Reactive Attachment Disorder Research Paper

Facilitating Developmental Attachment – The road to emotional recovery and behavioural change in foster and adopted children

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 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.

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

The main criteria is that it had to have started before the age of five. “A threshold of neglect may be necessary for signs of these disorders to appear, but more detailed evaluations of the caregiving environments are needed to determine which components are caregiving are specifically associated with risk.” (Zeanah, 2015) Children with RAD can lash out and have outbursts. They suffer from depression and anxiety. Not having a stable environment can affect their mentality. They suffer from depression due to the lack of a caregiver in their lives. They lash out at their new caregivers and keep to themselves. It is difficult for them to adjust because it is a new change for them. They have a hard time having new relationships and have difficulties in school with their teachers, classmates, and schoolwork. (Dranoff) The child rarely seeks comfort due to the fact that they have always been by themselves to comfort

The website states that there is no standard treatment for RAD but that creating a healthy, nurturing and stable environment for a child can help to improve the attachment disorder. Early intervention comes with improved

Treatment for RAD typically involves a combination of therapy, counseling, and parent/caregiver education designed to ensure a safe home environment, develop positive interactions with parents/caregivers, and improve peer relationships and interactions. Family therapy is used to help the child and his/her caregivers better understand the RAD and learn effective interventions. Play therapy may be used with younger children as a way to learn appropriate social skills, like how to interact with peers and conflict management. Individual counseling is designed to help the child monitor and control behaviors and emotions. Parenting classes are necessary to teach caregivers about attachment disorders as well as other specific parenting skills that

In the first few months of life, the sole purpose of any child’s behaviour is to survive. This, more often than not, results in actions that reduce the risk of harm and increase the chances of longevity. Of these behaviours, some argue that the most influential is attachment behaviour. “Attachment behaviour is any form of behaviour that results in a person attaining or maintaining proximity to some other clearly identified individual who is conceived as better able to cope with the world”(Bowlby, 1982). Therefore, children will make an effort to stay close to and under the protection of their primary caregiver. According to Webster, “through interactions with their primary caregiver, the child develops expectations and understandings about the workings of relationships. These mental representations of relationships become internalized to the degree that they influence feelings, thought and behaviour automatically and unconsciously” (1999, p.6). Moreover, the response of the identified individual plays a huge role in the child’s perception of the outside world. If the caregiver responds to the child’s needs in a caring and protective manner, the child will feel safe and comfortable in his or her surroundings. If, on the other hand, the caregiver is often emotionally and/or physically unavailable, the child is likely to