Reactive Attachment Disorder

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.

Research has revealed that there is a strong relationship between insecure attachment and a history of abuse and neglect (Begle, Dumas & Hanson, 2010). Insecure attachments are formed due to parenting stress and abusive parenting behavior. Parenting stress and abusive parenting behavior form children’s mental schemas of how the world works based upon early interactions with caregivers. These mental schemas construct their expectations about relationships. Ultimately

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,

Reactive Attachment Disorder (RAD) was first introduced just over 20 years ago, with the publication of DSM-III (American Psychiatric Association, 1980). In the DSM-IV. The disorder is defined by aberrant social behavior that appears in early childhood and is evident cross contextually(1994). The disorder describes aberrant social behaviors in young children that are believed to derive from being reared in caregiving environments lacking species-typical nurturance and stimulation, such as in instances such as maltreatment or institutional rearing. (First, M., & Tasman, A. 2010) . In cases of RAD two major types of abnormalities have been cited; these include an emotionally withdrawn/inhibited type and an indiscriminately social/disinhibited pattern (First, M., & Tasman, A. 2010).Conditions in in foreign orphanages and institutions such as, multiple caregivers, maltreatment, abuse, neglect, and others contribute to the inability for internationally adopted children to form secure attachments. All of these factors contribute to internationally adopted children being at a higher risk to develop attachment disorders such as RAD and other behavioral problems.

Question #2: The reading also cites a study by Chisholm et al. (1995) that indicated that children who had lived in an orphanage at least 8 months had lower scores on attachment security measures than did children who were adopted before 4 months of age. [Full reference: Chisholm, K., Carter, M., Ames, E. W., & Morison, S. J. (1995). Attachment security and indiscriminately friendly behavior in children adopted from Romanian orphanages. Development and Psychopathology, 7, 283−294.] How might this finding be related to the development of separation anxiety and fear of strangers?

' (Haith, 2014b, p. 466) Although a secure attachment does not occur from birth, ‘babies show signs of attachment through smiling, eye contact and crying. ' (Brandon et al., 2015) This shows the child 's main caregiver needs to begin to bond with their child for them to form a secure attachment. Bowlby believed ‘caregivers who neglect their children, bring up avoidant children. ' (Larose, & Bernier, 2001, p. 96-120). ‘Ambivalent/resistant children show negative behaviours to gain attention from others. ' (Kobak et al., 1993, p. 231-245) These statements show children who have an insecure attachment with their caregiver have a risk in behaviour problems. They will also have a less chance of developing their social and emotional skills effectively.

If the attachment figure is disrupted or broken the child will suffer irreversible long term consequences of maternal deprivation including delinquency, reduced intelligence, increased aggression, depression and affectionless psychopathy (an inability to show affection or concern for others. No guilt for anti-social behaviour).

When a child is removed from their home at a young age, the consequences can be more severe. During the ages three and four it is not good for a child to be moved but if they do get moved it is good to have a strong bond with their caregivers. If they get moved repeatedly, it makes their attachment issues more sever. Attachment issues create the following troubles such as; poor eye contact, antisocial, problems with learning and lack of physical affection. Theses are not abnormal for a child with theses issues(“Attachment”). There are two different types of attachment issues and they are the one that babies have which is insecure attachment and for older children it is also called Reactive Attachment Disorder. An infant with this disorder may not smile , or coo or make any sounds , or even does not reach out for you to hold them , they may also reject your affection like trying to soothe

To begin with, experiences that root anxiety, causes minors to have emotional detriments in foster care. The article, “Reactive Attachment Disorder of Infancy or Early Childhood”, by Jody Bower talks about an illness that hurts foster children’s emotive state. For example, not being able to trust others is an emotional disturbance among youth who obtain

Foster care has a major impact on children and adolescents. There are several areas of a child’s life that is affected by being placed in foster care. When children and adolescent enter into foster care due to abuse or neglect their world can change for better or for worse. A child’s experience before entering foster care predetermines their behavior(s) that will occur while in foster care. Often time’s children have to deal with these life changing events due to a mistake that their parent/guardian made or a lifestyle that their parent/guardian has chosen. In particular, several foster children and adolescent have attachment issues upon entering care (Kelly & Simon, 2014). This topic is concerning because it can help identify the issues that occur when children and adolescents enter into care and help front line service workers assist their families in a more appropriate manner in order to decrease the issues that are due to attachment. The outcome for every child is different, but understanding that attachment disorders is the problem and possible ways to deal with it can assist in making a positive social change in the foster care world.

The importance of Childhood Trauma is associated with the way children react later on in their life, as it plays an important role. There are several different types of maltreatment that are associated with abuse that can harm the child in the long run. Any type of physical abuse, emotional abuse or sexual abuse contributes to the negative affects that can change the child’s personality. If the child’s parents obtain physical neglect or emotional neglect, it can factor in changing a child’s moods, as it causes them to change into a different person. This experience causes them to develop different types of personality disorders such as Antisocial, Borderline, Narcissistic, Paranoia, Schizoid, and Schizotypal. Many children are affected through the terrible experience which develops mistrust in the world, and later causes them to turn against society because of the constant neglect that is inflicted onto them.

In The Road to Evergreen by Rachael Stryker is an interesting eye catching ethnography that emphasizes on the psychiatric disorder on adopted children called RAD, also known as reactive attachment disorder. Reactive attachment disorder “Describes children who are considered to be unable or unwilling to bond with parental (most often mother) figures” (Stryker 3). The reason why these particular children are unable to form a bond with their primary family is because in their past relationships formed with their birth parents, if any, have been either neglected or abused in both a physical and or mental way. So, in the end, the child is left with RAD and their new adopted families are the ones who have to get help for them in hope for a noticeable

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

This report outlines the importance of Bion’s container/contained theory and Bowlby’s attachment theory in developing secure relationships. Sadly, abused infants form a disorganised attachment style which causes them as adults to adapt maladaptive parenting skills. This leads to intergenerational transmission of maltreatment. These parents tend to use fight, flight or freeze responses to cope with their traumatic past. However in saying that, if the abused parent has been able to develop a secure attachment with another individual, or access psychotherapy, the parent can learn healthy parenting behaviours, and is able to break the cycle of intergenerational transmission of trauma being passed on to future generations.

Facilitating Developmental Attachment by Daniel A Hughes is an in depth look at the work of Dr Hughes, a clinical psychologist who specialises in child abuse and neglect, attachment and works with children in foster care or adoption. Hughes discusses every facet of his practice including the theory and research surrounding attachment, the qualities and expectations required by each of the people involved in the therapeutic process as well as including four case studies. Hughes states the book is written for those working with children who have “…severe forms of attachment problems that correspond to