Childhood Emotional Maltreatment and the Self: Examining the Roles of Attachment, Affect, and Dissociation in Psychological Functioning

Childhood maltreatment by a caregiver can occur in many forms, ranging from overt abuse to more subtle neglect. Amidst a primary focus on the outcome of posttraumatic stress disorder (PTSD), less research attention has been given to understanding the impact of maltreatment on one's developing sense of self, internal working model (IWM) of relationships, and emotion regulation capacities. Difficulties experiencing, regulating, and enjoying a full range of affect are common transdiagnostic features among adult survivors of child maltreatment, who frequently display emotional reactivity (e.g., mood swings, anger) and/or disengagement (e.g., numbing, dissociation). What makes the difference between individuals who lash out in emotional outbursts, those who tend to withdraw or dissociate, and those who frequently alternate between these two affective poles? In a mixed college and community sample of 417 adults, we explored two covert forms of childhood emotional maltreatment (e.g., chronic emotional disengagement and frightened/helpless parenting) as potentially linked to adult psychological and relational functioning. Controlling for the effects of childhood physical and sexual abuse, path analysis indicated that these types of maltreatment were significantly associated with insecure attachment patterns, emotional reactivity, and dissociation in adulthood. These findings inform therapeutic work with survivors of childhood trauma, signifying the importance of thorough assessment to uncover potential psychological legacies of emotional abuse and/or neglect, which can at times be overlooked or assumed to be less pathogenic than other more obvious forms of maltreatment