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Updated: Jun 12, 2025

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Exploring attachment representations and traumatic reenactment in foster children.

Nina Thorup Dalgaard1, Julie Mulla Reich1, Jakob Kaarup Jensen1

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|May 12, 2025
PubMed
Summary

Foster children exhibit higher attachment disorganization. Interventions like Mentalization-Based Family Therapy (MBT) improved attachment security and reduced disorganization in a Danish study.

Keywords:
Story Stem Assessment Profile (SSAP)Traumaattachment disorganizationattachment representationsfoster children

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Area of Science:

  • Child Psychology
  • Attachment Theory
  • Mental Health Interventions

Background:

  • Foster children are at increased risk for behavioral and mental health issues due to early adversities.
  • Attachment disorganization is a significant concern in this population.

Purpose of the Study:

  • To assess attachment representations in Danish foster children using the Story Stem Assessment Profile (SSAP).
  • To evaluate the effectiveness of Mentalization-Based Family Therapy (MBT) compared to Care as Usual (CAU) on attachment.
  • To explore the intersection of attachment and lived experiences in foster children.

Main Methods:

  • The Story Stem Assessment Profile (SSAP) was administered to 28 Danish foster children (ages 4-10).
  • Participants were part of a trial comparing MBT to CAU.
  • SSAP narratives were coded for personal experiences.

Main Results:

  • Foster children displayed significantly higher attachment disorganization compared to a community sample.
  • Post-treatment, significant increases in attachment security and decreases in disorganization were observed.
  • Qualitative insights were gained from narrative content reflecting personal experiences.

Conclusions:

  • Attachment disorganization is prevalent in foster children, necessitating targeted interventions.
  • Mentalization-Based Family Therapy shows promise in improving attachment security.
  • Further research is needed to establish specific SSAP norms and explore lived experiences.