Sunday, January 24, 2016

What is Attachment Theory and what does it mean in my relationships ?

What is Attachment?
Attachment is a special emotional relationship that involves an exchange of comfort, care, and pleasure. The roots of research on attachment began with Freud's theories about love, but another researcher is usually credited as the father of attachment theory. Bowlby shared the psychoanalytic view that early experiences in childhood have an important influence on development and behavior later in life. Our early attachment styles are established in childhood through the infant/caregiver relationship. In addition to this, Bowlby believed that attachment had an evolutionary component; it aids in survival. "The propensity to make strong emotional bonds to particular individuals [is] a basic component of human nature" (Bowlby, 1988, 3).
Attachment refers the particular way in which you relate to other people. Your style of attachment was formed at the very beginning of your life, during your first two years.  Once established, it is a style that stays with you and plays out today in how you relate in intimate relationships and in how you parent your children. Understanding your style of attachment is helpful because it offers you insight into how you felt and developed in your childhood. It also clarifies ways that you are emotionally limited as an adult and what you need to change to improve your close relationships and your relationship with your own children.
Early Attachment Patterns
Young children need to develop a relationship with at least one primary caregiver in order for their social and emotional development to occur normally. Without this attachment, they will suffer serious psychological and social impairment. During the first two years, how the parents or caregivers respond to their infants establishes the types of patterns of attachment their children form.  These patterns will go on to guide the child’s feelings, thoughts and expectations as an adult in future relationships.
Characteristics of Attachment
Bowlby believed that there are four distinguishing characteristics of attachment:
1) Proximity Maintenance - The desire to be near the people we are attached to.
 2) Safe Haven - Returning to the attachment figure for comfort and safety in the face of a fear or threat.
3) Secure Base - The attachment figure acts as a base of security from which the child can explore the surrounding environment.
 4) Separation Distress - Anxiety that occurs in the absence of the attachment figure.
During the 1970's, psychologist Mary Ainsworth further expanded upon Bowlby's groundbreaking work in her now-famous "Strange Situation" study. The study involved observing children between the ages of 12 to 18 months responding to a situation in which they were briefly left alone and then reunited with their mother (Ainsworth, 1978).

Based on these observations, Ainsworth concluded that there were three major styles of attachment:
1) secure attachment,
 2) ambivalent-insecure attachment
 3) avoidant-insecure attachment.
Researchers Main and Solomon (1986) added a fourth attachment style known as disorganized-insecure attachment. Numerous studies have supported Ainsworth's conclusions and additional research has revealed that these early attachment styles can help predict behaviors later in life.

Secure Attachment:

Ideally, from the time infants are six months to two years of age, they form an emotional attachment to an adult who is attuned to them, that is, who is sensitive and responsive in their interactions with them. It is vital that this attachment figure remain a consistent caregiver throughout this period in a child’s life. During the second year, children begin to use the adult as a secure base from which to explore the world and become more independent. A child in this type of relationship is securely attached.

Avoidant Attachment:

There are adults who are emotionally unavailable and, as a result, they are insensitive to and unaware of the needs of their children. They have little or no response when a child is hurting or distressed. These parents discourage crying and encourage independence. Often their children quickly develop into “little adults” who take care of themselves. These children pull away from needing anything from anyone else and are self-contained. They have formed an avoidant attachment with a misattuned parent.

Ambivalent/Anxious Attachment:

Some adults are inconsistently attuned to their children. At times their responses are appropriate and nurturing but at other times they are intrusive and insensitive. Children with this kind of parenting are confused and insecure, not knowing what type of treatment to expect. They often feel suspicious and distrustful of their parent but at the same time they act clingy and desperate. These children have anambivalent/anxious attachment with their unpredictable parent.

Disorganized Attachment:

When a parent or caregiver is abusive to a child, the child experiences the physical and emotional cruelty and frightening behavior as being life-threatening. This child is caught in a terrible dilemma: her survival instincts are telling her to flee to safety but safety is the very person who is terrifying her.  The attachment figure is the source of the child’s distress. In these situations, children typically disassociate from their selves. They detach from what is happening to them and what they are experiencing is blocked from their consciousness. Children in this conflicted state have disorganized attachments with their fearsome parental figures.

 

Adult Attachment Patterns


Secure Personality:

People who formed secure attachments in childhood have secure attachment patterns in adulthood. They have a strong sense of themselves and they desire close associations with others. They basically have a positive view of themselves, their partners and their relationships. Their lives are balanced: they are both secure in their independence and in their close relationships.

Dismissive Personality:

Those who had avoidant attachments in childhood most likely have dismissive attachment patterns as adults. These people tend to be loners; they regard relationships and emotions as being relatively unimportant. They are cerebral and suppress their feelings. Their typical response to conflict and stressful situations is to avoid them by distancing themselves. These people’s lives are not balanced: they are inward and isolated, and emotionally removed from themselves and others.

Preoccupied Personality:

Children who have an ambivalent/anxious attachment often grow up to have preoccupied attachment patterns. As adults, they are self-critical and insecure. They seek approval and reassurance from others, yet this never relieves their self-doubt. In their relationships, deep-seated feelings that they are going to be rejected make them worried and not trusting. This drives them to act clingy and overly dependent with their partner. These people’s lives are not balanced: their insecurity leaves them turned against themselves and emotionally desperate in their relationships.

Fearful-Avoidant Personality:

People who grew up with disorganized attachments often develop fearful-avoidant patterns of attachment. Since, as children, they detached from their feelings during times of trauma, as adults, they continue to be somewhat detached from themselves. They desire relationships and are comfortable in them until they develop emotionally close. At this point, the feelings that were repressed in childhood begin to resurface and, with no awareness of them being from the past, they are experienced in the present. The person is no longer in life today but rather, is suddenly re-living an old trauma. These people’s lives are not balanced: they do not have a coherent sense of themselves nor do they have a clear connection with others.



Source:
http://www.lifechangehealthinstitute.ie/what-is-attachment-theory/

Thursday, January 21, 2016

Top Ten Psychosomatic Symptoms

The origin of a psychosomatic illness is within the brain.  The illness is the brain’s attempt to throw a person’s consciousness off guard by inducing physical changes in the body, in order to prevent the person from consciously experiencing difficult emotions, such as rage, sadness, and emotional distress.
People with psychosomatic illnesses contribute millions if not billions of dollars to the medical industry in the form of various treatments, including operations, medications, physical therapy, etc.  People can spend decades chasing down physical symptoms when the root causes of their problems are emotional.
The reality is that somatic symptoms are extremely common. Research has found that approximately one-third of all physical symptoms fall into this category.  However, patients are not quick to accept or believe that their symptoms do not have an actual physical cause. Only about 15 to 20 percent of patients will accept such a diagnosis.
To be technical, the proper term for psychosomatic illness, according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) is somatic symptom disorder.  There is an overlap across the spectrum of somatoform disorders, and this designation helps reflect the complex interface between mental and physical health.
What follows is a list of the ten most frequent somatic illnesses:
  1. Chronic Pain Syndrome
  2. Fibromyalgia
  3. Carpal Tunnel Syndrome
  4. Gastrointestinal syndromes
  5. Migraine headaches
  6. Frequent need for urination
  7. Tinnitus and Vertigo
  8. Allergic phenomena
  9. Skin rashes (Eczema, hives, acne, etc.)
  10. Eating disorders
Source:
http://pro.psychcentral.com/recovery-expert/2016/01/top-ten-psychosomatic-symptoms/#

Wednesday, January 20, 2016

语言发展迟缓儿童


曾经有客户一进来中心见我就要马上做治疗,我接受他的要求但也会很清楚的告诉客户治疗效果会有限。因为对我来说,个人历史Case History对于治疗成果的好坏扮演着非常重要之角色。


就拿一个被诊断为身心发展迟缓并无法说话的孩子之案例来谈。当我分析他的脑电波,个人历史,和与父母交谈后发现到疑似的根源问题。即这孩子从小不停的跌倒并进院无数次,导致他对于世界充满恐惧和焦虑感(甚至出现白袍效应white coat effect的现象)。
焦虑和害怕这点从他的行为和脑电波可以清楚地窥探到。

于是当我和儿童心理学家进行了研究和对孩子进行脑电波反馈疗法治疗后的2个月内,孩子有了明显的进展。母亲告诉我们说两个月后的今天,这孩子开始会用单字沟通了,并且不再那么害怕周边的人事物;甚至他跌倒的次数也显著的减少了!

如果我们忽略了分析Case History这环,或许我们就无法那么快看见孩子的进展了。