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INTRODUCTION
The development of attachment measures began with the assessment of
infant behavior, in the Strange Situation Paradigm. This procedure and the
establishment of its validity led to the “move to the level of representations”
(Ma“in et al. 1985), in the assessment of attachment patterns later in devel-
opment. The greatest achievement here was the Adult Attachment Interview
(AAI; George et al. 1985, Main 1995). The measure described in this chap-
ter has drawn on both the infant and the adult paradigms and coding strate-
gies, in an effort to produce an assessment of attachment in the middle
school years.
Measures designed to assess attachment organization in infancy and
adulthood have been widely applied and thus well established; the study of
attachment in early and middle childhood has proven more problematic.
The measurement of attachment in infancy has been rightly restricted to
the behavioral level, while in adulthood it has been measured through lan-
guage and representations. As Ainsworth (1990) argued, the chief concern
in using a separation-reunion procedure comparable to the Strange Situa-
tion beyond infancy is that with increasing age, the degree of stress induced
decreases as the child is gradually exposed to everyday separations of greater
length.
In parallel, a plethora of instruments designed to elicit mental represen-
tations of attachment in early and middle childhood have been developed,
all sharing the assumption that inferred mental representations reflect
children’s attachment organization. Semi-projective measures eliciting men-
tal representations through drawings (Separation Anxiety Test SAT; Shouldice
and Stevenson-Hinde 1992, Slough and Greenberg 1990), family photos and
drawings (Main et al. 1985), story stems (Bretherton et al. 1990), and doll
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play (Solomon et al. 1995) have also been employed with mixed results. While
these studies demonstrated associations between classifications derived behav-
iorally and representationally, the need to replicate such findings (Main 1995),
low test-retest reliability (Wright et al. 1995), and questions of validity (Bow-
ers et al. 1994) highlight the need for further work.
Hence we were interested in trying to develop age appropriate measures
for assessing how attachment patterns are manifested in middle childhood.
Hitherto, there has been an assumption that children would not respond
meaningfully when asked directly about attachment experiences. However,
Ammaniti and colleagues (1990, in press) have extensive experience in ad-
ministering a slightly modified version of the AAI protocol to early adoles-
cents and preadolescents, and the interview material is coded using the usual
AAI coding procedure. Similarly, Trowell (personal communication) has
used the AAI in an important London study of sexually abused preadoles-
cent girls, and found it acceptable. Adopting a representational approach,
most measures have derived attachment classifications based solely upon
an analysis of children’s verbal responses. However, nonverbal communi-
cation, not limited to separation-reunion behavior, may be a very useful
source of information in identifying distinct attachment patterns, and would
go some way toward integrating representational and behavioral approaches
to the study of attachment.
The Child Attachment Interview (CAI) was thus developed in an attempt
to complement existing attachment measures. Independent of the present
authors, Dante Cicchetti (personal communication) and his colleagues de-
veloped a similar protocol, and have been administering it for a period of
ten years, but without a coding system. The present paper reports the de-
velopment of our CAI protocol and coding and classification system and
presents the results of a pilot study conducted to establish the psychomet-
ric properties of the newly developed measure.
PARTICIPANTS
The sample comprised 2 independent groups, of 20 (Sample 1) and 28
(Sample 2). All were children without known mental health problems, of ages
7-13. Sample 1 was recruited from a predominantly middle class area and
Sample 2 from a low income group. Analyses showed no significant differ-
ences between these groups on age, gender, ethnicity, and parental status, and
the two samples are therefore combined for this paper. The age of children
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REPRESENTATIONS IN SCHOOL-AGE
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PROCEDURE
ADMINISTRATION
Two interviewers with experience in the administration of the interview
conducted the assessments. The CAI formed part of a larger battery of
measures including, among others, measures of expressive language and IQ,
administered over 1-2 sessions. The CAI was completed first and conducted
in a private room with interviewer and child sitting face to face. Before the
beginning of each assessment, the interviewer explained the nature of the
study and ensured that the child felt at ease and consented to take part.
The duration of the interview ranged from 20 minutes to 1 hour, and the
sessions were videotaped. For the 28 children in Sample 2, the AAI was
also administered to the mother, to examine predictive validity. All parents
were asked to complete the Child Behavior Checklist (CBCL; Achenbach
and Edelbrock 1983). Following an interval of approximately 2 months,
children in Sample 2 were assessed again by the same interviewer, when
only the CAI was completed, for evaluation of test-retest reliability.
CODING
There were three independent judges familiar with current attachment assess-
ment methodologies, and involved in developing the current coding system.
The first (YSG), earned her Ph.D. co-developing the Child Attachment In-
terview and collecting, coding, and producing the first analyses of the child
attachment data described; the second and third judge, final year clinical
psychology trainees, each coded one sample. Coding was based on the video-
recorded interviews, to allow a behavioral as well as a linguistic analysis.
MEASURES
mind. First, akin to the AAI, the CAI needed to activate the attachment
system so as to elicit attachment-related information. Second, while the
interview needed to be constructed so as to reveal structural variations in
presentation, it also needed to be flexible enough to help children with the
demands placed upon them, but without compromising validity. Third, in
contrast to the AAI, we decided that the CAI should focus on recent at-
tachment-related events and how the current relationships with each par-
ent were represented.
Guided by the above criteria, the questions comprising the interview were
initially taken from the Berkeley Autobiographical Interview (Main et al. 1985)
and the AAI, and adapted for use with children in the 7-12 years age range.
The version of the interview reported on below (a second version, extensively
modified following piloting) comprised 14 questions plus probes:
REPRESENTATIONS IN SCHOOL-AGE
ATTACHMENT CHILDREN
were singular or multiple internal working models within this age range.
Third, we segmented the interview into descriptions of interactions with
parents, termed Relationship Episodes (REs). The concept of REs was in-
formed by Luborsky’s (Luborsky and Crits-Christoph 1990) Core Conflic-
tual Relationship Theme method, in which REs identified from psychothera-
peutic sessions were studied. Identifying REs revealed the richness of the
information elicited and highlighted the importance of not only the linguistic
content and form of the narrative, but also nonverbal communication as a
key source of information.
The majority of the scales aimed to assess the child’s overall current state
of mind with respect to attachment, a state of mind which is assumed to be
reflected in the narrative as a whole. However, three of the scales, namely
Preoccupied Anger, Idealization, and Dismissal, were rated separately for
mother and father and all ranged from 1, denoting a low score, to 9, de-
noting a high score.
Emotional Openness. The Emotional Openness scale was developed in
order t o assess the child’s ability t o express and label emotions, and to
ground them in descriptions of interactions with attachment figures. We were
influenced by Sroufe and Fleeson’s (1986) affect-regulation model, and stud-
ies that have identified emotional openness as an important aspect of chil-
dren’s attachment-related narratives and a marker of security of attachment
(Oppenheim 1997, Slough and Greenberg 1990, Wright et al. 1995).
Preoccupied Anger. The CAI Preoccupied Anger scale was developed as
an age-appropriate modified version of the Involved/Preoccupying Anger
scale of the AAI (Main and Goldwyn 1994). We found that it was vital to
underline the involving nature of the anger, and (in contrast to the AAI) to
include involving denigration or contempt, as well as anger itself.
Idealization. The CAI Idealization scale was also conceptually based
upon the AAI Idealization scale but was modified to reflect the responses
given by children. It aimed t o measure the extent to which the child at-
tempted to present an unsupported picture of an “ideal” parent.
Dismissal. This scale was used to assess active denial of attachment and
the presentation of parents and attachment experiences as unimportant.
Self-Organization. This scale attempted to capture the child’s internal
representation of self-efficacy, based on the presence of self-initiated and
constructive conflict resolutions (Cassidy 1988, Oppenheim 1997, Sroufe
et al. 1983).
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REPRESENTATIONSIN SCHOOL-AGE
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RESULTS
The results are presented in four main sections. First, descriptive results re-
lating to the CAI scales, intra-correlations, and the internal consistency of
the coding and classification system are reported. In the second section, inter-
rater reliabilities for scales and main and subclassifications are presented. In
the third section, test-retest reliability over a 2-month period is presented,
followed by an examination of AAI-CAI concordance for a subsample.
DESCRIPTIVE RESULTS
Ratings on all CAI scales with the exception of Anger ranged from 1 to 8
or 9, suggesting that ratings were not restricted to a narrow band of low
or high scores. ( M ranged from 2.5 to 5.6; SD ranged from 1.4 to 2.0.)
Ratings on the Anger scale for both mother and father ranged from 1 to
4.5 ( M = 1.2, SD = 0.6), and the modal rating was 1 (no preoccupied anger),
showing a much narrower use of the scale.
Internal consistency between the 9 CAI scales was calculated, and found to
be very high: Cronbach’s alpha of .912 for mother and .898 for father.
Bal ,549"
UoE .526* .612
PA-F -.138 -.112 .034
PA-M -.143 .011 -.133 .128
ID-F -.306 -.497* -.415' -.005 .003
ID-M -.409* -58' -.510* -.042 -.034 .741'
DS-F -.696* -.279 -521' .201 .349' .010 .120
DS-M -.788' -.377' -.605' .127 .223 .071 .190 .889"
RES .763* .241 .687* -.043 -.169 -.175 -.274 -.652" -.708*
SO .785' .465' .800" -.003 -.150 -.233 -.409' -.618* -.709*
.787'
COH .887' 566' .883' -.030 -.275 -.381" -.470" -.715' -.757*
-.747' .812'
'p < .01
'Key to scale abbreviations: EO-Emotional Openness; Bal-Balance of Positive/Negative References to Attachment Figures; UoE-Use of
Examples; PA-FIM-Preoccupied Anger with Respect to FathedMother; ID-FIM-Idealization with Respect to FathdMother; DS-F/M-Dis-
missal with Respect to FatherIMother; RES-Resolution of Conflicts; SO-Self-organization; COH-Overall Coherence.
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REPRESENTATIONS IN SCHOOL-AGE
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P < ,001
securitylinsecurity; 70 percent, tau = .644, p < .001 and 62 percent, tau = .674,
p c .001 for the four levels of security, for mother and father respectively.
Test-Retest Reliability Test-retest reliability was assessed for Sample 2
(n = 28). Each child was seen on two occasions with an interval of approxi-
mately 8 weeks between the two sessions. CAIs for the two time periods were
coded independently by two judges, YSG for time 1 and Tp for time 2. Al-
though this confounded test-retest and inter-rater reliability, it was felt to be
necessary to avoid the inflation of reliability likely to be introduced if a single
judge coded both interviews.
Test-Retest Reliability for Scales Spearman’s correlations ranged from
.383 to 1 and were all significant with the exception of Idealization of both
parents, and Resolution of Conflict. Percent of agreement within 1 scale-
point ranged from 46 percent to 100 percent. Except in the cases of Emo-
tional Openness, Preoccupied Anger with respect to both parents, Resolu-
tion of Conflict, and Self-organization, percent of agreement did not reach
an acceptable level using conservative criteria.
Test-Retest reliability for Main Classifications Concordance between
time 1 and time 2 was very high (85.7 percent, k = .684, p c .001 with
respect to mother; 82.1 percent, k = .620. p < .001 with respect to father).
Test-Retest reliability for Subclassifications Concordance between at-
tachment sub-classifications at time 1 and time 2 with respect to mother
was very high (71.4 percent, tau = 746, p < .001) as was the concordance
with respect to father (67.8 percent, tau = .735, p < .001).
PREDICTIVEVALIDITY
The relationship between mothers’ current state of mind with respect to
attachment as assessed by the AAI and their children’s attachment status
as assessed by the CAI was examined (n = 28). The correspondence between
main attachment classifications for mother-child dyads was highly signifi-
cant (75 percent, k = 510, p < .004). Twelve of the 18 children rated as
Secure as assessed by the CAI had Secure mothers as assessed by the AAI
(67 percent). Nine of the 10 children classified as Insecure by the CAI had
Insecure mothers as classified by the AAI (90 percent).
DISCUSSION
In addressing the existing “measurement gap” in measures of attachment
for middle childhood, the current study had three aims: first, to construct
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The first step in examining the psychometric properties of the CAI cod-
ing and classification system was to establish the degree of agreement be-
tween raters. The percentage of agreement within 1 scale-point between
skilled judges for all CAI scales was very high (83 percent to 98 percent).
Inter-rater agreement for main attachment category placement (95.8 per-
cent and 97.9 percent) and subclassification placement (85.4 percent and
87.2 percent), in addition, was shown to be high for both mother and fa-
ther, showing that the current CAI coding and classification system allows
experienced raters consistently to distinguish between Secure and Insecure
interview responses. Interrater reliability with a naive rater was consider-
able lower on scale scores, though all correlations were statistically signifi-
cant. Agreement for main classifications with respect to both mother and
father was very high, and acceptable for subclassifications.
Test-retest reliability across a 2-month period, using a different coder
for the two time points, produced somewhat mixed results. Percentage of
agreement within 1 scale-point was adequate overall (46 percent to 100
percent); test-retest reliability for main attachment classifications (Secure
vs. Insecure) with respect to both mother and father were very high (85.7
percent and 82.1 percent respectively) and somewhat lower for subclassifi-
cations (71.4 percent and 67.85 percent). This stability of the secure-inse-
cure distinction was comparable with reported infant and adult data (in
adulthood, Bakermans-Kranenburg and van lJzendoorn [ 19931 reported
stability across 1-15 months ranging from 77 percent to 90 percent; Lamb
and colleagues [1985] found 77.1 percent; Waters [1978] found 96 percent
stability in infants across a 6-month interval). Stability of scales has been
scarcely reported. Waters (1978) reported that reliability of discrete-behavior
variables in the Strange Situation was very low across a 6-month period.
Wright and colleagues (1995) reported that test-retest reliability for the SAT
following a 4-week interval did not reach statistical significance. AAI data
is unavailable, to our knowledge.
Predictive validity for mother-child dyads (AAI-CAI) was shown to be
high (75 percent), based on this preliminary data, and comparable to that
reported for infant-mother concordance rates based on the Strange Situa-
tion (e.g., van IJzendoorn found 70 percent concordance across 18 stud-
ies). Discriminant validity, in relation to IQ and verbal fluency, seems to
be satisfactory.
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REFERENCES
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