About 15% of one-year-old infants in non-clinical, lowrisk and up to 80% in high-risk (eg maltreated) populations show extensive disorganized attachment behavior 1,2 in the Strange Situation Test. 3 It has also been reported that disorganization of early attachment is a major risk factor for the development of childhood behavior problems. 4 The collapse of organized attachment strategy has been explained primarily by inappropriate caregiving, but recently, the contribution of child factors such as neurological impairment 5 and neonatal behavioral organization 6 has also been suggested. Here we report an association between the DRD4 III exon 48-bp repeat polymorphism and attachment disorganization. Attachment behavior of 90 infants was tested in the Strange Situation and they were independently genotyped for the number of the 48-bp repeats by polymerase chain reaction (PCR). The 7-repeat allele was represented with a significantly higher frequency in infants classified as disorganized compared to non-disorganized infants: 12 of 17 (71%) vs 21 of 73 (29%) had at least one 7-repeat allele ( 2 = 8.66, df = 1, P Ͻ 0.005). The estimated relative risk for disorganized attachment among children carrying the 7-repeat allele was 4.15. We suggest that, in non-clinical, low-social-risk populations, having a 7-repeat allele predisposes infants to attachment disorganization. Molecular Psychiatry (2000) 5, 633-637.The first publications on association between DRD4 receptor III exon polymorphism and the adult personality trait, Novelty Seeking, 7,8 were soon followed by reports demonstrating associations of the same polymorphism with pathological impulsive, compulsive behavior and substance abuse in adults 9-11 and attention deficit hyperactivity disorder (ADHD) in children. 12,13 There is a growing body of evidence linking maladaptive behavioral problems in children (and extending into adulthood) with the 7-repeat allele of the DRD4 gene.Early attachment between infant and caregiver has been considered essential for survival in the human species. 14 Attachment theory provided a widely used framework for explaining influences of early social experiences on normal and problematic development of personality. 15 Ainsworth and colleagues 3 devised an experimental procedure, the Strange Situation, and described marked individual differences in infants' coping with the stress elicited by the two brief separations from the caregiver. The three basic, coherently organized patterns of infant behavior after reunion (secure, insecure-avoidant, insecure-resistant, see Methods) have been regarded as adaptations to the experienced differences in caregiving. 16 About 15% of infants in non-clinical, low-risk and up to 80% in highsocial-risk (eg maltreated) populations were difficult to fit in the three established categories. These 'atypical' infants showed incoherent, contradictory behavior in the presence of the caregiver as if their behavioral strategy collapsed under the stress of the Strange Situation. A new organizational dimension of at...