Reactive Attachment Disorder Research Paper

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.

Other health problems arise when the trauma from past experiences such as abuse or violence in the home cause long term effects in the children. The needs of children in foster care are multifaceted and the problems are exacerbated when the resources in the community are scarce and when the service system is fragmented (Halfon, Berkowitz, & Klee, 1993). Due to the complexity of their problems and the degree of vulnerability, a well-trained and

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 In cases of RAD two major types of abnormalities have been cited; these include an emotionally withdrawn/inhibited type and an indiscriminately social/disinhibited pattern (First, M., & Tasman, A. 2010).Conditions in in foreign orphanages and institutions such as,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.

Children suffer significantly until someone decides to protect them. The government allocates funds to establish the foster care system and that system advances to enforce rights for children. When the right to remove children from an abusive situation first originated, the foster care system established a separation procedure for children from their abusive homes. This act of removing children from their families brought about psychological issues and trauma. Throughout earlier years, the foster care system adjusted their program according to the rules and regulations established to provide for the needs of children. However, problems keep appearing elsewhere. These children endure the brunt of every new philosophy in behavioral health management. Often, the biological parents will be left out of the solution. The foster care system develops services to train foster families in caring for foster children and behavioral issues. For some reason, the foster care system believes improvement simpler to reform the children and makes a trivial attempt of the reformation with family. The foster care system needs to try to achieve bonds within the biological family instead of the sole reliability on removal of children to be an adequate answer. The foster care system’s obligation should be to develop a training system for the rehabilitation of families and offer support to achieve the greatest outcome in child rearing. Foster care needs to adapt to supporting families emotionally,

More than two-hundred and fifty thousand children enter the foster care system each year, making it extremely difficult to find the right caregiver for each child. There are so may effects on the child that last their entire lifetime, making it difficult for them to trust others. Not being able to trust their peers, they often find it hard to make friends and long-term relationships last. Fortunately, there are many results that can improve everyone’s position in placing the child. Foster care agencies repeatedly create destructive situations due to the selected caregiver, as well as the plethora of glitches that are created. Due to the unacceptable and inappropriate selection of foster parents, the child frequently experiences difficulties and disadvantages later on. Most children are placed into foster care because of mistreatment and experience the same treatment in their foster homes. Unfortunately, a lot of times the foster parent will take their anger out on their foster child, making a wide array of short-term and long-term complications for the child.

Over 600,000 children in the United States are in the foster care system. Reasons include, abuse, neglect and abandonment. These children lack nurturing environments and stable homes. Children within the foster care system have more mental, physical and developmental problems. It is imperative to understand the challenges children entering the foster care system are exposed to. The system works best when children are provided nurturing, and short-term care until they can be placed back home safely or a permanent adoptive family. For many children, however, the stay is longer, with 30% remaining in temporary care for over two years. Staying in the system is detrimental to the child’s well-being. The foster care system is an unsuccessful intervention for children that cultivates development, health and mental issues.

According to the Children’s Bureau, there were 427,910 children in the foster care system in 2016. Placements in a foster family have dramatically increased over the last ten years. For some young children and young adults in the foster care system, they have experienced abuse and neglect and have been removed from their parents. Other children have suffered a variety of parental problems such as drug addiction, abandonment, incarceration, mental and physical impairments and death. These painful experiences associated with maltreatment and the trauma of being removed from parents or caregivers can affect the mental health and development of these young people. “ Most children in foster care, if not all experience feelings of confusion,

Several studies have documented the increased prevalence of emotional and behavioral disorders in the foster care population “

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

One of this disadvantages of foster care, is there is an instability in the system. At times social workers are unaware that the placement of the child was ruled in court for the return of the child to their parents. Another disadvantage is that the transitory environment of the foster placements has been a problematic component in the child welfare system (Crosson-Tower, 2014, p. 316). Some children already experience attachment issues prior to removal from their home. These issues will further advance and creating more problems with the child. Since foster care is a temporary environment for the child, children may adjust to this temporary placement only to be removed and either return home or be placed with another temporary family. These transitions effect the child’s behaviors and emotions. The goal is to provide the child permanency. However, the foster care system is not meant to

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.

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.

The study consisted of 12 parents who foster children ages 2-8 years old. The high levels of conduct problems among children in the foster care system and the added cost to families, society and services, there is a pressing need to support foster parents. Providing foster care to children with increased emotional, behavioral, and medical needs requires not only time, but patience in dealing with the child’s demands. Foster parents often voice they are unprepared to meet demand of children with increased behavioral and emotional needs and adolescents in their care. This situation can result in placement disruption, which further strains foster care resources and has negative impacts on foster children and youth. The incidence of conduct disorder

Facilitating Developmental Attachment: The Road to Emotional Recovery and Behavioral Change in Foster and Adopted Children by Daniel A Hughes