers' narratives about having a child with cancer through the novel addition of an attachment lens. Six mothers were interviewed about their experiences. Their pattern of attachment was assessed through a separate interview using the Dynamic-Maturational Model of adult attachment. The results showed marked differences in themes and performative aspects between the narratives of mothers classified as Type B pattern of attachment, balanced integration of affect and cognition, and those classified as Type A, focus on cognition and dismissal of affect...
October 2015: Clinical Child Psychology and Psychiatry
Sohye Kim, Peter Fonagy, Jon Allen, Sheila Martinez, Udita Iyengar, Lane Strathearn
This study contrasted two forms of mother-infant mirroring: the mother's imitation of the infant's facial, gestural, or vocal behavior (i.e., "direct mirroring") and the mother's ostensive verbalization of the infant's internal state, marked as distinct from the infant's own experience (i.e., "intention mirroring"). Fifty mothers completed the Adult Attachment Interview (Dynamic Maturational Model) during the third trimester of pregnancy. Mothers returned with their infants 7 months postpartum and completed a modified still-face procedure...
November 2014: Infant Behavior & Development
Sohye Kim, Peter Fonagy, Jon Allen, Lane Strathearn
While the neurobiology of post-traumatic stress disorder has been extensively researched, much less attention has been paid to the neural mechanisms underlying more covert but pervasive types of trauma (e.g., those involving disrupted relationships and insecure attachment). Here, we report on a neurobiological study documenting that mothers' attachment-related trauma, when unresolved, undermines her optimal brain response to her infant's distress. We examined the amygdala blood oxygenation level-dependent response in 42 first-time mothers as they underwent functional magnetic resonance imaging scanning, viewing happy- and sad-face images of their own infant, along with those of a matched unknown infant...
2014: Social Neuroscience
Steve Farnfield
BACKGROUND: This article reports on the analysis of a Child Attachment Interview using the Dynamic Maturational Model (DMM) of attachment coding system developed by Crittenden for use with the Adult Attachment Interview (AAI). The aim of the study was to see if the two coders could classify the child interviews using the DMM-AAI approach and produce the range of DMM attachment strategies to be expected from previous research and the literature. METHODS: Two coders independently classified interviews with 41 children aged between 6 and 13 years with an average age of 9...
October 2014: Clinical Child Psychology and Psychiatry
Peder Chr Bryhn Nørbech, Patricia M Crittenden, Ellen Hartmann
Although it has been proposed that attachment is a key factor in psychopathy and violence, conceptualization of its potential role remains limited. This article uses the dynamic-maturational model of attachment and adaptation (DMM; Crittenden, 2008 ) and a case study to illustrate an etiological model of psychopathy and violence. The Adult Attachment Interview (AAI; George, Kaplan, & Main, 1984 -1996), coded according to the DMM system (Crittenden & Landini, 2011 ), was used to identify the participant's self-protective attachment strategies, and to explore indexes indicating opportunities for change...
2013: Journal of Personality Assessment
Kasia Kozlowska, Stephen Scher, Leanne M Williams
OBJECTIVES: To examine patterns of emotion processing in children and adolescents with conversion disorders and to determine whether those patterns are associated with particular clusters of conversion symptoms. Autobiographical narratives were used to investigate the organization of information about distressing feelings and memories. METHODS: Structured interviews about attachment relationships and autobiographical events were administered to 76 controls and 76 matched subjects aged 6 to 18 years...
November 2011: Psychosomatic Medicine
Kasia Kozlowska, Rubina Khan
The regulation of pain and other emotions is a developmental process that takes place in the context of attachment relationships. Children with chronic, medically unexplained pain struggle to accurately identify, communicate and regulate negative body states, and to connect these body states to their day-to-day experience. This article describes an individual intervention - one component of a multimodal treatment programme - whose aim is to help children find skills to manage their pain. The intervention incorporates ideas and practices from several theoretical models - the dynamic-maturational model of attachment, cognitive-behavioural theories, narrative therapy, art therapy, sensorimotor approaches -pragmatically selected and adapted to help children presenting to our Chronic Pain Service achieve good clinical outcomes...
October 2011: Clinical Child Psychology and Psychiatry
Patricia M Crittenden, Louise Newman
This study compared aspects of the functioning of mothers with borderline personality disorder (BPD) to those of mothers without psychiatric disorder using two different conceptualizations of attachment theory. The Adult Attachment Interviews (AAIs) of 32 mothers were classified using both the Main and Goldwyn method (M&G) and the Dynamic-Maturational Model method (DMM). We found that mothers with BPD recalled more danger, reported more negative effects of danger, and gave evidence of more unresolved psychological trauma tied to danger than other mothers...
July 2010: Clinical Child Psychology and Psychiatry
Simon R Wilkinson
Patients referred to adolescent psychiatric units have often been in contact with services for many years. When assessing for admission we consider why the previous approaches might have failed and how milieu therapy might be more effective as the priority treatment. We propose that the information provided by an adolescent's Transition to Adulthood Attachment Interview (TAAI) and the parents' Adult Attachment Interviews (AAI) leads to an especially productive case formulation. The Dynamic-Maturational Model of attachment and adaptation (DMM) uniquely provides a detailed understanding of an extended range of Type A and Type C strategies with modifiers that are useful for planning the milieu therapy, individual and family work...
July 2010: Clinical Child Psychology and Psychiatry
Laura E Kwako, Jennie G Noll, Frank W Putnam, Penelope K Trickett
Childhood sexual abuse (CSA) is a recognized risk factor for various negative outcomes in adult survivors and their offspring. We used the Dynamic-Maturational Model of attachment theory as a framework for exploring the impact of maternal CSA on children's attachment relationships in the context of a longitudinal sample of adult survivors of CSA and non-abused comparison mothers and their children. Results indicated that children of CSA survivors were more likely to have extreme strategies of attachment than the children of non-abused mothers...
July 2010: Clinical Child Psychology and Psychiatry
Prachi E Shah, Peter Fonagy, Lane Strathearn
Studies have demonstrated a strong relation between adult attachment security, using the Adult Attachment Interview (AAI), and infant security, using the Strange Situation Procedure (SSP). This suggests that a mother's representations of attachment may influence the development of her infant's attachment to her. This study both confirms and modifies that finding in a cohort of 47 first-time mothers and their infants. The AAIs were administered during the third trimester of pregnancy and the SSPs were performed when the infant was 14 months of age...
July 2010: Clinical Child Psychology and Psychiatry
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