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      Neural basis of attachment-caregiving systems interaction: insights from neuroimaging studies

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          Abstract

          The attachment and the caregiving system are complementary systems which are active simultaneously in infant and mother interactions. This ensures the infant survival and optimal social, emotional, and cognitive development. In this brief review we first define the characteristics of these two behavioral systems and the theory that links them, according to what Bowlby called the “attachment-caregiving social bond” ( Bowlby, 1969). We then follow with those neuroimaging studies that have focused on this particular issue, i.e., those which have studied the activation of the careging system in women (using infant stimuli) and have explored how the individual attachment model (through the Adult Attachment Interview) modulates its activity. Studies report altered activation in limbic and prefrontal areas and in basal ganglia and hypothalamus/pituitary regions. These altered activations are thought to be the neural substrate of the attachment-caregiving systems interaction.

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          Most cited references19

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          The neural correlates of maternal and romantic love.

          Romantic and maternal love are highly rewarding experiences. Both are linked to the perpetuation of the species and therefore have a closely linked biological function of crucial evolutionary importance. Yet almost nothing is known about their neural correlates in the human. We therefore used fMRI to measure brain activity in mothers while they viewed pictures of their own and of acquainted children, and of their best friend and of acquainted adults as additional controls. The activity specific to maternal attachment was compared to that associated to romantic love described in our earlier study and to the distribution of attachment-mediating neurohormones established by other studies. Both types of attachment activated regions specific to each, as well as overlapping regions in the brain's reward system that coincide with areas rich in oxytocin and vasopressin receptors. Both deactivated a common set of regions associated with negative emotions, social judgment and 'mentalizing', that is, the assessment of other people's intentions and emotions. We conclude that human attachment employs a push-pull mechanism that overcomes social distance by deactivating networks used for critical social assessment and negative emotions, while it bonds individuals through the involvement of the reward circuitry, explaining the power of love to motivate and exhilarate.
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            Attachment-related psychodynamics.

            Because there has been relatively little communication and cross-fertilization between the two major lines of research on adult attachment, one based on coded narrative assessments of defensive processes, the other on simple self-reports of 'attachment style' in close relationships, we here explain and review recent work based on a combination of self-report and other kinds of method, including behavioral observations and unconscious priming techniques. The review indicates that considerable progress has been made in testing central hypotheses derived from attachment theory and in exploring unconscious, psychodynamic processes related to affect-regulation and attachment-system activation. The combination of self-report assessment of attachment style and experimental manipulation of other theoretically pertinent variables allows researchers to test causal hypotheses. We present a model of normative and individual-difference processes related to attachment and identify areas in which further research is needed and likely to be successful. One long-range goal is to create a more complete theory of personality built on attachment theory and other object relations theories.
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              Maternal representations of attachment during pregnancy predict the organization of infant-mother attachment at one year of age.

              While strong retrospective and concurrent associations between maternal and infant patterns of attachment have been noted, this is one of the first reports of a prospective investigation of such associations. The Adult Attachment Interview was administered to 100 mothers expecting their first child, and, at 1-year follow-up, 96 of these were seen with their infants at 12 months in the Strange Situation. Maternal representations of attachment (autonomous vs. dismissing or preoccupied) predicted subsequent infant-mother attachment patterns (secure vs. insecure) 75% of the time. These observed concordances, as well as the discordances, are discussed in terms of the uniquely powerful contribution the Adult Attachment Interview makes to the study of representational and intergenerational influences on the development of the infant-mother attachment.
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                Author and article information

                Contributors
                Journal
                Front Psychol
                Front Psychol
                Front. Psychol.
                Frontiers in Psychology
                Frontiers Media S.A.
                1664-1078
                24 August 2015
                2015
                : 6
                : 1241
                Affiliations
                [1] 1Dipartimento di Neurologia e Psichiatria, Univeristà Sapienza Rome, Italy
                [2] 2IRCCS San Raffaele La Pisana Rome, Italy
                [3] 3Centro di Terapia Metacognitiva Interpersonale Rome, Italy
                [4] 4Dipartimento di Psicologia Dinamica e Clinica, Univeristà Sapienza Rome, Italy
                [5] 5IRCCS Neuromed Rome, Italy
                Author notes

                Edited by: Silvia Salcuni, Università degli Studi di Padova, Italy

                Reviewed by: René Hurlemann, University of Bonn, Germany; Lane Strathearn, Baylor College of Medicine/Texas Children’s Hospital, USA

                *Correspondence: Delia Lenzi, Dipartimento di Neurologia e Psichiatria, Univeristà Sapienza, 00185 Rome, Italy, delia.lenzi@ 123456gmail.com

                This article was submitted to Psychology for Clinical Settings, a section of the journal Frontiers in Psychology

                Article
                10.3389/fpsyg.2015.01241
                4547017
                26379578
                7b27f6dc-9ab8-4bcc-b263-6161e461f0b1
                Copyright © 2015 Lenzi, Trentini, Tambelli and Pantano.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 30 May 2015
                : 04 August 2015
                Page count
                Figures: 1, Tables: 1, Equations: 0, References: 46, Pages: 7, Words: 0
                Categories
                Psychology
                Mini Review

                Clinical Psychology & Psychiatry
                attachment,caregiving system,limbic system,fmri,orbitofrontal cortex,amygdala,trauma,aai

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