Attachment and behavioural disorders Flashcards
What is a reactive attachment disorder?
Markedly disturbed and developmentally inappropriate social relatedness
When do RADs mostly begin?
Before aged 5
What are RADs associated with?
Grossly pathological care
What 3 things can cause a RAD?
A persistent disregard for the child’s emotional needs for comfort, stimulation and affection
Persistent disregard for the child physical needs
Repeated changes of primary caregivers
What do individuals with RAD have difficulty forming?
Lasting, loving and intimate relationships
What does RAD include medically?
Malnutrition Growth delay Evidence of physical abuse Vitamin deficiencies Infectious diseases
What is the prevalence of RAD?
1% of all children under 5
20% of children in care
What increases a child’s likelihood of RAD?
Being abandoned at a young age
What are the 2 subtypes of RAD?
Inhibited
Disinhibited
What is inhibited RAD?
Children who continually fail to initiate and respond to social interactions in a developmentally appropriate way
A child that does not seek comfort from parent or cargiver during times of stress
What is disinhibited RAD?
A child how has inability to display appropriate selective attachments
What is another name for disinhibited RAD?
Disinhibited social engagement
Which is more enduring over time, dis/inhibited RAD?
Disinhibited
What is the consequence if a child doesn’t have the ability to develop a conscience?
Lack of empathy
What is the consequence if a child doesn’t have the ability to become self-reliant?
Poor self esteem
What is the consequence if a child doesn’t have the ability to think logically?
Poor problem solving
What is the consequence if a child doesn’t have the ability to cope with function and stress?
They have difficulties with emotional regulation
What is the consequence if a child doesn’t have the ability to to handle fear or threat to self?
Highly impulsive
What is the consequence if a child doesn’t have the ability to develop relationships?
Lack of trust in others
What are 8 causes of RAD?
Frequent changes in primary caregiver Extend separation from the parent/primary caregiver Frequent moves and/or placements in foster care Traumatic experiences Young or inexperienced mother Neglect Abuse ASD
Why main an infant develop an alien view of themselves?
If the primary caregiver does not have an idea of what the infants mental state is
What are 8 alarming symptoms in very young childen?
Persistent and medically unexplaines severe colic Poor eye contact No reciprocal smilke response Delayed gross motor skill development Difficulty being comforted Resists affection and cuddling Appears stiff Poor sucking response when eating
What are 11 typical symptoms of RAD?
Lack of self-control Speech and language delays Lack of conscience Lack of understanding of social boundaries Indiscriminately affectionate with strangers Avoids/overseeks physical ontact Hyperactive Aggressive Food issues Often on guard Prefers to play alone
What may a child be angry with RAD?
Result of past experiences of humiliating abuses of power where they are made to feel worthless, useless and unworthy of respect
