A-D-S SCALE           

THE MASSIE-CAMPBELL SCALE

 OF MOTHER INFANT ATTACHMENT INDICATORS DURING STRESS

For Use During the Pediatric Examination and Other Stressful Childcare Situations

Infant’s Behavior During Stress Event

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GAZING Always looks away from mother's face. Rarely searches out mother's face. Fleeting looks at mother's face. Occasionally looks at mother's face. Frequently long & short gazing at mother's face. Rivets gaze on mother's face for long periods. Behavior not observed.
VOCALIZING Quiet. Never vocalizing. Rarely vocalizing or whimpering. Occasionally vocalizing or mild crying. Frequently vocalizing or intense crying. Uncontrollable, intense crying much of the time. Behavior not observed.
TOUCHING (a) Never touches or reaches toward mother. Rarely touches mother. Occasionally touches mother. Frequently reaches toward & touches mother. When close always touching mother. Behavior not observed.
                (b) Always pulls away from mother's touch. Frequently pulls away from her touch. Occasionally pulls away from her touch. Rarely pulls away from her touch. Never pulls away from her touch. Behavior not observed.
HOLDING Violently resists holding; always arches away from mother. Does not relax in mother's arms. Frequently pulls away. Rests in mother's arms and against her shoulder. Occasionally pulls away. Body molds to mother's. Rarely pulls away. Actively turns & arches body toward mother. Clings strongly. Never pulls away. Behavior not observed.
AFFECT Always intensely anguished and fearful. Frequently irritable or fearful. Intermittent moderate anxiety and/or pleasure. Rare tension; largely smiling. Always smiling. Behavior not observed.
PROXIMITY Never follows mother bodily or with eyes; goes to far corner or out of room. Rarely follows mother bodily or with eyes; often at far corner of room from mother. Intermittently follows mother bodily or with eyes. Frequently follows mother bodily or with eyes. Always follows mother bodily or with eyes. Behavior not observed.
Mother's Response to Infant's Stress
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GAZING Always look away from child's face. Rarely looks at child's face. Fleeting looks at mother's face. Occasionally looks at child's face. Frequently long & short gazing at child's face. Rivets gaze on child's face for long periods. Behavior not observed.
VOCALIZING Quiet. Never vocalizing. Rare words, cooing or murmuring. Occasionally vocalizing to child. Frequently speaks, murmurs, coos. Intense vocalization throughout. Behavior not observed.
TOUCHING (a) Never touches or reaches toward child. Rarely touches child. Occasionally touches child. Frequently reaches toward & touches child. When close always touching child. Behavior not observed.
                (b) Always pulls away from his touch. Frequently pulls away from his touch. Occasionally pulls away from his touch. Rarely pulls away from his touch. Never pulls away from his touch. Behavior not observed.
HOLDING Pushes upset child away or holds away from body. Holds child stiffly & awkwardly. Not relaxed. Supports child relaxed against her chest or shoulder briefly. Body molds to child & maintains contact until child quiets. Body inclines toward child followed by prolonged holding with molding. Behavior not observed.
AFFECT Always intensely anguished and fearful. Frequently irritable, fearful and apathetic. Intermittent moderate anxiety and/or pleasure or unclear. Rare tension; largely smiling. Always smiling. Behavior not observed.
PROXIMITY Leaves room. Frequently out of reach of child; or at far corner of room from child. Intermittently standing or seated within arm's reach of child. Frequently in physical contact with child. Always in physical contact with child. Behavior not observed.

 

 

Growth and development:      normal      abnormal                  Explain:_______________________________________________________

Social Behavior appears:        normal      abnormal                  Describe:______________________________________________________

Unusual circumstances today:      No      Yes                             Describe:______________________________________________________

Ethnicity:   Asian   Black   Hispanic   White   Other ______     

Economic Status:   Needs or receives aid    Sufficient means    Very secure

Birth order:  Child born ___ of ____ children.    Mother's age:_____

Mother lives:     with baby's father     alone     with others/explain:___________________________

Infant Sex:     Boy     Girl        Birth date:_______________      Infant's Name:_____________________________________

Observation Date:__________________  Case Number:____________________________

Observer:__________________________________________

 

 

2007, 2017 Revised Edition, Henry N. Massie, M.D. and B. Kay Campbell, Ph.D.