CAMHS

Question 1

What are the 3 types of attachment

Answer 1

Secure, insecure ambivalent, insecure avoidant

Question 2

Describe secure attachment

Answer 2

Child is distressed when mother leaves, happy when she returns

Question 3

Describe insecure avoidant attachment

Answer 3

Child is not distressed when mother leaves, no acknowledgement when mother returns

Question 4

Describe insecure ambivalent attachment

Answer 4

Child is distressed when mother leaves, not comforted by her return

Question 5

What stage of attachment develops at 0-6 weeks

Answer 5

Association, social + non-social stimuli will produce a favourable response

Question 6

What stage of attachment develops at 6 weeks - 7 months

Answer 6

Indiscriminate stage

Question 7

What stage of attachment develops at at 7 months

Answer 7

Specific attachment (fear of strangers, protest when separated from caregiver)

Question 8

What stage of attachment develops at at 8 months

Answer 8

Multiple attachments

Question 9

What is reactive attachment disorder

Answer 9

Children with disturbed + developmentally inappropriate social relatedness

Question 10

Causes of RAD

Answer 10

Failure to form attachment to primary caregiver can be due to frequent change to attachment figure or trauma, abuse, neglect

Question 11

Symptoms of RAD in younger children

Answer 11

Persistent colic, no social smile, poor sucking reflex, resists affection/cuddling, doesn’t understand being comforted, delayed motor skills

Question 12

Symptoms of RAD in older children

Answer 12

lacks self control impulsive behaviour, speech + language delay, lack of understanding of normal boundaries, moral compass, prefers to play alone, hyperactive + aggressive, avoids overseas physical contact, food illnesses

Question 13

What are the two subtypes of RAD

Answer 13

Inhibited: Failure to initiate and respond to social interactions appropriately, don’t seek comfort from parents
Disinhibited: DSED, no ability to form selective attachment, cannot distinguish relationships between strangers and primary caregiver

Question 14

What is conduct disorder

Answer 14

Repetitive + persistent pattern of behaviour where the basic human rights of others are violated aswell as age appropriate norms

Question 15

Symptoms of conduct disorder

Answer 15

ADDS

• Aggression to people/animals
• Destruction of property
• Deceitfulness + theft
• Serious violation of rules

Question 16

Causes of conduct disorder

Answer 16

Biopsychosocial influences, genetics, brain injury, environmental (mental illness, drugs/alcohol, domestic violence)

Question 17

Types of conduct disorder

Answer 17

Mild to moderate- restricted to family environments

Severe- socialised (criminal justice), unsocialised (antisocial behaviour)