Disorganized attachment in infancy: a review of the phenomenon and its implications for clinicians and policy-makers

Granqvist, Pehr, Sroufe, L. Alan, Dozier, Mary, Hesse, Erik, Steele, Miriam, van Ijzendoorn, Marinus, Solomon, Judith, Schuengel, Carlo, Fearon, Pasco, Bakermans-Kranenburg, Marian, Steele, Howard, Cassidy, Jude, Carlson, Elizabeth, Madigan, Sheri, Jacobvitz, Deborah, Foster, Sarah, Behrens, Kazuko, Rifkin-Graboi, Anne, Gribneau, Naomi, Spangler, Gottfried, Ward, Mary, True, Mary, Spieker, Susan, Reijman, Sophie, Reisz, Samantha, Tharner, Anne, Nkara, Frances, Goldwyn, Ruth, Sroufe, June, Pederson, David, Pederson, Deanne, Weigand, Robert, Siegel, Daniel, Dazzi, Nino, Bernard, Kristin, Fonagy, Peter, Waters, Everett, Toth, Sheree, Cicchetti, Dante, Zeanah, Charles, Lyons-Ruth, Karlen, Main, Mary and Duschinsky, Robbie (2017) Disorganized attachment in infancy: a review of the phenomenon and its implications for clinicians and policy-makers. Attachment & Human Development, 19 (6). pp. 534-558. ISSN 1461-6734

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Abstract

Disorganized/Disoriented (D) attachment has seen widespread interest from policy makers, practitioners, and clinicians in recent years. However, some of this interest seems to have been based on some false assumptions that (1) attachment measures can be used as definitive assessments of the individual in forensic/child protection settings and that disorganized attachment (2) reliably indicates child maltreatment, (3) is a strong predictor of pathology, and (4) represents a fixed or static “trait” of the child, impervious to development or help. This paper summarizes the evidence showing that these four assumptions are false and misleading. The paper reviews what is known about disorganized infant attachment and clarifies the implications of the classification for clinical and welfare practice with children. In particular, the difference between disorganized attachment and attachment disorder is examined, and a strong case is made for the value of attachment theory for supportive work with families and for the development and evaluation of evidence-based caregiving interventions.

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