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ATTACHMENT AND PSYCHOPATHOLOGY
J Korean Acad Child Adolesc Psychiatry 2004; 15(1): 40-60
Published online June 1, 2004
© 2004 Korean Academy of Child and Adolescent Psychiatry.

Dong Hyun Ahn, M.D., Ph.D.,**† Jee Eun Choi, M.D.***

**Department of Psychiatry, College of Medicine, Hanyang University Hospital, Seoul, ***Clinical Child & Adolescent Psychiatry Fellow of Department of Psychiatry, Hanyang University Hospital, Seoul
Abstract
Introduction:Research on attachment in view point of the developmental perspective which began in the 1940s progressed during several decades. Many investigators focused mother-child separation in early attachment studies, and moved to the relationship with childhood psychopathology. Recently attachment theory and research are moving forward along the intergenerational transmission of attachment patterns, and adolescents and adult mental disorders in the developmental perspectives.
Methods:We surveyed the research papers through Medline search, attachment-related monographs, and review or original papers published in Korean journal.
Results:Developmental attachment researches have demonstrated convincingly that insecure attachment in infancy is associated with attachment disorder; several childhood psychopatholgy, such as institutional care and adoption, aggression and behavioral problems, childhood anxiety disorders and depressive disorders, gender identity disorder and feeding disorder, and child abuse and maltreatment; peer relationship and social competency, and parental behaviors. Recently the methodological advances including the Adult Attachment Interview that systematically assesses the adults’ recollections of the earlier parent-child relationship they experienced could move beyond attachment researcher’s initial concern with infancy to consider attachment processes throughout the life span. We could find that the quality of attachment was associated with several mental disorders in adolescents and adults significantly.
Conclusion:Attachment theory would have focused on more specific parent-child relationship than general parental behavior. Recent attachment theory underscores its evolutionary origins to promote development of infant and contribute to human survival in psychobiological bases. Advances in attachment research could unite interests in evolutional biology and developmental psychology in understanding early parent-child relationship, and apply to clinical issues concerning mental health throughout the life span.
Keywords : Attachment · Childhood psychopathology · Adulthood mental disorder.


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