Reactive Attachment Disorder Essay

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.

Next on the continuum of attachment styles, the insecure-anxious-ambivalent child displays an extreme reaction of distress to their caregiver’s departure and a slight inclination to explore. (Connors, 2011) Upon the return of their parent or caregiver, this child is not comforted and physically resists contact. Noted by Ainsworth in her “Strange Situation”, this child’s “interactive behaviors are relatively lacking in active initiation” (Ainsworth et al., 1978), meaning the child, seeking validation, might respond to the return of their parent but this generally includes emotional outbursts instead of taking an active approach to their parent. The insecure-avoidant pattern of attachment displays an infant who lacks a secure base and fails to respond to both the departure and return of their primary caregiver. (Ainsworth et al., 1978), Further, the “Strange Situation” displayed this child as turning away or “squirming” when contact was reestablished between child and caregiver (Connors, 2011). Finally, the later addition of the attachment pattern insecure-disorganized explains children who demonstrate a mixture of attachment behaviors. This child often responds to their caregiver with opposing actions, such as approach-avoidance, and displays a degree of fear associated with that caregiver; it is theorized that there is a direct correlation between abused children and this particular

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.

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.

Attachment disorder children never bond properly to their abusive caretakers, resulting in an inability to bond with anyone else later in life (Crosson-Tower 58).

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

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.

Reactive attachment disorder is a disorder that impairs a child’s social skills before the age of five. (Shi, 2014) Children diagnosed with reactive attachment disorder have a hard time getting close to others. They are ones who are neglected, abused or constantly changing caregivers. It is hard for these children to get close to others when all they know is negative things about personal relationships. If a child is raised not knowing how to trust or be close to anyone, they will have issues with relationships.

Reactive attachment disorder is described (Kress & Paylo, 2014) as a disorder in which the child received extreme neglect by the primary caregiver and as a result does not form emotional bonds with others. Recent studies, state Kress & Paylo (2014), show that all children in order to develop emotional bonding with others need their basic physical and emotional requirements met. This was also the case with the little girl in the HBO &

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.

What are the consequences when children are not given the love, a sense of safety, and care they need? While some of the behaviors of Reactive Attachment Disorder has been noted as far back as the mid-20th century (Fox and Zeanah 32), and was not even introduced as a disorder until 1980 in the 3rd edition of the Diagnostic and Statistical Manual of Mental Disorders (Gleason and Zeanah 207). Children have been exhibiting the symptoms of Reactive Attachment Disorder long before scientist started documenting it. During the early years, not much was known about Reactive Attachment Disorder, although scientist have learned much about this disorder since. Unfortunately, it is a common misconception that only adopted children have this disorder. The thought is that children taken from their parental units by state officials or from orphanages, mostly from overseas, at a young age and placed into new homes caused this problem, but this has since been found to be untrue. Children that do not receive the nurturing love, the feeling of safety, and are abused in many different ways will have this disorder. The life of a child diagnosed with Reactive Attachment Disorder can be extremely difficult due to the characteristic angry outbursts, the habitual telling of untruths, and recurrent stealing which can cause the people around them have a difficult time making a connection with them.

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.