Attachment - LT8: Rutter's Institutionalisation

Attachment - LT8: Rutter's Institutionalisation

1. Institutionalisation: The effect of living in an institutional setting for long periods of time with little to no emotional care

   • Orphan Studies: Studies who use P's that are placed into care as parents cannot look after them
     • Privation: The complete lack of opportunity to form an attachment bond

2. Rutter's ERA

   • Longitudinal, Repeated Measures
   • 165 Orphans adopted
     • 52 British Adoptees
   • PCE was measured at 4,6,11,15
     • Adopted < 6 = Fine
       • Adopted > 6 = Disinhibted Attachment, intellectual delay

3. Zeanah's BEIP (Bucharest Early Intervention Project)

   • 95 Children, 12-31 Months, 90% in Instituionalised
     • 50 Control Groups
       • 74% was securely attached
     • 19% Securely Attached
       • 65% were disorganised
         • Disinhibited observed in 44%

4. Effects

   • Disinhibited Attachment
     • Children being indiscriminate in who they direct their attachment behaviours towards
       • Hugging Strangers, attention seeking
   • Mental Retardation
     • Intellectual Development can be affected if adopted > 6
       • Low IQ's
         • Lack of language

5. Strengths

   • P: RW Applications
     • E1: Changes in social care
       • E2: Key Worker schemes - One person responsible for the provision of emotional care of the infant
         • L: Increased QoL

6. Weaknesses

   • P: Specific Sample
     • E1: Romanian orphans were in extreme situations
       • E2: Crowding of cots, one carer for every 50 infants at best, and 100 at worst
         • L: These extreme psychological and physical conditions mean that these results cannot be generalised to explain other forms of privation or deprivation
           • CP: However, privation is supposed to be an extreme condition in a marginal scenario