Parental bonding in individuals with autism spectrum disorder: insights through the separation individuation lens

Authors

DOI:

https://doi.org/10.33700/jhrs.5.1.210

Keywords:

autism spectrum disorder, perception of parental bonding, parent-child interaction, separation-individuation process, overprotection, professional support

Abstract

Introduction: This study examines how individuals with autism spectrum disorder (ASD) perceive early relationships with their parents, framing these perceptions within Mahler’s separation-individuation process and Bowlby’s attachment theory. Early parent-child interaction is conceptualized as a reciprocal developmental process shaped primarily by ASD-related communication profiles and parental responses to these developmental characteristics and other various factors that contribute to parent-child interaction.

Objectives: The study aims to investigate whether adults with and without ASD differ in their perceptions of parental bonding – specifically care and overprotection – and to explore how adults with ASD describe early relational experiences with both mothers and fathers.

Methods: A mixed‑methods design was applied to deepen understanding of both measurable and subjective relational patterns. Quantitatively, 38 adults with ASD and 100 adults without ASD completed the Parental Bonding Instrument (PBI), assessing each parent separately. Reliability was examined using Cronbach’s alpha, and group differences were tested with independent sample t‑tests. Qualitatively, semi‑structured interviews with 18 adults with ASD were analyzed using inductive thematic analysis to capture lived experiences of early relational processes and to triangulate quantitative findings.

Results: Adults with ASD reported significantly higher perceived maternal overprotection, whereas no differences emerged in perceived care. Qualitative analysis revealed heterogeneity in relational experiences, including emotional distance, misunderstandings, and limited autonomy, alongside examples of supportive parental behavior.

Conclusion: The findings indicate that perceptions of overprotection and relational challenges arise within a broader developmental and sociocultural context shaped by neurodivergent communication patterns, parental coping strategies, and prevailing intervention narratives. The results highlight the need for parent support programs that promote relational sensitivity, autonomy support, and a nuanced understanding of ASD-specific developmental characteristics, rather than attributing relational difficulties to parents.

Downloads

Download data is not yet available.

Author Biography

  • Simona Rogič Ožek, National Education Institute of Slovenia, National School for Leadership in Education, Ljubljana, Slovenia

     

    I have a PhD in Social Pedagogy and a Master of Science in Psychology. I am working at the National Education Institute in Ljubljana, where I am a Senior Lecturer at the National School for Leadership in Education.

     

References

Abel, L., Lyons, M., and Brewer, G. (2014). The Relationship between Parental Bonding, Machiavellianism and Adult Friendship Quality. Individual Differences Research, 12, 191–197.

Ainsworth, M. D. S., Blehar, M. C., Waters, E. in Wall, S. (1978). Patterns of Attachment: A Psychological Study of the Strange Situation. Hillsdale, NJ: Lawrence Erlbaum Associates.

American Psychiatric Association. (2022). Diagnostic and Statistical Manual of Mental Disorders (5th ed., text rev.). https://doi.org/10.1176/appi.books.9780890425787

Beckwith, L., Cohen, S. E., and Hamilton, C. E. (1999). Maternal Sensitivity during Infancy and Subsequent Life Events Relate to Attachment Representation at Early Adulthood. Developmental Psychology, 35(3), 693–700.

Beurkens, N., Hobson, J., and Hobson, R. (2013). Autism Severity and Qualities of Parent-Child Relations. Journal of Autism and Developmental Disorders, 43, 168–178.

Bowlby, J. (1969). Attachment and Loss: Vol. 1. Attachment. New York: Basic Books.

Burrell, T. L. in Borrego, J., Jr. (2012). Parents’ Involvement in ASD Treatment: What is Their Role? Cognitive and Behavioral Practice, 19(3), 423–432. https://doi.org/10.1016/j.cbpra.2011.04.003

Chevallier, C., Kohls, G., Troiani, V., Brodkin, E. S., and Schultz, R. T. (2012). The Social Motivation Theory of Autism. Trends in Cognitive Sciences, 16(4), 231–239.

Crowell, J. A., Keluskar, J., and Gorecki, A. (2019). Parenting Behavior and the Development of Children with Autism Spectrum Disorder. Comprehensive Psychiatry, 90, 21–29.

Cugmas, Z. (2018). Navezanost na starše pri otrocih z motnjami avtističnega spektra [Attachment to parents in children with autism spectrum disorders]. Pedagoška obzorja, 33(2), 52–63.

Dissanayake, D., Crossley, S. A. (1997). Autistic Children’s Responses to Separation and Reunion with their Mothers. Journal of Autism and Development Disorders, 27(3), 295–312.

Domitrovich, C. E. in Bierman, K. L. (2011). Parenting Practices and Child Social Adjustment: Multiple Pathways of Influence. Merrill-Palmer Quarterly, 47(2), 235–263

Doussard-Rousevelt, J. A., Joe, C. M., Bazhenova, O. V., and Porges, S. W. (2003). Mother–Child Interaction in Autistic and Nonautistic Children. Development and Psychopathology, 15(2), 277–295.

Freeman, S., and Kasari, C. (2013). Parent–child Interactions in Autism: Characteristics of Play. Autism, 17(2), 147–161.

Ginn, N. C., Clionsky, L. N., Eyberg, S. M., Warner-Metzger, C., and Abner, J. P. (2017). Child-Directed Interaction Training for Young Children with Autism Spectrum Disorders: Parent and Child Outcomes. Journal of Clinical Child and Adolescent Psychology, 46(1), 101–109. https://doi.org/10.1080/15374416.2015.1015135

Giovedi, S., Corradi, A., Fassio, A., and Benfenati, F. (2014). Involvement of Synaptic Genes in the Pathogenesis of Autism Spectrum Disorders: The Case of Synapsins. Frontiers in Pediatrics, 2, Article 94. https://doi.org/10.3389/fped.2014.00094

Grzadzinski, R., Luyster, R., Spencer, A. G., and Lord, C. (2014). Attachment in Young Children with Autism Spectrum Disorders: An Examination of Separation and Reunion Behaviours with both mothers and fathers. Autism, 18(2), 85–96. https://doi.org/10.1177/1362361312467235

Harker, C. M., Ibanez, L. V., Nguyen, T. P., Messinger, D. S., and Stone, W. L. (2016). The Effect of Parenting Style on Social Smiling in Infants at High and Low Risk for ASD. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-016-2772-y

Hayes, S. A., in Watson, S. L. (2013). The Impact of Parenting Stress: A Meta-Analysis of Studies Comparing the Experience of Parenting Stress in Parents of Children With and Without Autism Spectrum Disorder. Journal of Autism and Developmental Disorders, 43(3), 629–642.

https://doi.org/10.1007/s10803-012-1604-y

Jurišić, B. D. (2016). Otroci z avtizmom [Children with autism]. Izobraževalni center PIKA.

Kinney, D. K., Barch, D. H., Chayka, B., Napoleon, S., and Munir, K. M. (2010). Environmental Risk Factors for Autism: Do They Help Cause De Novo Genetic Mutations that Contribute to the Disorder? Medical Hypotheses, 74(1), 102–106. https://doi.org/10.1016/j.mehy.2009.07.052

Kobayashi, R. (2000). Affective Communication of Infants with Autistic Spectrum Disorder and Internal Representation of Their Mothers. Psychiatry and Clinical Neurosciences, 54(2), 235–243. https://doi.org/10.1046/j.1440-1819.2000.00664.x

Mahler, M. S., Pine, F., and Bergman, A. (1975). The Psychological Birth of the Human Infant: Symbiosis and Individuation. Basic Books.

Maljaars, J., Boonen, H., Lambrechts, G., Van Leeuwen, K., and Noens, I. (2014). Maternal Parenting Behavior and Child Behavior Problems in Families of Children and Adolescents with Autism Spectrum Disorder. Journal of Autism and Developmental Disorders, 44(3), 501–512. https://doi.org/10.1007/s10803-013-1894-8

Mayuri, K., Divya, V., and Kiran, K. (2017). Parenting Styles as Perceived by Parents and Children. International Journal of Science and Research, 6(8), 978–982. https://doi.org/10.21275/ART20176089

Milton, D. E. M. (2012). On the Ontological Status of Autism: The ‘Double Empathy Problem.’ Disability & Society, 27(6), 883–887. https://doi.org/10.1080/09687599.2012.710008

Nadeem, M. S., Murtaza, B. N., Al-Ghamdi, M. A., Ali, A., Zamzami, M. A., Khan, J. A., Ahmad, A., Rehman, M. U., and Kazmi, I. (2021). Autism – A Comprehensive Array of Prominent Signs and Symptoms. Current Pharmaceutical Design, 27(11), 1418–1433. https://doi.org/10.2174/1381612827666210120095829

Nelson, C. A., Zeanah, C. H., and Fox, N. A. (2019). How Early Experience Shapes Human Development: The Case of Psychosocial Deprivation. Neural Plasticity, 2019, Article 1676285. https://doi.org/10.1155/2019/1676285

Ong, M. Y., Eilander, J., Saw, S. M., Xie, Y., Meaney, M. J., and Broekman, B. F. P. (2018). The Influence of Perceived Parenting Styles in Socio-Emotional Development. European Child and Adolescent Psychiatry, 27(1), 37–46. https://doi.org/10.1007/s00787-017-1016-9

Ozonoff, S., and Iosif, A.-M. (2019). Changing Conceptualizations of Regression. Neuroscience and Biobehavioral Reviews, 100, 296–304. https://doi.org/10.1016/j.neubiorev.2019.03.012

Pallini, S., Chirumbolo, A., Morelli, M., Baiocco, R., Laghi, F., and Eisenberg, N. (2018). The Relation of Attachment Security Status to Effortful Self‑Regulation: A Meta‑Analysis. Psychological Bulletin, 144(5), 501–531.

Parker, G., Tupling, H., and Brown, L. B. (1979). A Parental Bonding Instrument. British Journal of Medical Psychology, 52(1), 1–10.

Parker, G. (1990). The Parental Bonding Instrument: A Decade of Research. Social Psychiatry and Psychiatric Epidemiology, 25(5), 281–282.

Parmeggiani, A., Corinaldesi, A., and Posar, A. (2019). Early Features of Autism Spectrum Disorder: A Cross-Sectional Study. Italian Journal of Pediatrics, 45(1), 144. https://doi.org/10.1186/s13052-019-0733-8

Praper, P. (1999). Razvojna analitična psihoterapija. [Developmental analytic psychotherapy]. Inštitut za klinično psihologijo.

Rogers, T. D., McKimm, E., Dickson, P. E., Goldowitz, D., Blaha, C. D., & Mittleman, G. (2013). Is Autism a Disease of the Cerebellum? An Integration of Clinical and Pre-Clinical Research. Frontiers in Systems Neuroscience, 7, Article 15. https://doi.org/10.3389/fnsys.2013.00015

Rogič Ožek, S. (2024). Dimensions of Object Relations in People with Autism Spectrum Disorder. CEPS Journal, 14(2), 197–217. https://doi.org/10.26529/cepsj.1556

Schore, A. N. (2013). Regulation Theory and the Early Assessment of Attachment and Autistic Spectrum Disorders: A Response to Voran’s Clinical Case. Journal of Infant, Child, Adolescent, Psychotherapy, 12, 164–189. https://doi.org/10.1080/15289168.2013.822741

Teague, S. J., Gray, K. M., Tonge, B. J., and Newman, L. K. (2017). Attachment in Children with Autism Spectrum Disorder: A Systematic Review. Research in Autism Spectrum Disorders, 35, 35-50.

Van Esch, L., Ceulemans, E., Van Leeuwen, K., and Noens, I. (2019). The Association Between Parenting Behaviours and Adolescent Characteristics. Research in Autism Spectrum Disorders, 65, 46–55. https://doi.org/10.1016/j.rasd.2019.05.003

Volkmar, F., Chawarska, K., and Klin, A. (2005). Autism in Infancy and Early Childhood. Annual Review of Psychology, 56, 315–336. https://doi.org/10.1146/annurev.psych.56.091103.070159

Volkmar, F. R. (2011). Asperger’s Disorder: Implications for Psychoanalysis. Psychoanalytic Inquiry, 31(3), 334–344. https://doi.org/10.1080/07351690.2010.513664

Wan, M. W., Green, J., Elsabbagh, M., Johnson, M., Charman, T., and Plummer, F. (2012). Parent-infant Interaction. Research in Developmental Disabilities, 33(3), 924–932. https://doi.org/10.1016/j.ridd.2011.12.011

World Health Organization. (2019). International classification of diseases (11th revision). https://icd.who.int/

Zlomke, K. R., Bauman, S., and Edwards, G. S. (2019). An Exploratory Study of the Utility of the Dyadic Parent-Child Interaction Coding System. Journal of Developmental and Physical Disabilities, 31(4), 501–518. https://doi.org/10.1007/s10882-018-9648-3

Žvelc, M., and Žvelc, G. (2006). Stili navezanosti v odraslosti [Attachment styles in adulthood]. Psihološka obzorja, 15(3), 51–64. https://doi.org/10.20419/2006.15.208

Žvelc, G., and Žvelc, M. (2000). Slikovni test separacije in individualizacije. Preliminarna raziskava [The Separation–Individuation Pictorial Test: A Preliminary Study]. Psihološka obzorja, 9(2), 33–52. https://doi.org/10.20419/2000.9.10

Žvelc, G. (2011). Razvojne teorije v psihoterapiji: Integrativni model medosebnih odnosov [Developmental Theories in Psychotherapy: Integrative Model of Interpersonal Relationships]. IPSA.

Published

02.04.2026 — Updated on 07.06.2026

Versions

Issue

Section

Autism Research

How to Cite

Parental bonding in individuals with autism spectrum disorder: insights through the separation individuation lens. (2026). Journal of Health and Rehabilitation Sciences, 5(1), 43-52. https://doi.org/10.33700/jhrs.5.1.210 (Original work published 2026)

Citations

Similar Articles

11-20 of 52

You may also start an advanced similarity search for this article.