SEPARATION ANXIETY AMONG MUSLIM CHILDREN: A COMPARATIVE CASE STUDY BETWEEN AHLAMI AND EDU-CARE BY NAFISA MUSTAFA MOHAMED AHMED A dissertation submitted in fulfilment of the requirement for the degree of Master of Education in Psychology Institute of Education International Islamic University Malaysia FEBRUARY 2013 ABSTRACT The attachment styles of parenting have consistently been found to be a major risk factor for child development. Many children especially in early childhood refuse to go to school or to discover their surrounding in order to be with their caregivers. Therefore, the aims of the study were to find out the types of attachment patterns and types of separation anxiety patterns. This study also tried to find out the different attachment styles across ethnicity and types of separation anxiety symptoms. Qualitative methods were used in the present study which has two phases, first semistructured interview and second observational method. Both methods were adapted and adopted from the DSM-IV and Anisworth attachment patterns (1978). The result revealed that the attachment patterns that prevalent among the parents were secured patterns according to some traits find as which are made this pattern different from other patterns. Moreover, the result indicated that the separation anxiety patterns present among the children were secure and insecure Avoidant patterns. Attachment across ethnicity was found to be different among participants from Qatar and Malaysia; the Qatari encouraged independence while the Malays preferred routine. Regarding separation symptoms among children, the results show that only behavioral symptoms existed among the children, such as crying, fear of darkness, and wet their clothes. Also, the research discusses on attachment theory and characteristic of attachment theory from the Islamic perspective in growing up children. ii ﺧﻼﺻﺔ ﺍﻟﺒﺤﺚ ﺗﻌﺪ ﺃﺳﺎﻟﻴﺐ ﺗﻌﻠﻖ ﺍﻵﺑﺎﺀ ﺑﺎﻷﺑﻨﺎﺀ ﻋﺎﻣﻼ ﺭﺋﻴﺴﺎ ﻭﺧﻄﺮﺍ ﻳﺆﺛﺮ ﰲ ﳕﻮ ﺍﻷﺑﻨﺎﺀ ﻭﺗﻄﻮﺭﻫﻢ .ﻛﻤﺎ ﺃﻥ ﻛﺜﲑﺍ ﻣﻦ ﺍﻷﻃﻔﺎﻝ -ﺧﺼﻮﺻﺎ ﰲ ﺳﻦ ﺍﻟﻄﻔﻮﻟﺔ ﺍﳌﺒﻜﺮﺓ -ﻳﺮﻓﻀﻮﻥ ﺍﻟﺬﻫﺎﺏ ﻟﻠﻤﺪﺭﺳﺔ ،ﺃﻭ ﺍﻛﺘﺸﺎﻑ ﺍﻟﺒﻴﺌﺔ ﺍﶈﻴﻄﺔ ﻢ ﻻ ﻟﺸﻲﺀ ﺇﻻ ﻟﻴﻜﻮﻧﻮﺍ ﻗﺮﺏ ﻭﺍﻟﺪﻳﻬﻢ .ﻟﺬﻟﻚ ﺪﻑ ﻫﺬﻩ ﺍﻟﺪﺭﺍﺳﺔ ﻻﻛﺘﺸﺎﻑ ﺃﻧﻮﺍﻉ ﺍﻟﺘﻌﻠﻖ ﻭ ﺃﳕﺎﻃﻪ ،ﻭﺍﻛﺘﺸﺎﻑ ﺃﳕﺎﻁ ﻗﻠﻖ ﺍﻻﻧﻔﺼﺎﻝ ﺍﳌﺘﻨﻮﻋﺔ .ﻛﻤﺎ ﺪﻑ ﺃﻳﻀﺎ ﺇﱃ ﺍﻛﺘﺸﺎﻑ ﺃﻧﻮﺍﻉ ﺍﻟﺘﻌﻠﻖ ﺍﳌﺘﻨﻮﻋﺔ ﻋﱪ ﺍﻟﺜﻘﺎﻓﺎﺕ ﺍﳌﺨﺘﻠﻔﺔ.ﻭﺗﺴﻌﻰ ﻛﺬﻟﻚ ﺇﱃ ﻛﺸﻒ ﺃﻋﺮﺍﺽ ﻗﻠﻖ ﺍﻻﻧﻔﺼﺎﻝ .ﺍﺳﺘﺨﺪﻣﺖ ﺍﻟﺪﺭﺍﺳﺔ ﺍﳌﻨﻬﺞ ﺍﻟﻮﺻﻔﻲ ﺑﺎﺳﺘﺨﺪﺍﻡ ﺃﺳﻠﻮﺏ ﺍﳌﻘﺎﺑﻠﺔ ﺷﺒﺔ ﺍﳌﻨﻈﻢ، ﻭﺃﺳﻠﻮﺏ ﺍﳌﺮﺍﻗﺒﺔ .ﻭﻗﺪ ﺍﻋﺘﻤﺪ ﻛﻼ ﺍﻷﺳﻠﻮﺑﲔ ﻋﻠﻰ ﺍﻟﺪﻟﻴﻞ ﺍﻷﻣﺮﻳﻜﻲ ﺍﻟﺮﺍﺑﻊ ﻟﺘﺸﺨﻴﺺ ﺍﻷﻣﺮﺍﺽ ﺍﻟﻨﻔﺴﻴﺔ ) (1995ﻭﻋﻠﻰ ﺃﳕﺎﻁ ﺍﻟﺘﻌﻠﻖ ﺍﳌﺨﺘﻠﻔﺔ ﻷﻧﻴﺜﻮﺭﺙ ) .(1978ﻛﺸﻔﺖ ﺍﻟﺪﺭﺍﺳﺔ ﺃﻥ ﺃﳕﺎﻁ ﺍﻟﺘﻌﻠﻖ ﺍﳌﻨﺘﺸﺮﺓ ﺑﲔ ﺍﻟﻮﺍﻟﺪﻳﻦ )ﺍﻷﻣﻬﺎﺕ( ﻫﻲ ﺍﻟﻨﻤﻂ ﺍﻵﻣﻦ ﺗﺒﻌﺎ ﻟﺒﻌﺾ ﺍﻟﺼﻔﺎﺕ ﺍﻟﱵ ﺟﻌﻠﺖ ﻫﺬﺍ ﺍﻟﻨﻤﻂ ﳐﺘﻠﻔﺎ ﻋﻦ ﺍﻷﳕﺎﻁ ﺍﻷﺧﺮﻯ .ﻋﻼﻭﺓ ﻋﻠﻰ ﺫﻟﻚ ﺣﺪﺩﺕ ﺍﻟﻨﺘﻴﺠﺔ ﺃﻥ ﺃﳕﺎﻁ ﻗﻠﻖ ﺍﻻﻧﻔﺼﺎﻝ ﺍﳌﻨﺘﺸﺮﺓ ﺑﲔ ﺍﻷﻃﻔﺎﻝ ﻫﻲ ﺍﻟﻨﻤﻂ ﺍﻵﻣﻦ ،ﻭﺍﻟﻨﻤﻂ ﻏﲑ ﺍﻵﻣﻦ ﻛﻨﻤﻂ ﺍﻧﻄﻮﺍﺋﻲ .ﻛﻤﺎ ﺃﻭﺿﺤﺖ ﺍﻟﺪﺭﺍﺳﺔ ﺃﻥ ﺗﻌﻠﻖ ﺍﻵﺑﺎﺀ ﺑﺎﻷﺑﻨﺎﺀ ﻋﱪ ﺍﻟﺜﻘﺎﻓﺎﺕ ﺍﳌﺨﺘﻠﻔﺔ ﺳﺠﻞ ﺍﺧﺘﻼﻓﺎ ﺑﲔ ﺍﳌﺸﺎﺭﻛﲔ ﻣﻦ ﻗﻄﺮ ﻭﻣﺎﻟﻴﺰﻳﺎ؛ ﻓﻀﻼ ﻋﻦ ﺫﻟﻚ ﻭﺟﺪﺕ ﺍﻟﺪﺭﺍﺳﺔ ﺃﻥ ﺍﻟﻘﻄﺮﻳﲔ ﻳﺸﺠﻌﻮﻥ ﺍﻻﺳﺘﻘﻼﻟﻴﺔ ﻋﻨﺪ ﺍﻷﺑﻨﺎﺀ ﰲ ﺣﲔ ﺃﻥ ﺍﳌﺎﻟﻴﺰﻳﲔ ﻳﺸﺠﻌﻮﻥ ﺍﻟﺮﻭﺗﲔ .ﺃﻣﺎ ﲞﺼﻮﺹ ﺃﻋﺮﺍﺽ ﻗﻠﻖ ﺍﻻﻧﻔﺼﺎﻝ ﺑﲔ ﺍﻷﻃﻔﺎﻝ ﻓﻘﺪ ﺃﻇﻬﺮﺕ ﺍﻟﺪﺭﺍﺳﺔ ﺃﻥ ﻫﻨﺎﻙ ﺃﻋﺮﺍﺿﺎ ﺳﻠﻮﻛﻴﺔ ﺗﻨﺘﺸﺮ ﺑﻴﻨﻬﻢ ﻛﺎﻟﺒﻜﺎﺀ ﻭﺍﳋﻮﻑ ﻣﻦ ﺍﻟﻈﻼﻡ ﻭﺗﺒﻮﻝ ﺍﻷﻃﻔﺎﻝ ﰲ ﻣﻼﺑﺴﻬﻢ .ﻛﻤﺎ ﻧﺎﻗﺶ ﻫﺬﺍ ﺍﻟﺒﺤﺚ ﻧﻈﺮﻳﺔ ﺍﻟﺘﻌﻠﻖ ﻣﻦ ﺧﻼﻝ ﺍﳌﻨﻈﻮﺭ ﺍﻹﺳﻼﻣﻲ ﰲ ﺗﺮﺑﻴﺔ ﺍﻷﺑﻨﺎﺀ. iii APPROVAL PAGE I certify that I have supervised and read this study and that in my opinion; it conforms to acceptable standards of scholarly presentation and is fully adequate, in scope and quality, as a dissertation for the degree of Master of Education in Administration. ..................................................... Nik Ahmad Hisham Supervisor I certify that I have read this study and that in my opinion it conforms to acceptable standards of scholarly presentation and is fully adequate, in scope and quality, as a dissertation for the degree of Master of Education in Administration. ..................................................... Nik Suryani Nik Abd. Rahman Examiner This dissertation was submitted to the Department of Psychology and Counseling and is accepted as fulfilment of the requirement for the degree of Master of Education in Administration. ..................................................... Haniza Rais Head, Department of Psychology and Counseling This dissertation was submitted to the Institute of Education and is accepted as a fulfilment of the requirement for the degree of Master of Education in Administration. ..................................................... Rosnani Hashim Dean, Institute of Education iv DECLARATION I hereby declare that this thesis is the result of my own investigations, except where otherwise stated. I also declare that it has not been previously or concurrently submitted as a whole for any other degrees at IIUM or other institutions. Nafisa Mustafa Mohamed Ahmed Signature …………………………………… v Date …………………….. INTERNATIONAL ISLAMIC UNIVERSITY MALAYSIA DECLARATION OF COPYRIGHT AND AFFIRMATION OF FAIR USE OF UNPUBLISHED RESEARCH Copyright © 2013 by International Islamic University Malaysia. All rights reserved. A STUDY ON FOLLOWERSHIP ATTRIBUTES AMONG SUPERVISORS OF SELECTED SCHOOLS IN MALDIVES I hereby affirm that The International Islamic University Malaysia (IIUM) holds all rights in the copyright of this work, and henceforth any reproduction or use in any form or by any means whatsoever is prohibited without the written consent of IIUM. No part of this unpublished research may be reproduced, stored in a retrieval system, or transmitted in any form or by means, electronic, mechanical, photocopying, recording or otherwise without prior written permission of the copyright holder. Affirmed by Nafisa Mustafa Mohamed Ahmed. ……………………………. Signature ……………………… Date vi To my wonderful parents Fatimah Mohamed Said and Mustafa Mohamed, My beloved sisters and brothers, and my beloved nieces Tala and Renad vii ACKNOWLEDGEMENTS I would like to express my sincere appreciation to my supervisor Prof. D. NIK AHMED HISHAM, for his support and guidance throughout this research. From him I have gained valuable knowledge, insights, and research experience which have been extremely rewarding. His time and patience throughout this process has been truly appreciated. I would also like to thank the examiner Dr. Nik Suryani Nik Abd Rahman, for her words of wisdom and beneficial feedback which have contributed to the successful completion of this research. Special thanks also go to the Principals, administrative staff, teachers, and children of Ahlami and Edu-care nursery were very helpful and cooperative when the study was being conducted. Finally, I would like to express my sincere gratitude to my family for motivating me, believing in me, and inspiring me to accomplish my studies. To my friend Mousa Matovu, for his patience and support, and for that I am truly grateful. viii TABLE OF CONTENTS Abstract ............................................................................................................... ii Abstract in Arabic................................................................................................ iii Approval Page ..................................................................................................... iv Declaration Page.................................................................................................. v Declaration of Copyright ..................................................................................... vi Dedication ........................................................................................................... vii Acknowledgements ............................................................................................. viii List of Table ........................................................................................................ xii List of Figures ..................................................................................................... xii CHAPTER 1: INTRODUCTION ..................................................................... Background of the study........................................................................... 1 Statement of the Problem ......................................................................... 3 Objective of the Study .............................................................................. 5 Research Questions .................................................................................. 5 Significance of the Study.......................................................................... 5 Limitations of the Study ........................................................................... 6 Definition of Terms .................................................................................. 7 CHAPTER 2: LITERATURE REVIEW .......................................................... The theoretical framework…………………………………………………10 The nature of separation anxiety ............................................................... 12 The attachment theory .............................................................................. 12 Secure attachment and insecure attachment .............................................. 17 Causes of insecure attachment patterns ..................................................... 18 Gender differences in separation anxiety .................................................. 20 Attachment across cultures ...................................................................... 21 The conceptual framework ....................................................................... 23 CHPTER 3: RESEARCH METHODOLOGY................................................. Research Design and Methodology .......................................................... 25 Participants of the Study........................................................................... 26 Data Collection ........................................................................................ 27 Dependability and Credibility of Data ...................................................... 29 Data Collection Procedure ........................................................................ 30 Data Analysis procedure........................................................................... 30 Summary.................................................................................................. 31 ix CHPTER 4: DATA ANALYSIS AND THE RESULTS OF THE STUDY ..... Introduction.............................................................................................. 33 Demographic information of the participants ............................................ 33 The different types of attachment patterns those were prevalent among the parents (the mothers) .......................................................................... 33 The types of separation anxiety patterns present in children...................... 36 Parents with different nationality differ in their attachment style .............. 39 Types of separation anxiety symptoms presented among children of different ages and gender .......................................................................... 49 Summary.................................................................................................. 55 CHAPTER 5: DISCUSSION AND CONCLUSION ........................................ Introduction.............................................................................................. 57 Discussion of result .................................................................................. 58 Types of attachment patterns ............................................................. 58 Types of separation anxiety patterns .................................................. 59 Different attachment styles across ethnicity ............................................ 60 Types of separation anxiety symptoms .............................................. 61 Limitation of the study ............................................................................. 62 Recommendations .................................................................................... 63 Implications for future research ................................................................ 64 Summary ................................................................................................. 64 BIBLIOGRAPHY .............................................................................................. 66 APPENDIX A: Observation Protocol .................................................................. 71 APPENDIX B: Interview Question ...................................................................... 72 APPENDIX C: The Observation Data ................................................................. 74 APPENDIX D: Participant Data Transcription..................................................... 83 APPENDIX E: Consent Form .............................................................................. 94 APPENDIX F: Types of attachment styles Anisworth et al. (1978)……………….95 APPENDIX G: DSM-IV (1994) .......................................................................... 97 APPENDIX H: Research Question and Method of Data collection ...................... 98 APPENDIX I: Interview question ........................................................................ 99 APPENDIX J: The respondent responses regarding their attachment style ........... 100 APPENDIX K: Mothers responses regarding their respond and attention to their children as attachment patterns ............................................................................ 101 APPENDIX L: The interview questions .............................................................. 102 APPENDIX M: The respondents responses regarding the patterns of separation anxiety................................................................................................................. 103 APPENDIX N: The respondents responses regarding the patterns of separation anxiety................................................................................................................. 104 APPENDIX O: The respondents responses regarding the patterns of separation anxiety................................................................................................................. 105 APPENDIX P: Children reaction to the caregiver after the separation period ....... 106 x APPENDIX Q: The mothers perception after the separation period ..................... 107 APPENDIX R: Interview question ....................................................................... 108 APPENDIX S: The mothers different attachment styles across the ethnicity ........ 109 APPENDIX T: The mothers perceptions in bed time ........................................... 110 APPENDIX V: The mothers perceptions in connecting with their children in bed time ............................................................................................................... 112 APPENDIX U: Interview questions ..................................................................... 113 APPENDIX W: Children separation anxiety symptoms according to their age and gender.................................................................................................................. 114 APPENDIX X: Mothers perceptions regarding the separation anxiety symptoms. 115 APPENDIX Y: Face to face observation regarding the environment exploration.. 116 APPENDIX Z: The participants perceptions regarding the fear of darkness ......... 117 APPENDIX AB: The participants perceptions regarding physical symptoms of separation anxiety ................................................................................................ 118 xi LIST OF TABLES Table No. Page No. 4.1 The demographic information of the mothers 34 4.2 The mothers sibling 34 4.3 Demographic information of the children 35 xii LIST OF FIGURES Figure No. Page No. 2.1 The Dynamics of attachment and separation 11 2.2 Conceptual framework 23 4.1 The common attachment 36 4.2 Types of separation anxiety patterns most common among children 40 4.3 Attachment styles across ethnicity 46 4.4 The types of separation anxiety symptoms 50 xiii CHAPTER 1 INTRODUCTION BACKGROUND OF THE STUDY It is undeniable that a child-parent relationship plays an important role in child development. This can be seen in the following story written by Dr. Sherry Warner (http://www.earlychildhoodnews.com): Sarah, a 17-month old, recently began attending our program at the Child Development Center. When I first met Sarah I could sense her reluctance to attend our program. She clung to her parents and ignored the other children playing. I thought Sarah would “warm up” once she had a chance to meet all of the children. Sarah has been in our program for more than a month now. Each day she screams and cries when her parents drop her off in the morning and appears sad throughout the day. She constantly asks for her mother and refuses to join in group play. Her mother is very concerned about her daughter’s behavior and is considering removing her child from our program and child care in general. What can I do to reassure Sarah’s parents that this is just a passing stage of development? How can I make Sarah’s separation from her parents easier? The previous story illustrates the intense emotions of a child when separated from her caregivers. These emotions are demonstrated in her screaming, crying, show of sadness, and sense of isolation. Bowlby (1958) cites Freud (1920) who noticed through his observations that an infant aged 18 months refused to be left alone and fear of losing his caregiver. Bowlby (1979: 129) says that: Whilst especially evident during early childhood, attachment behavior is held to characterize human beings from the cradle to the grave Moreover, Bowlby (1973), contends that in the working model of the world that anyone constructs, a key feature is his notion of who his caregivers are, where they may found, and predict how they may be respond to their different needs. A child with responsible caregivers can develop a secure relationship and be in harmonious 1 interactions with those close to him. In contrast, a child who has an insecure attachment to his caregivers will increase the risk of separation anxiety, especially during school time. Pursell (2001), mentioned that separation anxiety is considered normal, healthy and basic human nature as stated by many researchers and clinicians. Separation anxiety is when a child feels anxious or scared and unhappy when separated from his caregivers. For example, some children get upset at bedtime when their parents leave their bedrooms. In addition, the children may follow their parents or caregivers in order to keep them close. Separation anxiety is considered normal during early childhood but at age 2, it should stop because at this age children spend more time with their peers in kindergarten or school. Furthermore, Mohamed (2001), defines separation anxiety as excessive anxiety or insecurity when the child is separated from the caregivers or loved ones and is most common in young children. A child who suffers from separation anxiety always shows different behavioural and physical symptoms such as stomachache, headache, insomnia, vomiting, crying, and clinging shortly before going to nursery, kindergarten or school. Therefore, children with irrational fear at the nursery, kindergarten or school may complain about excessive distress, nightmares, feeling something bad will harm his/her caregivers, Irrational fear from animals, somatic symptoms, isolation and loss of concentration and sever tantrums when forced to go to school (Ward, 2010). The above mentioned symptoms are normally common in children who experience separation anxiety. At least three of these symptoms will occur over a period of time and end within two or three weeks (Mohamed, 2001). 2 Normally, these features of separation anxiety are common in children who come from close families (DSM-I, 1994). In (1956) school phobia was largely used in separation anxiety studies to highlight the problem of fear of going to school in order to keep the attachment with the loved ones (Pursell, 2001). She also mentioned in her study that until 1970, separation anxiety was not clearly differentiated from school phobia nor did it belong to a different type of behavioural pattern (Pursell, 2001). STATEMENT OF THE PROBLEM As mentioned before, both mother and child have natural needs to get in touch with each other. If the attachment between the child and the caregiver (mostly mothers) is broken or delayed till after 12 months, this will cause a “critical period” that may later disturb the child’s personality (Bowlby, 1951). Interruption of contact during the critical period may lead to a long-term consequence of separation such as social, emotional, behavioural, and intellectual problems. According to Bretherton (2005), children who could not rely on an available and sensitive attachment figure that provide care and love would come to see the world as unreliable and unpredictable, leading them to either leave from it or fight it. In addition, Ward (2010) conducted a study that investigated separation anxiety symptoms dimensions in a sample of elementary schools in the US. She found that separation anxiety is widespread among children according to child – parents report. (Mcdermotte, 2005) elaborated that a child age twelve months to two years is facing a very stressful stage of separation anxiety, because he/she fails to keep his/her parents image in his mind. As a result, he/she keeps asking about his/her parents all the time during separation period. Sometimes the child feels anxious and become hostile especially when separated from his caregiver (Mcdermotte, 2005). 3 This is to prove that separation anxiety among children need to be assessed. I have been interested in investigating separation anxiety since working as a clinical psychologist. The reason being I have seen a lot of parents complain about their children when they come to the clinic. Because they refuse to go to nursery or kindergarten and they always complain of physical symptoms such as, headache, stomachache, vomiting, especially in school time. This make me keep to investigate more about this problems in order to have better understanding about them and to help parents raise their children in a better way. The quest of this study is to study the problems of many children especially in early childhood when they refuse to go to kindergarten or to explore around to discover their surroundings, because they are afraid to be away from their parents. Children who do not want to separate from their caregiver may complain of physical symptoms such as, stomachaches, headaches, vomiting, and behavioral symptoms such as nightmares. However, these symptoms can be very stressful for both the parents as well as the children. Therefore, parents and teachers need to be familiar with separation anxiety symptoms in order to know how to deal with them. This research will undertake a study of separation anxiety among children in their kindergarten. The sample will include Muslim children from Qatar and Malaysia. The study will investigate the symptoms (physical and behavioural) of separation anxiety in relation to the type of attachment in both boys and girls aged one year to three years old. The study will also explore the different types of attachment style across ethnicity. 4 OBJECTIVES OF THE STUDY The main objective of this study is to examine the symptoms of separation anxiety in relation to parents’ attachment style. These other objectives include: 1. To explore the different types of attachment patterns that are prevalent among parents i.e mothers. 2. To discover the different types of separation anxiety symptoms i.e behavioural and physical presented among children with different ages and gender. 3. To discover how parents of different nationalities are different in their attachment styles. 4. To highlight the different types of separation anxiety patterns that are presented among the children. RESEARCH QUESTIONS 1. What are the different types of attachment patterns prevalent among parents i.e specifically mothers? 2. What are the different types of separation anxiety patterns present among children? 3. Are parents of different nationalities different in their attachment styles? 4. What types of separation anxiety symptoms are present among children? SIGNIFICANCE OF THE STUDY Current literature still treat separation anxiety and school refusal as the same. Therefore, there is a need to differentiate school phobia from separation anxiety. 5 According to previous studies available there are few studies that have been conducted on separation anxiety and its symptoms among twins and, of those available, extremely few focused on separation anxiety (Pursell, 2001: 6). This study on separation anxiety is important because it will shed light on the problems of children who refuse to discover their environments or go to kindergartens in order to stay with their caregivers. Moreover, it will also show parents attachment style across ethnicity in relating to separation anxiety symptoms. The study will also show how parents and teachers can benefit from the findings of this study because it will provide information on how to deal with children who suffer from separation anxiety, why they dislike going to kindergartens or why some children continuously cry at bed time. In addition, this study will help counselors who also have an important role; applying positive values and encouraging children to be more adjusted. The study can be used as reference on separation anxiety and in the field of child development. There is no research on the separation anxiety in Qatar and Malaysia to the researcher. The primary purpose of the present study is to gather descriptive information about separation anxiety among Muslim children (aged 1-3 years) in Qatar and Malaysia in relation to attachment styles. LIMITATIONS OF THE STUDY There are some limitations in this study: 1. This study is limited to children aged 1-3 years only at Edu-care nursery in Kuala Lumpur, Malaysia and children from Ahlami nursery in Doha, Qatar. Moreover, only children from this age group will be selected as the 6 samples in this study. Therefore, the findings of the study may not cover all children of all states in Malaysia and Qatar. 2. This study is limited to investigating separation anxiety and its symptoms in relation to attachment types and attachment styles across ethnicity. Other variables such as peer groups, teachers at their nursery, family climate, and relative’s influences that may affect children attachment will not be considered. DEFINITIONS OF TERMS: Separation Anxiety Operational definition 1) This is extreme anxiety and fear of being separated from a caregiver or from a target attachment. It can also be separation from the home. It can cause impairment in individual performance or in other important areas of development such as social, emotional, and behavioral (Ward, 2010). 2) It is the fear of being away from a caregiver or the attachment figure. It is considered normal in very young children but sometimes it can develop into panic attack or phobia especially when the child experiences death in the family or is under stress (Harvard Medical School, 2004). Separation anxiety conceptual definition In this study the separation anxiety means the child excessively worries and anxious when separated from his attachment figure (the mother). Accordingly, the child can develop behavioural and physical symptoms and refuse to go to school or discover his surroundings. 7 The Nursery Through a series of observation of children at Edu-Care in Malaysia and Ahlami Nursery in Qatar, it was found that both nurseries were spacious and well-equipped; they contained places for babies and toddlers. Inside both nurseries they were many facilities for teaching and entertaining children such as colours, paint, and many other materials. Ahlami Nursery Ahlami Nursery also had many activities such as role plays performed by children, memorizing Quran and singing religious songs. They also perform exercises in the morning. Edu-care Nursery At Edu-Care Nursery they taught children by using sounds like singing or using music instruments. They also had a beautiful garden with two pools – a swimming pool and an area for sand playing. Attachment operational definition It is a strong and close emotional tie between two people (John, 2007). Attachment conceptual definition Newborn or young children of both genders especially during early childhood cannot survive without a caregiver to provide food and protection. They will not thrive without other types of support as well. Therefore, in this study the attachment means the warm emotional relationship between the child and his mother during the early age 8 and how that attachment can be affected by the culture. The study also tried to find out how the child attached to his caregiver and how he/she response to their caregivers especially after a separation according to their age and gender. DSM-IV The American psychiatric association number 4. Diagnostic and statistical manual of mental disorder. (Please refer to appendix F). 9 CHAPTER 2 LITERATURE REVIEW INTRODUCTION The purpose of this chapter is to provide review of related literature and a summary of the major findings from previous studies on separation anxiety among children. Therefore, this chapter is subdivided into the following sections: (1) the theoretical framework, (2) the nature of separation anxiety, (3) the attachment theory, (4) secure attachment and insecure attachment and Islamic perspectives on parent-child relationship, (5) causes for insecure attachment patterns, (6) gender differences in separation anxiety, (7) attachment across cultures, (8) the conceptual framework. THEORETICAL FRAMEWORK This study has adopted the attachment theory by Bowlby (1969) as the theoretical framework. Attachment theory is summarized as the dynamic and affection relationship between humans necessary for emotional and social developments (Ainsworth, 1973). The theory of attachment was originally developed by John Bowlby (1907 - 1990), a British psychoanalyst who tried to understand the intense grief experienced by infants who had been separated from their caregiver. Bowlby (1969) observed that separated infants would demonstrate unusual behavior for instance, crying, clinging, feeling anxious and continually seeking proximity to prevent separation from their parents or to reunion proximity to a missing parent. He uses the term ‘attachment’ to show the unique relationship between the child and the caregiver and to differentiate the attachment relationship from other 10 relational bonds. According to Bowlby (1969, 1973, 1977) cited in Parkes, et al. (1991: 66) The attachment patterns between children and their caregiver were described through four stages as: Safe haven when the child feels threatened or afraid he/she returns to his caregiver for comfort and soothing, Seeking Proximity when the child will try to stay behind his parents in order to be under their protection, and Secure base effect when the existence of the caregiver can provide care, protection and security for the child. Furthermore, this security can be developed over a period of time. Finally, there is Separation protest when continuous attachment with the caregiver can increase the child’s complaints and activate the child efforts to stop such separation. Figure 2.1: the Dynamic of Attachment and Separation (http://www.12accede.org/connxion.html) 11
© Copyright 2026 Paperzz