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September 30, 2018

THEORY IN PRACTICE
Attachment Theory and Family Separation

The Problem
Separating a child from
their primary caregiver
leads to health concerns,
particularly mental
health issues. Between
April and May 2018,
approximately 2,342
children were separated
from their caregivers at
the U.S.-Mexico border.
Children could
communicate with
families by telephone or
video conferencing twice
per week during the
Theory and Intervention
time in which they were Attachment is an innate bond that is necessary for survival and
detained.
 inherently influences the emotional and psychological
development of the child. John Bowlby’s attachment theory
emphasizes emotional bonding between a child and its
Consequences primary caregiver, particularly during a time when the child
feels unsafe. Bonding helps form secure attachments, which
Parental deprivation and
impact resilience, social connections, and social adaptation
exposure to traumatic events,
across the lifespan. Children experience three phases of
especially in the first 12
attachment: proximity maintenance, safe haven behavior and
months of life, can lead to
secure base behavior. From these phases, children develop
failure of the child to develop
one of three attachment styles (see page 2).
an attachment. In the
longterm, these children are at
greater risk for developing
mental health problems
including depression, anxiety
and PTSD.

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September 30, 2018

Three-step approach to rebuilding attachment:

1. Address external factors like family separation, violence


and mental health. Children need close proximity and the
ability to use the parent as a “safe haven” during
development. Remove or minimize any barriers that prevent
these behaviors.
Attachment Styles
2. Address internal factors like sensitivity and response.
• Secure attachment (type Educate schedule sessions with caregivers to review child
B): Children are confident cues, record sessions for parents to review and encourage
that their caregiver can skin-to-skin contact to promote bonding.
meet their needs. Infants
are easily soothed by their 3. Reunify families in a safe environment. Provide referrals
caregiver in times of to physical and mental health resources so families can start
distress. the healing process together.

• Anxious/insecure avoidant
(type A): Infants are
independent from their
Outreach
caregiver, physically and
emotionally. They explore The following organizations provide support to families
their environments without who have been affected by forced separation. Donations
considering the presence go towards legal aid and supplies. 

of their caregiver, and do 

not rely on their caregiver American Civil Liberties Union: https://action.aclu.org/give/
for comfort when make-tax-deductible-gift-aclu-foundation-0

distressed. 

The Refugee and Immigration Center for Education and
• Anxious ambivalent/ Legal Services (RAICES):  

insecure resistant (type C): https://actionnetwork.org/groups/raices-refugee-and-
Infants are ambivalent immigrant-center-for-education-and-legal-services

towards their caregiver. 

They have difficulty Texas Civil Rights Project: https://
moving away from the texascivilrightsproject.org/donate/

caregiver when they want 

to explore their Florence Immigration & Refugee Rights Project: https://
environment and are hard firrp.org/donate/
to soothe during times of
distress. The Young Center: https://www.theyoungcenter.org/stories/
2018/6/19/how-you-can-help-end-family-separation-and-
support-immigrant-children

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September 30, 2018

References

Bifulco, A., Harris, T., & Brown, G.W. (1992). Mourning or early inadequate care? Reexamining the
relationship of maternal loss in childhood with adult depression and anxiety. Development and
Psychopathology, 4(3), 433-449. https://doi.org/10.1017/S0954579400000882

Bowlby, J., Ainsworth, M., Boston, M., & Rosenbluth, D. (1956). The effects of mother-child separation: A
follow-up study. British Journal of Medical Psychology, 29, 211-249.

Bump, P. (2018). The children separated from their parents, by the numbers. The Washington Post.
Retrieved from https://www.washingtonpost.com/news/politics/wp/2018/07/09/the-children-
separated-from-their-parents-by-the-numbers/?utm_term=.f3a115fd0132

Domonoske, C. & Gonzales, R. (2018, June 19). What we know: Family separation and ‘zero tolerance’ at
the border. National Public Radio. Retrieved from https://www.npr.org/2018/06/19/621065383/
what-we-know-family-separation-and-zero-tolerance-at-the-border

[Illustration of three people] (2018). Retrieved from https://worldrelief.org/reunite/

[Illustration of families belong together] (2018). Retrieved from https://act.moveon.org/event/families-


belong-together_attend1/search/

Kerns, K.A., Mathews, B.L., Koehn, A.J., Williams, C.T., & Siener-Ciesla, S. (2015). Assessing both safe
haven and secure base support in parent–child relationships. Attachment & Human Development,
17(4), 337–353. https://doi.org/10.1080/14616734.2015.1042487

Letourneau, N., Tryphonopoulos, P., Giesbrecht, G., Dennis, C.-L., Bhogal, S., & Watson, B. (2015).
Narrative and meta-analytic review of interventions aiming to improve maternal-child attachment
security. Infant Mental Health Journal, 36(4), 366–387. https://doi.org/10.1002/imhj.21525

Peterson, S.J. & Bredow, T.S. (2013). Attachment. In T. Klette (Ed.), Middle range theories: Application to
nursing research (3rd ed.). Philadelphia, PA: Wolters Kluwer Health | Lippincott Williams & Wilkins

[Photograph of connected hands] (n.d.). Retrieved from https://www.pexels.com/photo/black-and-white-


connected-hands-love-265702/

Van Rosmalen, L., Van Der Veer, R., & Van Der Horst, F. (2015). Ainsworth’s strange situation procedure: The
origin of an instrument. Journal of the History of the Behavioral Sciences, 51(3), 261–284. https://
doi-org.ezp.welch.jhmi.edu/10.1002/jhbs.21729

Zucker, H.A., & Greene, D. (2018). Potential child health consequences of the federal policy separating
immigrant children from their parents. JAMA, 320(6), 541-542. https://jamanetwork.com/journals/
jama/fullarticle/2688769

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