This study reanalyzed the attachment relationships of a sample of 12-month-old maltreated and nonmaltreated infants using the Main and Solomon (in press) classification system for disorganized/ disoriented (Type D) attachments. As predicted, we found a preponderance of disorganized/disoriented attachments in the maltreatment group (82%). In contrast, only 19% of the demographically matched Aid to Families with Dependent Children (AFDC) comparison group exhibited such Type D relationships. Furthermore, boys were significantly more likely to be Type D than girls regardless of their maltreatment status. Results are discussed in terms of factors inherent in the maltreating environment that could contribute to the emergence of D relationships. We suggest that the study of the precursors, correlates, and sequelae of attachment in maltreatment samples would make important contributions to the validation of the new D category.

This investigation examined the impact of dimensions within maltreatment such as the severity, frequency, chronicity, and subtypes of maltreatment and their relationship with child outcome. Children between the ages of 5 and 11 who participated in a summer camp program were assessed on their social competence, behavior problems, and peers ratings of cooperation, disruption, and initiation of aggression. The 235 participants were all from low-socioeconomic status families; 145 children were from families with documented histories of child maltreatment, whereas 90 of the children had no record of maltreatment. The study found that severity of the maltreatment, the frequency of Child Protective Services reports, and the interaction between severity and frequency were significant predictors of children's functioning. Additionally, the chronicity of the maltreatment in the family significantly predicted peer ratings of aggression. Subtype differences emerged as well, with children in the sexual abuse group being more socially competent than other maltreated children, and children in the physical abuse group having more behavior problems than nonmaltreated children. Regression analyses with cooccurrence of multiple subtypes of maltreatment indicated that physical neglect, physical abuse, and sexual abuse made significant unique contributions in predicting child outcomes. The advantages of exploring multiple dimensions within maltreatment, the necessity of developing better operational definitions of these dimensions, and social policy implications of the findings are discussed.

No abstract

Although the term attachment disorder is ambiguous, attachment therapies are increasingly used with children who are maltreated, particularly those in foster care or adoptive homes. Some children described as having attachment disorders show extreme disturbances. The needs of these children and their caretakers are real. How to meet their needs is less clear. A number of attachment-based treatment and parenting approaches purport to help children described as attachment disordered. Attachment therapy is a young and diverse field, and the benefits and risks of many treatments remain scientifically undetermined. Controversies have arisen about potentially harmful attachment therapy techniques used by a subset of attachment therapists. In this report, the Task Force reviews the controversy and makes recommendations for assessment, treatment, and practices. The report reflects American Professional Society on the Abuse of Children's (APSAC) position and also was endorsed by the American Psychological Association's Division 37 and the Division 37 Section on Child Maltreatment.

Attachment theory predicts that maltreated children will form insecure patterns of attachment to their caregivers and that attachment relationships are open to change with development. In this cross-sectional/longitudinal investigation, we examined the attachment patterns of 125 maltreated and nonmaltreated preschoolers from the low socioeconomic strata (SES). Maltreated and demographically matched nonmaltreated comparison children were assessed in the Strange Situation at 30, 36, and 48 months of age, along with a subsample of children who were observed longitudinally across a 6- to 18-month period. Attachment relations were classified using a newly developed system for assessing attachment in the preschool years by Cassidy and Marvin (1991). Results revealed that, at each age, maltreated children were significantly more likely to evidence insecure patterns of attachment to their caregivers. The specific types of insecurity demonstrated by children varied with age. Longitudinally, the high percentage of nonmaltreated children who were classified as securely attached were likely to remain securely attached at subsequent assessments. In contrast, the small number of maltreated children who evidenced secure attachments were unlikely to be classified as secure at later assessments. These data provide new information on the patterns of attachment maltreated children exhibit in the preschool years.