Cassibba et al. (2013) Attachment the Italian Way (Edexcel A-Level Psychology): Revision Notes
Cassibba et al. (2013) Attachment the Italian way
Background
Rosalinda Cassibba, Giovanna Sette, Marian Bakermans-Kranenburg, and Marinus van IJzendoorn conducted the first meta-analysis of attachment types within Italy. They defined Italy as an individualistic Western culture that also possesses collectivistic characteristics, particularly an emphasis on family and dependence. This research provided the first comprehensive examination of how attachment patterns manifest in Italian society.
Unresolved attachment refers to a type of attachment indicative of unresolved loss, typically stemming from trauma or abuse. This classification is important for understanding attachment difficulties that may require clinical intervention.
Participants
The meta-analysis included data from multiple studies:
- Children: 627 participants across 17 studies that used the Strange Situation Procedure (SSP)
- Adults: 2258 participants from studies using the Adult Attachment Interview (AAI) or similar attachment interviews
Participants represented both clinical (at-risk) and non-clinical samples from Italy. The research examined potential differences based on gender, age groups, and population type (clinical versus non-clinical).
Aim
The research had several objectives:
- To investigate whether the majority of Italian children and adults are classified as having secure attachment
- To discover whether Italian adults, particularly Catholics (who form the majority religious group), would show a lower percentage of unresolved attachments compared to other countries
- To examine whether children and adults from clinical samples vary in attachment type distribution compared to non-clinical samples
- To investigate potential gender differences in the distribution of attachment types
Procedure
Methodology
The researchers conducted a meta-analysis, synthesising data from existing studies. They gathered data from:
- PsycINFO: A psychology database of academic journals, using the keyword search terms 'Italian', 'attachment', and 'Strange Situation Procedure'
- Italian journals, publications, and doctoral dissertations to ensure comprehensive coverage
Selection criteria
The selection process identified 17 studies using the Strange Situation Procedure with 627 participants, and studies with 2258 participants using the Adult Attachment Interview or similar attachment interviews. Statistical tests were employed to compare SSP data with AAI data.
Comparison groups
The ratios of attachment types in Italian samples were compared to:
- American samples from Van IJzendoorn and Kroonenberg's (1988) analysis for SSP data
- American data from Bakermans-Kranenburg and Van IJzendoorn's analysis for AAI data
The research assessed intercultural differences within Italy in terms of gender, age groups, and type of population.
Classification Systems
Strange Situation Procedure (SSP) produces three main classifications:
- Type A: Insecure-avoidant attachment
- Type B: Secure attachment
- Type C: Insecure-resistant attachment
Adult Attachment Interview (AAI) produces classifications:
- Type D: Dismissing
- Type E: Preoccupied
- Type F: Secure-autonomous
- Type U: Unresolved loss
These AAI classifications (D, F, and E) are similar to the SSP classifications (Types A, B, and C) but are used for adults.
Methodological controls
To ensure valid comparisons, the researchers employed rigorous methodological standards:
- Used only studies employing the 'gold standard' Strange Situation Procedure for child-parent attachments
- Assessed adult attachments using interviews coded with inter-rater reliability of at least 0.75
- Used accredited adult attachment interviews endorsed by Mary Main
- Ensured all samples employed very similar procedures and coding measures
- This rigorous approach ensured accurate comparisons could be made between samples
Findings
Children's attachment patterns
Non-clinical Italian children were classified as:
- 33% Type A (insecure-avoidant)
- 53% Type B (secure)
- 14% Type C (insecure-resistant)
Compared to the USA sample, Italian children showed more avoidant attachment patterns.
Clinical versus non-clinical children
Clinical and at-risk children demonstrated attachment patterns of:
- Type A: 40%
- Type B: 32%
- Type C: 28%
Italian clinical/at-risk children showed a higher proportion of insecure attachment and fewer secure attachment types compared to USA clinical samples. Additionally, there was a higher percentage of avoidant attachment among Italian clinical children compared to USA clinical children. Italian children with clinical/at-risk mothers appeared to be more avoidant and less secure in their attachments.
Key Finding: Cultural Pattern in Avoidant Attachment
The research revealed that both non-clinical and clinical Italian children showed over-representation of avoidant attachments compared to American samples. For example, non-clinical Italian children showed 33% Type A (avoidant) attachment, while their American counterparts showed lower rates. This pattern held true even in clinical samples, suggesting a cultural influence on attachment patterns rather than merely individual differences.
Adults' attachment patterns
In all samples of Italian mothers, the secure-autonomous category (F) was highest:
- 22% dismissing (Type D)
- 59% secure-autonomous (Type F)
- 19% preoccupied (Type E)
The combined samples of Italian non-clinical fathers showed a slight rise of dismissing fathers compared to mothers. Parents with children who have psychological problems were more likely to have E classification (preoccupied) and were often less secure, with a higher likelihood of unresolved loss. However, this pattern was not characteristic of the whole sample.
Unresolved attachments were under-represented in the Italian adult sample compared to expectations. When violence was evident in the family, there was an over-representation of Type D (dismissing) at 52%.
Gender differences
Testing gender differences between non-clinical fathers and non-clinical mothers did not produce a substantial difference in attachment classification.
Conclusion
The majority of non-clinical Italian infants were classified as securely attached. Similarly, the majority of non-clinical Italian adults were classified in the secure attachment category, demonstrating patterns remarkably similar to those in the normative American group.
Although these cross-cultural similarities support the universality hypothesis of attachment theory, the meta-analysis also revealed cultural differences. Both non-clinical and clinical Italian infants' distribution showed an over-representation of avoidant attachments. This pattern may be explained through differences between Italian and American childrearing practices.
Cultural explanations
Key Cultural Differences in Parenting Practices
Italian mothers tend to think that child development is largely a natural process in which adults play a very small role. American mothers, conversely, assume they are responsible as parents in promoting their children's development. These contrasting beliefs lead to differences in how much mothers invest into parenting.
Italian mothers display parenting styles that stimulate early independency and expect high levels of social maturity in their children. Cassibba et al. speculated that the under-representation of unresolved attachments is due to the Italians' religious faith and their capability in times of hardship.
Evaluation: Strengths
- This was the first meta-analysis of attachment in Italy, providing the scientific community with valuable insights into the distributions of infant, adolescent, and adult attachment across Italian society
- The research provides a useful comparison tool for analysing samples both in Italy and elsewhere, establishing baseline data for future research
- The researchers employed rigorous methodological controls, ensuring that only studies using the 'gold standard' Strange Situation Procedure were included for child-parent attachments
- Adult attachments were assessed using interviews with inter-rater reliability of at least 0.75, or using accredited adult attachment interviews endorsed by Mary Main
- These controls ensured accurate comparisons could be made between samples as they employed very similar procedures and coding measures
- The study used unpublished studies, doctoral dissertations, and conference papers to avoid the 'file drawer' effect where null findings are not published, making the sample more representative
Evaluation: Weaknesses
- Comparisons of the Strange Situation Procedure could only be made with 1992 data from America, questioning the contemporaneous validity of the data comparison
- The research does not address the father's role of attachments within Italy and America, which was also a limitation for Bowlby and his attachment theory
- Cassibba et al. admit that a lack of paternal attachment types still requires research, but this appears to be a global issue rather than specifically an Italian issue
- There is potential for experimenter bias as Cassibba et al. were using a database and specifying search words, meaning they may have dismissed studies they felt were inappropriate
- Although meta-analysis studies are normally time-saving and cost-effective, there is a tendency to be subjective about the data that is analysed
- There is no unanimous strategy for meta-analysis sample selection, and what may be considered appropriate research practices may not correspond to that of others; therefore, generalisation of results is limited
- The researchers employed specific databases and search terms which may have excluded relevant studies, potentially affecting the comprehensiveness of the findings
- The study relies on secondary data analysis, meaning the original researchers had control over data collection methods and any limitations in those original studies would carry through to this meta-analysis
Key Points to Remember:
- Cassibba et al. (2013) conducted the first meta-analysis of attachment types in Italy, examining 627 children across 17 SSP studies and 2258 adults using the AAI
- The majority of non-clinical Italian children (53%) and adults (59%) were classified as securely attached, similar to American samples, supporting the universality of attachment theory
- Italian children showed higher rates of avoidant attachment (33%) compared to USA samples, potentially explained by Italian parenting practices that emphasise early independence and natural child development
- Clinical and at-risk Italian samples showed higher rates of insecure attachment patterns, with increased avoidant attachment in children and preoccupied attachment in parents with children experiencing psychological problems
- Strengths include rigorous methodological controls and being the first comprehensive Italian attachment study; weaknesses include outdated comparison data (1992), potential experimenter bias in study selection, and subjective nature of meta-analysis procedures