Developmental and attachment-based perspectives on dissociation: beyond the effects of maltreatment

Background: Numerous years of theory and research have informed our understanding of the caregiving experiences that confer vulnerability for dissociation. This work has resulted in widespread agreement on the role of childhood maltreatment as an aetiological factor. Objective: With clear integratio...

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Main Authors: Camille Guérin-Marion, Sage Sezlik, Jean-François Bureau
Format: Article
Language:English
Published: Taylor & Francis Group 2020-12-01
Series:European Journal of Psychotraumatology
Subjects:
Online Access:http://dx.doi.org/10.1080/20008198.2020.1802908
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author Camille Guérin-Marion
Sage Sezlik
Jean-François Bureau
author_facet Camille Guérin-Marion
Sage Sezlik
Jean-François Bureau
author_sort Camille Guérin-Marion
collection DOAJ
description Background: Numerous years of theory and research have informed our understanding of the caregiving experiences that confer vulnerability for dissociation. This work has resulted in widespread agreement on the role of childhood maltreatment as an aetiological factor. Objective: With clear integration of this perspective, the current paper draws attention to the spectrum of vulnerability that can exist over and above the trauma of maltreatment within early caregiving experiences. Method: An integrative review of the developmental literature on dissociation is presented. Results: We first review and integrate existing developmental theories of dissociation into a more unified perspective, highlighting a combination of defensive and intersubjective pathways towards dissociative outcomes. Next, we present empirical research demonstrating which specific caregiving experiences are associated with dissociation. Lastly, we review recent neurodevelopmental research demonstrating that (non-extreme) caregiving stressors during infancy impact the developing limbic structures in the brain. We conclude by offering directions for future research. Conclusion: Findings make the case for approaching assessments of the caregiver-child relationship with discernment of factors beyond the presence/absence of maltreatment when conceptualizing risk pathways toward dissociation.
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spelling doaj.art-6f7ac3147bbd4e1dabd90740c42a58d22023-01-12T15:31:32ZengTaylor & Francis GroupEuropean Journal of Psychotraumatology2000-80662020-12-0111110.1080/20008198.2020.18029081802908Developmental and attachment-based perspectives on dissociation: beyond the effects of maltreatmentCamille Guérin-Marion0Sage Sezlik1Jean-François Bureau2University of OttawaUniversity of OttawaUniversity of OttawaBackground: Numerous years of theory and research have informed our understanding of the caregiving experiences that confer vulnerability for dissociation. This work has resulted in widespread agreement on the role of childhood maltreatment as an aetiological factor. Objective: With clear integration of this perspective, the current paper draws attention to the spectrum of vulnerability that can exist over and above the trauma of maltreatment within early caregiving experiences. Method: An integrative review of the developmental literature on dissociation is presented. Results: We first review and integrate existing developmental theories of dissociation into a more unified perspective, highlighting a combination of defensive and intersubjective pathways towards dissociative outcomes. Next, we present empirical research demonstrating which specific caregiving experiences are associated with dissociation. Lastly, we review recent neurodevelopmental research demonstrating that (non-extreme) caregiving stressors during infancy impact the developing limbic structures in the brain. We conclude by offering directions for future research. Conclusion: Findings make the case for approaching assessments of the caregiver-child relationship with discernment of factors beyond the presence/absence of maltreatment when conceptualizing risk pathways toward dissociation.http://dx.doi.org/10.1080/20008198.2020.1802908dissociationcaregiver-child relationshipscaregivingattachmentdisorganized attachmentbrain developmentamygdalahippocampusmaltreatmenttrauma
spellingShingle Camille Guérin-Marion
Sage Sezlik
Jean-François Bureau
Developmental and attachment-based perspectives on dissociation: beyond the effects of maltreatment
European Journal of Psychotraumatology
dissociation
caregiver-child relationships
caregiving
attachment
disorganized attachment
brain development
amygdala
hippocampus
maltreatment
trauma
title Developmental and attachment-based perspectives on dissociation: beyond the effects of maltreatment
title_full Developmental and attachment-based perspectives on dissociation: beyond the effects of maltreatment
title_fullStr Developmental and attachment-based perspectives on dissociation: beyond the effects of maltreatment
title_full_unstemmed Developmental and attachment-based perspectives on dissociation: beyond the effects of maltreatment
title_short Developmental and attachment-based perspectives on dissociation: beyond the effects of maltreatment
title_sort developmental and attachment based perspectives on dissociation beyond the effects of maltreatment
topic dissociation
caregiver-child relationships
caregiving
attachment
disorganized attachment
brain development
amygdala
hippocampus
maltreatment
trauma
url http://dx.doi.org/10.1080/20008198.2020.1802908
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