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.

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 (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.

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

The flowing case study of a female, Mallory, suffering from transference, reactive attachment disorder, and depressive disorder due to reactive attachment disorder believed to be caused by incidents that occurred between her and an important individual in her life. Mallory initially comes to see Dr. Santos for what she descried as mild depressive symptoms.

r care can prevent kids from forming healthy relationships and bonds with peers and adults if they constantly change foster homes. Multiple caregivers, abuse, neglect and abandonment can result in reactive attachment disorder, signified by strained relationships and a general lack of interested in socialization with others. The mental effects include distrust, and uncertainty in others, heightened by anxiety, fear and depression. Behavioral symptoms include avoidance of physical contact, straying from social interaction, remaining withdrawn, acting preoccupied or detached from people or activities, devoid of outward emotion and wanting to remain alone.

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)

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

My act of courage is when I found out that i had Reactive Attachment Disorder. You can get this from being abused when you were a little kid or a baby. Well in my case I was abused by my mom for two years. She abused me since the day I came home from the hospital till the I was almost three years old and got put into foster care so I got away from the person who was abusing me for a couple of month's. I just found out on January tenth, 2017 at a meeting that I had to go to that I had Reactive Attachment Disorder. You can also get this from being separated from your parents for a while and I was whenever I was put into foster care I was separated from my real mom for the rest of my life and my sister's and brother's dad died when I was

This paper is a review of how attachment disorders were first defined in the Diagnostic Statistical Manual of Mental Health Disorders (DSM) in 1980, and how the descriptions have evolved over the past 30 years of research efforts which have provided new insights into the disorder. The main attachment disorder discussed is Reactive Attachment Disorder (RAD), that has recently been expanded to include a new diagnosis term called DSED – Disinhibited Social Engagement Disorder. In order to provide effective therapeutic interventions to children who may suffer from RAD, the professionals they come in contact with on a regular basis must be provided the skills to recognize the common indicators of the disorder as early as possible in a child’s development. RAD, if left undiagnosed, can have devastating effects throughout the lifespan for the individuals who suffer from it.

Imagine one moment you’re outside playing football in the yard with your little brother, then in a split second something triggers him and fills him with an uncontrollable rage that will have you scared of someone in your own family. This is because my little brother Ty suffers from Reactive Attachment Disorder and like many other foster kids Ty was neglected by his birth parents and then did not establish an appropriate bond with a caregiver. To people unaware of Ty’s mental illness he may seem like a normal 16 year old that spends time with his family and enjoys working on his dirtbikes. What the people don’t see is the anger that fills him from when things don’t play out the way he wants them to. Ty’s triggers usually come from when something doesn’t go the way he wanted them to, in his mind things need to play out exactly how he wants them to and if they don’t then the result is not a pleasant sight.

Attachment is a term used to describe the dependency relationship a child develops towards his or her primary caregivers. It is first observable during the latter half of the first year of life and develops progressively over the first four years of life. It is most readily observed in the behavior of children when they are sick, injured, tired, anxious, hungry or thirsty. Although early attachment research focused on the mother and infant, it is now generally accepted that children develop multiple attachment relationships. An ‘attachment figure’ is defined as someone who provides physical and emotional care has continuity and consistency in the child’s life, and who has an emotional investment in the child’s life. This can include parents (biological, foster, adopted), grandparents, siblings, aunts and uncles, and alternate caregivers (e.g. child-care workers). Given that children are able to form multiple attachments, the question has been asked as to which attachment relationship is most influential on children’s developmental outcomes.

An infant with a secure attachment style has a natural bond with their parent, where they are able to trust them, at the same time leaving their side to discover and explore their surroundings. In an insecure/resistant attachment the relationship the child has with their mother or caregiver is very clingy, thus making them very upset once the caregiver is away. When the mother or caregiver is back they are not easily comforted and resist their effort in comforting them. In an insecure/avoidant attachment the infant is, “indifferent and seems to avoid the mother, they are as easily comforted by a stranger, as by their parent” (Siegler 2011, p.429). Lastly, the disorganized/disoriented attachment is another insecure attachment style in which the infant has no way of coping with stress making their behavior confusing or contradictory. Through these brief descriptions of the attachment theory, many researchers have defined the turning point in which each attachment definition can have an influence on one’s self esteem, well-being and their marital relationship.

John Bowlby, who originally developed the theory of attachment, describes it as a “lasting psychological connectedness between human beings” (Somerville, 2009). Furthermore, there are four main characteristic of infant attachment, proximity maintenance, safe haven, secure base, and separation distress. Proximity maintenance is the desire to stay close to the people we have formed an attachment. Safe haven refers to the action of returning to the attachment figure for comfort and safety when danger or fear is present. A secure base is a place where the attachment figure acts as a base of security from which a child can explore the surrounding world. Separation distress is the anxiety that occurs when the attachment figure is absent (Cherry, 2011).

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