Attachment - Vzťahová väzba

Ak rodič udrie dieťa raz, nemusí to zanechať stopy, ale ak je to spôsob výchovy, je to veľký problém, hovorí psychiater Hašto.
Psychiater Jozef Hašto opisuje, ako sa vzťah s mamou už od útleho veku prejavuje vo vzťahoch, ktoré človek v dospelosti má, a či sa naučené vzorce správania dajú v neskoršom veku potlačiť.

Angelo Picardia, Rossella Migliob, Lorenzo Tarsitanic, Francesca Battistid, Maurizio Baldassarie,
Alfredo Copertarof, Eugenio Mocchegianig, Isabella Cascavillaa, Massimo Biondic
Abstract: Previous cross-sectional studies suggested an association between attachment-related avoidance and altered immune function. We aimed at testing this hypothesis with longitudinal data. A random sample of 65 female nurses provided a blood sample and completed measures of perceived stress, social support, alexithymia, and attachment style. Immune assays included lymphocyte proliferative response (LPR) to Phytohemagglutinin and NK cell cytotoxicity (NKCC). State measures
(perceived stress and support) and immune measures were collected again after 4, 8, and 12 months. Linear mixed effects models were used to examine the relationship between attachment and immunity. While low to moderate levels of attachment-related avoidance were not associated with NKCC, there was a significant negative association (Beta -.35; p=0.005) between high levels of avoidance and NKCC. No association was observed between NKCC and attachment-related anxiety, and between LPR and both attachment dimensions. While our findings should be interpreted with caution due to study limitations such as the relatively small sample size and the inclusion of only female participants, they corroborate the notion that attachment is linked to physiology and health.

PAOLA SURCINELLI, NICOLINO ROSSI, ORNELLA MONTEBAROCCI, BRUNO BALDARO
University of Bologna
ABSTRACT. The aim of the present study was to examine differences in anxiety and depression related to differences in attachment models of the self and of others and whether personality traits mediate this relationship. The authors assessed attachment styles, anxiety, depression, and personality traits among 274 adult volunteers. Participants were classified into 4 attachment groups (secure, preoccupied, fearful, and dismissing–avoidant) according to K. Bartholomew’s (1990) model. The present authors found significant differences among attachment groups on anxiety and depressive symptoms with attachment styles involving a negative self-model showing higher scores than attachment styles characterized by a positive self-model. The authors also found that differences between attachment styles in anxiety and depression remained significant when personality factors related to attachment prototypes were entered as covariates. Results indicate that secure attachment in adults was associated with better mental health, while insecure attachment styles characterized by negative thinking about the self were associated with higher depression and anxiety scores. Our findings seem to evidence that attachment and personality are only partly overlapping and that attachment cannot be considered as redundant with personality in the explanation of psychological disease.

Peter Fonagy, Ph.D., Anthony W. Bateman, M.A., FRCPsych, Nicolas Lorenzini, M.Sc., M.Phil., Chloe Campbell, Ph.D.
Attachment theory (Bowlby 1969) describes how individuals manage their most intimate relationships with their "attachment figures": their parents, children, and romantic partners. Attach-ment, at an evolutionary level, is an adap-tation for survival-it is the mechanism by which babies elicit essential care. As more ....

Shir Atzil, Talma Hendler and Ruth Feldman
The mother–infant bond provides the foundation for the infant’s future mental health and adaptation and depends on the provision of species-typical maternal behaviors that are supported by neuroendocrine and motivation-affective neural systems. Animal research has demonstrated that natural variations in patterns of maternal care chart discrete profiles of maternal brain–behavior relationships that uniquely shape the infant’s lifetime capacities for stress regulation and social affiliation. Such patterns of maternal care are mediated by the neuropeptide Oxytocin and by stress- and reward-related neural systems. Human studies have similarly shown that maternal synchronyFthe coordination of maternal behavior with infant signalsFand intrusivenessFthe excessive expression of maternal behaviorFdescribe distinct and stable maternal styles that bear long-term consequences for infant well-being. To integrate brain, hormones, and behavior in the study of maternal–infant bonding, we examined the fMRI responses of synchronous vs intrusive mothers to dynamic, ecologically valid infant videos and their correlations with plasma Oxytocin. In all, 23 mothers were videotaped at home interacting with their infants and plasma OT assayed. Sessions were micro-coded for synchrony and intrusiveness. Mothers were scanned while observing several own and standard infant-related vignettes. Synchronous mothers showed greater activations in the left nucleus accumbens (NAcc) and intrusive mothers exhibited higher activations in the right amygdala. Functional connectivity analysis revealed that among synchronous mothers, left NAcc and right amygdala were functionally correlated with emotion modulation, theory-of-mind, and empathy networks. Among intrusive mothers, left NAcc and right amygdala were functionally correlated with pro-action areas. Sorting points into neighborhood (SPIN) analysis demonstrated that in the synchronous group, left NAcc and right amygdala activations showed clearer organization across time, whereas among intrusive mothers, activations of these nuclei exhibited greater cross-time disorganization. Correlations between Oxytocin with left NAcc and right amygdala activations were found only in the synchronous group. Well-adapted parenting appears to be underlay by reward-related motivational mechanisms, temporal organization, and affiliation hormones, whereas anxious parenting is likely mediated by stress-related mechanisms and greater neural disorganization. Assessing the integration of motivation and social networks into unified neural activity that reflects variations in patterns of parental care may prove useful for the study of optimal vs high-risk parenting.

PETER FONAGY and CHLOE CAMPBELL
This article attempts to trace the intellectual history of the relationship between attachment theory and psychoanalytic thinking, and considers where we are now in the discourse between the two fields. We describe some of the points of convergence, as well as areas of continuing conten-tion, and suggest future directions for attachment work which have a bearing on its relationship with psychoanalysis. In particular, mentalizing theory is discussed as a line of thinking that draws on both attachment ideas and psychoanalysis; recent developments in mentalizing are described within an argument about the future development of attachment thinking. Two constructs connected to attachment and mentalizing, epistemic trust and the concept of a general factor in psychopathology, are discussed along with the implications of these ideas for thinking about the common factors that effective psychotherapeutic interventions share.

Otázky: Gabriela Janovičová a Miroslava Rašmanová (Občianske združenie Ženské kruhy)
Odpovede: doc. MUDr. Jozef Hašto, PhD., lekár - psychiater a psychoterapeut