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                  Attachment: What Works? 
                    Donna Wittmer                     
                    
                        Marla, a 9-month-old, reached for
her teacher when a parent and
her infant entered the room.
Her teacher held her and comforted
her. "You are wondering who that
person is," the teacher explained.
"She's Terrance's mother. Let's go say
hi to Terrance." Marla, hanging onto her teacher's
neck, looked at Terrance and began to smile.
After falling off a low bench, Devon, an 18-monthold,
ran across the playground at top speed into the
arms of his teacher. "Oh, did that scare you when you
fell?" Asked his teacher. Devon nodded his head yes.
"Do you want to sit on the bench together?" Devon
nodded his head yes again. 
                  
                          What is Attachment? 
                          Attachment refers to the continuing and lasting 
                            relationships that young children form with one or more 
                            adults. Attachment refers especially to one aspect of the 
                            adult-child relationship, the child’s sense of security and 
                            safety when in the company of a particular adult. The 
                            importance of infants and toddlers experiencing secure 
                            attachment relationships with the key adults in their lives 
                            is well-known. In the examples above, both Marla and 
                            Devon feel secure and safe with their caregivers. Within 
                            their secure attachment relationships, they are learning 
                            how to manage their strong emotions and reactions and 
                            develop their identity as persons who are competent at 
                            being in relationships. 
                            Infants and toddlers can have more than one secure 
                            attachment. Often, when professionals discuss 
                            attachment, they refer to the parent-child relationship, 
                            but it is important that infants and toddlers who attend 
                            group care programs are securely attached to teachers 
                            as well. Infants and toddlers can feel secure within one 
                            relationship while feeling insecure within another, but 
                            they thrive when most or all of their relationships with 
                            the adults in their lives are secure. When infants and 
                            toddlers who attend group care programs experience 
                            secure attachments with their teacher(s), they can focus 
                            more on learning, they are more affectionate with peers, 
                          and they have more empathy for both adults and peers. 
                       
                     
                      
                        
                          Why is Attachment Important?  
                          Attachment security makes a difference in young 
                            children’s immediate and long-term behavior. When 
                            infants and toddlers continually feel secure or insecure 
                            in their relationships, there are lasting effects, which can 
                            even impact how they will parent when they are older. 
                            Children learn important lessons about how to interact 
                            with other adults and peers in relationships. They learn 
                            how to communicate effectively, how to negotiate and 
                            cooperate with others, and how others will treat them. 
                            Secure children play more harmoniously with their peers 
                            as they develop, and they score higher than insecure 
                            children on language and cognitive measures. Secure 
                            attachments also help children who have more fearful, 
                            inhibited temperaments become less fearful. 
                            Attachment influences how the brain is structured and 
                            how many stress hormones young children experience. 
                            Infants and toddlers who consistently do not feel safe 
                            may begin to perceive adults and peers as threats and 
                            the world as a dangerous place. They may expect others 
                            to hurt them, so they react defensively. Children who 
                            are securely attached to their teachers exhibit decreased 
                            levels of the stress hormone cortisol, while children 
                            who are insecurely attached, especially those who have 
                            a more fearful temperament, exhibit increased levels of 
                          cortisol throughout the day.  
                          Secure and Insecure Attachment 
                            Children’s behavior tells us whether they are 
                            experiencing secure attachments or insecure attachments. 
                            Their actions tell us what they think about themselves, 
                          others, and relationships. 
                         
                        
                          Children with secure attachment relationships:  
                          • Trust that their physical needs will be met by adults. 
                            This feeling of security allows children to focus on 
                            learning new skills and building relationships with 
                            others (adults and other children). 
                            • Trust that adults will be emotionally available to 
                            them. They learn that they can be intimate—close 
                            and cherished—with another person and still be safe. 
                            They can explore their environment and return to 
                            their special adults when they need a hug, a pat, or 
                            encouragement. 
                            • Learn to communicate in a variety of ways. 
                            When adults respect, respond to, and engage with 
                            infants’ attempts to communicate, the children’s 
                            use of language develops into more complex and 
                            sophisticated forms. 
                            • Begin to manage (self-regulate) their strong reactions 
                            and emotions with the help of adults. Adults can 
                            help children manage and express their emotions in 
                            healthy ways and help them learn that strong feelings 
                            are ok feelings. 
                            Children with insecure attachment relationships may:• Behave as if they know that adults are inconsistently 
                            or seldom available. 
                            • Stay close to an adult to get their needs met, 
                            inhibiting their exploration as a mobile infant or 
                            toddler. 
                            • Become distressed, but do not seek an adult to help 
                            them deal with their emotions. If adults are frequently 
                            angry with or intrusive toward young children, they 
                            may initially avoid adults, but as they develop, they 
                            may show anger and frustration with adults and 
                            peers. 
                            • Hide their strong feelings and withdraw to avoid 
                            distressing events or to organize their emotions. 
                            When they withdraw, they miss opportunities to learn 
                            how to handle distress or express feelings in a healthy 
                            way. 
                            • Seem disorganized and confused about how to 
                          behave in relationships. 
                          Cultural Differences in Attachment 
                          Individual children, and children from different cultures 
                            and family backgrounds, may show secure or insecure 
                            attachment differently. Adults should observe children 
                            to see how they express whether they feel secure or 
                            not, but recognize that in some cultures and families, 
                            feelings may not be expressed as openly as in other 
                            cultures. In addition, some cultures encourage their 
                            children to be independent, so for these children, playing 
                            independently may not mean that they are withdrawing 
                            from relationships. 
                           
                          Teachers and Caregivers Make a Difference. 
                          The following are some strategies that teachers and 
                            caregivers might use to promote children’s secure 
                          attachments. 
                          To support the parent-child relationship: 
                            • Help parents feel competent and confident in their 
                            parenting. Notice and describe when parents are 
                            warm, responsive, and nurturing with their child. Help 
                            parents to identify their own strengths as parents and 
                            to recognize when they are enjoying time with their 
                            child. In most cases, the ultimate goal should always 
                            be to strengthen the bond between parents and their 
                            children. 
• Provide extra support to parents when needed. 
Sometimes a child’s temperament, illness, behavior, 
or disability may be challenging for parents (and 
teachers) and they may need extra support to create 
strong, positive child-family attachment relationships. 
Use home visits and individual time with the family 
to provide resources and information to match the 
unique needs of the family. 
                                                      To foster a secure relationship with the child: 
                          • Be warm, responsive, and affectionate with all 
children. Caregivers and teachers’ affection helps 
children feel worthwhile and teaches them how to 
show affection. Reading and responding to cues given 
by children is critical (e.g., smiling or reaching to 
indicate they want to interact, pulling away or arching 
their back to indicate they need a break from the 
interaction, or showing sadness or distress). 
• Engage in meaningful conversational interactions 
with children. Reciprocity, taking turns in 
interactions, helps young children feel competent.  
• Be physically and emotionally available when a 
mobile infant or toddler explores his/her environment. 
Mobile infants and toddlers explore their environment 
and return to their special adults when they need 
a hug, a pat, or encouragement. Toddlers balance 
closeness to an adult and exploration; they focus on 
accomplishing tasks, yet will seek adult help when 
they need it. 
• Comfort children when they are distressed. Infants 
and toddlers learn to organize and manage their 
emotions when adults consistently respond to their 
communication cues and comfort them when they 
are distressed. When children feel insecure, stressed, 
or have experienced trauma, neglect, abuse, or 
maltreatment, teachers and caregivers need to provide 
consistent emotional support to help children feel safe 
and to help them trust adults again. 
• Be an enthusiastic learning partner. When adults 
                            are unintrusive, follow a child’s lead during play, 
                            and provide help that supports problem-solving, the 
                            child’s confidence and motivation to learn grows. 
                            Share a child’s excitement about learning and 
                            remember that each moment during the day has the 
                            potential for relationship building. 
• Let children know that you will provide safe behavior 
boundaries, keeping them, their peers, and their things 
safe. Adults who demonstrate and teach infants and 
toddlers how to behave in a social way by example, 
rather than telling children what not to do, are not 
only keeping children safe, but also teaching them 
how to behave with others. For example, showing a 
child how to touch a peer gently instead of simply 
telling them to stop demonstrates the suitable 
behavior. 
• Provide small groups, low adult-child ratios, and 
primary care. An environment that allows for 
consistency in personnel, substantial time, and 
adequate space to build 1:1 relationships is a key 
ingredient in forming strong, healthy attachments 
between children and adults. 
• Move caregivers and teachers with a group of children 
to a new room as children develop. Consistency is 
critical for infants and toddlers as they transition to 
new environments. Allowing for a way to let adults 
move with some of the children to a new environment 
(infant care to a toddler classroom) will help children 
feel secure as they face changes and new challenges 
in the environment. 
• Develop program policies to refer families who need 
additional mental health support to the right resources. 
Families who experience stress need ongoing social 
support, so that they can be warm, responsive, and 
affectionate with their children. Programs can help by 
providing families information and access to materials 
and other resources. Programs can also serve as a 
bridge between families and services available in their 
communities. 
                         
                        
                          Who are the children and families who have 
                          participated in research on attachment? 
                           
                          Researchers have studied attachment for approximately 
                            50 years. Typically developing children, and children 
                            with disabilities, including children from low- and 
                            middle-income families, have been observed with their 
                            mothers, fathers, and teachers. Children from a variety 
                            of cultures have been observed to determine cultural 
                          differences in attachment to their parents. 
                         
                     
                      
                        Resources for Parents 
                          Brazelton, T.B., & Sparrow, J.D. (2006). Touchpoints. 
                          Birth to 3: Your child’s emotional and behavioral 
                        development (2nd ed.). New York: Da Capo Press. 
                                                  Goleman, D. (2006). Emotional intelligence: Why it can 
                          matter more than IQ (10th anniversary edition). New 
                          York: Bantam. 
                           
                        Lerner, C., & Dombro, A.L. (2006). What’s best for my 
                          baby and me: A three-step guide for parents. 
                          Washington, DC:Zero to Three. 
                     
                   
                    
                       
                          Where do I Find More Information on Attachment? 
                            See the CSEFEL Web site (http://www.vanderbilt.edu/CSEFEL) for additional resources. There are many books, 
                          articles, manuals, and pamphlets available that describe the use of this strategy. These include: 
                           
                            Honig, A.S. (2002). Secure relationships. Nurturing infant/toddler attachment in early care setting. Washington, D.C.:NAEYC. 
                            Karen, R (1998). Becoming attached: First relationships and how they shape our capacity to love. England: Oxford 
                            University Press. 
                            Lally, R.J., Mangione, P.L., & Greenwald, D. (2006). Concepts for care. Sausalito, Ca: WestEd. 
                            Rutter, M. (2008). Implications of attachment theory and research for child care policies. In J. Cassidy, & P.R. Shaver 
                            (Eds.), Handbook of attachment: Theory, research and clinical applications (2nd ed., pp. 958–974). New York:
                            Guilford Press. 
                            Thompson, R.A. (2000). The legacy of early attachments. Child Development, 71(1), 145-152. 
                                                      What is the Scientific Evidence on the Importance of Secure Attachments? 
                          For those wishing to explore this topic further, the following resources may prove valuable. 
                            Belsky, J. & Fearon, R.M.P. (2002). Early attachment security, subsequent maternal sensitivity, and later child development: Does continuity in development depend upon continuity of caregiving? Attachment and Human 
                            Development, 4, 361-387. 
                            Carter, A. S., Garrity-Rokous, F.E., Chazan-Cohen, R., Little, C., & Briggs-Gowan, M.J. (2001). Maternal depression 
                            and comorbidity: Predicting early parenting, attachment security, and toddler social-emotional problems and 
                            competencies. Journal of the American Academy of Child and Adolescent Psychiatry, 40 (1), 18-26. 
                            Cassidy, J., & Shaver, P.R. (2008). Handbook of attachment: Theory, research and clinical applications (2nd ed.). 
                            New York: Guilford Press. 
                            Donovan, W., Leavitt, L., Taylor, N., & Broder, J. (2007). Maternal sensory sensitivity, mother–infant 9-month 
                            interaction, infant attachment status: Predictors of mother–toddler interaction at 24 months. Infant Behavior & 
                            Development, 30 (2), 336-352. 
                            Dozier, M., & Rutter, M. (2008). Challenges to the development of attachment relationships faced by young children 
                            in foster and adoptive care. In J. Cassidy, & P.R. Shaver, (Eds), Handbook of attachment: Theory, research and 
                            clinical applications (2nd ed., pp. 698–717). New York: Guilford Press. 
                            Mills-Koonce, W. R., W., Jean-Louis, G., Propper, C., Sutton, K., Calkins, S., Moore, G., Cox, M. (2007). Infant and 
                            parent factors associated with early maternal sensitivity: A caregiver-attachment systems approach. Infant 
                            Behavior & Development, 30 (1) 114-126. 
                     
                   
                  
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