scholarly journals Attachment Theory and Spirituality: Two Threads Converging in Palliative Care?

2013 ◽  
Vol 2013 ◽  
pp. 1-14 ◽  
Author(s):  
Cécile Loetz ◽  
Jakob Müller ◽  
Eckhard Frick ◽  
Yvonne Petersen ◽  
Niels Christian Hvidt ◽  
...  

The aim of this paper is to discuss and explore the interrelation between two concepts, attachment theory and the concept of spirituality, which are important to palliative care and to founding a multivariate understanding of the patient’s needs and challenges. Both concepts have been treated by research in diverse and multiform ways, but little effort has yet been made to integrate them into one theoretical framework in reference to the palliative context. In this paper, we begin an attempt to close this scientific gap theoretically. Following the lines of thought in this paper, we assume that spirituality can be conceptualized as an adequate response of a person’s attachment pattern to the peculiarity of the palliative situation. Spirituality can be seen both as a recourse to securely based relationships and as an attempt to explore the ultimate unknown, the mystery of one’s own death. Thus, spirituality in the palliative context corresponds to the task of attachment behavior: to transcend symbiosis while continuing bonds and thus to explore the unknown environment independently and without fear. Spiritual activity is interpreted as a human attachment behavior option that receives special quality and importance in the terminal stage of life. Implications for clinical practice and research are discussed in the final section of the paper.

2002 ◽  
Vol 6 (2) ◽  
pp. 123-151 ◽  
Author(s):  
R. Chris Fraley

A central tenet of attachment theory is that a person's attachment pattern in adulthood is a reflection of his or her attachment history—-beginning with the person's earliest attachment relationships. However, the precise way in which early representations might shape adult attachment patterns is ambiguous, and different perspectives on this issue have evolved in the literature. According to the prototype perspective, representations of early experiences are retained over time and continue to play an influential role in attachment behavior throughout the life course. In contrast, the revisionist perspective holds that early representations are subject to modification on the basis of new experiences and therefore may or may not reflect patterns of attachment later in life. In this article, I explore and test mathematical models of each of these theoretical processes on the basis of longitudinal data obtained from meta-analysis. Results indicate that attachment security is moderately stable across the first 19 years of life and that patterns of stability are best accounted for by prototype dynamics.


Author(s):  
Fernanda Capella Rugno ◽  
Marysia Mara Rodrigues do Prado De Carlo

ABSTRACT Objective: to identify and evaluate the evidence found in the international scientific literature on the application of the Palliative Outcome Scale (POS) in clinical practice and research in Palliative Care (PC). Method: integrative literature review, through the search of publications in journals indexed in PubMed / MEDLINE, LILACS, SciELO and CINAHL databases, between the years 1999 and 2014. Results: the final sample consisted of 11 articles. In the data analysis, the articles were classified into 2 units of analysis (studies using the POS as a resource in research and studies using the POS in clinical practice), in which the information was presented in the form of sub-themes related to publications of the selected studies, highlighting the synthesis of the results. Conclusion: POS emerged as an important tool for measuring outcomes to assess the quality of life of patients and families, of the quality of care provided and the PC service organization. The international scientific literature on the application of POS proved to be relevant to the advancement and consolidation of the field of knowledge related to PC.


2018 ◽  
Vol 27 (6) ◽  
pp. 2211-2219 ◽  
Author(s):  
Sayaka Maeda ◽  
Tatsuya Morita ◽  
Masayuki Ikenaga ◽  
Hirofumi Abo ◽  
Yoshiyuki Kizawa ◽  
...  

10.18060/130 ◽  
2007 ◽  
Vol 8 (1) ◽  
pp. 30-48
Author(s):  
Timothy Page ◽  
Rhonda Norwood

Attachment theory, as developed by Bowlby and Ainsworth, represented a major departure from the current theories of human development of the time, particularly in its rejection of the major tenets of psychoanalytic theory and its integration of core ideas from evolution theory and cybernetics (Ainsworth & Bowlby, 1991). Attachment theory posits that a foundational human instinct, the desire to achieve safety and protection through proximity to a protective figure, is responsible for the formation of a special class of life-long affectional bonds, referred to as “attachments.” Emotional security is derived to a great extent, according to the theory, from experience with caregivers who are consistently responsive to the developing infant’s expression of attachment behavior toward them. Forty years of empirical research has shown that attachment is a universal characteristic that predicts children’s development of cognitive and social competence, emotional regulation, and positive self-image (Weinfield, Sroufe, Egeland, & Carlson, 1999). Social work educators are currently challenged to better integrate the findings of attachment research into their curricula to reflect more the current state of developmental science.


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