1. Comparing apples and oranges: Understanding the difference between temperament and attachment Douglas Goldsmith, Ph.D. Executive Director The Children’s Center

2. Temperament The style in which behaviors are exhibited Does not address motivational underpinnings No necessary connection between personality and temperament

3. Nine dimensions of temperament Activity level Adaptability Approach vs. withdrawal Distractibility Intensity of affect expression Quality of mood Rhythmicity of biological functions Persistence/attention span Sensory threshold

4. Activity level High activity – wiggling, thrashing about, active during sleep, active during play Low activity – quiet, observant

5. Rhythmicity Set feeding schedule Regular bowel movements Predictable sleep schedule Caregivers can set their clock by the child’s rhythmicity

6. Approach/ Withdrawal Eager to try new foods Reach for new toys Excited by the site of a new face

7. Adaptability Initially fearful and hesitant but warm up to novel stimuli Some never get used to sudden noises or new people

8. Threshold of responsiveness Acutely aware of sights, sounds, textures Oblivious to loud noise, wet diapers, or new foods

9. Intensity of Reaction Slight distress to getting dressed or waiting to be fed Others scream and kick and turn every activity in to a battle ground

10. Quality of mood Wake up happy Others show distress and moodiness throughout the day

11. Distractibility Able to distract when upset Others show high levels of persistence

12. Attention span and persistence Stay with an activity for lengthy periods Others are quick to shift their attention and focus

13. Temperament Styles Easy child Difficult child Slow-to-warm up child

14. Attachment Explains how and why infant-parent bonds develop over the first years of life Promotes contact with the caregiver in the service of survival The pattern of interactions becomes organized as a recognizable and unique relationship characterizing the child-caregiver dyad Vaughn & Bost (1999)

15. Secure Attachment The caregiver is perceived as a reliable source of protection and comfort

16. Secure Attachment When I am close to my loved one I feel good, when I am far away I am anxious, sad or lonely Attachment is mediated by looking, hearing, and holding When I’m held I feel warm, safe, and comforted Results in a relaxed state so that one can, again, begin to explore Holmes (1993)

17. Secure Attachment Promote exploration of the environment Expand mastery of the environment “I can explore with confidence because I know my caregiver will be available if I become anxious.” The infant gains confidence in his or her own interactions with the world Weinfield et al (1999)

18. Secure Attachment Attachment is a reciprocal relationship The parent offers caregiving behavior that matches the attachment behavior of the child The child, using social referencing, checks in with the mother “looking for cues that sanction exploration or withdrawal” Holmes (1993)

19. Anxious Attachment Lack experience with consistent availability and comfort Attachment behaviors are responded to with: Indifference Rebuffs Inconsistency

20. Anxious Attachment Anxious about caregiver’s availability Afraid that the caregiver will be unresponsive or ineffective in providing comfort Experience anger about caregivers unresponsiveness

21. Anxious Attachment Shows overt aggression toward the inconsistent mother “Don’t you dare do that again!” but has to cling because he knows from experience that she will. Holmes (1993)

23. Assessment of Parent’s Point of View Interview questions: Could you give me a thumbnail sketch of your child? Tell me about a time in the past two weeks when you and your child really clicked. Tell me about a time when you didn’t. What gives you the most joy in your relationship? What gives you the most pain? Where do you turn for emotional support? Steele (2003)

24. Assessment – Secure Base Over the past two weeks can you think of a time when your child was: Hurt? Frightened? Separated from you? What did your child do? How did you respond?

25.  Treatment - Bowlby A therapist applying attachment theory sees his role as: Providing the conditions in which the patient can explore his representational models of himself and his attachment figures Helping the patient reappraise and restructure the models in the light of new understanding

26. Treatment - Bowlby Five therapeutic roles Provide a secure base Help the patient consider ways in which he engages with significant relationships Encourage exploration of the therapist- patient relationship Consider how perceptions are a product of childhood relationships Recognize that past images may no longer be appropriate

27. Secure Base Interventions Nurturing Concept of good grandparenting Anticipating needs Helping child regulate emotions Parental emotional availability Structure and consistency Experience of being in one’s mind