INTERGENERATIONAL TRANSMISSION OF ATTACHMENT IN ABUSED AND NEGLECTED MOTHERS: THE ROLE OF TRAUMA-SPECIFIC REFLECTIVE FUNCTIONING
INTERGENERATIONAL TRANSMISSION OF ATTACHMENT IN ABUSED AND NEGLECTED MOTHERS: THE ROLE OF TRAUMA-SPECIFIC REFLECTIVE FUNCTIONING
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DOI：
10.1002/imhj.21499
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发表时间：
2015-03-01
影响因子：
2.4
通讯作者：
Fonagy, Peter
中科院分区：
文献类型：
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作者：
Berthelot, Nicolas;Ensink, Karin;Fonagy, Peter
关于依恋从母亲到孩子的代际传递，我们的知识仍然存在重大差距，特别是在有虐待和忽视童年史的母亲中（CA&N）。本研究采用20个月的随访设计，探讨了关于一般依恋关系的反射功能的贡献，特别是关于创伤，以及母亲的依恋心理状态对CA&N母亲及其婴儿样本中婴儿依恋紊乱的预测。依恋和反思功能进行了评估，在怀孕期间与成人依恋访谈。采用陌生情境程序对婴儿依恋进行评估。大多数（83%）的虐待和忽视的母亲的婴儿被归类为不安全，和显着比例（44%）表现出依恋紊乱。有一个很强的一致性之间的母亲和孩子的依恋，表明代际传递的依恋与CA&N的父母和他们的婴儿。未解决的创伤和创伤特异性反射功能对解释婴儿依恋紊乱的差异有显著贡献。本研究的结果突出了创伤特定的心理化的重要性，在代际传递的附件的母亲与历史的童年虐待，并提供了新的证据的重要性，没有心理化的创伤婴儿附件。
There are still important gaps in our knowledge regarding the intergenerational transmission of attachment from mother to child, especially in mothers with childhood histories of abuse and neglect (CA&N). This study examined the contributions of reflective function concerning general attachment relationships, and specifically concerning trauma, as well as those of maternal attachment states of mind to the prediction of infant attachment disorganization in a sample of mothers with CA&N and their infants, using a 20-month follow-up design. Attachment and reflective functioning were assessed during pregnancy with the Adult Attachment Interview. Infant attachment was evaluated with the Strange Situation Procedure. The majority (83%) of infants of abused and neglected mothers were classified as insecure, and a significant proportion (44%) manifested attachment disorganization. There was a strong concordance between mother and child attachment, indicative of intergenerational transmission of attachment in parents with CA&N and their infants. Both unresolved trauma and trauma-specific reflective function made significant contributions to explaining variance in infant attachment disorganization. The findings of this study highlight the importance of trauma-specific mentalization in the intergenerational transmission of attachment by mothers with a history of childhood maltreatment, and provide new evidence of the importance of the absence of mentalization regarding trauma for infant attachment.