Table 1

Core principles of attachment and attachment styles*

Core principles
Attachment is the close emotional bond which binds families, to protect children while they learn necessary skills for safe independence
The core of attachment is attunement to the feelings and needs of the other
Quality of attachment depends on the adequacy and consistency of children’s ability to elicit responses, and of parents’ ability to respond
Quality of attunement is affected by:
    Foundations for intuitive attunement (ie, parents’ ability to respond instinctively to their child because of what they learnt through their own early parenting)
    Stress, fatigue, anxiety, distractibility
    Substance abuse, mental illness
    Learning difficulties
Attunement allows stress regulation before children can self-regulate, affecting programming of stress responses
Attachment styles merge on a continuum
Quality of attachment is dynamic, and depends on both sides of the relationship, although individual tendencies persist
Quality of attachment affects the extent to which children see relationships as valuable, safe, reliable and predictable
Quality of attachment affects the extent to which children seek attention, and risk relinquishing it
Quality of attachment, and consequent assumptions about relationships, substantially affect children’s learnt behaviour, which serves a purpose determined by the anticipated response
Emotionally abusive parenting affects perceptions of relationships and self, and programming of stress regulation; it both reflects and promotes dysfunctional attachment
Quality of attachment is always relevant to children’s wellbeing – the question is how, not whether it is significant
Attachment style*ParentingPerception of relationshipsDevelopmental implications
SecureReliably well attuned; breaks effectively repairedValuable; attention worth seeking and readily achievedCompetent in functioning independently and in using relationships to learn
Insecure
    Anxious*Intermittently well attuned; breaks unpredictably repairedValuable but unreliable; attention worth seeking but unpredictably achieved. Depend on attention/approval for self-worthAttention-seeking may impair learning, or anxiety to please may accelerate it
    Ambivalent*Variably attuned and antagonistic; breaks unpredictably repairedConfusing: valuable, frightening, unpredictable. Crave relationships but fear closenessMay learn better at school than through close relationships. Craving for attention/approval may impair or enhance aspects of learning
    AvoidantConsistently non-attuned or often aggressiveUnhelpful or frightening. Attention not worth seeking, or feels unsafeSocial learning impaired. Cognitive development affected until independent learning is possible. May selectively develop non-personal abstract skills (eg, computing)
    DisorganisedUnpredictably but pervasively abusiveConfusing, unhelpful, unusableIneffective independently and in using relationships; unable to integrate effectively in school
  • *Understanding from first principles is more important to practical application than labelling. Terminology used to describe attachment styles varies and can therefore be confusing. Some do not differentiate between “anxious” and “ambivalent” patterns.