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The research on Bowlby's theoretical proposals has highlighted the link between insecure, disorganized and atypical attachment patterns and children both living in foster care facilities and adopted out of those institutions. The goal of this pilot study is to investigate the attachment representation in an Italian sample of children in middle childhood (9\u201313\u2009years old) who have been removed from their homes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Two compared groups of children participated in this study. The first group was composed of 24 Italian children who had been removed from their homes. The second group, considered as the control group, was composed of 35 Italian children who had never been in foster care placement. The quality of children's attachment to their primary caregivers was assessed by the Child Attachment Interview, an innovative semi\u2010structured interview that seeks to bridge the measurement gap identified in middle childhood<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The children in foster care placement show a higher percentage of insecure and disorganized attachment representations and lower scores on the Child Reflective Functioning Scale.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The clinical implications and enhancements to effective intervention for foster children's caretaking are discussed. Copyright \u00a9 2014 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec><jats:sec><jats:title>Key Practitioner Message<\/jats:title><jats:p>\n<jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>Attachment theory.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Clinical implications of Attachment experiences.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Assessment tools of Attachment in middle childhood.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec>","DOI":"10.1002\/cpp.1882","type":"journal-article","created":{"date-parts":[[2014,1,8]],"date-time":"2014-01-08T01:36:50Z","timestamp":1389145010000},"page":"165-175","source":"Crossref","is-referenced-by-count":34,"title":["Attachment Representation in Institutionalized Children: A Preliminary Study Using the Child Attachment Interview"],"prefix":"10.1002","volume":"22","author":[{"given":"Maria","family":"Zaccagnino","sequence":"first","affiliation":[{"name":"Department of Psychology University of Turin  Turin Italy"},{"name":"Faculty of Communication Sciences, Institute for Public Communication University of Lugano  Lugano Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martina","family":"Cussino","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Turin  Turin Italy"},{"name":"Faculty of Communication Sciences, Institute for Public Communication University of Lugano  Lugano Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandra","family":"Preziosa","sequence":"additional","affiliation":[{"name":"Faculty of Communication Sciences, Institute for Public Communication University of Lugano  Lugano Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabio","family":"Veglia","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Turin  Turin Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonella","family":"Carassa","sequence":"additional","affiliation":[{"name":"Faculty of Communication Sciences, Institute for Public Communication University of Lugano  Lugano Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,1,7]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Patterns of attachment: A psychological study of the strange situation","author":"Ainsworth M. 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