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Published on: September 19, 2019
Secure base and mental health in children: a narrative review
Zi-Ying Ye1, Zhuo-Ying Han1, Bao-Liang Zhong1,2
1Research Center for Psychological and Health Sciences, China University of Geosciences (Wuhan), Wuhan, China.
Insights
The secure base concept in attachment theory is vital for children's mental health. Understanding secure base script knowledge and diverse family structures can improve secure attachment and mitigate mental health risks.
Area of Science:
- Attachment Theory
- Child Psychology
- Clinical Psychology
Background:
- Childhood attachment type formation is crucial for psychological development.
- Previous research prioritized direct mental health interventions over attachment-based approaches.
- The secure base concept is central to attachment theory and child development.
Purpose of the Study:
- To review the concept of the secure base in child development.
- To describe current clinical practices related to secure base.
- To suggest future research directions for improving children's mental health through attachment.
Main Methods:
- A comprehensive literature search was conducted in electronic databases (Web of Science, PubMed, CNKI).
- Included Chinese and English articles on secure base and child attachment relationships.
- Searched articles published up to August 6, 2024.
Main Results:
- Secure bases extend beyond parent-child relationships to include group and teacher-student dynamics.
- Limited research exists on the father's role and intergenerational transmission of secure base script knowledge (SBSK).
- SBSK significantly influences middle childhood mental health.
Conclusions:
- Further research is needed on how family structure, roles, and SBSK influence secure attachment across development.
- Consideration of diverse family structures and parental attachment styles is essential for fostering secure attachment pathways.
- This review provides clinical insights into the secure base mechanism for mitigating children's mental health risks.
Background And Objective:
Childhood is a crucial period for the formation of an individual's attachment type. Previous studies focused more on how to directly intervene in children's mental health problems such as depression, and less on how to improve children's mental health from the perspective of attachment relationship. Secure base, as one of the core concepts of attachment theory, plays an important role in the whole process of children's psychological development. In this article, we review the concept of the secure base, describe current clinical practice and suggest future directions.
Methods:
A literature search was performed within electronic databases such as Web of Science, PubMed, and CNKI. Chinese and English articles focusing on the secure base and attachment relationship among children were retrieved. Their publication dates were set from the inception of the database to August 6, 2024.
Key Content And Findings:
While the secure base significantly impacts early childhood, a safe base may also be established through group and teacher-student relationships to activate individual secure attachment schemas. Most prior studies concentrated on the mother-child bond, with limited exploration of the father's role in the family dynamic. Furthermore, children's secure attachment development is not only influenced by parents' secure base script knowledge (SBSK) but also by intergenerational transmission. The underlying structure of secure base scripting knowledge plays a distinct role in middle childhood mental health.
Conclusions:
The mechanism by which family structure, the functional division of family roles, and the potential structure of safe-base script knowledge influence children's secure attachment development at various stages warrants further elucidation, including investigating cross-gender and cross-cultural stability. To facilitate the development of children's secure attachment pathways, it is essential to consider different attachment styles within parents and diverse family structures (including those in lesbian, gay, bisexual). From a clinical psychotherapy perspective, this review offered novel insights and practical guidance on how the secure base mechanism impacts children's mental health, with the overarching goal of mitigating the risk of mental health problems.
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