Attachment: What Works?
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
• 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
• 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
• 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
• 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
• 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
Teachers and Caregivers Make a Difference.
The following are some strategies that teachers and
caregivers might use to promote children’s secure
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
• 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
• 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
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
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
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:
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.