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Reactive Attachment Disorder case study
Case study of children with reactive attachment disorder
Reactive attachment disorder research paper
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Reactive Attachment Disorder is a common infancy/early childhood disorder. Reactive attachment disorder is located under the trauma- and stressors-related disorder section of the Diagnostic and Statistical Manuel of Mental Disorders (DSM-5), Fifth Edition. It is normally diagnosed when an infant or child experience expresses a minimal attachment to a figure for nurturance, comfort, support, and protection. Although children diagnosed with reactive attachment disorder have the ability to select their attachment figure, they fail to show behavioral manifestation because they had limited access during the early developmental stage. Some disturbed behaviors include diminished or absence of positive emotions toward caregiver. In addition, children with reactive attachment disorder have a tendency to have episodes of negative emotions including a period of fear, sadness, and irritability that cannot be explained. According to the DSM-5 (2013), reactive attachment disorder impairs children’s ability to relate on a personal level with adults or peers along with many other functional impairment in several domains during early childhood. The clinical disorder is likely to manifest in a child between the ages of nine months and five years (p. 267).
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...
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... to be subjected with a poor prognosis due to future poor brain functioning considering their brain at a young age is still at its critical developing stage (Weinberg, 2010). As far as demographics are concerned, Pritchett, R., Pritchett, J., Marshall, Davidson and Minnis’s (2013) study suggests a gender difference in children diagnosed with RAD, 59.1 % were males whereas 40.1% were females. Culturally, at risk children are those who lived in a dysfunctional home where violence is present along with parents having a history of substance abuse. Research shows no significant relationship with gender, ethnicity or length of time in care (Zeanah et al., 2004).
Further research is advised to be done in this area considering there is limited of information supporting the prognosis and cultural differences in children diagnosed with reactive attachment disorder.
There are also cultural differences in the four attachment theories and this is possibly based on different countries where infants are either separated more or less from their caregivers than in the United States (Broderick, P., & Blewitt, P., 2015). However, it is good to know that maternal sensitivity and attachment security has been successfully replicated across cultures so it seems as though with infancy that there are not too many cultural differences when it comes to these relationships (Broderick, P., & Blewitt, P., 2015). What needs to be kept in mind about cultural differences is the differences in context across cultures and how different meanings and connects can be
Weger Jr., H. and Polcar, L. E., (2002). Attachment Style and Person-Centered Comforting. Western Journal of Communication, 66(1) (Winter 2002), 84-103.
Hazan, C., Gur-Yaish, N., & Campa, M. (2003). What does it mean to be attached? In W. S. Rholes & J. A. Simpson (Eds.) Adult Attachment: Theory, Research, and Clinical Implications, (pp. 55 – 85). New York: Guilford.
Criticisms of attachment theory have come mainly from the feminist schools of thought since the theory has been used to argue that no woman with a young child should work outside the home or spend time away from her baby (Goodsell and Meldrum, 2010). Children’s experience and development also depend on what happens after early years, whether bad or good later in life may change a child’s emotional development, e.g. lack of basic needs, diet, education, stimulation such as play might affect a child’s development (Rutter, 1981) Difference in cultures have to be taken into consideration as well. A study by Schaffer and Emmerson (1964) provided contradictory evidence from Bowlby’s attachment theory. They noted attachment was more prominent at eight months, and afterwards children became attached to more than one person. By one year six months only 13%of infants had one attachment. This study by Schafer and Emmerson (1964) concluded care giver can be male or female and mothering can be a shared responsibility. Social workers should therefore understand that parents are not totally responsible for the way the children develop. They did give them their genes and therefore do have some influence. Attachment theory also fails to consider the fact that the father and siblings, and other close relatives can also
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.
In understanding others, one must first understand our own family background and how it affects our understanding of the world. Conversely, family systems draw on the view of the family as an emotional unit. Under system thinking, one evaluates the parts of the systems in relation to the whole meaning behavior becomes informed by and inseparable from the functioning of one’s family of origin. These ideas show that individuals have a hard time separating from the family and the network of relationships. With a deeper comprehension of the family of origin helps with the challenges and awareness of normalized human behaviors. When interviewing and analyzing the family of origin, allow one to look at their own family of origin
Admittedly, many psychologists define attachment as an enduring, affectionate bond that one person forms between himself and another person throughout life. Mary Ainsworth provided the most famous research: strange situation, offering explanations of individual differences in attachment. However, in this Adult Attachment Style questionnaire that I took, I found many factors relevant to attachment as defined in the textbook. For example, in the textbook, it defines attachment based on Ainsworth research, the strange situation by observing attachment forms between mother and infants. They are described in four attachment styles: securely attached, insecure avoidant, insecure resistant, and insecure disorganized.
Attachment is described as the close emotional bond between two people and Attachment Theory (AT) generally concentrates on the early bonds in a person’s development as well as the effects that these bonds have on later socio-emotional development. While emphasis on attachment as an antecedent for future behavior and personality has decreased somewhat in recent years, it is interesting to note that the DSM IV-TR includes a “reactive attachment disorder” which it states is caused when extreme circumstances prevent proper attachment development.
Infant attachment is the first relationship a child experiences and is crucial to the child’s survival (BOOK). A mother’s response to her child will yield either a secure bond or insecurity with the infant. Parents who respond “more sensitively and responsively to the child’s distress” establish a secure bond faster than “parents of insecure children”. (Attachment and Emotion, page 475) The quality of the attachment has “profound implications for the child’s feelings of security and capacity to form trusting relationships” (Book). Simply stated, a positive early attachment will likely yield positive physical, socio-emotional, and cognitive development for the child. (BOOK)
Attachment patterns of a child are developed by the use of strange situation protocol where the attachment of a child is assessed between 12 months and 20 months of the child development. This procedure is not clinical and is used only to supplement the clinical diagnosis procedure called Reactive Attachment Disorder (RAD), which will be discussed at a later stage of this essay. In the strange situation protocol, a child, and the caregiver are put in an environment with varying conditions and the attachment behaviour of the child is observed. Through this protocol there are there organized attachment categories, which are observed in a child, which include secure attachment, avoidant/attachment and resistant/
Barth, R., Crea, T., John, K., Thoburn, J. & Quinton, D. (2005). Beyond attachment theory and therapy: Towards sensitive and evidence-based interventions with foster and adoptive families in distress. Child and Family Social Work, 10, 257-268.
“Attachment is as essential for the child’s psychological well-being as food is for physical health,” claimed Bowlby, B (2001, p.54). Bowlby claimed in this statement that attachment is a necessary thing that a child needs in order to develop healthily. There is evidence from other theorists who support Bowlby’s theory of attachment, such as Harlow, whose approach is based upon a caregiver’s sensitivity and attachment. Ainsworth is another theorist whose research supports Bowlby’s theory of attachment. In her strange situation study, she tested for the attachment types and what effects they had on a child’s behaviour.
Crugnola, C.R., Tambelli, R., Spinelli, M., Gazzotti, S., Caprin, C. & Albizzati, A. (2011). Attachment patterns and emotion regulation strategies in the second year. Infant Behaviour and Development, 34(1), 136-151. Doi: 10.1016/j.infbeh.2010.11.002
During the first few stages of both theories, we see challenges in the development of the child and we also see challenges that a child might face during some, if not all forms of attachment theory. For example, a parent ignoring the child and speaking to them in a negative manner during insecure-avoidant attachment can be challenging for a child and lead to insecurities and the feeling of not being loved and/or wanted. Additionally, the theme of independence is seen throughout both theories and can also be related specifically to insecure-avoidant attachment where the child does not focus his or her attention on the parents but instead looks to the outside world for assistance. Both theories, as well as attachment theory, has an impact on childhood
Attachment theory is a psychological model that describes the dynamics of interpersonal relationships. The most critical point of attachment theory is that a child needs at least one primary caregiver relationship for the child’s healthy social and emotional development. Understanding attachment theory is critical with this research because it guides how early experiences can impact on behavioural and emotional development in adolescence and adulthood. The way a child understands themselves, how they cope with stressful situation, developing intimate and romantic relationships, are all shaped by the attachment style that child developed with their very first