The 4 Stages of Attachment
Studies have found that children develop attachment through a series of four stages from infancy through early childhood (Bowlby, 2018).
- Pre-attachment (birth to 6 weeks): Infants show no particular attachment to a specific caregiver but engage in behaviors such as crying or smiling to prompt caregiving responses.
- Attachment-in-the-making (6 weeks to 6–8 months): Infants begin to show preferences for their primary caregiver but don’t protest when separated from them.
- Clear-cut attachment (6–8 months to 18–24 months): Infants become more attached to their primary caregiver and may show separation anxiety when they leave.
- Formation of a reciprocal relationship (18–24 months and beyond): Children grow and become more independent and understand that the caregiver will return. This understanding results in decreasing levels of anxiety during separations.
Factors influencing attachment
If you have experience working with children, you’ll be aware that there are many factors that may influence the development of attachment between a caregiver and a child. These include environmental, caregiver, and infant factors. Darvishvand et al. (2018) identified the following:
- Caregiver factors such as age, education level, financial security, psychosocial security, and health during and experience of pregnancy and labor, as well as postpartum care such as rooming-in, skin-to-skin contact, early initiation of breastfeeding, etc.
- Infant factors such as health problems, premature birth, sex, and moods
In addition, genetic, environmental, and cultural factors have also been found to influence attachment. Cooke et al. (2019) identified the following examples:
- Genetic factors such as variations in the oxytocin receptor gene could affect a child’s ability to form secure attachments by influencing trust and bonding behaviors.
- Environmental factors such as high-stress environments (such as households with financial instability or parental conflict) can contribute to insecure attachment patterns in children.
- Cultural factors such as those seen in collectivist cultures, like Japan, emphasize interdependence, while in individualistic cultures, such as the United States, independence is often prioritized in caregiving, shaping attachment differently.
The long-term impact of early attachment
Early attachment experiences profoundly affect future relationships and emotional wellbeing (Thompson, 2000). Research suggests that securely attached children grow into adults who are better able to form healthy, trusting relationships (Groh et al., 2017). They are more likely to display high self-esteem and have better emotional regulation (Cooke et al., 2019).
In contrast, children with insecure attachments may struggle with relationships, experience anxiety, or have difficulty managing emotions (Doyle & Cicchetti, 2017).
In severe cases, attachment disruptions in early childhood can lead to attachment disorders, which may manifest as avoidance, aggression, or extreme emotional dependency (Kochanska & Kim, 2012).
Attachment Styles & Their Impact on Relationships
Attachment styles continue to shape individuals’ relationships throughout adulthood (Domingue & Mollen, 2009).
This means that adult attachment mirrors childhood patterns. So, if your clients are struggling to form healthy adult relationships, they may benefit from an exploration of their attachment style.
From an adult perspective, the attachment styles would present as follows (Domingue & Mollen, 2009):
- Secure adults tend to have healthy, trusting, and supportive relationships.
- Anxious-preoccupied adults often crave intimacy but may struggle with feelings of insecurity and fear of abandonment.
- Dismissive-avoidant adults are likely to avoid emotional closeness and may prioritize independence over intimate relationships.
- Fearful-avoidant adults may long for connection with a fear of getting too close, often resulting in conflicting emotions and unstable relationships.
Helping your client understand their attachment style can offer valuable insights into their relationship dynamics and emotional behavior. Andrew Huberman expands on this idea in his Huberman Lab episode titled “The Science of Love, Desire and Attachment.”
What our readers think
I am truly grateful for this information. I have found it to be very informative and comprehensive. I was able to garner the attachment styles concepts I needed from your write up. Once again thank you very much
muchas gracias por la información
how does attachment influences personality development in adulthood.
Hi Rhema,
Good question! We answer this question by linking the different attachment styles to adult behaviors traits in this article: https://positivepsychology.com/attachment-style-worksheets/ (see the subsection ‘Attachment Theory in Psychology: 4 Types & Characteristics’)
Hope this helps!
– Nicole | Community Manager
I think that a big limitation when discussing Attachment Theory, that I haven’t seen addressed, is the effect of trauma on a older child past the early defining stage, or an adult. Bullying, accidents and injury, severe illness, family upheaval, or other significant life events can significantly affect a person’s psychological state, and thus alter a Securely Attached style to one of the other types.
Thank you for an informative article! Do you happen to know of any non-profit organizations that focus on stopping the cycle of maladaptive attachment in families? I’m a student with some ideas for a program that I’d like to pitch to some organizations that serve at risk individuals.
Hi AH,
Glad you found the article helpful — that sounds like an interesting idea! Your question’s a little tricky. It’s hard to know how explicitly existing services draw on Bowlby’s principles. However, I suspect that the messages of the framework are likely embedded in various parent support groups and educational opportunities. If you’re interested in the U.S. specifically, maybe check out some of the services listed here and inquire about any curriculums.
Hope this helps!
– Nicole | Community Manager
Thank you, Nicole!
Hi! How would one find therapists in my local area that focus on attachment theory/disorders??
Hi Adriana,
Psychology Today has a great directory you can use to find therapists in your local area. Usually the therapists provide a summary in their profile of the types of areas they work with, but they may not be as specific as saying ‘attachment’. Perhaps look for the word ‘relationships’ in the profile, and then reach out to inquire more about the specifics.
I hope this helps.
– Nicole | Community Manager
very interesting article. I would keen to know how does attachment theory relate to primary caregivers who are in the military and have to deploy (unaccompanied) overseas for six to 24 month periods? Additionally, what is he impact on the child?
Hi Jamie,
These are great questions. Unfortunately, I’m not an expert on this topic! But I think you might find some useful information (and really rich qualitative accounts from members of military families) in this paper by Russotti and colleagues (2016), which looks at the process of reintegrating the deployed parent back into the family and how the child reconnects with that parent. The references in it might also point you in the right direction.
I hope this helps!
– Nicole | Community Manager
Psychological background of children’s behaviours is of great interest having studied Psychology as a graduate. Reading this reminded me of those days, very thought provoking!
Thank you. It never fails to amaze me how the brain works and now to learn more about attachment theory, how soon the process starts after birth.