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12 个月依恋的起源:对 4 个月母婴互动的微分析。

The origins of 12-month attachment: a microanalysis of 4-month mother-infant interaction.

机构信息

NYS Psychiatric Institute #108, New York, NY, USA.

出版信息

Attach Hum Dev. 2010 Jan;12(1-2):3-141. doi: 10.1080/14616730903338985.

Abstract

A microanalysis of 4-month mother-infant face-to-face communication revealed a fine-grained specification of communication processes that predicted 12-month insecure attachment outcomes, particularly resistant and disorganized classifications. An urban community sample of 84 dyads were videotaped at 4 months during a face-to-face interaction, and at 12 months during the Ainsworth Strange Situation. Four-month mother and infant communication modalities of attention, affect, touch, and spatial orientation were coded from split-screen videotape on a 1 s time base; mother and infant facial-visual "engagement" variables were constructed. We used contingency measures (multi-level time-series modeling) to examine the dyadic temporal process over time, and specific rates of qualitative features of behavior to examine the content of behavior. Self-contingency (auto-correlation) measured the degree of stability/lability within an individual's own rhythms of behavior; interactive contingency (lagged cross-correlation) measured adjustments of the individual's behavior that were correlated with the partner's previous behavior. We documented that both self- and interactive contingency, as well as specific qualitative features, of mother and infant behavior were mechanisms of attachment formation by 4 months, distinguishing 12-month insecure, resistant, and disorganized attachment classifications from secure; avoidant were too few to test. All communication modalities made unique contributions. The separate analysis of different communication modalities identified intermodal discrepancies or conflict, both intrapersonal and interpersonal, that characterized insecure dyads. Contrary to dominant theories in the literature on face-to-face interaction, measures of maternal contingent coordination with infant yielded the fewest associations with 12-month attachment, whereas mother and infant self-contingency, and infant contingent coordination with mother, yielded comparable numbers of findings. Rather than the more usual hypothesis that more contingency is "better," we partially supported our hypothesis that 12-month insecurity is associated with both higher and lower 4-month self- and interactive contingency values than secure, as a function of mother vs. infant and communication modality. Thus, in the origins of attachment security, more contingency is not necessarily better. A remarkable degree of differentiation was identified in the 4-month patterns of "future" C and D infants, classified as resistant and disorganized, respectively, at 12 months. The central feature of future C dyads was dysregulated tactile and spatial exchanges, generating approach-withdrawal patterns. The intact maternal contingent coordination overall safeguards the future C infant's interactive agency. However, future C infants likely come to expect maternal spatial/tactile impingement, and to expect to "dodge" as mothers "chase." They managed maternal touch by tuning it out, sacrificing their ability to communicate about maternal touch. They "approached" by vigilantly coordinating their facial-visual engagement with maternal facial-visual engagement, but they "withdrew" by inhibiting their facial-visual engagement coordination with maternal touch. We proposed that future C infants will have difficulty feeling sensed and known during maternal spatial/tactile impingements. The central feature of future D dyads is intrapersonal and interpersonal discordance or conflict in the context of intensely distressed infants. Lowered maternal contingent coordination, and failures of maternal affective correspondence, constituted maternal emotional withdrawal from distressed infants, compromising infant interactive agency and emotional coherence. The level of dysregulation in future D dyads was thus of an entirely different order than that of future C dyads. We proposed that the future D infant represents not being sensed and known by the mother, particularly in states of distress. We proposed that the emerging internal working model of future D infants includes confusion about their own basic emotional organization, about their mothers' emotional organization, and about their mothers' response to their distress, setting a trajectory in development which may disturb the fundamental integration of the person. The findings have rich implications for clinical intervention, with remarkable specificity for different kinds of mother and infant distress. Heightened and lowered self- and interactive contingency, in different modalities, as well as the specific behavioral qualities identified, provide a more differentiated set of concepts to guide clinical intervention.

摘要

对 4 个月大母婴面对面交流的微观分析显示,交流过程的详细规范可以预测 12 个月时不安全依恋的结果,特别是抗拒型和混乱型的分类。一个城市社区的 84 对母婴被拍摄了 4 个月大时的面对面互动视频,以及 12 个月大时在安斯沃思陌生情境中的视频。母亲和婴儿在 4 个月大时的注意力、情感、触摸和空间定向等交流方式,都是通过在 1 秒时间基础上对分屏录像进行编码;母亲和婴儿的面部视觉“参与”变量是构建的。我们使用连续测量(多层次时间序列建模)来检查随时间推移的双边时间过程,以及特定的行为定性特征率来检查行为的内容。自我连续性(自相关)衡量了个体自身行为节奏的稳定性/不稳定性;交互连续性(滞后交叉相关)衡量了个体行为的调整,这些调整与伴侣之前的行为相关。我们记录了母亲和婴儿行为的自我和交互连续性以及特定的定性特征,都是依恋形成的机制,通过 4 个月大时就能区分 12 个月大时不安全、抗拒和混乱的依恋分类,以及安全型;避免型的样本太少,无法进行测试。所有的交流方式都有独特的贡献。不同交流方式的单独分析确定了不安全的母婴互动关系中存在的人际间和个体内的交流方式差异或冲突。与文献中关于面对面互动的主流理论相反,与婴儿的母亲协调一致的测量与 12 个月的依恋关系的关联最少,而母亲和婴儿的自我连续性,以及婴儿与母亲的协调连续性,产生了类似数量的发现。我们的假设不是更多的连续性“更好”,而是我们部分支持了我们的假设,即与安全型相比,12 个月时的不安全感与更高和更低的 4 个月时的自我和交互连续性值有关,这取决于母亲和婴儿以及交流方式。因此,在依恋安全性的起源中,更多的连续性不一定更好。在未来的 C 和 D 婴儿的 4 个月模式中,我们发现了显著的分化程度,他们分别在 12 个月时被归类为抗拒型和混乱型。未来 C 婴儿的主要特征是触觉和空间交换失调,导致接近-回避模式。整体上,母亲有规律的协调互动保障了未来 C 婴儿的互动能力。然而,未来 C 婴儿可能会期待母亲的空间/触觉干扰,并期待在母亲“追逐”时“躲避”。他们通过忽略母亲的触觉来调节母亲的触觉,从而牺牲了与母亲进行触觉交流的能力。他们通过敏锐地协调自己的面部视觉参与与母亲的面部视觉参与来“接近”,但通过抑制自己的面部视觉参与与母亲的触摸来“回避”。我们提出,未来 C 婴儿在母亲的空间/触觉干扰时会感到难以被感知和了解。未来 D 婴儿的主要特征是在极度痛苦的婴儿背景下的人际间和个体内部的不和谐或冲突。降低的母亲协调连续性和母亲情感对应失败构成了母亲对痛苦婴儿的情感回避,从而损害了婴儿的互动能力和情感连贯性。因此,未来 D 婴儿的失调程度与未来 C 婴儿的失调程度完全不同。我们提出,未来 D 婴儿代表了母亲无法感知和了解,尤其是在痛苦的状态下。我们提出,未来 D 婴儿的内部工作模型包括对自己基本情感组织、母亲的情感组织以及母亲对自己痛苦的反应的困惑,这为发展轨迹的确定奠定了基础,可能会扰乱个体的基本整合。这些发现对临床干预具有丰富的意义,对不同类型的母婴痛苦具有显著的特异性。不同模式中升高和降低的自我和交互连续性以及确定的特定行为质量,为指导临床干预提供了一组更具差异性的概念。

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