Disorganized and controlling patterns of attachment, role reversal, and caregiving helplessness: links to...

The aim of this study was to investigate longitudinal associations between attachment at early school age and the development of externalizing symptoms in adolescence. The mediating roles of maternal helplessness and role reversal were also examined. Attachment classifications of 136 children (63 boys and 73 girls) and quality of mother-child interactions (role reversal) were observed at ages 5-6 using the separation-reunion procedure (Main & Cassidy, 1988). At age 13, externalizing problems reported by both the adolescent and the mother (Youth Self-Report; Achenbach, 1991), and caregiving helplessness reported by the mother (Caregiving Helplessness Questionnaire; George, Coulson, & Magana, 1997) were evaluated. Results indicated that children with disorganized attachment to their caregivers evidenced the most maladaptive patterns compared with children with secure attachment, displaying high externalizing symptoms and having mothers reporting more helplessness. Significant differences found among the disorganization subtypes indicated that the controlling-punitive subgroup had more maladaptive patterns across variables than did the behaviorally disorganized and controlling-caregiving subgroups. These findings support the idea that early attachment, mother-child interaction quality, and caregiving helplessness should be central themes in prevention and intervention programs with mother-child dyads.