You are on page 1of 14

See discussions, stats, and author profiles for this publication at: https://www.researchgate.

net/publication/257791942

Conceptualizing Attachment Trauma: Exploring Emotional Vulnerabilities


among Disaster Affected Children of Gujarat

Article  in  Psychological Studies · March 2011


DOI: 10.1007/s12646-011-0114-x

CITATIONS READS

2 188

2 authors:

Manasi Kumar Peter Fonagy


University College London University College London
180 PUBLICATIONS   6,713 CITATIONS    913 PUBLICATIONS   46,715 CITATIONS   

SEE PROFILE SEE PROFILE

Some of the authors of this publication are also working on these related projects:

Psychotherapy in Kenya View project

Mentalizing Initiative View project

All content following this page was uploaded by Manasi Kumar on 14 June 2016.

The user has requested enhancement of the downloaded file.


Psychol Stud (January–March 2012) 57(1):9–21
DOI 10.1007/s12646-011-0114-x

RESEARCH IN PROGRESS

Conceptualizing Attachment Trauma: Exploring Emotional


Vulnerabilities among Disaster Affected Children of Gujarat
Manasi Kumar & Peter Fonagy

Received: 9 March 2011 / Accepted: 8 August 2011 / Published online: 8 September 2011
# National Academy of Psychology (NAOP) India 2011

Abstract This study compares attachment trauma and resources from scratch. When speaking of disasters, we are
psychological adjustment of child survivors of an earthquake talking of events which disturb and disorganize the social and
and social violence in Gujarat (n=127). In particular it interpersonal fabric of individuals. Disasters are frequently
explores attachment style/s associated with the two disaster associated with acute and long-term adversities and secondary
traumas and tries to explicate, what these tell us about the stresses (Pynoos et al. 2005). It is a common understanding
particular vagaries of trauma. Results show larger number of today amongst the behavioural sciences that the short- and
insecurely attached children in the disaster trauma sample long-term consequences of this extreme stress in the disaster-
and the dismissing attachment style dominates particularly in affected communities can be comparable to organized
the earthquake sample whereas in the riots sample one can violence (or vice-a-versa) (Norris et al. 2006). Different
see a presence of what can be termed as a ‘mixed trauma sources (agents) may have somewhat predictable,
attachment’ style-vacillation between dismissing and preoc- although might have wide-ranging psychological implica-
cupied states of mind. The implications of these findings for tions for individuals and vulnerable groups such as children
a conceptualization of attachment trauma are discussed in (Catani et al. 2009; Neuner et al. 2006).
details. This paper compares two traumatic events that took
place in Gujrat, a north western province of India. The
Keywords Attachment trauma . Gujarat earthquake . Social January 26th, 2001 Gujarat earthquake the second
violence . Dismissing attachment . Child attachment largest recorded in India, the largest being in 1737,
interview . Mixed attachment and was the worst natural disaster in India in more than
50 years (Mehta 2001) (although since 2001, India has
experienced two large scale natural disasters, Indian
Introduction Ocean Tsunami and Kashmir earthquake in 2004 & 2005
respectively). The seismic waves spread out in a 700-kilometer
Disasters impact at many levels. One of these is the circumference from the epicentre, and within this area the
burgeoning psychological cost of living through material, devastation was immense. There were more than 20,000 deaths
social and personal losses, injuries and rebuilding these and 167,000 people injured. Four districts of Gujarat lay in ruin
and altogether, 21 districts were affected. It is estimated that
around 300,000 families and at least 3 million children aged 14
M. Kumar (*) and under were affected. Around 600,000 people were left
Research Fellow, Research Institute for Health and Social Change,
homeless.
Manchester Metropolitan University,
Manchester M13 0JA, UK Nearly a year after the earthquake, communal violence
e-mail: manni_3in@hotmail.com broke out in the capital city of Ahmedabad and other places
in 2002, to the anger of the Hindus over the gruesome
P. Fonagy
burning of Hindu activists (travelling in the train to another
Psychoanalysis Unit, Research Department of Clinical,
Health and Educational Psychology, University College London, city) in the town of Godhra (Gujarat) in the early morning
London WC1E 7HB, UK of 27th February 2002 and continued for next four months.
10 Psychol Stud (January–March 2012) 57(1):9–21

Literature points out that the carnage this time had attachment centric discourse (based on intentionality)—the
surpassed all previous instances of communal riots in inability to narrate is then symptomatic of gaps and difficulties
Gujarat (1969, 1985, 1989 or 1992) both in terms of loss in family communication and interpersonal matrix or in the
of lives, as well as in terms of the barbarism involved. Over child’s construction—which in itself indicates an implantation
2000 Muslims and 254 Hindus were killed; 2,00,000 of some sort of psychological trauma. Social sharing of
Muslims and about 10,000 Hindus were displaced. It is difficult emotions and their containment is crucial in the
reported that property worth 5 million rupees was immediate or extended family settings for negative feelings to
destroyed. Human Rights Watch Report (2002) noted that become less potent (and for a sense of sharing and
over 1,000 cases of rapes and mutilations of women and togetherness to prevail) (Rimé 2009). For children, various
children were recorded by the Commission (for a further attachment contexts such as immediate family, friends and
commentary on socio-psychological implications of these extended networks are places where trauma mainly gets
events, see Kumar 2007 and 2010). Attachment trauma of enacted and prevented as well. So it becomes important to
the child survivors of these events was studied using the look at attachment ties in the aftermath of trauma even when
child attachment interview amongst other tools. these events are actually collective and occurred on a large
scale. Another factor under consideration here is the socio-
The Child Attachment Interview economic background of the sample which adds another
layer of complexity in terms of understanding their narratives
The child attachment interview (CAI) was developed by the and coding them.
research team of Anna Freud Centre in 2003 (see, Shmueli-
Goetz 2001; Target et al. 2003). The interview protocol is Objectives This particular study assessing the impact of
conceptually based on the Adult Attachment Interview (AAI) trauma on attachment representations of the earthquake and
(George et al. 1985) however there are some striking riots child survivors is of an exploratory kind. Three
differences. These include the following: (a) the CAI activates propositions are extended here.
the attachment system in the course of the interviewing to
elicit relevant attachment information and interpersonal a. We predict that children from the two trauma groups
behavior and strategies; (b) since CAI focuses on children would show considerably higher insecure attach-
exclusively, the interview works within a semi-structured ments to both parents than their (no trauma)control
format in order to accommodate a more flexible interviewing counterparts.
style to allow narrative variations to emerge (depending on b. Whilst one predicts that there will be greater insecurity
individual personality of the child); (c) an interesting way in in riots than earthquake group, no directional hypoth-
which CAI differs from AAI and similar tools is that it taps the eses are being extended as to what kind of attachment
past experiences and attachment context in light of the current- insecurity prevails in the two groups of children (i.e.
ongoing relationships and children’s representations of these whether there will be greater numbers of insecure-
(see, Target et al. 2003: 173–74). dismissing, insecure-preoccupied or disorganized
types). Judging from the interview content itself one
Specific Approach Taken Towards CAI in the Context can conjecture that there may be many more instances
of this Research of dismissing attachment styles than others (Kumar and
Fonagy 2011).
The information reported by the children in their CAI c. Third, the CAI findings would also provide some
responses provides an uncanny insight into their internal indicators for conceptualizing attachment trauma and
working models and these models in turn provide a glimpse try to address whether children from the two trauma
into familial and cultural ‘meta-theories of parenting or groups employ different defensive strategies in their
caregiving’. Extending this idea, a hypothesis could be attachment narratives.
extended here: a child who is better able to narrate (along
with the difficulties, turmoil, and or disruptions in) the
attachment context with a depiction of her state of mind in
conjunction with her primary caretakers’—would have Method
more internal resources and be equipped to metabolize
difficult external situations. Apart from that in the oral Participants
cultures, storytelling (even though not entirely from a self-
introspective stance, Shweder 1991; Kakar 2001) is a The CAIs were conducted with a sample of 150 Gujarati
culturally congruous quality in individuals and the child children. The 150 participants were representative of the
attachment interview looks at this ability to generate a family- larger sample that comprised of two disaster populations
Psychol Stud (January–March 2012) 57(1):9–21 11

and a control sample. The interviews were conducted Child Attachment Interview (CAI1)
keeping three groups in mind. The first group was the
earthquake sample (n=48), the second the riots sample (n= (1) Description of the tool: the majority of the scales of
37) and finally a control sample (n=42) adding up to a total CAI aimed to assess the child’s overall current state of
of 127 participants on whom the CAI was administered. mind with respect to attachment, a state of mind which
Nearly 22 interviews could not be used for the final data is assumed to be reflected in the narrative as a whole.
analysis for various reasons; for some it was the sound All scores ranged from 1 to 9 (low to high score) and
quality of the tapes, background noise and at least ten four scales, namely, Preoccupied Anger, Idealization,
interviews couldn’t be used as the mini-DV tapes got Dismissal & Level of security (or general security) are
damaged and the remaining were either not long or rated separately for mother as well as father. The Use
coherent enough to be coded. Table 1 indicates the of examples, Balance of +/− references to attachment
distribution of age and gender across sample. figures, Emotional Openness, Resolution of conflicts
& Overall coherence are referred to as five ‘state of
mind’ scales (Target et al. 2003: 175–177).
Tools (2) Internal consistency of CAI scales: the five ‘state of
mind’ scales were highly intercorrelated, with a
Strength and Difficulties Questionnaire standardized item alpha of 0.92 implying that they
were statistically tapping into a single construct (Target
The SDQ is a short behavioral screening questionnaire et al. 2003: 177). The association between the four
consisting of 25 items. The SDQ version that was used was scales rated separately for mother & father and the
filled out by children themselves. They rated the presence standardized item alphas for these scales were moderate:
of certain behaviors on a 3-point scale (0 _ not true, 1 _ in relation to mother 0.65 and father 0.55 indicating that
somewhat true, and 2 _ certainly true). The time period was when examined for representations of mother & father
the last 6 months. The 25 items were divided between the separately the three types of ‘insecure’ narrative, along
following 5 scales: emotional symptoms, conduct problems, with the general security, did not cohere such that it
hyperactivity, peer problems, and prosocial behavior. The tapped into a single entity.
first 4 scales were also added together to generate a total
difficulties score (referred to as TDS). Cases were allocated
Cross-cultural Applicability and Coding The CAI as a tool
to a reference range, a borderline range, or a clinical range
has other unique features which can enable a cross-cultural
of the scoring distributions based on the British normative
comparison such its flexible and comprehensive interview
sample. Cutoffs were set at the 90th percentile for the
format; the tool offers possibilities of research on cultural
clinical problems and at the 80th percentile for the
elaborations of attachment mechanisms and opens a
borderline problems (Goodman 1997, 1999).
repertoire of studying facial emotions and non-verbal
behavior. Attachment and research on socialization in
children in different cultures have pointed to characteristic
features of secure attachment which need to include
proximity, security, safety & reciprocity etc. These features
Table 1 Age and gender distribution of the sample
might be preferred in varying proportions in different
cultures. The security of attachment and indicators for
Demographic Trauma exposure (in%) Trauma type: insecurity during infancy and childhood have been areas of
characteristics earthquake/riots (in%)
research interest (Sroufe 1982; van IJzendoorn 1992; van
Trauma No Trauma Earthquake Riots (N IJzendoorn 1995; Fonagy et al. 1996; van IJzendoorn and
(N=85) (N=42) (N=48) =37) Bakermans-Kranenburg 1997; van IJzendoorn and Sagi
1999; Weinfield et al. 2000; Fonagy 2004; Sharp et al. 2006
Age to name a few). Insecure attachment with the primary
8–<10 1.2 2.5 2.1 0 caregiver(s) in infancy and childhood and poor social
10–<12 21.2 28.6 29.2 10.8 competence and peer relations, increased aggression are
12–<14 57.6 50.0 64.6 48.6 associated with each other.
Above 14 20.0 19.0 4.2 40.5
Gender
Female 50.6 54.8 41.7 62.2
Male 49.4 45.2 58.3 37.8
1
See, Table 8 at the end of the paper for CAI questionnaire.
12 Psychol Stud (January–March 2012) 57(1):9–21

Data Collection Procedure Riots Survivors

The researcher conducted, coded and rated all the 127 One of the riots group participants R.5.N.15F is a 15 years
interviews herself. Most of the interviews were conducted old Muslim girl from the FD School in Ahmadabad. She
at the schools or at the residence of the participants. For lives with her parents and two sisters. She shares a very
some interviews, that is about 25 or so, they were held at a close relationship with her mother and wants to be a doctor.
third place, such as the community centre or residence of While describing herself she says that she likes to be alone
the social worker or office of the NGO SEWA in and feels that one’s laughter and happiness should be
Ahmadabad. The interview had to be organized at a third carefully contained. She had a cousin who was earlier very
place since the participants either lived too far away or in lively and has now become very quiet since her mother’s
very poor conditions where the interview might not proceed death and seeing her condition now she feels disheartened
smoothly (Table 9). and lonely. Since riots, she has become even more quiet and
reflective. She was sent away to her grandmother’s place
Case Studies of Children I during the riots though she saw the burnt houses and
helpless people from the train.
Four case studies are presented here to illuminate the Another participant from this group is a 12 years old
backgrounds and concerns that the children from the trauma Muslim boy, R.4.Z.12M, who lost his father during the riots
sample seen to present. and lives with his mother, two sisters, two brothers and
grandmother. He begins his self-description by saying that
Earthquake Survivors he does not fight with people and has deep sympathy for
those children who have lost their fathers. One of the
The one of the participants, EQ.6.K.13F, is 13 years old experiences he shared was that there was nothing to eat for
Muslim girl from the city of Bhuj. She is visibly a month during riots and that his family went hungry for
uncomfortable during the interview and replies to the several days altogether barely able to survive. His elder
researcher’s probes in monosyllables. When asked about brother looked after the family and R.4.Z.12M’s narrative is
herself she says she does not think anything about herself replete with instances when the brother got sweets and
(!). On her relationship with her mother she says she likes fruits, gave money to him when he needed it. He lost both
everything the mother does and says that the mother really his grandparents in succession immediately following
dotes on her brother and the only time mother gets angry father’s death in 2002 riots. His family lost their goat and
with her is when she scolds or hits the brother. She says farm (snatched by Hindus) in the violence. His wishes are
whatever she asks from her father he gets for her and he to build a bakery shop on his father’s land, buy a small car
loves her a lot. She couldn’t think of any wishes she has for and get his sister married.
herself but wanted to excel in all domestic chores she does
now for her parents.
The another participant EQ.3.M.12M is a 12 years old Statistical Analysis
Hindu boy who lives with his aunt in Lodai since he
belongs to a nomad tribe with his parents travelling to All of the statistical analyses were performed using SPSS
different places grazing their herd of 200-odd sheep and 16.05 for Windows (SPSS Inc, Chicago, IL). Descriptives
cows. He saw a lot of damage during the quake and he was were calculated and tabulated here for trauma/no trauma
alone when it occurred and distressed after many of their and EQ/R groups across CAI and SDQ measures. Frequencies
cattle died in the earthquake. He struggled to understand the and corresponding percentages were calculated for Security of
first half of the interview and said that there was nothing Attachment to both parents for each group. Descriptives were
which differentiated him from others when asked to calculated for the CAI subscales for various groups. Effect size
describe his personality and that everyone is alike. He denoted by r was calculated manually using the following
pffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffi
missed his parents a lot and felt he was more happy and formula: t 2 =ðt 2 þ df ÞÞ. For group comparisons, Pearson’s
carefree in their presence though he had immense freedom chi-square and Kendall’s tau-b were used for categorical data.
in their absence too. He missed his mother more than the T-tests were done for comparing the 9 mean subscale scores
father. He shared that in the days following the quake he of CAI. One-way ANOVA was computed to detect within
remained quite troubled. When probed about parental fights group differences (between the earthquake, riots and control
he said that he felt he doesn’t know his parents well enough samples). Multiple comparisons using Scheffe’s post hoc test
to answer that (!). He wishes that he gets a good job and further enabled an analysis of differences between the groups.
shares that he is already engaged to be married with Pearson’s correlations for the three clinical scales—Idealiza-
someone in his tribe. tion, Dismissal & Preoccupied Anger are drawn TDS (SDQ
Psychol Stud (January–March 2012) 57(1):9–21 13

total difficulties score) for the two trauma groups—earth- p<0.01. The mean values (Table 2) show that children who
quake and riots. were not exposed to trauma tended to be more emotionally
open in their approach and responses than those who were
exposed to trauma. Significant difference was also found on
Results and Discussion Balance of positive/negative emotions subscale with t (124)=
3.924, p<0.01 and looking at the mean values (6.07 vs. 5.07)
The first level at which these differences can be understood are those not exposed to trauma show greater balance of
the CAI subscales scores for children who were exposed to emotions. On the Use of examples subscale, the mean values
trauma and those who were not exposed to any trauma (either again point to better illustrations and details (5.46 vs. 5.41)
earthquake or riots). There were 84 participants in total in the for the no trauma group in comparison to the trauma group
trauma group (47 from the earthquake and 37 from the riots with t (125)=4.275, p<0.01. On the Dismissal subscale,
sample) and the remaining 43 belonged to the control sample. significant differences between the two groups were seen
with t (112)=−2.127, p<0.05. The mean values show that the
CAI Subscale Scores for the Disaster Trauma Exposed trauma group has slightly higher value of 2.80 in comparison
vs. No Trauma Control Groups to the 2.12 of the no trauma group. On Resolution of conflicts
subscale, again significant differences were detected with the
The combined trauma group includes both the earthquake trauma group with lesser mean value than the no trauma
and riots samples. As seen in Table 2, the mean values for group (5.36 vs. 6.35), with t (122) =4.424, p<0.01. Similar
the No trauma group are higher than that of the combined trend was seen in Overall Coherence subscale, the mean
Trauma group on Emotional openness, Balance of positive values were 6.74 and 5.80 for the no trauma and trauma
and negative emotions, Use of examples, Resolution of groups respectively and significant difference between the
conflicts & on Overall coherence subscales. However, the two were found with t (124) =4.086, p<0.01. Looking at the
Trauma group has higher mean values on clinical scales effect sizes, medium effect sizes can be seen except for
such as Preoccupied anger, Idealization as well as on dismissal where the size of the effect remains small.
Dismissal. Table 3 provides the T-test values along with the
respective 95% confidence intervals and the corresponding CAI Subscale Scores for Earthquake vs. Riots Group
effect sizes denoted by r.
Apart from Idealization and Preoccupied Anger, the two CAI subscales mean values for both the groups can be
groups differ significantly on the other subscales. In cases of found in Table 5. T-tests detected significant differences on
preoccupied anger and idealization, the mean values suggest most of the subscales with the exception of preoccupied
that the former is almost similarly low values (mean of 1.49 anger (both towards mother & father), dismissal (mother)
vs. 1.51) in no trauma vs. trauma group and in the idealization
subscale the values are somewhat closer to each other with no Table 3 T-tests on CAI subscales for No trauma and Trauma groups
trauma group slightly less than the trauma group (mean of 3.11 (combined)
vs. 3.49).
CAI subscales T Sig. CI (95%) R
Significant difference between the no trauma and trauma
groups was found on emotional openness, with t (125)=4.291, Emotional openness 4.291 0.000 0.52–1.45 0.33a
Balance of +/− 3.924 0.000 0.51–1.54 0.33a
Table 2 Mean values of No Trauma vs (combined) Trauma children
emotions
on CAI subscales
Use of examples 4.275 0.000 0.57–1.54 0.35a
CAI subscales No trauma group Trauma group Preoccupied anger 0.005 NS – –
towards mother
N Mean (SD) N Mean (SD) Preoccupied anger −0.386 NS – –
towards father
Emotional openness 42 6.67 (1.06) 84 5.71 (1.44) Idealization of −1.846 0.067 −0.12–0.04 0.16
mother
Balance of +/− emotions 42 6.07 (1.09) 83 5.04 (1.52)
Idealization of father −0.973 NS – –
Use of examples 42 5.46 (1.22) 84 5.41 (1.36)
Dismissal of mother −2.476 0.015 −1.34 to −0.01 0.28b
Preoccupied angera 41 1.49 (0.81) 69 1.51 (1.02)
Dismissal of father −1.585 NS – –
Idealizationa 42 3.11 (1.21) 71 3.49 (1.91)
Resolution of 4.424 0.00 0.55–1.43 0.37a
Dismissala 42 2.12 (1.49) 71 2.80 (1.19) conflicts
Resolution of conflicts 42 6.35 (1.17) 81 5.36 (1.19) Overall coherence 4.086 0.00 0.48–1.39 0.34a
Overall coherence 42 6.74 (1.14) 84 5.80 (1.24) a
0.3 as medium effect size
a b
Mean scores for both parents 0.2 and less as small effect size
14 Psychol Stud (January–March 2012) 57(1):9–21

and resolution of conflicts. The children in the riots group Table 4 Attachment Security across the Research Groups
have a higher mean score on Emotional Openness N (N%) Earthquake Riots No trauma
subscale, (6.44 vs. 5.19) in comparison to the earthquake
group. T-test detected a significant difference in the two Secure attachment
groups with t(83)=− 4.634, p<0.001. On balance of With one parent 8 (16.7) 22 (59.5) 4 (9.5)
positive/negative emotions, the riots group has a mean Both parents 14 (29.2) 11 (29.7) 29 (69.0)
score of 5.51 and the earthquake group is 4.73 and t-test Insecure attachment
detected a significant difference between the two with t Both parents 26 (54.2) 4 (10.8) 9 (21.4)
(82)=−2.351, p<0.05. The mean score of the riots group
was higher in comparison to that of the earthquake group χ2 =46.202, p=0.000
on the Use of examples subscale (5.92 vs. 5.05) and t-test
once again detected a significant difference there with security, χ2 (3, N=127) =19.119, p<0.000. Amongst a total
t(83)=−3.047, p<0.005. The earthquake group has signif- of 127 children, the trauma group had about 29.4% (25)
icantly higher mean score on Idealization towards mother securely attached to both parents while 69% (29) of the no
than the riots counterpart (4.02 vs. 3.15) with t(82)=2.525, trauma group were securely attached to both parents. There
p<0.05 and the same significant difference, t(70)=3.831, were 35.3% (30) insecurely attached to one parent from the
p<0.001 was found for Idealization towards father with trauma group and 9.5% (4) children from the no trauma
earthquake mean score of 3.95 and a slightly lower mean group were securely attached to one parent. 35.3% (30)
score of 3.29 seen in case of riots group. Dismissal of father were insecurely attached to both parents in the trauma
was also found to be significant across the two groups with group while 21.4% (9) were insecurely attached to both
the riots group reporting a lower score than the earthquake parents from the no trauma group. Chi-square tests detected
(1.55 vs. 3.30) with t(71)=4.090, p<0.001. On Overall differences between the trauma and no trauma group on
coherence subscale, the riots group report a higher mean secondary classification for mother, χ2 (3, N=127) =7.626,
score than the earthquake (6.13 vs. 5.61) and significant p<0.10. Out of 127 children, the trauma group 29.4% (25)
difference between the two groups was detected with showed dismissing attachment towards mother, 8.2% (7)
t(83)=−1.880, p<0.10. On resolution of conflicts subscale, showed preoccupied attachment to the mother while 14.1
the mean values suggest that the riots group has higher (12) had a mixed attachment-dismissal with features of
score than the earthquake group though the two means were preoccupied attachment (29.4% (25) out of the about 48.2%
not significantly different. The effect sizes reported above were securely attached to both and remaining had lost their
are from medium to small and seem to point towards mothers). Whereas in the no trauma group, 14.3% (6)
sizeable differences between the two groups on various CAI showed dismissing attachment to the mother, 9.5% (4)
dimensions. Table 4 provides frequency and percentages of showed preoccupied attachment while 4.8% (2) showed
children with secure/insecure attachment for the three features of mixed attachment (69% (29) out of the 71.4%
groups. were securely attached to both in this group with only one
The earthquake group has 16.7% of children with secure child whose mother had passed away).
attachment to one parent in comparison to 59.5% of those Breaking the trauma group further down into earthquake and
from the riots group and 9.5% from the control group. The riots subgroups, a significant difference between the earthquake
control sample reported the highest numbers (69%) of and riot groups on general security of attachment was found with
children with secure attachments to both parents followed χ2 (2, N=85) =21.971, p<0.001. In terms of percentage &
by 29.7% of the riots affected and 29.2% of the earthquake frequency of attachment security, in the earthquake group (n=
affected who were securely attached to both parents. The 48) 29.2% (14) were securely attached with both parents,
earthquake group had the highest percentage of those 16.7% (8) were securely attached to one parent and 54.1% (26)
insecurely attached to both parents (54.2%) followed by the were insecurely attached to both parents. In contrast the riots (n=
control group with 21.4% and 10.8% of the riots children who 37) there were 29.7% (11) participants securely attached to both
were insecurely attached to both parents. Chi-square detected mother & father, 59.5% (22) who were securely attached to one
significant differences between the three groups on general parent and 10.8% (4) insecurely attached to both parents.
security of attachment, χ2 (3, N=127) =46.202, p<0.001. Looking at the secondary classification, in the earthquake
The Tables 5 and 6 presents group comparisons for both the sample of those who were insecurely attached, 43.8% (21)
Trauma (combined) and No trauma and Earthquake and showed dismissing attachment, 8.3% (4) who appeared
Riots groups preoccupied in their attachment to the mother and 12.5% (6)
who showed mixed attachment (dismissal along with preoccu-
Attachment Security in Trauma/No Trauma Groups Chi- pied characteristics) whereas in the riots group amongst those
square test detected significant differences on general who were insecurely attached 10.8% (4) showed dismissing
Psychol Stud (January–March 2012) 57(1):9–21 15

Table 5 Mean values and T-test results of Earthquake vs. Riots sample on CAI subscales

CAI subscales Earthquake Riots T Sig. CI (95%) r (ES)

N Mean (SD) N Mean (SD)

Emotional openness 48 5.19 (1.28) 37 6.44 (1.37) −4.634 0.000 −1.83 to −0.69 0.45a
Balance of +/− emotions 47 4.73 (1.61) 37 5.51 (1.37) −2.351 0.021 −1.44 to −0.12 0.25b
Use of examples 48 5.05 (1.17) 37 5.92 (1.45) −3.047 0.003 −1.43 to −0.30 0.32a
Preoccupied anger—Mother 46 1.51 (1.02) 35 1.71 (1.81) −0.640 NS – –
Preoccupied anger—Father 43 1.53 (1.21) 28 1.41 (1.31) 0.409 NS – –
Idealization—Mother 48 4.02 (1.60) 37 3.15 (1.50) 2.525 0.014 0.18–0.15 0.27b
Idealization—Father 44 3.95 (1.58) 28 3.29 (1.84) 3.831 0.000 0.75–2.37 0.42a
Dismissal—Mother 48 3.23 (2.04) 35 2.54 (2.03) 1.517 NS – –
Dismissal—Father 45 3.30 (2.14) 28 1.55 (1.50) 4.090 0.000 0.89–2.60 0.44a
Resolution of conflicts 45 5.23 (1.07) 37 5.55 (1.33) −1.207 NS – –
Overall coherence 48 5.61 (1.25) 37 6.13 (1.29) −1.880 0.064 −1.07 to −0.30 0.20b
a
0.4–0.3 as medium effect size
b
0.2 as small effect size

attachment, 8.1% (3) showed preoccupied attachment and χ2 (4, N=85) =12.027, p<0.05. In the earthquake sample,
16.2% (6) showed mixed attachments to their mothers. Chi- amongst those with insecure attachment, 45.8% (22) displayed
square test confirmed a significant difference between the two dismissing attachment, 2.1% (1) showed preoccupied attach-
groups on sub-classification of mother, χ2 (3, N=85) =11.670, ment, 12.5% (6) showed mixed attachment and 2.1% (1)
p<0.010. A significant difference was also found between the displayed disorganized attachment to their fathers whereas in
two groups on the secondary classification for the father with the riot group, 13.5% (5) displayed dismissing attachment,

Table 6 Group comparisons on general security & secondary classifications on CAI

CAI classifications Trauma group (combined) No trauma τb/χ2 Sig. Earthquake Riots τb/χ2 Sig.
N (N%) N (N%)

General security of attachment


Securely attached with both 25 (29.4) 29 (69.0) 19.119 0.000 14 (29.2) 11 (29.7) 21.971 0.000
Securely attached with one 30 (35.3) 4 (9.5) 8 (16.7) 22 (59.5)
Insecurely attached to both 30 (35.3) 9 (21.4) 26 (54.1) 4 (10.8)
Secondary classification-attachment
representation of parents
Classification for mother
Mother—Dismissing 25 (29.4) 6 (14.3) 7.626 0.054 21 (43.8) 4 (10.8) 11.670 0.009
Mother—Preoccupied 7 (8.2) 4 (9.5) 4 (8.3) 3 (8.1)
Mother—Mixed 12 (14.1) 2 (4.8) 6 (12.5) 6 (16.2)
Classification for father
Father—Dismissing 27 (31.8) 5 (11.9) 13.205 0.010 22 (45.8) 5 (13.5) 12.027 0.017
Father—Preoccupied 1 (1.2) 3 (7.1) 1 (2.1) 0
Father—Mixed 11 (12.9) 2 (4.8) 6 (12.5) 5 (13.5)
Father—Disorganized 2 (2.4) 0 1 (2.1) 1 (2.7)
Presence of major violations
No 32 (37.6) 25 (59.5) 5.438 0.016 13 (27.1) 19 (51.4) 5.242 0.019
Yes 53 (62.4) 17 (40.5) 35 (72.9) 18 (48.6)
Presence of minor violations
No 19 (22.4) 14 (33.3) NS 7 (14.6) 12 (32.4) 3.835 0.045
Yes 66 (77.6) 28 (66.7) 41 (85.4) 25 (67.6)
16 Psychol Stud (January–March 2012) 57(1):9–21

none showed preoccupied attachment though 13.5% (5) Table 8 The child attachment interview (CAI) protocol
showed mixed attachment (dismissing with preoccupied 1) Can you tell me about the people in your family?
characteristics) and 2.7% (1) with disorganized attachment to - The people living together in your house (then ask about extended
the father. family)
2) Tell me three words that describe yourself, that is what sort of
person you are?
Further Comparisons—Correlations of CAI Subscales - 3 examples
with SDQ-TDS 3) Can you tell me three words to describe your relationship with your
mum, that is, what it’s like to be with your Mum?
Correlations Correlations between the CAI subscales and - Examples for each
the SDQ TDS for the earthquake sample did not yield any 4) What happens when your Mum gets cross with you or tells you off?
significant results. However, significant correlations be- - Story—questions within it. How you feel, how she feels etc.
tween CAI subscales and SDQ TDS were seen in the case [3 and 4 repeated for Dad, or other main caregivers]
of riots sample. Table 7 highlights the correlations results 5) Can you tell me about a time when you were really upset and
for the riots sample (Tables 8 and 9). wanted help?
- Story
6) Do you ever feel that your parents don’t really love you?
Synthesizing the Findings - When? Do they know you feel that?
7) What happens when you’re ill?
Beginning with the CAI subscales mean scores of the No- - Example
Trauma and Trauma groups, it can be seen that the former 8) What happens when you get hurt?
consistently reports higher mean values in comparison to - Example
the Trauma exposed sample. Strictly following the formal 9) Have you ever been hit or hurt by an older child or a grown up in
CAI scoring, this indicates that the No Trauma group your family?
performs better as the participants elaborate well, providing - Story
vivid and emotionally balanced narratives. Values of the - Have you been badly hurt by someone outside your family?
three clinical scales, which include, Preoccupied Anger, 10) (Elementary school aged children:) Have you ever been touched in
the private parts of your body by someone much older than you?
Idealization and Dismissal that feed into general attachment (For older children:) Have you ever been touched sexually by
security are lower in the no trauma group in comparison to someone, when you didn’t want them to do it?
the riots group (see, Tables 2 and 3). Significant group - Story
differences are detected on almost all scales with the 11) Has anything [else] really big happened to you that upset, scared
exception of Preoccupied Anger (mother & father), Ideal- or confused you?
ization of the father and Dismissal of the mother. - Story
Preoccupied Anger values have been low for the entire 12) Has anyone important to you ever died? Has a pet you cared about
sample indicating that there may be a cultural issue around died?
expressing negative emotions or anger vis-à-vis authority - Story, what did you feel and others feel?
figures such as parents or grandparents (elders in general) 13) Is there anyone that you cared about who isn’t around anymore?
(see, work on ‘filial piety’ by Shweder 1991; Kakar 2001 14) Have you been away from your parents for longer than a day? [If
amongst others who argue on similar lines). In the child not living with parents, e.g. foster care, ask about time when
they left parents]
- Story, how did you and parents feel, what was it like when you saw
them again?
Table 7 CAI subscales and TDS correlations for the Riots group
15) Do your parents sometimes argue?
CAI subscales* SDQ TDS (N=32) Pearson’s Sig. - Story, how do you feel?
correlation 16) In what ways would you like/not like to be like your mum/dad?
Emotional openness * SDQ TDS −0.438* 0.012 17) If you could make three wishes when you are older what would
they be?
Balance of +/− references to attachment −0.536** 0.002
figures * SDQ TDS
Use of examples * SDQ TDS −0.449** 0.010
Dismissal * SDQ TDS 0.448* 0.032
Earthquake and Riots subgroups, a statistically significant
Resolution of conflicts* SDQ TDS −0.412* 0.019
difference on the general attachment security on exposure
Overall coherence * SDQ TDS −0.436* 0.013
to trauma can be seen. The riots group reported lesser
**P<.01, 2 tailed, *P<.05, 2 tailed numbers of insecure attachments to both parents. This was
Psychol Stud (January–March 2012) 57(1):9–21 17

Table 9 Timeline of data collection and analysis

Time period Preparation of materials Work accomplished

Jan 2006 Training for CAI instrument at Anna Freud Accredited user of CAI
Centre
Jan 2006–June 2006 Mastering use of CAI Adaptation in Gujarati Liaison with two independent attachment researchers and
co-supervisor, plus two psychologists from Gujarat in the
adaptation process
July 2006–September 2006 CAI piloted on two Gujarati children in Successfully coded and analysed the transcripts
London and Ahmedabad
Sept 2006–Jan 2008 Field work in Gujarat with intermittent breaks CAI used to interview 127 children from Gujarat
Simultaneous coding of a few interviews and discussion with
CAI experts in AFC and UCL for their feedback
Presentation of initial findings with a group of psychoanalytic
researchers in IPA’s empirical research workshop in August
2007 in London and to child psychologists in Delhi and in
Indian Family therapists group in 2008
August 2007–Dec. 2008 CAI transcribed from videos in worddoc All CAIs ready for SPSS and Atlas-Ti analysis (for quantitative
format and translated in English & qualitative analysis with the help of three graduate students
from Delhi University)
Jan 2009–August 2009 Building conceptual model of attachment Group differences via ANOVA and multiple comparisons using
trauma using CAI data post hoc tests such as Scheffe
Logistic regression due to presence of several binary variables
in data
Simultaneous qualitative analysis using Interpretive
Phenomenological approach, Framework analysis and finally
arriving at an independent scheme for analysis

the case because there were greater numbers of deaths of Idealization subscales were carried out to further examine
fathers in this group. Overall, the higher proportion of the group-differences. One way ANOVA along with
secure attachments to both parents could be seen in cases of multiple comparisons of Earthquake, Riots and Control
those not exposed to trauma while the figures were nearly (No trauma) groups taking Idealization and Dismissal
the same for both the riots and earthquake group with the scores for both mother and father were performed. It
riots reporting slightly higher percentage (29.7% vs. showed that Idealization was significant with F(2,113)=
29.2%). 9.35, p=0.000 for Idealization of mother and F(2, 125)=
The Riot sample reports significantly higher mean scores 5.13, p=0.006 for Idealization of father. Further analyses
on almost all subscales with the exception of Idealization using the Scheffé post hoc criterion for significance indicated
where the earthquake sample seems to be idealizing both that the mean score of Idealization towards father in case
mother and father more than the former. Similar results of the earthquake group was significantly higher (M=
were seen on Dismissal where the Earthquake sample 3.95, SD=1.58) in comparison to the riots (M=2.39, SD=
seems to show greater dismissal of both mother and father 1.84) or the no trauma (control) group (M=3.03, SD=1.65).
in comparison to their riots counterpart (see Table 5). In the The same result was found on Idealization for mother where
case of Preoccupied anger, interestingly, the earthquake the Scheffé test indicated that the mean score of the
sample’s mean score is higher for preoccupied anger against Earthquake group (M=4.02, SD=1.60) was significantly
the father while the riots sample seems to have higher mean higher to that of the No trauma (M=3.12, SD=1.31) or the
score for preoccupied anger against the mother in comparison Riots (M=3.15, SD=1.50) group.
to their riots counterpart. Statistically though, there is a non- Significant differences were found for Dismissal of
significant difference between the two groups on Preoccupied Mother and Father with F(2, 124)=3.948, p=0.022 for
anger against both parents, Dismissal of mother as well as Dismissal of Mother and F(2, 114)=9.751, p=0.000 for
Resolution of conflicts. Dismissal of father. Scheffé post hoc criterion for signifi-
cance indicated that the mean score of the earthquake group
Locating Specific Group Differences (M=3.23, SD=2.04) was significantly higher than that of
the control group (M=2.12, SD=1.58) while the difference
Multiple comparisons between the No Trauma (control), between earthquake and riots group was a non-significant
Earthquake and Riots group means on Dismissal and one in case of Dismissal of mother subscale. Post hoc
18 Psychol Stud (January–March 2012) 57(1):9–21

comparisons for Dismissal of father indicated a pattern à-vis their Riots counterpart. Almost equal numbers of
similar to one seen in case of Idealization above, where the children show Preoccupied attachments to their mothers in
mean score of Dismissal of father for the earthquake group both groups, whereas none from the Riots group and only
(M=3.30, SD=2.14) was significantly different from that of one participant from the Earthquake group showed
the Riots (M=1.55, SD=1.49) or the Control group (M= Preoccupied attachment to their father. Overall, the
2.05, SD=1.49). Earthquake and Riots samples show almost equitable
In summary, the Earthquake sample appears to set itself numbers of Mixed attachments to their parents. While
apart from the Riots and the No trauma (control) group as far there are no individuals showing disorganized attachment
as scales scores for Idealization towards both parents as well to mother, one participant in each of the Trauma group had
as Dismissal for father are concerned. This interesting pattern disorganized attachment to the father.
might indicate not only how the rural sample of Earthquake Looking at the presence of major and minor
affected children is more likely to adhere to traditional values violations in overall narrative coherence, the Trauma
of ‘filial piety’ but they might also be somewhat less critical or group has far more violations in both major and minor
mentalizing about their relationships. By contrast, the urban violations than the No-trauma group. In the Earthquake
samples of the Control- no trauma and Riots groups might be and Riots sample, the former shows greater major and
less idealizing of their parents and perhaps more vocal about minor violations that may suggest a range of possible
their experiences and attachments. reasons: poor comprehension and verbal skills to begin
with, notwithstanding that, there is a message for the
Secondary Classifications on CAI In the Trauma/No Trauma kind of impact the trauma event makes on the narrative
group, the most predominant attachment category was found state of mind of the children. It appears that those
to be Dismissing (forboth parents). This is followed by exposed to human-induced violence might have a more
Preoccupied, where the Trauma group shows, 8.2% (7) and emotionally broken, at times discontinuous narrative yet
No-Trauma 9.5% (4) of children in this category. There were their ability to articulate their strains and experiences
many more children in the Mixed attachment category in the might be more nuanced than those exposed to the
Trauma group 14.1% (12) vs. 4.8% (2) of the No-trauma natural disaster where a symbolic articulation—capacity
group. Looking at attachment classifications for fathers, the to narrate—itself gets implicated and imbued, thus
same pattern was repeated here with 31.8% (27) of the compromised in the trauma.
Trauma group in the dismissing category vs. 11.9% (5) Using the results above to draw implications for attachment
of the No-Trauma group whereas 1.2% (1) of the trauma, there is, as the results suggest, a dominance of
trauma group with preoccupied attachment to the father dismissing and mixed attachment ties to both parents in the
vs. 7.1% (3) from the No-trauma group. In the mixed trauma groups. Clearly many more of the earthquake
category, 12.9% (11) were from the Trauma group as exposed show dismissing patterns than those exposed to
opposed to 4.8% (2) of the No-trauma group. Only riots. And almost equal numbers of mixed attachments to
2.4% (2) from the Trauma-group were found to be showing a both parents in both groups. The mixed pattern suggests
disorganized attachment to their fathers. While the Dismissing ways in which both events might have the same trajectories.
category predominates for both mother and father in general So in order to look for the roots of Attachment trauma,
for the entire sample, it is also clear that those exposed to Dismissal and predominance of mixed attachment styles
trauma show more dismissing features than those not exposed. need to be better understood in the context of the two events.
The higher numbers of those showing mixed attachment to Secondly, the overall coherence is compromised by the
mother and father in the Trauma group also show that mixed presence of major and minor violations in speech. There are
emotions- ambivalence and avoidance continues to dominate greater numbers of violations made by the Trauma group in
their relationships and indicate how their expectations, comparison to the No Trauma and within the Trauma group;
memories and thoughts have been affected in the process. the Earthquake group appeared to resort to more defensive
While the strong presence of mixed attachment style (i.e. maneuvers and cognitive strategies that impede the coher-
presence of preoccupied and dismissing characteristics) might ence and clarity of their narrative.
indicate a certain (inevitable) composite of emotions vis-à-vis
caregivers, for the trauma group it becomes critical to Non-verbal Indicators of Attachment Trauma While the
understand whether conflicting internal objects implies more non-verbal indicators require further examination in terms
raucous & chaos than stability and maturity of attachments. of understanding emotions underpinning the reactions of
Looking at how the Earthquake and Riots fare in children, the Trauma group appeared to be more fazed by
secondary classification, Table 6 indicates that the the interview as a result a number of abrupt behavioral
Earthquake group shows many more children with changes and shifts in attention and anxiety could be
Dismissing attachments to their Mothers and fathers vis- spotted.
Psychol Stud (January–March 2012) 57(1):9–21 19

Focusing on the Earthquake and Riots trauma groups others particularly the rural poor Gujarati context provided
here, the marked anxiety results show that the Earthquake very little exposure and stimulation to assimilate psycho-
sample showed marked changes which were higher than the logical sophistication of this kind—involving a self-
Riots sample (22.2% vs. 11.4% for moderate level). A introspective approach to looking at self & others.
majority of children did not show disorganized behavior In summary, the non-verbal behavioral pattern which
however, amongst those who did show, 12.5% (5) belonged emerges for the Trauma groups is such that the Riots
to the Earthquake sample vs. 8.1% (3) from the Riots sample appeared to be allowing and undergoing more
sample. Marked behavioral change was seen more in the visceral bodily/facial changes than the Earthquake sample.
case of the Riots sample though the difference was not a The Earthquake sample despite showing more anxiety signs
statistically significant one. A number of participants did appeared to have remained somewhat distanced from the
not show behavioral change such as change in tone or kind of ‘internal world & memories activation’ that CAI
voice, anxiety, facial expressions etc. on questions which purports to achieve. This dismissing strategy indicated this
may have warranted some change such as those about death distancing which could both be a result of trauma or
of parent, protracted separation or loss etc. Despite the cognitive distancing that may arise from a certain lack in
difference not being statistically significant, about similar mentalizing and other verbal and emotional abilities
numbers of the children from both Earthquake and Riots (Fonagy 2004; Fonagy and Target 1997).
sample (60.4% (29) vs. 56.8% (21)) of participants
remained unfazed (at least in their outward behavior) by
such questions. Consistent with expected behavioral change Indicators for Attachment Trauma
findings reported above, the Riots sample showed major as
well as greater instances of minor tonal changes during A few indicators of attachment trauma are developed here
their interview. At one level this could imply that their utilizing the findings above. There are two relational patterns
verbal and non-verbal emotions were in sync, it could also which dominate the Trauma exposed children’s representa-
be that there were many more experiences of disturbing tions of their parents and other caregivers: dismissing and
kinds interspersed in their narrative therefore more tonal mixed attachment styles. Other indicators include non-verbal
changes were encountered. This difference was statistically maneuvers that can be seen as defensive strategies adopted by
significant in the case of Trauma/No Trauma group where body/mind (in what can be seen as interpersonal and social
the No Trauma sample appeared to express feelings & make expression of their feelings) to ward off anxiety reactions.
gestures in consonance with their narrative.
The Riots group participants maintained better eye Relational Mechanisms These mechanisms can be seen in
contact during the interview than those in the Earthquake. the Secondary Classifications of CAI accorded to the
There were many children in the Earthquake sample that children. Two significant patterns emerge from the analysis
would show intermittent good eye contact and then above, the dominance of dismissing attachment as well as a
suddenly take eyes off somewhere else or look on the more eclectic-mixed style which combines preoccupied and
down suggesting either exhaustion, boredom or even avoidant mechanisms at the same time.
anxiety. The Trauma group appeared to show greater
discrepancies between the behavior & content of narrative
than the No-Trauma group. However, in the two Trauma Dismissing Attachment
samples, the Riots group appeared to show greater discrep-
ancies than the Earthquake. The discrepancies were in the
form of longer pauses, sudden changes of facial expres-
A boy who lost his father in riots says, ‘no, nothing
sions, facial twitches or dysfluent and repetitive discourse
like that’ when asked if there has been any major
at times. Overall, the Trauma sample experienced more
event in his life that caused him pain (P4.12.B)
difficulties in understanding the first three questions on the
CAI. These questions are three words to describe one’s self/ Dismissing attachment also known as restricted or avoidant
personality, three words to describe relationship with attachment style is in general commonly found in trauma
mother & the same for the father. Within the Trauma exposed samples in other studies (see, Shmueli-Goetz et al.
sample, the Earthquake sample had greater difficulties than 2008; Kaplan 2006). The dismissing attachment suggests
the Riots sample. As elaborated above, some of these predominance of dismissal as a strategy and is typically
difficulties could stem from poor verbal or comprehension marked by impoverished narrative elaboration. Dismissal is
abilities, others might have encountered these questions as also seen when the child overrules or overlooks his/her care
difficult as these could be more ‘urban or Western centric’ needs or significance of warmth, security and caregiving in
approach to looking at one’s relationship, and for some his primary relationships. Research points out that often
20 Psychol Stud (January–March 2012) 57(1):9–21

children resort to dismissal as a defense due to poor or momentarily it gets phased out to be replaced by a
negligent caregiving as a tool to prevent the self from further dismissing outlook which (perhaps?) seeks to resolve or
pain or emotional assault. It becomes a pathological albeit suppress the conflict.
adaptive mechanism to tolerate disturbing affects and abuse or & One can conjecture that a mixed attachment style might
lack of parental warmth or care. In the Trauma samples in this be more adaptive than the dismissing style where the
study, the Earthquake sample shows higher incidence of ability to hold negative thought, feelings or anger is
Dismissing attachments to both parents in comparison to the denied and scotomized. However, the problem with the
Riots sample, though, as a category dismissal stands out even former might be in the frequency of swings between the
within the Riots sample. There was greater incidence of two states of mind (ambivalent/restricted) or their
Dismissal vis-à-vis the Mother while in case of Father presence in the narrative. The constant moving-back-
Dismissal equaled the Mixed category for the Riots group. and-forth between these two states of mind/being are
Two contrasting features of dismissal were discerned during itself indicative of a traumatized self. So one could then
the interview coding process; it was noticed that the two argue that trauma mutes self knowledge/elaboration
trauma groups were employing different kinds of dismissal (presence of dismissal/denial) as well as splits/fractures
strategies: a) In the Earthquake group, the avoidance was the self (upsurge of conflicting states/objects) in various
more in narrative elaboration (‘thin’ descriptions) and inability ways.
to construe or adduce the parent–child relationships in their & This category could also help understand how needs/
entirety during the interview. In effect, it was the potential attachment dichotomy is enacted by the children. Do
of elaboration, exploration of parental care and provision of children dismiss their physical needs more and respond
care which appeared impoverished. b) Whilst in the Riots slightly openly (judgmentally?) by adopting ambivalent
sample the avoidance or dismissal was not in the postures to the parental provision of care/attachments?
elaboration or in the narrative potential but in the children’s In the CAI, the non-verbal behaviors seen in the videos
denial of their needs. Hence, neither group denied the value helped define what sort of strategies children employed
of their relationship context as such but one (earthquake) and at what junctures during the interview.
sketched before the researcher the limited domain of their
perception or was it the actuality of their relationships—that
were quite limited, concrete and unnourished itself while
Distortion of Affect
the other group kept denying its need for more attention
and care (riots)!

Mixed Attachment Style—Between Dismissal and A boy who lost his father in riots says, ‘no, nothing
Ambivalence This category was developed in order to include like that’ when asked if there has been any major
and do justice to CAIs of those children who resorted to both event in his life that caused him pain (P4.12.B)
dismissing and ambivalent strategies in describing their
relationships and putting them into either of the two categories There were greater instances of poor and distracted eye
would have not been appropriate. There were nearly equal contact with the researcher in the Trauma group participants
numbers of children in the Earthquake/Riots group who during the interview. Amidst these, the Earthquake sample
showed mixed attachment to their mothers and fathers. showed more instances of breaks in eye-contact or poor
However, for the Trauma/No trauma groups, clearly the former contact than the Riots group. There were very few voice or
had a larger representation of mixed category indicating that tonal changes seen with the Earthquake sample and their
trauma as such could account for this fused attachment. In affect at times appeared flat in comparison to the Riots
many ways, the presence of mixed emotions or relationship counterpart. In the Riots sample, there were higher
schemas suggested that the child battled two realities or splits in instances of discrepancies between affect, behavior and
the internal world at the same time. It also showed how the content of the narrative. For this group, the affective
defense mechanism gave intermittent opening to anger, distancing became necessary for narrative elaboration and
resentment and general sense of neediness along with a general coherence and at other times, the opposite had to be done to
dismissing strategy. In thinking about how different this vent out disturbing feelings.
category is to the two dismissing strategies described above:
Concrete Representation Dominance of the dismissing style
& The mixed category shows a strong presence of conflict by gestures such as vigorously shaking head to say no,
which comes up and goes down. As a result it is marked repeated no or don’t remember phrases, or long pause and
by some denigration, resentment or preoccupation with reiteration of same thing said before, made the narrative
the caregiving figure or the caregiving context and then quite ‘thin’ (in terms of maxims of quantity, quality as well
Psychol Stud (January–March 2012) 57(1):9–21 21

as relevance). As the actual elaboration kept thinning out, Mehta, L. (2001). Reflections on Kutch earthquake. Economic and
Political Weekly. 4 August, pp. 2931–2936, http://www.epw.org.in/.
whatever remained of the child’s representations were
Neuner, F., Schauer, E., Catani, C., Ruf, M., & Elbert, T. (2006).
actually quite concrete in nature. Clearly this was more Post-tsunami stress: a study of posttraumatic stress disorder in
prevalent in the Earthquake sample. The dominance of children living in three severely affected regions in Sri Lanka.
Idealization as a strategy further substantiates how concrete Journal of Traumatic Stress, 19(3), 339–347. doi:10.1002/
jts.20121.
their representations become in the absence of adequate Norris, F. H., Galea, S., Friedman, M. J., & Watson, P. J. (Eds.).
elaboration. (2006). Methods for disaster mental health research. New York:
Guildford.
Pynoos, R. S., Goenjian, A. K., Walling, D., Steinberg, A. M.,
Karayan, I., & Najarian, L. M. (2005). A prospective study
References of posttraumatic stress and depressive reactions among
treated and untreated adolescents 5 years after a catastrophic
disaster. The American Journal of Psychiatry, 162, 2302–
Catani, C., Schauer, E., Elbert, T., Missmahl, I., Bette, J.-P., & Neuner, 2308. doi:10.1176/appi.ajp.162.12.2302.
F. (2009). War trauma, child labor and family violence: life Rimé, B. (2009). Emotion elicits the social sharing of emotions:
adversities and PTSD in a sample of school children in Kabul. theory and empirical review. Emotion Review, 1, 60–85.
Journal of Traumatic Stress, 22(3), 163–171. doi:10.1002/ doi:10.1177/1754073908097189.
jts.20415. Sharp, C., Fonagy, P., & Goodyer, I. M. (2006). Imagining your child’s
Fonagy, P. (2004). The roots of social understanding in the attachment mind: psychosocial adjustment and mother’s ability to predict
relationship: an elaboration on the constructionist theory. Behavior their children’s attributional response styles. British Journal of
and Brain Sciences, 27(1), 105–106. doi:10.1017/ Developmental Psychology, 24, 197–214. doi:10.1348/
S0140525X04320030. 026151005X82569.
Fonagy, P., & Target, M. (1997). Attachment and reflective Shmueli-Goetz, Y. (2001). Child attachment interview: Development
function: their role in self-organization. Development and Psycho- and validation. Unpublished doctoral dissertation. University
pathology, 9(4), 697–700. Retrieved from http://www.journals. College London.
cambridge.org/production/action/cjoGetFulltext?fulltextid=43496. Shmueli-Goetz, Y., Target, M., Fonagy, P., & Datta, A. (2008). The
Fonagy, P., Leigh, T., Steele, M., Steele, H., Kennedy, R., & Mattoon, child attachment interview: a psychometric study of reliability
G. (1996). The relation of attachment status, psychiatric and discriminant validity. Developmental Psychology, 44(4),
classification, and response to psychotherapy. Journal of Con- 939–956. doi:10.1037/0012-1649.44.4.939.
sulting and Clinical Psychology, 64, 22–31. Retrieved from Shweder, R. A. (1991). Thinking through cultures: Expeditions in
h t t p : / / w w w. l i n k i n g h u b . e l s e v i e r. c o m / r e t r i e v e / p i i / cultural psychology. Cambridge: Harvard University Press.
S0022006X0200935X. Sroufe, L. A. (1982). The organization of emotional development.
George, C., Kaplan, N., & Main, M. (1985). The adult attachment Psychoanalytic Inquiry, 1, 575–599. Retrieved from http://www.
interview. Unpublished protocol: University of California, Berkeley. pep-web.org/document.php?id=pi.001.0575a.
Goodman, R. (1997). The strengths and difficulties questionnaire: a Target, M., Fonagy, P., & Shmueli-Goetz, Y. (2003). Attachment
research note. Journal of Child Psychology and Psychiatry, 38, representations in school-age children: the development of the
581–596. doi:10.1111/j.1469-7610.1997.tb01545.x. child attachment interview (CAI). Journal of Child Psychotherapy,
Goodman, R. (1999). The extended version of the strengths and 29, 171–186. doi:10.1080/0075417031000138433.
difficulties questionnaire as a guide to child psychiatric caseness Van IJzendoorn, M. H. (1995). Adult attachment representations,
and consequent burden. Journal of Child Psychology and parental responsiveness, and infant attachment: a meta-
Psychiatry, 40, 791–801. doi:10.1111/1469-7610.00494. analysis on the predictive validity of the adult attachment
Human Rights Watch Report (Internet). ‘We have no orders to save interview. Psychological Bulletin, 117(3), 387–403. Retrieved
you’ PUCL Bulletin 2002, [Accessed on 22 January 2009] from http://www.linkinghub.elsevier.com/retrieve/pii/
Weblink: http://www.pucl.org/Topics/Religion-communalism/ S0033290902002666.
2002/hrw.htm Van IJzendoorn, M. H. (1992). Intergenerational transmission of
Kakar, S. (2001). The essential writings of Sudhir Kakar. New Delhi: parenting: a review of studies in nonclinical populations.
Oxford University Press. Developmental Review, 12, 76–99. doi:10.1016/0273-2297(92)
Kaplan, S. (2006). Children in genocide: extreme traumatization and 90004-L.
the ‘affect propellor’. International Journal of Psycho-Analysis, Van IJzendoorn, M. H., & Bakermans-Kranenburg, M. J. (1997).
87, 725–746. doi:10.1516/9C86-H1RG-K3FF-DRAH. Intergenerational transmission of attachment: A move to the
Kumar, M. (2007). A journey into the bleeding city: following the contextual level. In L. Atkinson & K. J. Zucker (Eds.), Attachment
footprints of the rubble of riots and the violence of the earthquake and psychopathology (pp. 135–170). New York: Guilford.
in Gujarat. Psychology and Developing Societies, 19(1), 1–37. Van IJzendoorn, M. H., & Sagi, A. (1999). Cross-cultural patterns
doi:10.1177/097133360701900101. of attachment: Universal and contextual dimensions. In J.
Kumar, M. (2010). Politics of exclusion and social marginalization of Cassidy & P. R. Shaver (Eds.), Handbook of attachment:
Muslims in India: case study of Gujarat. Journal of Applied Theory, research, and clinical applications (pp. 713–733). New
Psychoanalytic Studies, 7(3), 209–218. doi:10.1002/aps.256. York: Guilford.
Kumar, M., & Fonagy, P. (2011). Understanding trauma of Gujarati child Weinfield, N. S., Sroufe, L. A., & Egeland, B. (2000). Attachment
survivors of two disasters: reviewing ‘attachment trauma’ using from infancy to early adulthood in a high risk sample: continuity,
Child Attachment Interview material. Manuscript submitted to discontinuity and their correlates. Child Development, 71(3),
International Journal of Psychoanalysis. 695–702. Retrieved from http://www.jstor.org/pss/1132388.

View publication stats

You might also like