Infant Attachment Checklist Copyright by Walter D. Buenning, Ph.D., 1999Symptom ExamplesAdoptive moms share examples from their children's daily lives. Just a few of these symptoms may indicate a problem. Please consult with an attachment therapist if you have concerns about your child.
*I have indicated (below in red) those areas where we had to work with D when she came home at age 11 months. It took about 2 months for her to become "normal" in most of these areas. She still has a rather high tolerance for pain. It took her probably 6-8 months before she would "hold on" in a normal fashion (#14 below) when we carried her. She would grasp our shirt at the shoulder instead of holding us back. This was probably the most painful transition for me emotionally, but I had to realize, she just didn't know how! I wanted to share that these things CAN be and most times ARE worked through. The main thing is that you are prepared and educated beforehand and even though you can't help but take it personally and feel hurt and rejected REMEMBER the child doesn't KNOW how to love you back, they have to be taught and LOVE TEACHES LOVE. Sometimes it takes more than love and your family may need attachment therapy and there is NO SHAME in that. Get your child whatever help they need. Again, prepare for the worst and hope for the best! We were prepared to deal with WAY MORE than what D presented to us and we were happily relieved.On
Dr. Buenning's website, you may download a pdf file and print this checklist as well as a separate symptom checklist designed for children ages 5 years & older.
Each symptom is on a continuum from 0-10. Individual symptoms may present from mild to severe.
- 1. Cries; miserable all the time, chronically fussy
- 2. Resists comforting or nurturance
- 3. Resists or dislikes being held
- 4. Poor eye contact or avoids eye contact
- 5. Flat, lifeless affect (too quiet)
- 6. Likes playpen or crib more than being held
- 7. Rarely cries (overly good baby)
- 8. Angry or rageful when cries
- 9. Exceedingly demanding
- 10. Looks sad or empty-eyed
- 11. Wants to hold bottle as soon as possible
- 12. Stiffens or becomes rigid when held
- 13. Prefers being held with back toward mother
- 14. Does not hold on when being held (no reciprocal holding)
- 15. When held chest to chest, faces away
- 16. Does not return or reciprocate hugs
- 17. Generally unresponsive to parent
- 18. Cries or rages when held beyond his wishes
- 19. Overly independent play or makes no demands
- 20. Reaches for others to hold him rather than parent
- 21. Little or reduced verbal responsiveness
- 22. Does not return smiles
- 23. Shows very little imitative behavior
- 24. Prefers Dad to Mom
- 25. Gets in and out of parents lap frequently
- 26. Physically restless when sleeping
- 27. Does not react to pain (high pain tolerance)
My baby is blossoming, slowly, slowly, slowly. But some days it is a Herculean effort.
We continue to follow her progress and pray for her future. Her new family is very patient and has lots of good support and therapies.
I do not think PAP's realize the stress that attachment issues can cause within a family. A very good book on this subject is "An Unlit Path" by Deborah Hannah. http://www.amazon.com/gp/product/1600344852/103-6394096-9033411