Skip to main content
Freie Beiträge

Inobhutnahme und Bindung

Published Online:https://doi.org/10.1026/0942-5403/a000151

Inobhutnahmen sind zeitlich begrenzte Kriseninterventionen zum Schutz von Kindern meist in der Folge von vorhergehender Misshandlung und/oder Vernachlässigung. Die Dauer von Inobhutnahmen ist bei Säuglingen und Kleinkindern am längsten. Die mit einer längeren Trennung einhergehenden psychophysiologischen Belastungen der Kinder sowie das Vorgehen bei Inobhutnahmen werden vor dem Hintergrund der Bindungstheorie und bindungstheoretischer Forschung diskutiert. Es wird für die Entwicklung einer bindungstheoretisch begründeten Konzeption zu Verfahrensstandards und zur Gestaltung der Inobhutnahme bei Säuglingen und Kleinkindern plädiert.


Child in care and attachment

The most invasive intervention of the child welfare system is to take children temporarily out of their homes, mostly following severe child maltreatment and neglect. The length of the foster care of babys and toddlers is especially long in Germany. The psychophysiological stress reactions accompanying major separations and the current procedures of the child welfare system during removals are discussed with respect to attachment theory and research. The development of an attachment-based concept for planning and designing abrupt removals in acute crises is suggested.

Literatur

  • American Academy of Child and Adolescent Psychiatry, AACAP (2005). Practice parameter for the assessment and treatment of children and adolescents with reactive attachment disorder of infancy and early childhood. Journal of the American Academy of Child and Adolescent Psychiatry, 44, 1206 – 1218. First citation in articleCrossrefGoogle Scholar

  • Baugerud, A. G. & Melinder, A. (2012). Maltreated children’s memory of stressful removals from their biological parents. Applied Cognitive Psychology, 26, 261 – 270. First citation in articleCrossrefGoogle Scholar

  • Boris, N. W. , Zeanah, C. H. , Larrieu, J. , Scheeringa, M. & Heller, S. (1998). Attachment disorders in infancy and early childhood. American Journal of Psychiatry, 155, 295 – 297. First citation in articleGoogle Scholar

  • Bovenschen, I. , Gabler, S. , Lang, K. , Zimmermann, J. , Kliewer, J. , Nowacki, K. & Spangler, G. (2013). Attachment in foster children throughout the first year of placement: The role of early adversity and foster parents‘ behavior. Paper presented at the 16th European Conference on Developmental Psychology, Lausanne. First citation in articleGoogle Scholar

  • Bowlby, J. (1944). Forty-four juvenile thieves: Their characters and home life. International Journal of Psycho-Analysis, 25, 19 – 52, 107 – 127. First citation in articleGoogle Scholar

  • Bowlby, J. (1969). Attachment and loss. Vol. 1: Attachment. New York: Basic Books. First citation in articleGoogle Scholar

  • Bronfman, E. , Parsons, E. & Lyons-Ruth, K. (1992 – 2004). Atypical Maternal Behavior Instrument for Assessment and Classification (AMBIANCE): Manual for coding disrupted affective communication (2nd ed.). Unpublished manual, Harvard University Medical School. First citation in articleGoogle Scholar

  • Brown, D. W. , Anda, R. F. , Tiemeier, H. , Felitti, V. J. , Edwards, V. J. , Croft, J. B. & Giles, W. H. (2009). Adverse childhood experiences and the risk of premature mortality. American Journal of Preventive Medicine, 37, 389 – 396. First citation in articleCrossrefGoogle Scholar

  • Büttner, P. (2013). Kinder- und Jugendhilfe. In F. Petermann, (Hrsg.), Lehrbuch der Klinischen Kinderpsychologie (7., überarb. Aufl., S. 771 – 788). Göttingen: Hogrefe. First citation in articleGoogle Scholar

  • Caspi, A. , McClay, J. , Moffitt, T. E. , Mill, J. , Martin, J. , Craig, I. W. , Taylor, A. & Poulton, R. (2002). Role of genotype in the cyle of violence in maltreated children. Science, 297, 851 – 854. First citation in articleCrossrefGoogle Scholar

  • Caspi, A. , Sugden, K. , Moffitt, T. E. , Taylor, A. , Craig, I. W. , Harrington, H. & Poulton, R. (2003). Influence of life stress on depression: Moderation by a polymorphism in the 5-HTT gene. Science, 301 (5631), 386 – 389. First citation in articleCrossrefGoogle Scholar

  • Cicchetti, D. (2013). Annual Research Review: Resilient functioning in maltreated children–past, present, and future perspectives. Journal of Child Psychology and Psychiatry, 54, 402 – 422. First citation in articleCrossrefGoogle Scholar

  • Crittenden, P. M. (1992). Children’s strategies for coping with adverse home environments: An interpretation using attachment theory. Child Abuse and Neglect, 16, 329 – 343. First citation in articleCrossrefGoogle Scholar

  • Crittenden, P. M. (2007). CARE-Index Coding Manual. Unpublished manuscript. Miami, FL: Family Relations Institute. First citation in articleGoogle Scholar

  • Crittenden, P. M. & DiLalla, D. L. (1988). Compulsive compliance: The Development of an inhibitory coping strategy in infancy. Journal of Abnormal Child Psychology, 16, 585 – 599. First citation in articleCrossrefGoogle Scholar

  • DeWolff, M. S. & van IJzendoorn, M. H. (1997). Sensitivity and attachment: A meta-analysis on parental antecedents of infant attachment. Child Development, 68, 571 – 591. First citation in articleCrossrefGoogle Scholar

  • Dozier, M. , Highley, E. , Albus, K. E. & Nutter, A. (2002). Interventing with foster infants’ caregivers: Targeting three critical needs. Infant Mental Health Journal, 23, 541 – 554. First citation in articleCrossrefGoogle Scholar

  • Dozier, M. , Lindhiem, O. & Ackerman, J. P. (2005). Attachment and Biobehavioral Catch-Up: An intervention targeting empirically identified needs of foster infants. In L. J. Berlin, Y. Ziv , L. Amaya-Jackson & M. T. Greenberg, (Eds.), Enhancing early attachments: Theory, research, intervention, and policy (pp.178 – 194). New York: Guilford. First citation in articleGoogle Scholar

  • Dozier, M. , Manni, M. , Gordnon, M. K. , Peloso, E. , Gunnar, M. R. , Stovall-Mc-Clough, K. et al. (2006). Foster children’s diurnal production of cortisol: An exploratory study. Child Maltreatment, 11, 189 – 197. First citation in articleCrossrefGoogle Scholar

  • Egger, H. L. , Erkanli, A. , Keeler, G. , Potts, E. , Walter, B. K. & Angold, A. (2006). Test-retest reliability of the Preschool Age Psychiatric Assessment (PAPA). Journal of the American Academy of Child and Adolescent Psychiatry, 45, 538 – 549. First citation in articleCrossrefGoogle Scholar

  • Fegert, J. M. (1998). Die Auswirkungen traumatischer Erfahrungen in der Vorgeschichte von Pflegekindern. In Stiftung „Zum Wohl des Pflegekindes”, (Hrsg.), 1. Jahrbuch des Pflegekinderwesens. Idstein: Schulz-Kirchner. First citation in articleGoogle Scholar

  • Felitti, V. J. , Anda, R. F. , Nordenberg, D. , Williamson, D. F. , Spitz, A. M. , Edwards, V. & Marks, J. S. (1998). Household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study, 14, 245 – 258. First citation in articleGoogle Scholar

  • Fendrich, S. , Pothmann, J. & Tabel, A. (2014). Monitor Hilfen zur Erziehung 2014. Dortmund: Forschungsverbund DJI/TU Dortmund an der Fakultät 12 der TU Dortmund. First citation in articleGoogle Scholar

  • Forschungsdatenzentrum der Statistischen Ämter des Bundes und der Länder (FDZ). (2009). Statistiken der Kinder- und Jugendhilfe–Erzieherische Hilfen. Düsseldorf: FDZ. First citation in articleGoogle Scholar

  • Freud, A. & Burlingham, D. (1943). War and children. New York: Medical War Books. First citation in articleGoogle Scholar

  • Fries, A. B. W. , Ziegler, T. E. , Kurian, J. R. , Jacoris, S. & Pollak, S. D. (2005). Early experience in humans is associated with changes in neuropeptides critical for regulating social behavior. Proceedings of the National Academy of Sciences of the United States of America, 102, 17237 – 17240. First citation in articleCrossrefGoogle Scholar

  • Frodl, T. & O’Keane, V. (2012). How does the brain deal with cumulative stress? A review with focus on developmental stress, HPA axis function and hippocampal structure in humans. Neurobiology of Disease, 52, 24 – 34. First citation in articleCrossrefGoogle Scholar

  • Gleason, M. M. & Zeanah, C. H. (2010). Reactive attachment disorder: A review for DSM-V. American Psychiatric Association. First citation in articleGoogle Scholar

  • Goldfarb, W. (1945). Psychological privation in infancy and subsequent adjustment. American Journal of Orthopsychiatry, 14, 247 – 255. First citation in articleCrossrefGoogle Scholar

  • Green, J. & Goldwyn, R. (2002). Annotation: Attachment disorganisation and psychopathology: new findings in attachment and research and their potential implications for developmental psychopathology in childhood. Journal of Child Psychology and Psychiatry, 43, 835 – 846. First citation in articleCrossrefGoogle Scholar

  • Grossmann, K. & Grossmann, K. E. (2013). Trennung, Tod und Trauer in den ersten Lebensjahren: Die Bindungstheoretische Sicht. In R. Kißgen & N. Heinen, (Hrsg.), Trennung, Tod und Trauer in den ersten Lebensjahren (S. 36 – 53). Stuttgart: Klett-Cotta. First citation in articleGoogle Scholar

  • Gunnar, M. R. & Quevedo, K. M. (2008). Early care experiences and HPA axis regulation in children: A mechanism for later trauma vulnerability. Progress in Brain Research, 167, 137 – 49. First citation in articleCrossrefGoogle Scholar

  • Hart, H. & Rubia, K. (2012). Neuroimaging of child abuse: A critical review. Frontiers in Human Neuroscience, 6, 52. First citation in articleCrossrefGoogle Scholar

  • Heim, C. , Shugart, M. , Craighead, W. E. & Nemeroff, C. B. (2010). Neurobiological and psychiatric consequences of child abuse and neglect. Developmental Psychobiology, 52, 671 – 690. First citation in articleCrossrefGoogle Scholar

  • Kaplan, S. J. , Pelcowitz, D. & Labruna, V. (1999). Child and addolescent abuse and neglect resarch: A review of the past 10 years. Part I: Physical and emotional abuse and neglect. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 1214 – 1222. First citation in articleCrossrefGoogle Scholar

  • Kindler, H. & Lillig, S. (2004). Psychologische Kriterien bei Entscheidungen über eine Rückführung von Pflegekindern nach einer früheren Kindeswohlgefährdung. Praxis der Rechtspsychologie, 14, 368 – 397. First citation in articleGoogle Scholar

  • Kindler, H. , Lillig, S. , Blüml, H. & Werner, A. (2006). Handbuch Kindeswohlgefährdung nach § 1666 BGB und Allgemeiner Sozialer Dienst (ASD). München: Deutsches Jugendinstitut e.V. First citation in articleGoogle Scholar

  • Kindler, H. , Helming, E. , Meysen, T. & Jurczyk, K. (Hrsg.). (2010). Handbuch Pflegekinderhilfe. München: Deutsches Jugendinstitut e.V. First citation in articleGoogle Scholar

  • Kindler, H. , Lukasczyk, P. & Reich, W. (2008). Validierung und Evaluation eines Diagnoseinstrumentes zur Gefährdungseinschätzung bei Verdacht auf Kindeswohlgefährdung (Kinderschutzbogen). Zeitschrift für Kindschaftsrecht und Jugendhilfe, 94, 500 – 505. First citation in articleGoogle Scholar

  • Kobak, R. & Madsen, S. (2008). Disruptions in attachment bonds: Implications for theory, research, and clinical intervention. In J. Cassidy & P. R. Shaver, (Eds.), Handbook of attachment: Theory, research, and clinical applications (2nd ed., pp. 23 – 47). New York: Guilford. First citation in articleGoogle Scholar

  • Lang, B. , Schirmer, C. , Lang, T. , de Hair, I. A. , Wahle, T. , Bausum, J. , Weiß, W. & Schmid, M. (2013). Traumapädagogische Standards in der stationären Kinder- und Jugendhilfe. Eine Praxis- und Orientierungshilfe der BAG Traumapädagogik. Weinheim: Beltz Juventa. First citation in articleGoogle Scholar

  • Lakatos, K. , Nemoda, Z. , Toth, I. , Ronai, Z. , Ney, K. , Sasvari-Szekely, M. et al. (2002). Further evidence for the role of the dopamine D4 receptor gene (DRD4) in attachment disorganization: Interaction of the III exon 48 bp repeat and the -521 C/T promoter polymorphisms. Molecular Psychiatry, 7, 27 – 31. First citation in articleCrossrefGoogle Scholar

  • Lyons-Ruth, K. & Jacobwitz, D. (2008). Attachment disorganization. In J. Cassidy & P. R. Shaver, (Eds.), Handbook of attachment (pp. 666 – 697). New York: Guilford. First citation in articleGoogle Scholar

  • Main, M. & George, C. (1985). Response of abused and disadvantaged toddlers to distress in agemates: A study in the day care setting. Developmental Psychology, 21, 407 – 412. First citation in articleCrossrefGoogle Scholar

  • McCrory, E. , De Brito, S. & Viding, E. (2011). The impact of childhood maltreatment: A review of neurobiological and genetic factors. Frontiers in Psychiatry / Frontiers Research Foundation, 2, Art. 48. First citation in articleGoogle Scholar

  • O’Connor, T. G. (2002). Attachment disorders in infancy and childhood. In M. Rutter & E. Taylor, (Eds.), Child and adolescent psychiatry: Modern approaches (4th ed.; pp. 776 – 792). Madden: Blackwell. First citation in articleGoogle Scholar

  • O’Connor, T. (2005). Attachment disturbances associated with early severe deprivation. In C. S. Carter, L. Ahnert , K. E. Grossmann, S. B. Hrdy , M. E. Lamb, S. W. Porges & N. Sachser, (Eds.), Attachment and bonding–A new synthesis (pp. 257 – 267). Cambridge: The MIT Press. First citation in articleGoogle Scholar

  • O’Connor, T. & Zeanah, C. H. (2003). Attachment disorders: Assessment strategies and treatment approaches. Attachment and Human Development, 5, 223 – 244. First citation in articleCrossrefGoogle Scholar

  • Oosterman, M. & Schuengel, C. (2008). Attachment in foster children associated with sensitivity and behavioral problems. Infant Mental Health Journal, 29, 609 – 623. First citation in articleCrossrefGoogle Scholar

  • Ostler, T. & Ziegenhain, U. (2007). Risikoeinschätzung bei (drohender) Kindeswohlgefährdung: Überlegungen zu Diagnostik und Entwicklungsprognose im Frühbereich. In U. Ziegenhain & J. M. Fegert, (Hrsg.), Kindeswohlgefährdung und Vernachlässigung (S. 67 – 83). München: Reinhardt. First citation in articleGoogle Scholar

  • Oswald, S. , Ernst, C. & Goldbeck, L. (2011). Praxismanual. Interdisziplinäre Versorgung von Pflegekindern an der Schnittstelle von Jugendhilfe und Gesundheitssystem. Ulm: Universitätsklinikum Ulm, Klinik für Kinder- und Jugendpsychiatrie/Psychotherapie. First citation in articleGoogle Scholar

  • Pechtel, P. & Pizzagalli, D. A. (2011). Effects of early life stress on cognitive and affective function: An integrated review of human literature. Psychopharmacology, 214, 55 – 70. First citation in articleCrossrefGoogle Scholar

  • Petermann, F. , Besier, T. , Büttner, P. , Rücker, S. , Schmidt, M. & Fegert, J. M. (2014). Vorläufige Schutzmaßnahmen für gefährdete Kinder und Jugendliche. Inobhutnahme in Deutschland. Kindheit und Entwicklung, 23, 124 – 133. First citation in articleLinkGoogle Scholar

  • Petermann, U. , Petermann, F. & Damm, F. (2008). Entwicklungspsychopathologie der ersten Lebensjahre. Zeitschrift für Psychiatrie, Psychologie und Psychotherapie, 56, 243 – 253. First citation in articleLinkGoogle Scholar

  • Robertson, J. & Robertson, J. (1971). Young children in brief separation: A fresh look. The Psychoanalytic Study of the Child, 26, 264 – 315. First citation in articleCrossrefGoogle Scholar

  • Roy, P. , Rutter, M. & Pickles, A. (2004). Institutional care: Associations between overactivity and lack of selectivity in social relationships. Journal of Child Psychology and Psychiatry, 45,866 – 873. First citation in articleCrossrefGoogle Scholar

  • Rutter, M. (1977). Separation, loss and family relationships. In M. Rutter & L. Hersov, (Eds.), Child psychiatry: Modern approaches. Oxford: Blackwell Scientific. First citation in articleGoogle Scholar

  • Rutter, M. (1979). Separation experiences: A new look at an old topic. Journal of Pediatrics, 95, 147 – 154. First citation in articleCrossrefGoogle Scholar

  • Rutter, M. & O’Connor, T. G. (1999). Implications of attachment for child care policies. In J. Cassidy & P. R. Shaver, (Eds.), Handbook of attachment. Theory, research, and clinical implications (pp. 823 – 844). New York: Guilford. First citation in articleGoogle Scholar

  • Rutter, M. , Moffit, T. E. & Caspi, A. (2006). Gene-environment interplay and psychopathology: Multiple varieties by real effects. Journal of Child Psychology and Psychiatry, 47, 226 – 261. First citation in articleCrossrefGoogle Scholar

  • Scheeringa, M. S. & Gaensbauer, T. J. (2000). Post traumatic stress disorder. In C. Zeanah, (Ed.), Handbook of infant mental health (2nd ed.). New York: Guilford Press. First citation in articleGoogle Scholar

  • Schmid, M. , Fegert, J. M. & Petermann, F. (2010). Traumaentwicklungsstörungen: Pro und Contra. Kindheit und Entwicklung, 19, 47 – 63. First citation in articleGoogle Scholar

  • Schmid, M. , Schmeck, K. & Petermann, F. (2008). Persönlichkeitsstörungen im Kindes- und Jugendalter? Kindheit und Entwicklung, 17, 190 – 202. First citation in articleLinkGoogle Scholar

  • Schmidt, M. H. , Petermann, F. & Schipper, M. (2012). Epigenetik–Revolution der Enwicklungspsychopathologie? Kindheit und Entwicklung, 21, 245 – 253. First citation in articleLinkGoogle Scholar

  • Schneider-Rosen, K. & Cicchetti, D. (1984). The relationship between affect and cognition in maltreated infants: Quality of attachment and the development of visual self-recognition. Child Development, 55, 648 – 658. First citation in articleCrossrefGoogle Scholar

  • Schneider-Rosen, K. & Cicchetti, D. (1991). Early self-knowledge and emotional development. Developmental Psychology, 27, 471 – 478. First citation in articleCrossrefGoogle Scholar

  • Smyke, A. T. , Dumitrescu, A. & Zeanah, C. H. (2002). Disturbances of attachment in young children. I: The continuum of caretaking casualty. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 972 – 982. First citation in articleCrossrefGoogle Scholar

  • Spangler, G. & Grossmann, K. E. (1993). Biobehavioral organization in securely and insecurely attached infants. Child Development, 64, 1434 – 1450. First citation in articleCrossrefGoogle Scholar

  • Sroufe, L. A. , Duggal, S. , Weinfield, N. S. , & Carlson, E. A. (2000). Relationships, development, and psychopathology. In A. Sameroff, M. Lewis & S. Miller, (Eds.), Handbook of developmental psychopathology (2nd ed., pp.75 – 91). New York: Plenum Press. First citation in articleCrossrefGoogle Scholar

  • Stovall, K. C. & Dozier, M. (2000). The development of attachment in new relationships: Single subject analyses for ten foster infants. Development and Psychopathology, 12, 133 – 156. First citation in articleCrossrefGoogle Scholar

  • Thrum, K. (2007). Ergebnisse der Pflegekinder-Fallerhebung des DJI. Arbeitspapier. München: Deutsches Jugendinstitut e.V. First citation in articleGoogle Scholar

  • Trocmé, N. , Tourigny, M. , MacLaurin, B. & Fallon, B. (2003). Major findings from the Canadian Incidence Study. Child Abuse & Neglect, 27, 1427 – 1439. First citation in articleCrossrefGoogle Scholar

  • Tyrka, A. R. , Burgers, D. E. , Philip, N. S. , Price, L. H. & Carpenter, L. L. (2013). The neurobiological correlates of childhood adversity and implications for treatment. Acta Psychiatrica Scandinavica, 128, 434 – 447. First citation in articleCrossrefGoogle Scholar

  • Tyrka, A. R. , Wier, L. M. , Price, L. H. , Anderson, G. M. , Wilkinson, C. W. & Carpenter, L. L. (2008). Childhood parental loss and adult hypothalamic-pituitary-adrenal function. Biological Psychiatry, 63, 1147 – 1154. First citation in articleCrossrefGoogle Scholar

  • US Department of Health and Human Services, Administration on Children , Youth, and Families (1999). Child maltreatment 1997: Reports from the states to the National Child Abuse and Neglect Data System. Washington: US Government Printing Office. First citation in articleGoogle Scholar

  • Van IJzendoorn, M. H. , Schuengel, C. & Bakermans-Kranenburg, M. J. (1999). Disorganized attachment in early childhood: Meta-analysis of precursors, concomitants and sequelae. Development and Psychopathology, 11, 225 – 249. First citation in articleCrossrefGoogle Scholar

  • Wolkind, S. & Rushton, A. (1994). Residential and foster family care. In M. Rutter & L. Hersov, (Eds.), Child Psychiatry: Modern approaches (pp. 252 – 266). Oxford: Blackwell Scientific. First citation in articleGoogle Scholar

  • Zeanah, C. H. , Scheeringa, M. S. , Boris, N. W. , Heller, S. S. , Smyke, A. T. & Trapani, J. (2004). Reactive attachment disorder in maltreated toddlers. Child Abuse & Neglect, 28, 877 – 888. First citation in articleCrossrefGoogle Scholar

  • Zeanah, C. H. , Smyke, A. T. , Koga, S. F. , Carlson, E. & The Bucharest Early Intervention Project Core Group, (2005). Attachment in institutionalized and community children in Romania. Child Development, 76, 1015 – 1028. First citation in articleCrossrefGoogle Scholar

  • Ziegenhain, U. , Fegert, J. M. , Ostler, T. & Buchheim, A. (2007). Risikoeinschätzung bei Vernachlässigung und Kindeswohlgefährdung im Säuglings- und Kleinkindalter. Chancen früher beziehungsorientierter Diagnostik. Praxis der Kinderpsychologie und Kinderpsychiatrie, 56, 410 – 428. First citation in articleCrossrefGoogle Scholar

  • Ziegenhain, U. & Fegert, J. M. (2012). Frühkindliche Bindungsstörungen. In J. M. Fegert, C. Eggers & F. Resch, (Hrsg.), Psychiatrie des Kindes- und Jugendalters (2. Aufl., S. 937 – 947). Berlin: Springer. First citation in articleCrossrefGoogle Scholar

  • Ziegenhain, U. (2014). Risikoeinschätzung bei Kindeswohlgefährdung. Brühler Schriften zum Familienrecht. Bielefeld: Gieseking. First citation in articleGoogle Scholar

  • Ziegenhain, U. , Künster, A. K. , Zwönitzer, A. , Besier, T. , Pillhofer, M. & Fegert, J. M. (2013). Projekt „Nachhaltige Wirkung Früher Hilfen”. Unveröffentlichter Abschlussbericht. Ulm: Klinik für Kinder- und Jugendpsychiatrie/Psychotherapie des Universitätsklinikums Ulm. First citation in articleGoogle Scholar

  • Zielinski, D. S. (2009). Child maltreatment and adult socioeconomic well-being. Child Abuse & Neglect, 33, 666 – 678. First citation in articleCrossrefGoogle Scholar