Assessment & Research

Challenging behaviour and insecure attachment.

Clegg et al. (2002) · Journal of intellectual disability research : JIDR 2002
★ The Verdict

Over-clingy ties to just one caregiver forecast more hitting, biting, and tantrums in teens with severe ID.

✓ Read this if BCBAs doing assessments for residential or school placement of youth with severe ID.
✗ Skip if Clinicians serving only high-functioning ASD clients who live at home.

01Research in Context

01

What this study did

Staff at two schools rated the students with severe intellectual disability. Ages ranged from 11 to 18.

Each student lived outside the family home. Staff used a short checklist about close relationships. They also recorded how often challenging behaviour happened.

02

What they found

Teens who clung to only one or two adults showed more aggression, self-injury, and tantrums. The link stayed strong even after the team counted age, gender, and time in care.

03

How this fits with other research

Muskat et al. (2016) saw the same pattern in younger kids with autism. When teachers felt more conflict, the child usually showed more oppositional behaviour. The trouble just moves from caregivers to teachers.

Bauminger et al. (2003) and Kasari et al. (2011) looked at high-functioning students with autism. These kids wanted friends but still ended up lonely and on the edge of classroom networks. Together the four papers show: poor fit with adults or peers predicts either behaviour problems or loneliness, depending on the child’s level of disability.

Yamaoka et al. (2022) and Bromley et al. (2004) flip the view to the caregiver. Mothers of children in special schools report high stress and poor health. The child’s challenging behaviour strains the whole relationship circle.

04

Why it matters

During intake, ask who the client leans on. One clingy bond is a red flag. Plan to build two or three secure ties with staff or peers. Spread the attachment and you usually see behaviour drop.

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Add a quick attachment map to your intake: list every adult the client seeks for comfort; flag if the list has only one or two names and plan to grow it.

02At a glance

Intervention
not applicable
Design
survey
Sample size
54
Population
intellectual disability
Finding
positive

03Original abstract

BACKGROUND: The present authors investigated a database about people with severe intellectual disability (ID) to explore whether secure/insecure attachment plays a role in challenging behaviour. METHODS: The study took the form of a survey of staff and carers involved with a cohort of 54 school-leavers with severe ID. RESULTS: Thirty-four per cent of students were rated by placement staff as 'over-investing in one or a few relationships which become a source of jealousy'. Students without such problems were significantly less likely to show challenging behaviours, while those with them were significantly more likely to be living outside the family home. CONCLUSIONS: These preliminary results justify more detailed and longitudinal research into the relationship between attachment status and challenging behaviour.

Journal of intellectual disability research : JIDR, 2002 · doi:10.1046/j.1365-2788.2002.00420.x