Friday, July 27, 2012

The Chemistry of Attachment (part 4)

(The full version of this wonderfully informative article by Linda F. Palmer can be found at: http://www.attachmentparenting.org/support/articles/artchemistry.php)

The Chemistry of Attachment (part 4)

Opioids & Rewards

Opioids (pleasure hormones) are natural morphine-like chemicals created in our bodies. They reduce pain awareness and create feelings of elation. Social contacts, particularly touch-especially between parent and child- induce opioid release, creating good feelings that will enhance bonding. Odor, taste, activity, and even place preferences can develop as the result of opioid release during pleasant contacts, and eventually the sight of a loved one's face stimulates surges. Opioid released in a child's brain as a conditioned response to a parent's warm hugs and kisses can be effective for helping reduce the pain from a tumble or a disappointment.

Parents "learn" to enjoy beneficial activities such as breastfeeding and holding, and infants "learn" to enjoy contact such as being held, carried, and rocked, all as a response to opioid release. Babies need milk, and opioids are nature's reward to them for obtaining it, especially during the initial attempts. The first few episodes of sucking organize nerve pathways in the newborn's brain, conditioning her to continue this activity. This is the reason that breastfed babies sometimes have trouble if they are given bottles in the newborn nursery-early exposure to bottles creates a confusing association of pleasure with both bottle nipples and the mother's breast. In fact, any incidental sensations experienced during rocking, touching, and eating that aren't noxious can become part of a child's attachment and will provide comfort. It could be the warmth of mother's body, father's furry chest, grandma's gentle lullaby, a blanket, or the wood-slatted side of a crib.

Prolonged elevation of prolactin in the attached parent stimulates the opioid system, heightening the rewards for intimate, loving family relationships, possibly above all else. Just as with codeine and morphine, tolerance to natural opioids can occur, which will reduce the reward level for various activities over time. But this is not a problem for attached infants and parents, because higher levels of oxytocin, especially when created through frequent or prolonged body contact, actually inhibit opioid tolerance 7, protecting the rewards for maintaining close family relationships. On the other hand, consuming artificial opioid drugs replaces the brain's need for maintaining family contacts.

Once a strong opioid bonding has occurred, separation can become emotionally upsetting, and in the infant possibly even physically uncomfortable when opioid levels decrease in the brain, much like the withdrawal symptoms from cocaine or heroin. When opioid levels become low, one might feel like going home to hold the baby or like crying for a parent's warm embrace, depending on your point of view. Sometimes alternate behaviors are helpful. For instance, thumb-sucking can provide some relief from partial or total withdrawal from a human or rubber nipple and can even provide opioid-produced reminiscences for a time.