Edward John Mostyn Bowlby, CBE, FRCP, FRCPsych (/ˈboʊlbi/; 26 February 1907 – 2 September 1990) was a British psychologist, psychiatrist, and psychoanalyst, notable for his interest in child development and for his pioneering work in attachment theory. A Review of General Psychology survey, published in 2002, ranked Bowlby as the 49th most cited psychologist of the 20th century.
|Born||16 February 1907|
|Died||2 October 1990 (aged 83)|
|Alma mater||Trinity College, Cambridge, University College Hospital|
|Known for||Pioneering work in attachment theory|
|Institutions||Maudsley Hospital, Tavistock Clinic, World Health Organization|
|Influences||Donald Winnicott, Mary Ainsworth, Melanie Klein, Konrad Lorenz|
Bowlby was born in London to an upper-middle-income family. He was the fourth of six children and was brought up by a nanny in the British fashion of his class at that time: the family hired a nanny who was in charge of raising the children, in a separate nursery in the house. Nanny Friend took care of the infants and generally had two other nursemaids to help her. Bowlby was raised primarily by nursemaid Minnie who acted as a mother figure to him and his siblings.
His father, Sir Anthony Alfred Bowlby, was surgeon to the King's Household, with a history of early loss: at age five, Anthony's father, Thomas William Bowlby, was killed while serving as a war correspondent in the Second Opium War.
Bowlby's parents met at a party in 1897 through a mutual friend. About one year after meeting, Mary (age 31) and Anthony (age 43) decided to get married in 1898. The start of their marriage was said to be difficult due to conflict with Anthony's sister and physical separation between Mary and Anthony. In order to resolve this prolonged separation, Mary decided to visit her husband for six months while leaving her first born daughter Winnie in the care of her nanny. This separation between Mary and her children was a theme found in all six of her children's lives as they were primarily raised by the nanny and nursemaids.
Normally, Bowlby saw his mother only one hour a day after teatime, though during the summer she was more available. Like many other mothers of her social class, she considered that parental attention and affection would lead to dangerous spoiling of the children. Bowlby was fortunate in that the family nanny was present throughout his childhood. When Bowlby was almost four years old, the nursemaid Minnie, his primary caregiver in his early years, left the family. Later, he was to describe this as tragic as the loss of a mother. After Minnie left, Bowlby and his siblings were cared for by Nanny Friend, of a colder and sarcastic nature.
During World War I, Bowlby's father Anthony was on military service. He came home once or twice a year and had little contact with him and his siblings. His mother received letters from Anthony but she did not share them with her children.
At the age of ten, Bowlby was sent to boarding school, as was common for boys of his social status. Bowlby’s parents decided to send both him and his older brother Tony to a prep school, in order to protect them from the bombing attacks due to the ongoing war. In his 1973 work Separation: Anxiety and Anger, Bowlby wrote that he regarded it as a terrible time for him. He later said, "I wouldn't send a dog away to boarding school at age seven". However, earlier Bowlby had considered boarding schools appropriate for children aged eight and older. In 1951, he wrote:
If the child is maladjusted, it may be useful for him to be away for part of the year from the tensions which produced his difficulties, and if the home is bad in other ways the same is true. The boarding school has the advantage of preserving the child's all-important home ties, even if in slightly attenuated form, and, since it forms part of the ordinary social pattern of most Western communities today , the child who goes to boarding-school will not feel different from other children. Moreover, by relieving the parents of the children for part of the year, it will be possible for some of them to develop more favorable attitudes toward their children during the remainder.
Furthermore, Bowlby experienced the loss of a beloved godfather during his childhood, which was another theme of separation and loss that could have contributed to his focus on separation research later on in his career.
Bowlby died at his summer home on the Isle of Skye, Scotland.
In an interview with Dr. Milton Stenn in 1977, Bowlby explained that his career started off in the medical direction as he was following in his surgeon father's footsteps. His father was a well-known surgeon in London and Bowlby explained that he was encouraged by his father to study medicine at Cambridge. Therefore, he followed his father's suggestion, but was not fully interested in anatomy and natural sciences that he was reading about. However, during his time at Trinity College, he became particularly interested in developmental psychology which led him to give up medicine by his third year. When Bowlby gave up medicine, he took a teaching opportunity at a school called Priory Gates for six months where he worked with maladjusted children. Bowlby explained that one of the reasons why he went to work at Priory Gates was because of an intelligent staff member, John Alford. Bowlby explained that the experience at Priory Gates was extremely influential on him "It suited me very well because I found it interesting. And when I was there, I learned everything that I have known; it was the most valuable six months of my life, really. It was analytically oriented". He further explained that the experience at Priory Gates was extremely influential to his career in research as he learned that the problems of today should be understood and dealt with at a developmental level.
Bowlby studied psychology and pre-clinical sciences at Trinity College, Cambridge, winning prizes for outstanding intellectual performance. After Cambridge, he worked with maladjusted and delinquent children until, at the age of twenty-two, he enrolled at University College Hospital in London. At twenty-six, he qualified in medicine. While still in medical school, he enrolled himself in the Institute for Psychoanalysis. Following medical school, he trained in adult psychiatry at the Maudsley Hospital. In 1936, aged 30, he qualified as a psychoanalyst.
During the first six months of World War II, Bowlby worked at a clinic in Canonbury in the child psychiatry unit. Later on in the war, Bowlby became a lieutenant colonel in the Royal Army Medical Corps, where he conducted research on psychological methods of officer selection (which contributed to the creation of War Office Selection Boards) and where he came into contact with members of the Tavistock Clinic. Alongside his job in the Royal Army Medical Corps, Bowlby explained that he also worked for the Emergency Medical Services (EMS) during the months of May and June in 1940 where he dealt with tragic war neurosis cases. Additionally, the children that were being treated at the Canonbury clinic were evacuated to the child guidance clinic in Cambridge, due to the air raids from the War. Bowlby explained in an interview that he spent time going back and forth from Cambridge to London, where he would see patients in private. From this experience, Bowlby was able to work with several children at Cambridge that were evacuated from London and separated from their families and nannies. This actually extended his research interested on separation that he was focused on pre-war.
During the first winter of World War II, Bowlby began working on his first published work Forty-four Juvenile Thieves. Although he began working on this book at the beginning of the Second World War, it was not published until 1944 (while being published again in 1946), close to when the war was finishing. Bowlby studied several children during his time at the Canonbury clinic, and developed a research project based on case studies of the children’s behaviors and family histories. Bowlby examined 44 delinquent children from Canonbury who had a history of stealing and compared them to "controls" from Canonbury that were being treated for various reasons but did not have a history of stealing. Bowlby categorized the delinquent children into six different character types which included: normal, depressed, circular, hyperthymic, affectionless, and schizoid.
One of Bowlby's main findings through his research with these children was that 17 out of the 44 thieves experienced early and prolonged separation (six months or more) from their primary caregiver before the age of five. In comparison, only two out of the 44 children who did not steal had experienced prolonged separation from their primary care giver before the age of five. More specifically, Bowlby found that 12 out of the 14 children were categorized as affectionless were found to have experienced complete and prolonged separation before the age of five. These findings were important and brought more attention to the impact of a child's early environmental experiences on their healthy development.
After the war, he was deputy director of the Tavistock Clinic, and from 1950, Mental Health Consultant to the World Health Organization. Because of his previous work with maladapted and delinquent children, he became interested in the development of children and began work at the Child Guidance Clinic in London, which was also known as the East London Child Guidance Clinic. Located in Islington, it was founded by the Jewish Health Organisation in 1927 and was the first children's psychiatric facility in the UK and possibly Europe. His interest was probably increased by a variety of wartime events involving separation of young children from familiar people. These included the rescue of Jewish children by the Kindertransport arrangements, the evacuation of children from London to keep them safe from air raids, and the use of group nurseries to allow mothers of young children to contribute to the war effort. Bowlby was interested from the beginning of his career in the problem of separation, the wartime work of Anna Freud and Dorothy Burlingham on evacuees, and the work of René Spitz with orphans. By the late 1950s, he had accumulated a body of observational and theoretical work to indicate the fundamental importance for human development of attachment from birth.
Bowlby was interested in finding out the patterns of family interaction involved in both healthy and pathological development. He focused on how attachment difficulties were transmitted from one generation to the next. In his development of attachment theory, he proposed the idea that attachment behaviour was an evolutionary survival strategy for protecting the infant from predators. Mary Ainsworth, a student of Bowlby's, further extended and tested his ideas. She played the primary role in suggesting that several attachment styles existed.
The six most important experiences for Bowlby's future work and the development of attachment theory were:
There were certain groups who took to it with great enthusiasm, other groups were directly lukewarm and other hostile, each profession reacted differently. The social workers took to it with enthusiasm; the psychoanalysts treated it with caution, curiously and for me infuriatingly pediatricians were initially hostile but subsequently many of them became very supporting; adult psychiatrists totally uninterested, totally ignorant, totally uninterested.
In 1949, Bowlby's earlier work on delinquent and affectionless children and the effects of hospitalised and institutionalised care led to his being commissioned to write the World Health Organization's report on the mental health of homeless children in post-war Europe. The result was Maternal Care and Mental Health published in 1951.
Bowlby drew together such limited empirical evidence as existed at the time from across Europe and the US. His main conclusions, that "the infant and young child should experience a warm, intimate, and continuous relationship with his mother (or permanent mother substitute) in which both find satisfaction and enjoyment" and that not to do so may have significant and irreversible mental health consequences, were both controversial and influential. The 1951 WHO publication was highly influential in causing widespread changes in the practices and prevalence of institutional care for infants and children, and in changing practices relating to the visiting of infants and small children in hospitals by parents. The theoretical basis was controversial in many ways. He broke with psychoanalytic theories which saw infants' internal life as being determined by fantasy rather than real life events. Some critics profoundly disagreed with the necessity for maternal (or equivalent) love to function normally, or that the formation of an ongoing relationship with a child was an important part of parenting. Others questioned the extent to which his hypothesis was supported by the evidence. There was criticism of the confusion of the effects of privation (no primary attachment figure) and deprivation (loss of the primary attachment figure) and in particular, a failure to distinguish between the effects of the lack of a primary attachment figure and the other forms of deprivation and understimulation that may affect children in institutions.
The monograph was also used for political purposes to claim any separation from the mother was deleterious to discourage women from working and leaving their children in daycare by governments concerned about maximising employment for returned and returning servicemen. In 1962 WHO published Deprivation of maternal care: A Reassessment of its Effects to which Mary Ainsworth, Bowlby's close colleague, contributed with his approval, to present the recent research and developments and to address misapprehensions. This publication also attempted to address the previous lack of evidence on the effects of paternal deprivation.
According to Rutter, the importance of Bowlby's initial writings on "maternal deprivation" lay in his emphasis that children's experiences of interpersonal relationships were crucial to their psychological development.
In his 1988 work A Secure Base, Bowlby explained that the data was not, at the time of the publication of Maternal Care and Mental Health, "accommodated by any theory then current and in the brief time of my employment by the World Health Organization there was no possibility of developing a new one". He then went on to describe the subsequent development of attachment theory. Because he was dissatisfied with traditional theories, Bowlby sought new understanding from such fields as evolutionary biology, ethology, developmental psychology, cognitive science and control systems theory and drew upon them to formulate the innovative proposition that the mechanisms underlying an infants tie emerged as a result of evolutionary pressure. "Bowlby realised that he had to develop a new theory of motivation and behaviour control, built on up-to-date science rather than the outdated psychic energy model espoused by Freud." Bowlby expressed himself as having made good the "deficiencies of the data and the lack of theory to link alleged cause and effect" in Maternal Care and Mental Health in his later work Attachment and Loss published in 1969.
From the 1950s, Bowlby was in contact with leading European ethologists, namely Niko Tinbergen, Konrad Lorenz, and Robert Hinde. Bowlby was inspired by the study Lorenz conducted on goslings, showing that they imprint on the first animate object they see. Bowlby was encouraged by an evolutionary biologist, Julian Huxley, to look further into ethology to help further his research in psychoanalysis as he introduced Bowlby to the impactful work by Tinbergen on "The Study of Instinct". Bowlby followed this guidance and became interested in ethology as he wanted to rewrite psychoanalysis in order to focus this research field around a concrete theory in which psychoanalysis was lacking. He admired the methodological approach to ethology that psychoanalysis was not familiar with (Van der Horst, 2011). From reading widely in ethology, Bowlby was able to learn that ethologists supported the theoretical ideas through concrete empirical data.
Using the viewpoints of this emerging science and reading extensively in the ethology literature, Bowlby developed new explanatory hypotheses for what is now known as human attachment behaviour. In particular, on the basis of ethological evidence he was able to reject the dominant Cupboard Love theory of attachment prevailing in psychoanalysis and learning theory of the 1940s and 1950s. He also introduced the concepts of environmentally stable or labile human behaviour allowing for the revolutionary combination of the idea of a species-specific genetic bias to become attached and the concept of individual differences in attachment security as environmentally labile strategies for adaptation to a specific childrearing niche. Alternatively, Bowlby's thinking about the nature and function of the caregiver-child relationship influenced ethological research, and inspired students of animal behaviour such as Tinbergen, Hinde, and Harry Harlow.
One of Harlow's students, Stephen Suomi, wrote about the contributions Bowlby's made to ethology, including that Barlow brought attachment research into animal research specifically with rhesus monkeys and various other species of monkeys and apes. Another contribution according to Suomi was that Bowlby influenced animal researchers to examine separation in animals. Furthermore, Suomi wrote that Bowlby brought to the field of ethology the acknowledgement of the consequences over time from different attachment styles that are prevalent in rhesus monkeys (specifically in the work of Harlow). According to Suomi, "Although Bowlby was a psychoanalyst by formal training, he was a true ethologist at heart".
Van der Horst, Van der Veer, and Van IJzendoorn write:
Bowlby spurred Hinde to start his ground breaking work on attachment and separation in primates (monkeys and humans), and in general emphasized the importance of evolutionary thinking about human development that foreshadowed the new interdisciplinary approach of evolutionary psychology. Obviously, the encounter of ethology and attachment theory led to a genuine cross-fertilization.:322–323
Before the publication of the trilogy in 1969, 1972 and 1980, the main tenets of attachment theory, building on concepts from ethology and developmental psychology, were presented to the British Psychoanalytical Society in London in three now classic papers: "The Nature of the Child's Tie to His Mother" (1958), "Separation Anxiety" (1959), and "Grief and Mourning in Infancy and Early Childhood" (1960). Bowlby rejected psychoanalytic explanations for attachment, and in return, psychoanalysts rejected his theory. At about the same time, Bowlby's former colleague Mary Ainsworth was completing extensive observational studies on the nature of infant attachments in Uganda with Bowlby's ethological theories in mind. Her results in this and other studies contributed greatly to the subsequent evidence base of attachment theory as presented in 1969 in Attachment, the first volume of the Attachment and Loss trilogy. The second and third volumes, Separation: Anxiety and Anger and Loss: Sadness and Depression, followed in 1972 and 1980 respectively. Attachment was revised in 1982 to incorporate recent research.
According to attachment theory, attachment in infants is primarily a process of proximity seeking to an identified attachment figure in situations of perceived distress or alarm for the purpose of survival. Infants become attached to adults who are sensitive and responsive in social interactions with the infant, and who remain as consistent caregivers for some months during the period from about 6 months to two years of age. Parental responses lead to the development of patterns of attachment which in turn lead to "internal working models" which will guide the individual's feelings, thoughts, and expectations in later relationships. More specifically, Bowlby explained in his three volume series on attachment (1973, 1980, & 1982) that all humans develop an internal working model of the self and an internal working model of others. The self-model and other-model are built off of early experiences with their primary caregiver and shape an individual's expectation on future interactions with others and interactions within interpersonal relationships. The self-model will determine how the individual sees themselves, which will impact their self-confidence, self-esteem, and dependency. The other-model will determine how an individual sees others, which will impact their avoidance or approach orientation, loneliness, isolation, and social interactions. In Bowlby's approach, the human infant is considered to have a need for a secure relationship with adult caregivers, without which normal social and emotional development will not occur.
As the toddler grows, it uses its attachment figure or figures as a "secure base" from which to explore. Mary Ainsworth used this feature in addition to "stranger wariness" and reunion behaviours, other features of attachment behaviour, to develop a research tool called the "strange situation" for developing and classifying different attachment styles.
The attachment process is not gender specific as infants will form attachments to any consistent caregiver who is sensitive and responsive in social interactions with the infant. The quality of the social engagement appears to be more influential than amount of time spent.
In order to obtain a clear understanding of the current relationships existing between members of any family it is usually illuminating to examine how the pattern of family relationships has evolved. That leads to a study of earlier generations, the calamities and other events that may have affected their lives and the patterns of family interaction that results. In the case of the family in which Darwin grew up, I believe such study to be amply rewarding. For that reason alone it would be necessary to start with his grandfathers' generation.
This quote demonstrates Bowlby's entire career focusing on a child's early environmental experiences. Bowlby still believed this to be the most important aspect of understanding mental illnesses in his final published work, even when understanding the scientific genius of Charles Darwin.
Although not without its critics, attachment theory has been described as the dominant approach to understanding early social development and it has given rise to a great surge of empirical research into the formation of children's close relationships. As it is presently formulated and used for research purposes, Bowlby's attachment theory stresses the following important tenets:
In psychology, an affectional bond is a type of attachment behavior one individual has for another individual, typically a caregiver for her or his child, in which the two partners tend to remain in proximity to one another. The term was coined and subsequently developed over the course of four decades, from the early 1940s to the late 1970s, by psychologist John Bowlby in his work on attachment theory. The core of the term affectional bond, according to Bowlby, is the attraction one individual has for another individual. The central features of the concept of affectional bonding can be traced to Bowlby's 1958 paper, "The Nature of the Child's Tie to his Mother".Anthony Stevens (Jungian analyst)
Anthony Stevens (born 27 March 1933) is a Jungian analyst, psychiatrist and prolific writer of books and articles on psychotherapy, evolutionary psychiatry and the scientific implications of Jung’s theory of archetypes. He is a graduate of Oxford University and in addition to a DM has two degrees in psychology. He is a member of the Royal College of Psychiatrists and a senior member of the Independent Group of Analytical Psychologists.
Early in his career Stevens did research under the supervision of John Bowlby into the development of attachment bonds between infants and their nurses in a Greek orphanage. This led him to appreciate the role played by archetypal components in the formation of mother-child attachments and was to provide him with the basic insights which inspired his magnum opus, Archetype: A Natural History of The Self. In this book he examines the close conceptual parallelism that exists between the ‘patterns of behaviour’ and their underlying ‘innate releasing mechanisms’ studied by ethology (the branch of biology which studies animal behaviour in the wild) and Jung’s notion of archetypes functioning as ‘active living dispositions’ in the human ‘collective unconscious’. He suggested that together the two disciplines of ethology and analytical psychology could provide the tools required to examine how the human psyche has evolved out of its reptilian, mammalian, and primate precursors to assume the characteristics that are apparent in us at the present time. In addition to maternal attachment, he used this approach to elucidate such phenomena as xenophobia, puberty initiation, sexual bonding, the developmental programme evident in the human life cycle, and so on, attempting to demonstrate that each had an archetypal basis in the genetic endowment and phylogenetic history of our species. In subsequent books and papers he applies the same approach to dreams, symbolism, warfare, and psychiatry.
Stevens lives in retirement on the Greek island of Corfu.Bowlby
Bowlby is a surname. Notable people with the surname include:
April Bowlby (born 1980), American actor
Thomas William Bowlby (1818–1860), correspondent to The Times
Anthony Alfred Bowlby (1855–1929), British surgeon and pathologist, son of the above
Henry Thomas Bowlby (1864–1940), Headmaster of Lancing College in the 1920s
Henry Bowlby (1823–1894), Bishop Suffragan of Coventry 1891-1894
John Bowlby (1907–1990), British developmental psychologist, son of the abovementioned Anthony Alfred BowlbyBowlby baronets
The Bowlby Baronetcy, of Manchester Square in the Borough of St Marylebone, is a title in the Baronetage of the United Kingdom. It was created on 17 July 1923 for the noted surgeon Anthony Bowlby. His eldest son, the second Baronet, was a Director of GKN. He died without male issue and was succeeded by his nephew, the third Baronet and (as of 2007) present holder of the title. He is the son of the developmental psychologist John Bowlby, second son of the first Baronet.Cupboard love
Cupboard love is a popular learning theory of the 1950s and 1960s based on the research of Sigmund Freud, Anna Freud, Melanie Klein and Mary Ainsworth. Rooted in psychoanalysis, the theory speculates that attachment develops in the early stages of infancy. This process involves the mother satisfying her infant's instinctual needs, exclusively. Cupboard love theorists conclude that during infancy, our primary drive is food which leads to a secondary drive for attachment.Dyadic developmental psychotherapy
Dyadic developmental psychotherapy is a psychotherapeutic treatment method for families that have children with symptoms of emotional disorders, including complex trauma and disorders of attachment. It was originally developed by Daniel Hughes as an intervention for children whose emotional distress resulted from earlier separation from familiar caregivers. Hughes cites attachment theory and particularly the work of John Bowlby as theoretical motivations for dyadic developmental psychotherapy.Dyadic developmental therapy principally involves creating a "playful, accepting, curious, and empathic" environment in which the therapist attunes to the child's "subjective experiences" and reflects this back to the child by means of eye contact, facial expressions, gestures and movements, voice tone, timing and touch, "co-regulates" emotional affect and "co-constructs" an alternative autobiographical narrative with the child. Dyadic developmental psychotherapy also makes use of cognitive-behavioral strategies. The "dyad" referred to must eventually be the parent-child dyad. The active presence of the primary caregiver is preferred but not required.A study by Arthur Becker-Weidman in 2006, which suggested that dyadic developmental therapy is more effective than the "usual treatment methods" for reactive attachment disorder and complex trauma, has been criticised by the American Professional Society on the Abuse of Children (APSAC). According to the APSAC Taskforce Report and Reply, dyadic developmental psychotherapy does not meet the criteria for designation as "evidence based" nor provide a basis for conclusions about "usual treatment methods". A 2006 research synthesis described the approach as a "supported and acceptable" treatment, but this conclusion has also proved controversial. A 2013 review of research recommended caution about this method of therapy, arguing that it has "no support for claims of effectiveness at any level of evidence" and a questionable theoretical basis.Frances Tustin
Frances Tustin (born Frances Daisy Vickers, in Northern England in 1913) was a pioneering child psychotherapist renowned for her work with children with autism in the 1950s. She became a teacher and began studying psychoanalysis in 1943 at the University of London.Following the war, in 1950 she began the child psychotherapy training headed by the psychoanalyst Esther Bick in the children's department of London's Tavistock Clinic, which was chaired by the pioneer in child development John Bowlby.
In the mid-1950s she traveled to the USA to work at the James Jackson Putnam Center which treated autistic children through what today is seen as behavior therapy and began to extensively study, research and write about autism in what are some of the earliest writings on the condition.She returned to London and published her first book Autism and Childhood Psychosis in 1972 followed by three more books and numerous journal articles, translated worldwide, up until her death, at age 81, in 1994.Her contribution to the development of psychoanalysis was recognized in 1984 by the British Psychoanalytical Society, which awarded her the rare status of Honorary Affiliate Member.The Frances Tustin Memorial Trust awards an annual prize for papers addressing the treatment of autistic states in children, adolescents or adults.Gordon Neufeld
Gordon Neufeld (1946) is a developmental psychologist and author of the book Hold on to Your Kids: Why Parents Need to Matter More Than Peers (co-authored with Canadian physician Gabor Maté) that has been translated into 10 languages.
The Neufeld approach (his attachment-based developmental model) is based on the attachment theory formulated by John Bowlby.
He developed a theory of attachment that includes six stages in the development of the capacity for relationship, the construct of polarization that explains both shyness and defensive detachment. His model of attachment is universal in both its application (adults as well as children) and implementation (school as well as home).Neufeld also is the founder of the Neufeld Institute based in Vancouver, British Columbia, Canada. The Institute provides education and training for parents and professionals through personalized study programs as well as through presentations, seminars and courses, including video courses. Neufeld Faculty and education programs exist currently in a number of languages including English, French, German, Spanish, Hebrew, Swedish and Russian.Infant mental health
Infant mental health is the study of mental health as it applies to infants, toddlers, and their families. The field investigates optimal social and emotional development of infants and their families in the first three years of life. Cognitive development, and the development of motor skills may also be considered part of the infant mental health picture. While the interest in the mental life of infants in the context of their early relationships can be traced back to the work of Anna Freud, John Bowlby, and Donald Winnicott in Great Britain, infant mental health as a movement of public health policy, empirical research (i.e. baby-watching), and change in clinical practice paralleled both that of the women's movement and of increased awareness of the prevalence and consequences of child abuse and neglect during the 1960s and 1970s. The vast literature that has emerged since the field's origins has been reviewed in several key texts. Basic principles of infant mental health evaluation and treatment involve consideration of at least three patients: parent(s), child, and their relationship, while keeping in mind the rapid and formative development of the brain and mind in the first years of life.James Robertson (psychoanalyst)
James Robertson (1911–1988) was a psychiatric social worker and psychoanalyst based at the Tavistock Clinic and Institute, London from 1948 until 1976.
'(He) was a remarkable person who achieved great things. His sensitive observations and brilliant observations made history, and the courage with which he disseminated – often in the face of ignorant and prejudiced criticism – what were then very unpopular findings, was legendary. He will always be remembered as the man who revolutionised children's hospitals, though he accomplished much else besides. I am personally deeply grateful for all that he did.' – John Bowlby.Jeremy Holmes
Jeremy Holmes is a British psychiatrist, born in London in 1943.He has married twice as mentioned in The Peerage and has a son who is also training as a therapist. He trained at Cambridge University and University College London. He currently practices as a Consultant Psychotherapist in North Devon. He also holds the post of Visiting Professor at University College London (UCL) and was Senior Clinical Research Fellow at Peninsula Medical School until 2003.He is retired and spends time travelling UK giving talks on Attachment Theory to therapy orgs
He is the author of a number of books including:
John Bowlby and Attachment Theory. Routledge. 1993. ISBN 9780415077293.
The Search for the Secure Base: Attachment Theory and Psychotherapy. 2001.
Exploring in Security. 2010. - winner of the 2010 Goethe Award for Psychoanalytic and Psychodynamic Scholarship - A book which attempts to bring together attachment theory and modern psychoanalytical theory and demonstrate how attachment theory can be used in psychotherapeutic practice.He also co-wrote The Values of Psychotherapy (Studies in Bioethics) with R.D. Hinshelwood, and Richard Lindley.Kübler-Ross model
The Kübler-Ross model is popularly known as the five stages of grief. Even though it has been represented in modern culture as model of depression, the model was originally designed to postulate a progression of emotional states experienced by terminally ill patients after diagnosis. The five stages are chronologically: denial, anger, bargaining, depression and acceptance.
The model was first introduced by Swiss-American psychiatrist Elisabeth Kübler-Ross in her 1969 book On Death and Dying, and was inspired by her work with terminally ill patients. Motivated by the lack of instruction in medical schools on the subject of death and dying, Kübler-Ross examined death and those faced with it at the University of Chicago medical school. Kübler-Ross' project evolved into a series of seminars which, along with patient interviews and previous research, became the foundation for her book. Although Kübler-Ross is commonly credited with creating stage models, earlier bereavement theorists and clinicians such as Erich Lindemann, Collin Murray Parkes, and John Bowlby used similar models of stages of phases as early as the 1940s.Later in her life, Kübler-Ross noted that the stages are not a linear and predictable progression and that she regretted writing them in a way that was misunderstood. "Kübler-Ross originally saw these stages as reflecting how people cope with illness and dying," observed grief researcher Kenneth J. Doka, "not as reflections of how people grieve."Mary Ainsworth
Mary Dinsmore Ainsworth (; née Salter; December 1, 1913 – March 21, 1999) was an American-Canadian developmental psychologist known for her work in the development of the attachment theory. She designed the strange situation procedure to observe early emotional attachment between a child and its primary caregiver.
A 2002 Review of General Psychology survey ranked Ainsworth as the 97th most cited psychologist of the 20th century. Many of Ainsworth's studies are "cornerstones" of modern-day attachment theory.Nina Searl
Mary Nina Searl (13 October 1883 – 26 February 1955) was an English psychologist and one of the earliest British child psychoanalysts, who came by way of the Brunswick Square Clinic to become a member of the British Psychoanalytical Society. She was analysed by Hanns Sachs.Among her supervisees was John Bowlby while she also helped train D. W. Winnicott and Susan Isaacs.Pseudophobia
A pseudophobia is a purported irrational aversion or fear whose existence is as yet unproven. Examples of this type of condition include schoolphobia and separation anxiety. The term has also been applied to first time fathers and mothers who have an exorbitant fear of hurting their own infant child due to an exaggerated perception of their fragility. John Bowlby has described the agoraphobic condition as a pseudophobia. These features may in actuality encompass a reaction to a lack of a secure refuge or other underlying pathological processes. Its origin typically derives from some dreaded memory.Psychodynamics
Psychodynamics, also known as psychodynamic psychology, in its broadest sense, is an approach to psychology that emphasizes systematic study of the psychological forces that underlie human behavior, feelings, and emotions and how they might relate to early experience. It is especially interested in the dynamic relations between conscious motivation and unconscious motivation.The term psychodynamics is also used by some to refer specifically to the psychoanalytical approach developed by Sigmund Freud (1856–1939) and his followers. Freud was inspired by the theory of thermodynamics and used the term psychodynamics to describe the processes of the mind as flows of psychological energy (libido or psi) in an organically complex brain.There are 4 different schools of thought regarding psychological treatment: Psychodynamic, cognitive-behavioral, biological, and humanistic treatment. In the treatment of psychological distress, psychodynamic psychotherapy tends to be a less intensive, once- or twice-weekly modality than the classical Freudian psychoanalysis treatment of 3-5 sessions per week. Psychodynamic therapies depend upon a theory of inner conflict, wherein repressed behaviours and emotions surface into the patient’s consciousness; generally, one's conflict is subconscious.Secure attachment
Secure attachment is classified by children who show some distress when their caregiver leaves but are able to compose themselves knowing that their caregiver will return. Children with secure attachment feel protected by their caregivers, and they know that they can depend on them to return. John Bowlby and Mary Ainsworth developed a theory known as attachment theory after inadvertently studying children who were patients in a hospital at which they were working. Attachment theory explains how the parent-child relationship emerges and provides influence on subsequent behaviors and relationships. Stemming from this theory, there are four main types of attachment: secure attachment, ambivalent attachment, avoidant attachment and disorganized attachment.Ambivalent attachment is defined by children who become very distressed when their caregiver leaves, and they are not able to soothe or compose themselves. These children cannot depend on their caregiver(s) to be there for them. This is a relatively infrequent case with only a small percentage of children in the United States affected. Avoidant attachment is represented by children who avoid their caregiver, showing no distress when the caregiver leaves. These children react similarly to a stranger as do they with their caregiver. This attachment is often associated with abusive situations. Children who are reprimanded for going to their caregiver will stop seeking help in the future. Disoriented attachment is defined by children who have no consistent way to manage their separation from and reunion with the attachment figure. Sometimes these children appear to be clinically depressed. These children are often present in studies of high-risk samples of severely maltreated babies, but they also appear in other samples.Children who have a secure attachment to their primary caregiver will grow to have higher self-esteem as well as better self-reliance. Additionally, these children tend to be more independent and have lower reported instances of anxiety and depression. These children are also able to form better social relationships.Somatic theory
Somatic theory is a theory of human social behavior based loosely on the somatic marker hypothesis of António Damásio, which proposes a mechanism by which emotional processes can guide (or bias) behavior, particularly decision-making, as well as the attachment theory of John Bowlby and the self psychology of Heinz Kohut, especially as consolidated by Allan Schore.
It draws on various philosophical models from On the Genealogy of Morals of Friedrich Nietzsche through Martin Heidegger on das Man, Maurice Merleau-Ponty on the lived body, and Ludwig Wittgenstein on social practices to Michel Foucault on discipline, as well as theories of performativity emerging out of the speech act theory of J. L. Austin, especially as developed by Judith Butler and Shoshana Felman; some somatic theorists have also tied somaticity to performance in the schools of actor training developed by Konstantin Stanislavski and Bertolt Brecht.Tavistock and Portman NHS Foundation Trust
The Tavistock and Portman NHS Foundation Trust is a specialist mental health trust based in north London. The Trust specialises in talking therapies. The education and training department caters for 2,000 students a year from the United Kingdom and abroad. The Trust is based at the Tavistock Centre in Swiss Cottage. The founding organisation was the Tavistock institute of medical psychology founded in 1920 by Dr. Hugh Crichton-Miller. It has long been regarded as a professional centre of excellence of international renown, in its application of psychoanalytic ideas to the study and treatment of mental health and interpersonal dynamics.The institution is notable for the great number of publications that have issued from it and its continuing engagement in a broad dialogue on the major social issues of the day. Its approaches have in the past been seen to be influential in the British Army, the English Prison service, aspects of the judicial system, the Probation Service, in Education, Social Services, the National Health Service, in Management consulting across industry and in the arts. Its signal attribute has been the Multidisciplinary approach to its work. The main challenge to its influence appears to be driven by accountancy-led policy.
Threats to the Clinic's organisational and financial survival have surfaced from time to time. At one such juncture, in 1994, it joined forces with the neighbouring Portman Clinic in Fitzjohn's Avenue. The Portman specialises in areas of Forensic psychiatry, including the treatment of addictive, sociopathic and criminal behaviours and tendencies.
Recipients of the James Spence Medal