{"title":"Childhood Attachment Patterns and Disorders.","authors":"Victoria Fierro-Cobas","doi":"10.1542/pir.2025-006869","DOIUrl":null,"url":null,"abstract":"<p><p>Pediatricians spend a substantial part of patients' visits counseling on development and behavior. In many cases, the root of behavioral challenges is the relationship between the child and their caregiver. Pediatricians need to know the signs of unhealthy relationship patterns that indicate the need for more resources other than the usual anticipatory guidance. This article reviews the attachment patterns that a child can form with their caregiver, detailing the characteristics of secure and insecure relationships. This article also describes the conditions in which a disorder of attachment or of social engagement can present and how to identify and properly manage these disorders.</p>","PeriodicalId":20007,"journal":{"name":"Pediatrics in review","volume":"47 8","pages":"450-458"},"PeriodicalIF":1.5000,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pediatrics in review","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1542/pir.2025-006869","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0
Abstract
Pediatricians spend a substantial part of patients' visits counseling on development and behavior. In many cases, the root of behavioral challenges is the relationship between the child and their caregiver. Pediatricians need to know the signs of unhealthy relationship patterns that indicate the need for more resources other than the usual anticipatory guidance. This article reviews the attachment patterns that a child can form with their caregiver, detailing the characteristics of secure and insecure relationships. This article also describes the conditions in which a disorder of attachment or of social engagement can present and how to identify and properly manage these disorders.
期刊介绍:
Pediatrics in Review (PIR) is the American Academy of Pediatrics’ monthly peer-reviewed continuing medical education journal, designed to keep the general pediatric clinician current in all areas of pediatric medicine and to assist those participating in the Maintenance of Certification program of the American Board of Pediatrics (ABP).
The journal is one of the key components of the Academy’s continuing medical education program: PREP® (the Pediatrics Review and Education Program). Together, PIR and the PREP Self-Assessment comprise PREP The Curriculum®.
Each PIR review article includes quiz questions formulated by topic experts.