Reactive Attachment Disorder and Attachment Therapy
Reactive Attachment Disorder and Attachment Therapy
University of New York in Prague
Reactive Attachment Disorder and Attachment Therapy
Introduction There has been growing attention on attachment theory and its impacts on later behavioral outcomes. Several research have found an association between attachment insecurity and personality disorders due to inconsistent and unstable sense of self; and association between insecure attachment and physical illness due to susceptibility to stress. Although it has various implications on sense of integrated personality and psychological well-being, the only pathology that is officially related to attachment is Reactive Attachment Disorder (RAD) of infancy or early childhood which is counted as very rare disorder in Diagnostic Statistical Manuel. There has been a wide range of debates on RAD with regard to its difficulties in diagnosing, validity of its subtypes, its susceptibility of being confused with other disorders, its relation with attachment theory and its treatment methods. In my opinion, RAD has not given much attention and has not been studied much due to these complications. In this paper, my attempt is to discuss these issues about RAD and its treatment models by providing with some empirical findings. Reactive Attachment Disorder can historically be traced on the studies with institutionalized children who were deprived from secure attachment and who had multiple caregivers. In very young institutionalized children who experienced social deprivation, Tizard and Rees (1975) identified two types of disorders. The first one was socially indiscriminate/ disinhibited type, in which children displayed nonselective preferences of using adults as seeking comfort and tendency to go with the strangers who offered them comfort. In the second type, children were relatively socially withdrawn/ inhibited, who showed limited social responsiveness, little
University of New York in Prague
Reactive Attachment Disorder and Attachment Therapy
Introduction There has been growing attention on attachment theory and its impacts on later behavioral outcomes. Several research have found an association between attachment insecurity and personality disorders due to inconsistent and unstable sense of self; and association between insecure attachment and physical illness due to susceptibility to stress. Although it has various implications on sense of integrated personality and psychological well-being, the only pathology that is officially related to attachment is Reactive Attachment Disorder (RAD) of infancy or early childhood which is counted as very rare disorder in Diagnostic Statistical Manuel. There has been a wide range of debates on RAD with regard to its difficulties in diagnosing, validity of its subtypes, its susceptibility of being confused with other disorders, its relation with attachment theory and its treatment methods. In my opinion, RAD has not given much attention and has not been studied much due to these complications. In this paper, my attempt is to discuss these issues about RAD and its treatment models by providing with some empirical findings. Reactive Attachment Disorder can historically be traced on the studies with institutionalized children who were deprived from secure attachment and who had multiple caregivers. In very young institutionalized children who experienced social deprivation, Tizard and Rees (1975) identified two types of disorders. The first one was socially indiscriminate/ disinhibited type, in which children displayed nonselective preferences of using adults as seeking comfort and tendency to go with the strangers who offered them comfort. In the second type, children were relatively socially withdrawn/ inhibited, who showed limited social responsiveness, little
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