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 these two forms of RAD that have been identified by the DSM as disinhibited and inhibited. Part of understanding RAD requires studying the perspective that children with RAD have. Tobin, Wardi-Zonna, and Yezzi-Shareef (2007) gathered data about the recollections that children had with RAD and some important themes were feelings of being alone, or abandonment, emotional needs that the felt were not met, as well as feeling sad or having fear. An important question to explore before delving deeper into RAD is what exactly attachment is. Attachment is the bond between a primary caregiver and the child which usually develops during the first year in which the child is born (Fonagy, Steele, & Steele, 1991). This bond is crucial for the formation of the other attachment relationships that the child will form (Horner, 2008; Lyons, 2007). There are several theories on attachment that have been studied extensively. Bowlby was a psychiatrist who worked on attachment theory. His theory describes how a child... ... middle of paper ... ...aws into question the accuracy of a child’s self-assessment. One question to ask is if children with RAD really perceive parental warmth accurately, or do they not feel that warmth. That is why further studies need to be conducted on RAD in order to help kids and families. Increasing research on the areas of the brain that play a role with RAD should also be a priority. The cortisol study by Kocovska, Wilson, Young, Wallace, Gorski, Follan, and Minnis (2013) was an interesting study that can be further researched. The hypothalamic-pituitary-adrenal (HPA) axis is crucial in stress regulation and further research can possibly find how children with RAD differ in cortisol production when compared to a control (Brand, Brennan, Newport, Smith, Zachary, 2010 ; Caldji, Diorio, Meaney, 2000). Areas important to attachment, like the amygdala can also be researched further.
Relationships are the building block for personality and are significant in children’s ability to grow into substantial individuals who can thrive in an often harsh world. Constructing lasting and fulfilling relationships is an integral part to development as the interpersonal bonds forged are not only highly sought after but also set the ground work for all upcoming expressive interactions. Relationships and attachment go hand in hand as attachment is the strong and lasting linkage established between a child and his or her caregiver. Moreover, attachment significantly influences a large capacity of ones make up as it these first relationships that teaches morals, builds self-esteem, and develops a support system. The pioneers of Attachment Theory realized early on that human beings are not solely influenced by drives but that the earliest bonds formed by children with their caregivers greatly impact their ability to forge lasting relationships later in life. John Bowlby was first to introduce this theory to the masses in the 1950’s, and later Mary Ainsworth conducted further research to expand on Bowlby’s theory which proclaims that attachment is a “lasting psychological connectedness between human beings” (Bowlby, 1969, p. 194). The attachment bond theory by both Bowlby and Ainsworth focuses on the significance of the relationship between babies and their caretakers which research has suggested is accountable for influencing impending interactions, firming or injuring our capabilities to concentrate, being aware of our emotional states, self-soothing capabilities, and the capacity to be resilient in the face of hardship. Additionally, this research has provided a framework for assisting in describing these att...
Modern Attachment Theory is in integration of Bowlby’s attachment Theory and neurobiology. This theory not only focuses on the attachment the child has with the parents but how that attachment can impact the development of brain. According to this theory, attachment is crucial to the development of the right brain, which is described as the neurobiological core of human unconsciousness. The right brain also controls neurobiological symptoms such as the processing of emption and self-regulation (Schore & Schore, 2007). Attachment in early childhood determines how an individual will attach to others later in life (Berzoff, Flanagan, & Hertz, 2011).
Attachment theory has had an immense influence on Emotion-focused therapy’s understanding of the nature of close relationships (Gurman, 2008). Attachment theory suggests that the earliest childhood experiences with parents or primary caregiver...
Borderline Personality Disorder (BPD) has been a disability surrounded by stigma and confusion for a long time, and the time to bring awareness and public understanding to this disability is long overdue. The disability itself often gets misdiagnosed as an other disability since the symptoms overlap with many other disabilities (NIMH, n.d, para 16), or worse case scenario, a medical professional refuses to diagnose or treat the disability due to the belief that these people are untreatable because of a negative schema about the disability and clinical controversies on whether BPD is a legitimate diagnosis (Hoffman, 2007) . However, after nearly three decades of research, it has come to light that BPD does indeed exist, does have a good prognosis for remission with treatment (BPD Overview, n.d, para 3), and that there are many treatment options available such as three different types of psychotherapy (Dialectical Behavior Therapy, Cognitive Behavioral Therapy, and Schema-focused therapy), omega-3 fatty acid supplements, and/or medications (NIMH, n.d, para 29, 30, 31, and 39, 41). Even though the disability started as a psychoanalytic colloquialism for untreatable neurotics (Gunderson, 2009), BPD is very treatable and doesn’t deserve the stigma it currently carries throughout society.
What behaviors or environmental factors cause the difference between severe childhood development problems and mild cases? A child is born to have connection with the environment he or she is living in. An infant is capable of learning how to connect with other people in variety of ways. One of the ways is to get attach and have connection with its caregiver: mother, father, and or grandparents, to learn how to have empathy for the people around him or her. A child, who did not see any empathy in the first early years of childhood, (the first two years of life), he or she will be sociopathic. A sociopathic, also called psychopathy is defined in lack of empathy and connection between a caregiver, mother, and the child. However, many children with sociopathic behavior can be harmful. They will not command suicide, but their lack of empathy would make them to be a “cold blooded” person throughout its adulthood and would cause an unpleasant behavior. Sociopathic behavior can be harmful for the people around the person, who is a sociopath. The person will not show love or any emotional behavior throughout his or her life, because he or she did not see nor had connection of love and empathy in its early life.
David Berkowitz, otherwise known as the “Son of Sam”, was notorious for his crimes committed between 1976 and 1977 that ended the lives of six innocent victims and wounded several others in New York (“David Berkowitz Biography”, n.d.). At first, police did not make a connection between the murders because there was nothing unusual about them; all the victims were shot with a 40 caliber gun, not fairly unusual during this time or place especially since the killings were over an extended period of time. Police finally made the connection when Berkowitz began to live behind notes that were meant to tantalize authorities since they had yet to catch him (“David Berkowitz| Son of Sam Killer,” 2015). Often times, the psychological structure of a human
The attachment process plays a crucial role in a child’s development and their future impact on society According to Dr Suzanne Zeedyk. Children can’t feel relaxed and safe with the adults & children in the nursery until they get to know them. If there’s a lack of affection towards a child they may be reluctant to take advantage of all the learning opportunities because of their anxiety. We now know that relationships literally shape the neural connections in young children’s brains. This means everything that happens or doesn’t happen for the child will leaves a physiological trace in their growing brain. According to Dr Suzanne
An embryo forms in the uterus of a soon-to-be mother. Already the organism is dependent on its mother and is physically attached to her through the formation of the umbilical cord. After birth, the interactions between the child and its caregivers determine whether this attachment continues on a healthy path or begins to become disturbed. When the latter occurs, children may develop reactive attachment disorder (RAD) Being that this disorder is fairly misdiagnosed and misunderstood, there is not much empirical data as pertains to its etiological bases and epidemiology. The Diagnostic and Statistical Manual of Mental Disorders characterizes RAD has a disorder that occurs when a child has experienced repeated insufficient care. Moreover, children with this disorder really concentrate on attention and attachment that they perceive from the world around them, whether they avoid it (inhibited type) or crave it (disinhibited type). Further research is needed in the years to come in order for RAD to become more recognized and understood.
The therapeutic process is an opportunity for both healing and restoration as well as discovering new ways of being. Although exposed to a variety of psychological theories, I narrowed my theoretical orientation to a relational psychodynamic approach, drawing on attachment theory and Intersubjective Systems Theory (IST). IST describes how the subjective experiences, both embodied and affective, of an individual becomes the manner of organization, or way of being, in which the person operates in the world relationally. It is through this process of transference and countertransference, the unconscious ways of being can become explicit and through the collaborative effort of therapist and client, new ways of organizing the relational world can
Hamilton 's 2000 research suggests that attachment classification at 12 months predicts attachment in late adolescence. Hamilton (2000) designed a study to asses weather infants attachment would remain stable over time. Hamilton (2000) recruited 205 American families during the mothers third trimester of pregnancy. The study included both conventional and non conventional families to asses weather this effected attachment stability (Hamilton, 2000). Infants attachment style was measured at 12 months using Ainsworth 's (something) Strange situation task. Results from the strange situation task classified 153 infants as secure, 30 infants as avoidant, and 19 as resistant, there was no classification difference between conventional and non conventional families (Hamilton, 2000). About 16 years later families were contacted by mail for a follow up study, However due to varying circumstances only 30 participants out of the original sample size were available (Hamilton, 2000). Attachment in adolescents was measured using the AAI task which was developed by George, Kaplan and Main in 1984 (Roisman, Holland, Furtuna, Fraley, Clausell & Clarke 2007). Its a semi-structured interview with 20 question that take about an hour (Roisman et al., 2007).The results showed that 77% of participants retained the same classification from infancy to adolescences (Hamilton, 2000) . The results also suggested there was no difference of attachment stability between conventional or non-conventional families (Hamilton, 2000) . Hamilton’s (2002) study supports previous research in the area of attachment
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, children with reactive attachment disorder have a tendency to have episodes of negative emotions including a period of fear, sadness, and irritability that cannot be explained. According to the DSM-5 (2013), reactive attachment disorder impairs children’s ability to relate on a personal level with adults or peers along with many other functional impairment in several domains during early childhood. The clinical disorder is likely to manifest in a child between the ages of nine months and five years (p. 267).
Attachments are formed with parents; this contributes to give a sense of who we are and who we will become in later life. However where these attachments are broken the child needs to have a secure attachment established with an alternative adult care giver,...
Everyone feels “detached” in certain times of their lives. It could be after a traumatic event, significant occurrence, or even from emotions. People can relate to not feeling like they belonged, but in a sense of not belonging to society or a community. Others aren’t as fortunate and feel like they don’t belong to their own selves, their own bodies and minds. There is a disorder like this that many people have called Depersonalization disorder, or DPD. It has many symptoms, but when diagnosed, can be treated with different types of medications and therapies.
John Bowlby was the first attachment theorist, he describes attachment as a “lasting psychological connectedness between human beings” (Bowlby, 1969, p.194), he believed that the earliest bonds that were formed between child and caregiver has a huge impact that continues throughout the infants life. Attachment is said to help keep the infant close to their mother, so it improves the child’s chance of survival.
The first topic that came up in the interview relates to idea of attachment theory. Attachment theory explains the human’s way of relating to a caregiver and receives an attachment figures relating to the parent, and children. In addition, the concept explains the confidence and ability for a child to free explore their environment with a place to seek support, protection, and comfort in times of distress (Levy, Ellison, Scott, and Bernecker, 2010, p. 193). Within attachment theory explains different types of attachment styles that children experience during early childhood. These attachment styles affect the relationships they continue to build in adulthood. The best attachment style happens when the parent is attuned to the child during his or her early childhood called secure attachment (Reyes, 2010, p. 174). In order for complete secure attachment, the child needs to feel safe, seen, and soothed. Any relationship that deviates from this model represents the anxious or insecure attachment. This means that parents or caregivers are inconsistently responsive to the children. Children who have these parents are usually confused and insecure. Some children experience a dismissive attachment where they