World Wars I and II alerted mental health professionals and the general public alike to the importance of close interpersonal relationships in development. Particularly in Europe, where casualty rates were highest, psychological trauma due to the loss of loved ones was common. Therapists, in fact, reported that death of family members was a frequent reason for individuals to seek therapy during the postwar years. In this context, British psychiatrist John Bowlby, while working with children and adolescents in London orphanages, discovered that the most disturbed children were those who had experienced separations from their caregivers, particularly their mothers. Consider, for example, his account of a seven-yearold girl:
At twelve months she fell ill with bronchitis and was in the hospital for nine months …During this time she never saw her parents, who were only permitted to visit her when she was asleep …When examined at the Clinic [at seven years of age] she was found …to be a withdrawn, detached, and unemotional child (Bowlby 1940, pp. 159-160).
Bowlby also noted that children who developed behavioral and emotional problems often experienced parenting that was characterized by displays of ambivalence or outright rejection. Based on these observations, he hypothesized that a caregiver's emotional attitude toward a child had direct implications for that child's later mental health. In other words, he believed that mental health is dependent upon a child feeling wanted and loved.
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