Autism & Developmental

Attachment in toddlers with autism and other developmental disorders.

Naber et al. (2007) · Journal of autism and developmental disorders 2007
★ The Verdict

Toddlers with autism often show disorganized attachment, and the same stress pattern can block later play and language.

✓ Read this if BCBAs assessing toddlers with autism in clinic or early-intervention home programs.
✗ Skip if Practitioners who work only with school-age fluency or vocational skills.

01Research in Context

01

What this study did

The team watched the toddlers play with a parent in a short lab task called the Strange Situation.

Half the kids had autism, developmental delay, or intellectual disability. The rest were typically developing.

Trainers coded each child as secure, avoidant, or disorganized after two brief separations and reunions.

02

What they found

Only 22 % of the autism group showed secure attachment, compared with 61 % of the typical group.

More than half the autism toddlers fell into the disorganized pattern—higher heart rate and frozen behavior.

The worse the autism traits, the lower the chance of any organized, calm reunion with the parent.

03

How this fits with other research

Marcu et al. (2009) followed similar kids into preschool and found that organized—secure or not—mattered more than security alone for symbolic play.

Together the papers show: early disorganization lingers and spills into later learning, not just feelings.

Anbar et al. (2024) looked at the same age group but tracked joint attention and language; they predict school-age pragmatics, while A et al. spotlight parent-child stress patterns.

All three studies line up: toddler social markers—attachment, joint attention, play—set the stage for later communication.

04

Why it matters

If a toddler with autism shows frozen, erratic reunion behavior, the attachment system is overwhelmed.

You can add brief parent coaching—calm voice, steady gaze, labeled praise—to turn reunions into safe rewards.

These micro-changes lower stress physiology and may open the door to better language and play gains later.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

During parent-child sessions, mark reunion moments—note freeze, wander, or cling—then coach one calm, face-level greeting with labeled praise.

02At a glance

Intervention
not applicable
Design
case control
Sample size
80
Population
autism spectrum disorder, developmental delay, intellectual disability
Finding
negative

03Original abstract

Attachment was assessed in toddlers with Autistic Disorder (n=20), Pervasive Developmental Disorder (n=14), Mental Retardation (n=12), Language Development Disorder (n=16), and a non-clinical comparison group (n=18), using the Strange Situation Procedure (SSP). Children in the clinical groups were more often disorganized and less often securely attached. Severity of autism was associated with more attachment insecurity, and lower developmental level increased the chance for disorganized attachment. Attachment disorganization was related to increased heart rate during the SSP. Controlling for basal cortisol and developmental level, more autistic symptoms predicted lower cortisol responses to the SSP. The findings support the importance of disorganized attachment for children with autism.

Journal of autism and developmental disorders, 2007 · doi:10.1007/s10803-006-0255-2