Reactive Attachment Research

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Associated Risk Factors

Studies emphasis that children who experiences multiple caregivers and were adopted in institutional setting and or orphanages as toddlers are at a higher risk in developing Reactive Attachment Disorder. (The Scientific Review of Mental Health Practice, Vol 8, and NO.1-2011). *Artical2. Studies indicate that age factor also plays a role in the expectancy of possible diagnosis of Reactive Detachment Disorder from a internationally adopted setting, children who are adopted after the age of six month or older and have spent an extended amount of time orphanages as well as exposure to neglect, and multiple caregivers are at a much higher risk of Reactive Attachment Disorder (The Scientific Review of Mental Health Practice,
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This is difficult for the therapist because they must create a long-lasting clinical process, while gaining the trust of child who has endured great mis-trust, who’s natural instinct is to not trust adult figures due to past experiences. Without this trust a child and therapist cannot move forward in therapy. Therefore it is the therapist responsibility to embrace an attachment perspective as a guiding principle, in order to achieve a desirable relationship. The therapist must have an understanding of the intrapersonal and emotional dynamic behind the behaviors in which the child is presenting. The overall goal of therapy is to bridge the gap between conceptualization and the desired outcome of the future behavior. (The American Journal of Family Therapy, 42:1-13,2014). Attachment therapy is be used by the therapist to improve the child’s trust in the parents, as well to improve the social and emotional functioning of the child. (Child Adolescent Social Work Journal (2009) 26:351-360). Research emphasizes that counselors must explore attachment issues across 3 domains in order to understand the child fully. These domains include the exploration of the origins of the attachment disorder such as abuse, neglect etc. As well as the manifestation, which follows an investigation the role the attachment disorder, plays in the motivation behind problematic interactions. Lastly exploring the effects of the attachment problems. This involves gathering information on the current relationship. This is explored through conversation identifying parent-child conflict, and identifying reoccurring themes. (Journal of Counseling & Development. January 2013. Volume

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