Maternal Deprivation Today
Whilst Bowlby's early writings on maternal deprivation may be seen as part of the background to the later development of attachment theory, there are many significant differences between the two. At the time of the 1951 publication, there was little research in this area and no comprehensive theory on the development of early relationships. Aside from its central proposition of the importance of an early, continuous and sensitive relationship, the monograph concentrates mostly on social policy. For his subsequent development of attachment theory, Bowlby drew on concepts from ethology, cybernetics, information processing, developmental psychology and psychoanalysis. The first early formal statements of attachment theory were presented in three papers in 1958, 1959 and 1960. His major work Attachment was published in three volumes between 1969 and 1980. Attachment theory revolutionised thinking on the nature of early attachments and extensive research continues to be undertaken.
According to Zeanah, "ethological attachment theory, as outlined by John Bowlby ... 1969 to 1980 ... has provided one of the most important frameworks for understanding crucial risk and protective factors in social and emotional development in the first 3 years of life. Bowlby's (1951) monograph, Maternal Care and Mental Health, reviewed the world literature on maternal deprivation and suggested that emotionally available caregiving was crucial for infant development and mental health." Beyond that broad statement, which is now generally accepted, little remains of the underlying detail of Bowlby's theory of maternal deprivation that has not been either discredited or superseded by attachment theory and other child development theories and research, except in the area of extreme deprivation.
The opening of East European orphanages in the early 1990s following the end of the Cold War provided substantial opportunities for research on attachment and other aspects of institutional rearing, however such research rarely mentions "maternal deprivation" other than in a historical context. Maternal deprivation as a discrete syndrome is a concept that is rarely used other than in connection with extreme deprivation and failure to thrive. Rather there is consideration of a range of different lacks and deficiencies in different forms of care, or lack of care, of which attachment is only one aspect, as well as consideration of constitutional and genetic factors in determining developmental outcome. Subsequent studies have however confirmed Bowlby's concept of "cycles of disadvantage" although not all children from unhappy homes reproduce the deficiencies in their own experience. Rather, it is now conceptualised as a series of pathways through childhood and a number of varied influences will determine which path a particular child takes.
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