Case Study On Trauma And Stressor-Related Disorders In Children

Facilitating Developmental Attachment is a book about the theory behind and a treatment for attachment disorder, focusing on children who have been fostered or adopted due to abuse or neglect. Daniel Hughes gives a detailed therapy plan of how to help these particular children begin to form the secure attachment that is crucial to living a fulfilling life.

John Bowlby developed his Attachment Theory to examine and explore the contextual relationships between a child and their caregiver and their behavioral repercussions. He describes it is “a way of conceptualizing the propensity of human beings to make strong affectional bonds to particular others and of explaining the many forms of emotional distress and personality disturbance, including anxiety, anger, depression, and emotional detachment, to which unwilling separation and loss give rise” (Bowlby, 1979, p. 127). An infant’s attachment to their primary caregiver establishes a sense of security, through protection, so the infant is able to explore the world with confidence and without threat and risk. During a child’s

Attachments and relationships are developed at a young age and any distressed or non-existent attachments can affect the child’s developing brain and their future relationships with caregivers and others. Though not true for all, many cases of RAD are attributed to children who grow up in institutions or have been adopted and/or placed in foster homes (APA, 2013).

In the earliest stages of development, emotions are diffuse and infants have little control over their behavioral expression, relying instead on the dyadic regulation provided by their caregivers’ responses to behavioral signals. Attachment disorders form in infancy and early childhood as a result of instability in the child-caregiver relationship. Attachment-disordered children typically have experienced abusive or neglectful care, multiple changes between caregivers and environments, or the sudden loss of a parent or parents.

One thing is for sure: No recipe for parenting will guarantee a good night's sleep every night or perfect children (Hotelling, 2004). As stated in the article Bowlby (1982) defined attachment as a child being “strongly disposed to seek proximity to and contact with a specific figure and to do so in certain situation, notably when he is frightened, tired or ill”. Typically, preferred attachment emerges clearly in the latter part of the 1st year of life, as evidenced by the appearance of separation protest and stranger wariness. Under usual conditions, preferred attachment unfolds gradually over the 1st year of life (Zeanah and Fox, 2004). Preferred attachments to caregivers may develop at any time after infants reach a cognitive age of 7 to 9 months, provided that the new caregivers have sufficient involvement with the child. Thus, young children adopted out of foster care or institutions readily form attachments to their new caregivers (Zeanah and Fox, 2004). Zeanah and Fox (2004) states there are four patterns of attachment, secure, avoidant, resistant, and disorganized have described individual differences in the organization of an infant’s attachment behaviors with respect to an attachment figure in this procedure. RAD was first introduced into the diagnostic nosologies just over 20 years ago, with the publication of the Diagnostic and Statistical Manual of Mental Disorders (3rd ed. [DSM-III], American Psychiatric

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,

Ainsworth (1978) developed the Strange Situation Theory, which is how one is able to view the different levels of attachment (Groh, Roisman, Booth-LaForce, Flaley, Owen, Cox, & Burchinal, 2014). The first attachment is secure attachment, which is when a child is able to greet and seek out contact with the caregiver upon arrival after a stressful separation (Haltigan & Roisman, 2015). The next is anxious-avoidant/resistant (insecure) attachment, when the child has no want to contact with the caregiver while showing signs of resistance upon the return (Haltigan & Roisman, 2015). The last and the most crucial to child development is disoriented/ disorganized attachment; conflicting responses from the child which show hostile and aggressive behavior toward the caregiver (Haltigan & Roisman, 2015). All of these attachements show the different types of ways that a child can communicate with their caregiver. These actions are the representations of their early attachment and experiences with the caregiver (Siebert & Kerns, 2015). If there are no changes toward the environment, the attention

Attachment disorder is the result of a bonding process that occurs between a child and caregiver during the first couple years of the child’s life. From the view of Mary Ainsworth, Harry Harlow, John Bowlby and Rene Spitz attachment disorder does severe damage depending on the child and the abuse level. This attachment break severely damages the heart and mind. It stops the child’s ability to care, love or trust. When a child

Treatment strategies are not as well established for disorganized attachment as they are with other attachments. However, there is a critical need to develop these strategies as this particular population struggles immensely with issues such as self-regulation, the development and maintenance of relationships, as well as many other conditions that affect their daily lives. An important and critical time for treatment is during early childhood, as the longer a person struggles with disorganized attachment, the more difficult it is to treat and correct that attachment. There are a number of different treatments that may be utilized, and researchers are in the process of determining their effectiveness. There have been some case studies that have discussed the potential for individual therapies that have a focus on both emotional regulation and the growth of relational abilities through non-directive play according to Zilberstein (2010, p.89) Other studies have instead choose to focus on the changes that are elicited through the basic parent-child

Reactive attachment disorder manifests before the age of five and affects how a child is able to attach to their guardians, teachers, friends, authority figures, and any other person in their lives. There are two recognized types of reactive attachment disorder. The inhibited type and the disinhibited type (Rhodes, 2016). The inhibited type is “emotionally withdrawn” (Roberds & Davis, 2011). They do not initiate social relations or respond developmentally appropriately. The disinhibited type could also be called “indiscriminate” (Roberds & Davis, 2011). They will look for comfort or interaction from strangers or caregivers indiscriminately. They can also be “described as shallow and attention seeking” (Roberds & Davis, 2011). Some of the symptoms of reactive attachment disorder, or RAD, could stem from other disorders such as post-traumatic stress disorder. “Children with RAD may lack empathy, may intentionally harm themselves or others, and may be hypervigilant. Children with RAD have also been observed to exhibit impulsive and self-endangering behaviors. They may generally struggle with emotional and behavioral regulation. Children diagnosed with RAD may have related issues stemming from abuse and neglect that are not part of RAD that also need professional attention. These include unattended medical conditions, as well as trouble with speech or language” (Roberds & Davis, 2011). Some sources also include trouble understanding cause and effect as well as a problem with

Reactive Attachment Disorder (RAD) is a psychiatric illness that is characterized by problems with emotional attachments and usually presents itself around the age of five (Reactive attachment disorder, 2013). Parents or caregivers might notice that the child has emotional attachment issues by the age of one though (Reactive attachment disorder, 2013). The DSM-IV goes on to describe RAD as also including the first or second category (American Psychiatric Association, 2000). The first category describes a failure to interact in developmentally appropriate ways while the second category describes an inability discriminate appropriate attachments to different groups of people (American Psychiatric Association, 2000). Boekamp (2008) describes

Reactive Attachment Disorder is a psychological disorder which effects children and adults in the United States. Reactive Attachment Disorder or “RAD”, “is a rare but serious condition in which an infant or young child doesn't establish healthy attachments with parents or caregivers” (Mayo Clinic Staff, 2014). Adolescents suffer from reactive attachment disorder in the United States due to a lack of appropriate parent care which can be cured through seeking the assistance of professionals.

In 1958, the Attachment theory came into existence. It was developed by John Bowlby on the notion that the quality of the parent -child relationship was essential for development and mental health (Howe, 2011, pg, 7). This thinking was in the context of distress shown by children when separated from their parents or when in unfamiliar surroundings. While having credit for the emergence of the attachment theory, Bowlby subsequently carried out a lot of research work with Mary Ainsworth concluding that children view their attachment figures as both a ?safe haven? to return to for comfort and protection and also a ?secure base? from which to explore their environment. The birth of children gives rise to the need to feel loved and wanted by caregivers, (Maclean and Harrison,2015 pg, 103), the absence of which might result in a range of behaviors to either

According to Bowlby, the founder of attachment theory, a dependable, safe, and caring relationship with a primary caregiver is vital to an infant’s psychological health (Bowlby, 1951). In particular, children lacking a secure attachment with their primary caregivers are at risk of developing emotional and behavioral issues (Blakely & Dziadosz, 2015). Unfortunately, the human bonds normally formed in infancy are fractured in neglected and abused children suffering from RAD (Shi, 2014). As a result, these children become withdrawn, distrustful, and fearful of the world (Shi, 2014).

Attachment theory is a concept that explores the importance of attachment in respect to direct development. “It is a deep and enduring emotional bond that connects one person to another across time and space” (Bowlby, 1969; McLeod, 2009). It is the relationship that develops within the first year of the infant’s life between them and their caregiver. The theory also relates to the quality of the attachment that is shown in the behavior of the infant (Rieser-Danner, 2016). Attachment theory shows that infants need a close nurturing relationship with their caregiver in order to have a healthy relationship. Lack of response from the caregiver