Fifteen-minute consultation: Attachment as a model to understand and manage difficult doctor-parent relationships
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Updated: Feb 4, 2026

Assessing the Coherence of Parents' Short Narratives Regarding their Child Using the Five-Minute Speech Sample Procedure
Published on: September 19, 2019
Insights
Pediatricians can improve care for unwell children by understanding difficult parent interactions. Using attachment theory helps manage challenging doctor-parent dynamics for better child, family, and physician well-being.
Area of Science:
- Pediatrics
- Psychology
- Communication Studies
Background:
- Pediatricians frequently encounter challenging parent behaviors during child healthcare.
- Difficult interactions range from parental neglect to overstating symptoms or refusing treatment.
Purpose of the Study:
- To provide a framework based on attachment theory for managing difficult doctor-parent interactions.
- To enhance pediatricians' ability to recognize, understand, and sensitively handle these challenging dynamics.
Main Methods:
- Application of attachment theory principles to doctor-parent communication.
- Framework development for recognizing and responding to difficult parental behaviors.
Main Results:
- Attachment theory offers insights into understanding the roots of difficult parent behaviors.
- A structured approach can improve the management of challenging interactions.
Conclusions:
- Implementing communication strategies informed by attachment theory can improve child health outcomes.
- Enhanced doctor-parent communication benefits the child, family, and healthcare provider's well-being.
Abstract:
Paediatricians are often faced with managing the child who is unwell, and parents, who may present in ways that are difficult to manage. Difficult behaviours can range from those who disregard their child's needs, to those who overstate their child's minor symptoms, to those who ask for help but then refuse to accept it. This paper gives a framework using attachment theory to help paediatricians recognise, understand and deal with difficult doctor-parent interactions in a way that is appropriate and sensitive. Making changes to the way we communicate with parents can improve outcomes for the child, the family and the doctor's own well-being.
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