Vías de desarrollo del apego desorganizado: maltrato y cuidados tempranos alterados
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Palabras clave

apego desorganizado
vínculo
abuso
trauma
interacciones alteradas

Cómo citar

Álvarez-Segura, M., & Lacasa Saludas, F. (2022). Vías de desarrollo del apego desorganizado: maltrato y cuidados tempranos alterados. Revista De Psiquiatría Infanto-Juvenil, 39(2), 29-40. https://doi.org/10.31766/revpsij.v39n2a4

Resumen

Este artículo expone las vías de desarrollo del apego desorganizado. Para este cometido en una primera parte se aclara la diferencia entre apego desorganizado y trastorno reactivo de la vinculación que con frecuencia se confunden. A continuación, se expondrán las pruebas para valorar el apego desorganizado a distintas edades y los indicadores que mejor lo identifican.

La última parte del artículo expone las distintas rutas evolutivas que conducen al apego desorganizado. Éstas se han clasificado fundamentalmente en tres categorías: maltrato directo, estados mentales parentales y conductas parentales de riesgo. Como se verá a lo largo de su lectura, el desarrollo de un apego desorganizado es el resultado de distintas rutas evolutivas que en los últimos años se han ido esclareciendo y comprendiendo mejor. Estas distintas rutas no son independientes, sino que en muchas ocasiones convergen y se influyen mutuamente, lo que complejiza el desarrollo de estrategias de apego organizadas en el niño y el adolescente. La comprensión de estas rutas tiene aplicación clínica directa sobre los programas de prevención y tratamiento del maltrato infantil, así como al abordaje y tratamiento de la psicopatología del desarrollo. Esto plantea una necesaria formación de los psiquiatras en la evaluación y tratamiento de interacciones paterno-filiales perturbadas.

https://doi.org/10.31766/revpsij.v39n2a4
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Referencias

Bowlby J. El Vínculo Afectivo. Barcelona: Paidós; 1976.

Bowlby J. La Separación Afectiva. Barcelona: Paidós; 1976.

Main M, Solomon J. Discovery of a new, insecure disorganized/disorientated attachment pattern. In Brazelton TB. and Yogman MW, editors. Affective Development in Infancy, Norwood: Ablex; 1986. p. 95-124.

Hesse E, Main M. Frightened, threatening, and dissociative parental behavior in low-risk samples: Description, discussion, and interpretations. Development and Psychopathology 2006;18(2):309-43. https://doi.org/10.1017/S0954579406060172

Main M, Solomon J. Procedures for identifying infants as disorganized/disoriented during the Ainsworth Strange Situation. En: Greenberg MT, Cicchetti D, and Cummings, EM. Editores. Attachment in the preschool years: Theory, research, and intervention. Chicago: University of Chicago Press; 1990. p. 121-60.

Main M, Hesse E. Parents’ unresolved traumatic experiences are related to infant disorganized attach-ment status: Is frightened and/or frightening parental behavior the linking mechanism?. In Greenberg MT, Cicchetti D, and Cummings, EM, editors. Attachment in the preschool years: Theory, research, and intervention. Chicago: University of Chicago Press; 1990. p. 161-82.

Zeanah CH. Beyond insecurity: A reconceptualization of attachment disorders of infancy, Journal of Consulting and Clinical Psychology. 1996;64(1): 42-52. https://doi.org/10.1037/0022-006X.64.1.42

Van Ijzendoorn MH, Schuengel C, Bakermans-Kranenburg MJ. Disorganized attachment in early childhood: Meta-analysis of precursors, concomitants, and sequelae. Development and Psychopathology. 1999 ;11(2):225-49. https://doi.org/10.1017/s0954579499002035

Cyr C, Euser EM, Bakermans-Kranenburg MJ, Van Ijzendoorn MH. Attachment security and disorganization in maltreating and high-risk families: A series of meta-analyses. Development and Psychopathology. 2010 Feb;22(1):87-108. https://doi.org/10.1017/S0954579409990289

Zeanah CH, Smyke AT, Koga SF, Carlson E, Nelson CA, Parker SW, et al. Attachment in institutionalized and community children in Romania. Child Development. 2005;76(5):1015-28. https://www.jstor.org/stable/3696612

Zeanah CH, Shah P. Attachment and its impact on child development: Comments on Van IJzendoorn, Grossmann and Grossmann, and Hennighausen and Lyons-Ruth. In Encyclopedia of Early Child Development, Institute of Infant and Early Childhood Mental Health. Tulane University Health Sciences Center. 2005.

Zeanah CH, Gleason MM. Reactive Attachment Disorder: A review for DSM-V. American Psychiatric Association; 2010.

American Psychiatric Association. Diagnostic and statistical manual of mental disorders. Arlington, VA: American Psychiatric Publishing; 2013.

Gleason MM, Fox NA, Drury SS, Smyke AT, Nelson CA, Zeanah CH. Indiscriminate behaviors in previously institutionalized young children. Pediatrics. 2014;133(3): 657-65. https://doi.org/10.1542/peds.2013-0212

Smyke AT, Zeanah CH, Fox NA, Nelson CA, Guthrie D. Placement in foster care enhances quality of attachment among young institutionalized children. Child Development. 2010;81(1): 212-23. https://doi.org/10.1111/j.1467-8624.2009.01390.x

Ainsworth MD, Blehar MC, Waters E, Wall S. Patterns of Attachment: A psychological study of the Strange Situation. Hillsdale: Erlbaum; 1978.

Main M, Cassidy J. Categories of Response to Reunion with the Parent at Age 6: Predictable From Infant Attachment Classifications and Stable Over a 1-Month Period. Developmental Psychology. 1988;24(3):415-26. https://doi.org/10.1037/0012-1649.24.3.415

Marvin RS, Greenberg MT. Preschoolers’ changing conceptions of their mothers: A social--cognitive study of mother-child attachment. New directions in child development. 1982: 47-60. https://doi.org/10.1002/cd.23219821805

Watson S, Sweney S. Earned Security: can the adult attachment interview distinguish between parents who have suffered abuse as children who will and will not abuse their own children?. New Zealand Journal of Counselling. 2003;24(2):25-39.

Main M, Kaplan N, Cassidy J. Security of infancy, childhood, and adulthood: A move to the level of representation. Monographs for the Society for Research in Child Development; 1985. p. 209-undefined.

Hesse E, Shaver PR. The Adult Attachment Interview: Protocol method of analysis and empirical studies. En: Cassidy J, editor. Handbook of attachment: Theory, research and clinical applications. 3º ed. New York: Guilford Press; 2016 p. 553-596.

Chilamkurti C, Milner JS. Perceptions and Evaluations of Child Transgressions and Disciplinary Techniques in High‐ and Low‐Risk Mothers and Their Children. Child Development. 1993;64(6):1801-14. https://doi.org/10.1111/j.1467-8624.1993.tb04214.x.

Hobson RP, Patrick M, Crandell L, García-Pérez R, Lee A. Personal relatedness and attachment in infants of mothers with borderline personality disorder. Development and Psychopathology. 2005 ;17(2):329-347. DOI: 10.1017/s0954579405050169

Melnick S, Finger B, Hans S, Patrick M, Lyons-Ruth K. Hostile–helpless states of mind in the AAI: A proposed additional AAI category with implications for identifying disorganized infant attachment in high-risk samples. In Clinical applications of the adult attachment interview. New York: Guilford Press; 2008. p. 399-423.

Macfie J, Swan SA, Fitzpatrick KL, Watkins CD, Rivas EM. Mothers with borderline personality and their young children: Adult Attachment Interviews, mother-child interactions, and children’s narrative representations. Development and Psychopathology 2014 ;26(2):539–51. DOI:10.1017/S095457941400011X

Lyons-Ruth K, Jacobvitz D. Attachment disorganization: Unresolved loss, relational violence, and lapses in behavioral and attentional strategies. In Cassidy J, Shaver P, editors. Handbook of Attachment: Theory, Research, and Clinical Application. New York: Guilford Press; 1999. p. 520-54.

Van Ijzendoorn MH. Adult attachment representations, parental responsiveness, and infant attachment: A meta-analysis on the predictive validity of the adult attachment interview. Psychological Bulletin 1995 ;117(3): 387-403. https://doi.org/10.1037/0033-2909.117.3.387

Lyons-Ruth K, Yellin C, Melnick S, Atwood G. Expanding the concept of unresolved mental states: Hostile/Helpless states of mind on the Adult Attachment Interview are associated with disrupted mother-infant communication and infant disorganization. Development and Psychopathology. 2005;17(1): 1-23. https://doi.org/10.1017/s0954579405050017.

Lyons-Ruth K, Jacobvitz D. Attachment disorganisation: Genetic factors, parenting contexts, and developmental transformation from infancy to adulthood. In: Handbook of Attachment: Theory, research and clinical applications. 2nd ed. New York: The Guilford Press; 2008. p. 666-97.

Frigerio A, Costantino E, Ceppi E, Barone L. Adult attachment interviews of women from low-risk, poverty, and maltreatment risk samples: comparisons between the hostile/helpless and traditional AAI coding systems. Attachment and Human Development. 2013;15(4): 424-42. https://doi.org/10.1080/14616734.2013.797266

Milot T, Lorent A, St-Laurent D, Bernier A, Tarabulsy G, Lemelin JP, et al. Hostile-Helpless state of mind as further evidence of adult disorganized states of mind in neglecting families. Child Abuse and Neglect. 2014;38(8): 1351-7. https://doi.org/10.1016/j.chiabu.2014.02.015

Main M, Hesse E. Frightened, threatening, dissociative, timid-deferential, sexualized, and disorganized parental behavior: A coding system for frightened/frightening (FR) parent–infant interactions. Unpublished manuscript, University of California at Berkeley; 1992.

Abrams KY, Rifkin A, Hesse E. Examining the role of parental frightened/frightening subtypes in predicting disorganized attachment within a brief observational procedure. Development and Psychopathology. 2006;18(2):345–61. DOI: 10.1017/S0954579406060184

McMahan M, Pisani L, Oumar F. Infant - Mother Attachment among the Dogon of Mali. Child Development. 2001 ;72(5):1451-66. https://doi.org/10.1111/1467-8624.00359

Lyons-Ruth K, Bronfman E, Parsons E. Maternal disrupted affective communication, maternal frightened, frightening, or atypical behavior, and disorganized infant attachment strategies. Monographs of the Society for Research in Child Development. 1999: 67-96. https://doi.org/10.1111/1540-5834.00034

Schuengel C, Bakermans-Kranenburg MJ, van IJzendoorn MH. Frightening maternal behavior linking unresolved loss and disorganized infant attachment. Journal of Consulting and Clinical Psychology. 1999;67(1): 54-63. https://doi.org/10.1037/0022-006X.67.1.54

Lyons-Ruth K. Dissociation and the parent-infant dialogue: A longitudinal perspective from attachment research. Journal of the American Psychoanalytic Association. 2003: 883-911. https://doi.org/10.1177/00030651030510031501

Bronfman E, Parsons E, Lyons-Ruth K. Disrupted Maternal Behavior Instrument for Assessment and Classification (AMBIANCE. Vol. Version 2.1. Unpublished manuscript, Harvard Medical School; 1999.

Sroufe LA. Attachment Classification from the Perspective of Infant-Caregiver Relationships and Infant Temperament. Child Development. 1985;56(1): 1-14. https://doi.org/10.1111/j.1467-8624.1985.tb00080.x

Madigan S, Bakermans-Kranenburg MJ, Van Ijzendoorn MH, Moran G, Pederson DR, Benoit D. Unresolved states of mind, anomalous parental behavior, and disorganized attachment: A review and meta-analysis of a transmission gap. Attachment and Human Development. 2006;8(2): 89-111. https://doi.org/10.1080/14616730600774458

Madigan S, Moran G, Schuengel C, Pederson DR, Otten R. Unresolved maternal attachment representations, disrupted maternal behavior and disorganized attachment in infancy: Links to toddler behavior problems. Journal of Child Psychology and Psychiatry and Allied Disciplines. 2007 ;48(10): 1042-50. https://doi.org/10.1111/j.1469-7610.2007.01805.x

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