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Reactive Attachment Disorder case study
Reactive Attachment Disorder case study
Reactive Attachment Disorder case study
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What is your immediate reaction to Beth Thomas' experience/behaviors at the beginning of the video?
I was struck the severity of Beth's disorder. Beth not only exhibited behaviors indicating an inability to form emotional attachments to other people, she was actively attempting to harm other people. During her one of her early interviews with her therapist, in reference to her brother, Beth stated, " [I want to] kill him, because I was hurt so bad and I don't want to be around people." It appears that the severity of Beth's behaviors may have been caused by her exposure to various types of abuse. Likewise, severe neglect is thought to be the leading environmental factor that causes Reactive Attachment Disorder (RAD); however, Beth not
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only experienced extreme neglect during her first 19 months of life, she also experienced sexual and physical abuse. Though violence was not mentioned as a common accompanying symptom of RAD, according to the Diagnostic and Statistical Manual of Mental Disorders 5th edition (DSM-5), it appears that Beth's behavioral symptoms may have been exacerbated to the point of violence, by the additional presence of physical and sexual abuse. One of the most severe behavioral symptoms she exhibited was her persistent attempts to attack and injure her brother Jon. She attempted to kill him several times, and continually molested him. Though, I was filled with empty for Beth and the circumstances that she had to endure as a young child, I could not help but immediately empathize with Jon, and my first reaction and response was that Jon needed to be protected and removed from any situation where Beth could access him. Not only had he been victimized in the same way Beth had early on in his life, but he was continuously being revictimized by his sister during the time of the first interview. What is your immediate reaction to Beth Thomas' experience/behaviors at the end of the video? By the end of the video, I was relieved to find that Beth had begun treatment outside of her home and away from her brother.
The immediate benefits of the residential treatment not only led to the protection of her brother, but provided Beth with a controlled and structured environment where she could being to earn and cultivate trust between her and the people around her. It was evident that the residential treatment, coupled with the therapy that Beth had been receiving was making a difference in her life. She demonstrated remarkable improvement. For instance, Beth began to exhibit some feelings of sorrow and remorse over her past behaviors. She cried when she acknowledge that by acting the way that she did, she not only hurt her family members, but also hurt herself. By the end of the video, she had earned a substantial amount of trust. She went from sleeping by herself with alarms on the door and locked into her room, to sleeping in the same room as other children. She started engaging in activities. Instead of attacking and killing animals, she began to feed and nurture them. Despite her many improvements, the documentary clearly expressed that for Beth, full recovery would likely be a lifetime …show more content…
process. What do you feel is the best course of treatment for a child with Reactive Attachment Disorder? Why? I am limited in my understanding and knowledge of evidence based treatment that would aid in the recovery of those with Reactive Attachment Disorder.
I would be remiss to fully affirm the treatment philosophy ascribed in this video, due to the sample size being only one person. However, the treatment plan for Beth seemed logical and effective. One of the goals of treatment was to build Beth's self-esteem and to allow her to realize that she had worth and value. Prior to participating in residential treatment, Beth had come to believe that she was inherently bad. One of Beth's therapist went on state, "a child that is unattached does not trust and believes that they're evil and not a person of value." As part of therapy, Beth was given strict boundaries to slowly build trust between her and others. Additionally, she was slowly given responsibility and tasks, and was rewarded by encouragement when she did a good job. Consequently, she built self esteem, and thus learned to view herself as a person of worth. Additionally, she was shown affection and love and began to respond to affection. Through on-going therapy, Beth began to develop her own sense of conscience and began to feel bad about the harm she caused to herself and others. Thus, it appears as though the treatment course explored in the video was an effective intervention straights that may be helpful to other individuals with this Reactive Attachment
Disorder.
There are many women who are currently in an abusive relationship, or have been in an abusive relationship. The most common reason these women do not leave their abuser is because they are scared, financial, or family reasons. Amy McGee would be alive today to tell her own story if her situation was handled differently.
DISCUSSION/ANALYSIS Introduction: Throughout this discussion, I will debate and analyse the ideas I have collected from my research. My discussion is separated under sub headings which will allow me to form a better understanding of how capital punishment is viewed, which will help me in reaching a possible answer to my question. Firstly, I am going to be discussing two very well known case studies. Case studies: The two case studies I have picked to focus my research on are: Derek Bentley who was the last man executed in Britain along with Ruth Ellis who was the last woman executed in Britain.
Rosa Lee Cunningham is a 52-year old African American female. She is 5-foot-1-inch, 145 pounds. Rosa Lee is married however, is living separately from her husband. She has eight adult children, Bobby, Richard, Ronnie, Donna (Patty), Alvin, Eric, Donald (Ducky) and one child who name she did not disclose. She bore her eldest child at age fourteen and six different men fathered her children. At Rosa Lee’s recent hospital admission to Howard University Hospital emergency room blood test revealed she is still using heroin. Though Rosa Lee recently enrolled in a drug-treatment program it does not appear that she has any intention on ending her drug usage. When asked why she no longer uses heroin she stated she doesn’t always have the resources to support her addiction. Rosa Lee is unemployed and receiving very little in government assistance. She appears to
High Sky Children’s Ranch first opened their doors in 1963, when a woman named Joan Nobles was concerned about girls who had no absolutely no place to go. She was the president of the PTA when she heard a young juvenile probation officer speak about the need for a home for those girls that had no where to go. She, along with many others, worked for three years to open the first home. In 1963 the first home was opened and housed five girls (High Sky Children’s Ranch, 2011). In 1985 High Sky changed their license to accept both boys and girls, which enabled them to keep sibling groups together. In 1987 High Sky was relicensed as a treatment facility to work with kids who were more traumatized or needed a higher level of care and was later licensed as a Therapeutic Foster Care. These programs help i...
This would be unwise in the case of Precious until some firm ground rules were set, and probably not even then. A family systems practitioner would do well to look at the multigenerational genogram with Precious, in order to see the patterns of abuses throughout previous generations. This could help highlight to Precious the importance of the abuse stopping with her and her children. An eco-map would also be helpful, so that Precious could make a map of the people who are the most important to her, those who support her, and have them available as supports. It would be beneficial to support Precious in achieving some emotional distance, possibly differentiation, or feeling family ties without being constrained by them. However, I wonder if that would be sufficient. I feel as though her mother would never be a positive influence in her life, and I certainly don 't think her father would. In this case, though it is pathologized for family systems theory, it may be the most beneficial to the client to promote emotional
Beth goes out of her way to make sure that her family's image is perfect
Joyce Stewart is seventy two year old, white female that lives in the small town of Candor New York. She has spent the majority of her life taking care of other people, including her eight children; now six due to tragic circumstances. She also was a house wife trying to survive being a mother to her children while her husband was away in the Navy. She now is a widow; her second husband passed away about ten years ago. She grew up on a farm with a low socio economic status; she overcame circumstances that she was dealt by working her entire life and eventually living a more financially stable life. Joyce is not rich by any means, but is able to live comfortably. She owns her own house that she and
The quality of child care in the United States leaves room for improvement. According to (Deborah, L., Vandell, & Barbara, W.), suggest that when low-income families received child care, mothers are more likely to keep doctor’s appointments and decrease their stress level. The cost of child care is having a huge impact on the careers of working parents and people with disabilities. According to the case study of Katy Adams is one that conveys the message of different facets of stress and, how it impacts a person’s health and well been. Stress plays a vital role in a person’s overall health. One of the non-medical problems of Katy’s Adams case study is related to denial of child care services because she was hospitalized and was unable to
People do things that they normally would not do when they are put in certain situation that test them. In Michael Crichton’s novel Sphere, Beth does many things that she would not normally do when she is put in certain situations that test her. “‘I want to put you under, Norman. Like Harry.’ He shook his head. ‘It’s only for a few hours, Norman,’ she said, and then she seemed decide; she moved swiftly toward him, and he saw the syringe in her hand, the glint of the needle, and he twisted away… She had shut off his power, she had shut off his heat, and now she shut off his air. He was trapped” (Crichton 423-433). Beth does not act normally because she does not have equanimity after she is faced with fear, in the presence of power, and in is danger of getting hurt or dying.
Connie Williams, the defendant’s half-sister, testified that she had been dating the victim, Isiah Barnes, for two years at the time of his death. On September 18, 1986, Connie and Isiah were drinking at Robert Cobb’s home along with the defendant and his girlfriend. The Defendant left and returned hours later to Cobb’s home. The defendant arrived at Cobb’s house around midnight where the defendant found him in his bedroom. The defendant asked Cobb to keep a ticket for the numbers he played. Cobb was confused on why the defendant wanted him to keep it. Without another word, the defendant walked around the foot of the bed and pulled a gun out from his belt and shot Barnes. Barnes’ girlfriend, Ms. Pettaway cried out for the defendant to
An embryo forms in the uterus of a soon-to-be mother. Already the organism is dependent on its mother and is physically attached to her through the formation of the umbilical cord. After birth, the interactions between the child and its caregivers determine whether this attachment continues on a healthy path or begins to become disturbed. When the latter occurs, children may develop reactive attachment disorder (RAD) Being that this disorder is fairly misdiagnosed and misunderstood, there is not much empirical data as pertains to its etiological bases and epidemiology. The Diagnostic and Statistical Manual of Mental Disorders characterizes RAD has a disorder that occurs when a child has experienced repeated insufficient care. Moreover, children with this disorder really concentrate on attention and attachment that they perceive from the world around them, whether they avoid it (inhibited type) or crave it (disinhibited type). Further research is needed in the years to come in order for RAD to become more recognized and understood.
Historically, reactive attachment disorder (RAD) is considered to be a rare disorder (American Academy of Children and Adolescent Psychiatry (AACAP), 2011). Clinical disorders of attachment did not appear in the DSM until the third edition, published in 1980 (Zeanah et al., 2004). In the fourth edition of the DSM (text revision), reactive attachment disorder was described from two different perspectives: inhibited form and disinhibited form. It was suggested that the different forms of...
The most common tool to diagnose an attachment disorder is the Diagnostic and Statistical Manual (DSM) but other assessment tools include The Child Behavior Checklist (CBCL), The Reactive Attachment Disorder Scale (RADS), The Attachment Disorder Symptoms Checklist (ADSCL), The Child Behavior Rating Scale (CBRS), and The Randolph Attachment Disorder Questionnaire (RADQ) (Abel, 2009). Abel (2009) examines “the relationship between childhood traumatic events and the presence of behaviors related to the attachment disorder diagnosis as defined by the Randolph Attachment Disorder Questionnaire (RADQ) assessment tool (see comments from Cappelletty, 2005, below about the assessment tool and its effectiveness). Abel (2009) utilizes the ARC model (Attachment, Self-Regulation, and Competency) which relies heavily on theories and empirical knowledge about the effect of trauma on the child (p. 36). This intervention takes into account the effects of trauma on multiple domains including attachment, self-regulation, and the development of competencies. The ARC model insists that treatment of children affected by trauma needs to focus on six main goals: safety, self-regulation, self-reflection, information processing, traumatic experience integration, relational engagement or attachment, and positive affect enhancement (p. 36). This model works in phases and emphasizes building different skills, making the child
Reactive Attachment Disorder (RAD) is a mental health disorder often present in children that has endured severe early trauma. Children with RAD lacks the ability to connect with other people. Often, children are unstable to form stable relationships and tend to be emotionally detached from their surroundings. There were some inconsistencies in James behavior that made Dr. Perry and Stephanie question his RAD diagnosis. When he was at the residential treatment center, he behaved himself appropriately. He didn’t have any outrageous behavior problems at school. His adoptive parents seemed more worried about their problems and stress rather than James. Dr. Perry and Stephanie grew attached to James fairly quickly. It appeared that James enjoyed their company as well. However, as the therapy came to an end, Stephanie felt distraught that it was ending. She was sadden that James would be leaving her care. If a child has RAD, there should be no attachment or relationship. The child should have no interest in other people, therefore it would be hard to form a relationship with them as well. Since James had formed an attachment to Stephanie and Dr. Perry, they concluded
Abuse and Neglect." Journal of Marriage and Family 44.2 (1982): 267-76. Web. 12 Apr. 2014.