Practitioner Review: Clinical insights from attachment theory and research for professionals working with young children and their families

Attachment theory, with its core concepts, perspectives, and insights developed over the past five decades, is influential for professionals working with young children. However, practitioners face challenges translating attachment theory and research into practical applications. This manifests in attachment myths, theoretical misinterpretations, and inconsistency of application. This state-of-the-art review is authored by 47 attachment researchers and practitioners and examines key insights from attachment theory to facilitate attachment-aware practice for professionals working with children and their caregivers. Following the ongoing debate on practical relevance in attachment theory, we present both ‘strict’ and ‘expansive’ translational perspectives on applications for addressing preventative or clinical attachment concerns. We first review core attachment propositions, based on replicated research of attachment and caregiving. We next address common misconceptions that hinder adequate practical applications. We present measures of attachment and sensitive parenting that might be helpful for practitioners. We also review evidence-based and promising attachment interventions, discussing core components of (preventative) support for parents or caregivers and the children in their care. We emphasize that attachment theory's clinical value lies not in assigning attachment classifications, but rather in understanding crucial insights into caregiving and early socioemotional development (e.g., secure base phenomena; the value of safe, stable, and shared good-enough care), developed in attachment research over the past 50 years, that may inform policy and clinical reasoning and areas for prevention and intervention.