Reactive Attachment Disorder ( Rad ) Essay

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?

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 Behavioral symptoms include avoidance of physical contact, straying from social interaction, remaining withdrawn, acting preoccupied or detached from people or activities, devoid of outward emotion and wanting to remain alone.

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 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.

In the U.S. 397,122 children are living without permanent families in the foster care system, as of 2012, more than 58,000 children in the U.S. foster care system were placed in institutions or group homes, not in traditional foster homes (CCAI, 2012). Can these children developmental need be meet in institutions and enable children to make sucker attachments? The American Journal of Psychiatry’s article “A Randomized Controlled Trial Comparing Foster Care and Institutional Care for Children With Signs of Reactive Attachment Disorder” examines signs of emotionally withdrawn and indiscriminately social reactive attachment disorder in three groups of young Romanian children that were abandoned by their parents. The placement of children into an institution was made by Romanian child protective officials. The research group ensured that no child, once placed in foster care, through the Bucharest Early Intervention Project, would be returned to an institutional setting, either during or after the study (Smyke, 2012).

Bartholemew and Horowitz (1991) described a model of attachment in which the child’s image of the self and others are the most important roles. The four categories in this model are secure attachment in which the child has a sense of worthiness and that others are accepting (Bartholomew & Horowitz, 1991). Preoccupied attachment describes a feeling of unworthiness but with positive feelings towards others, fearful attachment combines unworthiness with a negative feeling towards others (Bartholomew & Horowitz, 1991). Dismissing attachment describes a feeling of worthiness with negative feeling towards others (Bartholomew & Horowitz, 1991). Pignotti (2011) explored the effects that early institutional care has on kids that are later adopted and their risk of RAD. Kemph & Voeller (2007) describe how RAD is seen to occur because of poor nurturing from the mother as well as several other prenatal factors. Minnis, Green, O’Conner, Liew, Glaser, Taylor, & Sadiq (2009) compare RAD with insecure attachment patterns and find that RAD is not the same as attachment insecurity, especially because it occurs early on. Other studies have tried to go further and study RAD and possible biological mechanisms that cause it. Kočovská, Wilson, Young, Wallace, Gorski, Follan, & Minnis (2013) studied the effects of reactive attachment disorder (RAD) and cortisol

What happens to children who do not form secure attachments? Research suggests that failure to form secure attachments early in life can have a negative impact on behavior in later childhood and throughout the life. Children diagnosed with oppositional-defiant disorder (ODD), conduct disorder (CD) or post-traumatic stress disorder (PTSD) frequently display attachment problems, possibly due to early abuse, neglect or trauma. Clinicians suggest that children adopted after the age of six months have a higher risk of attachment problems.

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.

This literature review focuses on a general understanding of the history of attachment, as well as the basis of what attachment means in early childhood development. It will also review how the diagnosis of RAD has evolved over the years since it was first introduced as a condition in 1980. This paper will reveal what scientists suggest happens when a child’s attachment to his/her primary caregiver is

Infant’s interactions with their caregivers is an important part of the infancy stage. During this stage the attachments that are developed can determined the child’s attachments in the future. Some children do not form appropriate attachments in their infancy which may cause issues down the road. One of the clinical problems that failed attachments can cause is Reactive Attachment disorder. In the book The Boy Who Was Raised As A Dog the author Bruce D. Perry talks about a boy, James, whom is diagnosed with this disorder. Reactive attachment disorder is defined, James story was told, and things that can be learned from children that are ill. James story can be used as a teaching tool for those diagnosing or treating patients with reactive

Although the study is thorough in describing findings among those who are adopted from institutions, specifically orphanages, the study falls short of describing attachment patterns with children who are adopted at birth and had no experience with institutions. Therefore, I do not believe that the study conducted by Marcovitch et al. (1997) describes attachment among all adopted children, but it does describe how children who spend a considerable amount of of their first year of life in orphanages are more likely to have issues later in life since attachment theorist believe that attachment or lack thereof can affect cognitive, emotional, and behavioral development (Broderick & Blewitt, 2015). In fact, the outcomes of children who spend a majority of their early years in an institutional setting can be attributed to the “lack of an attachment figure” (Marcovitch et al., 1997, pp. 19).

As of 2006, approximately 1.5% of urban infants in the US were in foster care (Cole, 2006). This is a system and a lifestyle that will likely affect the rest of their lives via developmental and relational problems, for the most part against their will. John Bowlby, one of the main scientists behind Attachment Theory once wrote about forming a secure attachment “the infant and young child should experience a warm, intimate, and continuous relationship with his mother (or permanent mother substitute) in which both find satisfaction and enjoyment” (1951, p. 13). This is a challenging feat for foster children, who don’t necessarily have a permanent mother substitute. While I expected the literature to describe foster kids to typically have some degree of Reactive Attachment Disorder, it turns out that this is fairly rare, occurring in less than ten percent of children who were severely neglected as children (American Psychiatric Association, 2013). The literature more often refers to insecure and avoidant attachment as the main attachment style among foster and institutionalized children. Individuals with avoidant attachment styles have learned through interaction with caregivers that any support-seeking or emotional expression will be met with rejection, and therefore avoid doing so. The following will detail and at points expand on or critique articles supporting the notion that foster children often have avoidant attachment styles, and that this is often problematic.

Although secure attachment during infancy is the foundation for continued healthy positive development during the lifespan, it is important to understand that other factors can have a significant effect on development later in life (i.e. illness, loss, and trauma). However, research has shown the importance of consistent care giving that is responsive and nurturing and the caregivers’ ability to effectively accommodate more difficult temperament characteristics ,as well as other factors, influence the development of healthy attachment{{64 Bakermans-Kranenburg, Marian 2003}}. Research has also shown that infancy and early childhood is the period of development where scaffolding begins and continues (Vygotsky, 1978; Zhao & Orey,1999).

The principal diagnosis of Reactive Attachment Disorder is a result of multiple changes in caregiving (Bowlby, 2005). The twins were apprehended by the Ministry and placed with their Grandmother who reports being unable to manage their behaviours. The diagnosis is attributed the assumption that the reason for the apprehension was because of adverse childcare where the children’s’ mother was unable to care for them and they suffered abuse or neglect in her care. Even while in Grandmother’s care, it is reported that she is unable to manage the twins’

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