Reactive Attachment Disorder

Question 1

What is a main feature of reactive attachment disorder, beside neglect in early childhood? (2x)

Answer 1

Lack of comfort seeking behavior when distressed

Question 2

Response of a child with reactive attachment disorder (RAD) in Ainsworth’s strange situation, once guardian returned while stranger was in the room

Answer 2

Ignores both

Question 3

A child ignores both the caretaker and the stranger in Ainsworth’s Strange Situation experiment. What is the most likely diagnosis?

Answer 3

Reactive attachment disorder

Question 4

2 yo ward of state, poor social reciprocity, awareness, and boundaries, with restricted affect and behavior in situations that should normally elicit emotion. Two years after foster home placement, patient does not show any of the symptoms. Diagnosis when first evaluated at two years old?

Answer 4

Reactive attachment disorder

Question 5

Highest rates of deprivation specific patterns of behavior found in children with?

Answer 5

Institutionalization (foundling homes) beyond 6 months of age independent of nutritional status

Question 6

3 yo in foster care was separated at 18 mo from bio family, due to neglect. Impulsively hugs, touches, and intrusive with adults. Despite limits child occasionally runs off from daycare group to talk with strangers. Dx?

Answer 6

Disinhibited Social Engagement disorder