A Preliminary Investigation of the Effectiveness of Attachment Therapy for Adopted Children with Reactive Attachment Disorder

The purpose of this preliminary investigation was to examine the effectiveness of attachment therapy for adopted children diagnosed with Reactive Attachment Disorder (RAD). Although attachment therapy is widely utilized in the practice community, outcomes of such therapy have not been well documented. In this study a pretest–posttest one-group design was used with a sample of 24 adopted children who received attachment therapy from trained, licensed therapists. Therapy was funded by the Georgia Office of Adoptions under a contract with a non-profit adoptive parent advocacy group which provided training of therapists and direct services to families. RAD was measured with the Randolph Attachment Disorder Questionnaire (RADQ), Third Edition; functional impairment was measured with the Child and Adolescent Functional Assessment Scale (CAFAS). Statistically significant decreases in scores on the RADQ and CAFAS from pretests to posttests indicate improvement for the children who received therapy. In spite of methodological limitations, the current study adds to the limited knowledge about effective treatment for RAD.     

Reactive Attachment Disorder: A Biopsychosocial Disturbance of Attachment

The etiology, differential diagnosis, and treatment of Reactive Attachment Disorder (RAD) are discussed utilizing a psychodynamically-informed biopsychosocial approach. Early trauma in childhood attachment experiences alters the structures, neuro-chemicals, and connectivity of the brain. The neurobiological effects of childhood neglect equal and even surpass the impact of abuse and related trauma. This paper discusses structures in the brain involved in early emotional and attachment experiences and how they are affected by pathogenic caregiving, the absence of caregivers, or the disruption of the early caregiving environment. All three types of neglect affect the ability of the Hypothalamic-Pituitary-Adrenal (HPA) axis to regulate the body and brain’s response to stress in a significant and enduring way.     

Attachment Themes in the Family Narratives of Preschool Children: A Qualitative Analysis

The family narratives of two preschool children (male and female) rated extremely high in social competence were compared to the narratives of two other children (also male and female) rated extremely low in social competence for differences in qualities of parent-child relationships and narrative structure. The children were participants in a larger study of parent-child relationships in post-divorce families. Three narratives of the ten-narrative Attachment Story Completion Task-Revised were analyzed qualitatively. Differences between children rated high and low in social competence were observed in areas such as the representation of problem resolutions, narrative coherence, predictable consequences for behavior, role modeling, responsiveness of parents to children's needs, emotional expression, children's ambivalence for caregivers, and family integrity. Implications for further research involving representations of attachment security in narrative play are discussed.     

Attachment Disturbances Delay Language Acquisition in Internationally Adopted Children

Cross-sectional research on internationally adopted children has indicated an association between early attachment disturbances and language deficits. Raaska et al. (2013 Raaska, H., Elovainio, M., Sinkkonen, J., Stolt, S., Jalonen, I., Matomäki, J., … Lapinleimu, H. (2013). Adopted children's language difficulties and their relation to symptoms of reactive attachment disorder: FinAdo study. Journal of Applied Developmental Psychology, 34(3), 152–160.[Crossref], [Web of Science ®] , [Google Scholar]) have speculated that this relationship is likely bidirectional. In an attempt to elucidate the causal relationship between these two risk factors, the attachment disturbances and language skills of 44 internationally adopted children were assessed in a cross-lagged structural equation model. Greater attachment disturbances at wave 1 predicted less gain in language by wave 2. In contrast, language at wave 1 was not predictive of attachment disturbances at wave 2. These results suggest that early attachment problems may present an important risk for later language development and should be an immediate and primary focus of post-adoptive intervention for families adopting internationally.     

Adult Foreign Adoptees: Reactive Attachment Disorder May Grow into Psychic Homelessness

The heterogeneity of the group of adopted children does not allow to draw general conclusions about the nature and quantity of behavioral problems with adopted children. This nature and quantity depend on the chosen comparison group. Older foreign adoptees at placement often show complex physical and psychological problems. Many suffer from some kind of behavioral disturbances. Empirical data show that reactive attachment disorder (RAD) can often be diagnosed. The continuation of this disorder in adulthood will result in feelings of psychic homelessness. Examples are described to make clear what kind of behavioral problem it concerns. Research to select appropriate treatments for RAD and psychic homelessness is still lacking.     

Adult Foreign Adoptees: Reactive Attachment Disorder May Grow into Psychic Homelessness

The heterogeneity of the group of adopted children does not allow to draw general conclusions about the nature and quantity of behavioral problems with adopted children. This nature and quantity depend on the chosen comparison group. Older foreign adoptees at placement often show complex physical and psychological problems. Many suffer from some kind of behavioral disturbances. Empirical data show that reactive attachment disorder (RAD) can often be diagnosed. The continuation of this disorder in adulthood will result infeelings of psychic homelessness. Examples are described to make clear what kind of behavioral problem it concerns. Research to select appropriate treatments for RAD and psychic homelessness is still lacking.     

Attachment Behavior of Children Adopted Internationally at Six Months Post Adoption

The purpose of this pilot study was to describe attachment behavior in children adopted internationally at 6 months post adoption. Twenty-two children and their adoptive mothers were observed at home for completion of an attachment measure. Mothers also completed a questionnaire on their child's preadoption care. Comparisons of children low and high in attachment security suggested that low secure children showed predominantly ambivalent attachment behavior or that they were still in the process of forming an attachment. Children having foster versus orphanage care prior to adoption differed in quality of preadoption care and in certain attachment behaviors, but not in overall attachment security.     

Attachment Behavior of Children Adopted Internationally at Six Months Post Adoption

The purpose of this pilot study was to describe attachment behavior in children adopted internationally at six months post adoption. Twenty-two children and their adoptive mothers were observed at home for completion of an attachment measure. Mothers also completed a questionnaire on their child's preadoption care. Comparisons of children low and high in attachment security suggested that low secure children showed predominantly ambivalent attachment behavior or that they were still in the process of forming an attachment. Children having foster versus orphanage care prior to adoption differed in quality of preadoption care and in certain attachment behaviors, but not in overall attachment security.     

Qualitative Analysis of the Short-Term and Long-Term Impact of Family Breakdown on Children: Case Study

This article analyzes the impact of divorce on the members of a family by doing a retrospective case study, comparing a mother’s perception of the effects of this experience on her children with their personal report of them. Both short-term and long-term effects are examined. Children suffered from sleep disorders, confusion, aggressiveness, behavioral problems, academic problems, resentment, and fear of abandonment. However, the personal experience of the separated parents did not lead to inevitable negative consequences in the long term, as is clear from the self-reports included here.     

Divorce and Coparenting: A Qualitative Study on Family Mediation in Italy

This qualitative study intended to assess how intergenerational transformative family mediation is a resource in promoting and supporting coparenting during the transition of divorce. There were 2 goals: to assess parents’ perceptions of key topics of family mediation and to compare their perceptions concerning different moments of the intervention. Fifteen Italian parents were interviewed using an ad hoc semistructured interview. Data were analyzed using the textual analysis software T-LAB. Findings showed mediator, pragmatic aspects, and family relationships as the most salient aspects of mediation. Significant differences emerged among the beginning, the middle phase, and the end of this intervention.     

A Study of Adopted Children,Their Environment,and Development: A Systematic Review

The study explores the developmental consequences for children who have been adopted. The comparison group is comprised of their non-adopted siblings or children in foster homes or group care. A search in scientific databases resulted in more than 3,300 hits about adoption. Among these, 56 fulfilled the selection criteria from 17 studies across more than 2,000 adoptees and controls. Adopted children scored higher on IQ, school-performance, and lack of behavioral problems than their non-adopted siblings or peers who stayed behind in orphanages or foster homes. The results from OECD countries were similar to those from studies in Chile, Lebanon, and India.     

Putting a Human Face on Crimes: A Qualitative Study on Restorative Justice Processes for Youths

Restorative justice conferences including Victim Offender Mediation (VOM) are rapidly increasing. Due to a lack of participants’ accounts on their experiences, gaining knowledge on how restorative justice works from their perspective is critical, especially to further development of justice policy and practice. In this exploratory qualitative study we interviewed 37 participants in a VOM operating in a mid-sized Midwestern city in the United States. In this article, we examine some youths’ experiences in their VOM to deepen our understanding of how and why restorative discourses work. Findings suggest that meeting their victims through VOM helped the youths realize the extent of the consequences of their actions by being able to personalize their victims and their victimized experiences. In conclusion we highlight the importance of appreciating the unseen effects of the crimes. Lastly, we make some recommendations for practitioners to assist their developing better programs in dealing with youths in restorative justice contexts.     

Supporting Post-Adoption Contact for Children Adopted From Care: A Study of Social Workers' Attitudes

New legislation in England and Wales requires adoption agencies to specify the contact adopted children will have with their birth families and obliges agencies to offer all parties support to maintain such contact. This study, based on responses from 112 adoption social workers in England and Wales, used a case vignette methodology to explore workers' attitudes towards supporting post-adoption contact. The findings suggest that social workers think primarily about the child's needs and about providing services to or on behalf of the child. In contrast, adults' needs, especially the relationship between birth parents and adoptive parents, were less often considered. Workers were least orientated toward supporting birth parents. Workers from different agencies had very different attitudes towards the case vignette. This study suggests that supporting post-adoption contact is a complex professional task likely to be influenced by workers' own attitudes. Implications for training, support and supervision are discussed.     

Mothers of Children With Physical Disabilities: Influence of Family Processes on Mothers' Depressive Symptomatology

This study examines how family processes, or specific behaviors and relationships within the family, influence the risk of depression in mothers of children with disabilities. Specifically, the collective influence of children's maladaptive behavior problems, father involvement, and coparental conflict on the risk of depression among 60 married mothers of children with physical disabilities is examined. Based on data from the National Survey of Families and Households, findings showed that these mothers perceived the child's behavioral problems as less influential when they were more satisfied with the father's parenting. Furthermore, coparental conflict appeared to mediate the influence of the child's behavior and her satisfaction with the father's involvement on the mother's risk of depression.     

The Family Home as Attachment Object for Preschool Age Children After Divorce

This paper focuses on the results of clinical interviews which showed comparative differences between a divorced group of preschool age children living in the fmaily home and a cohort group moved from the family home. Analysis showed statistically significant differences in these categories: child's psychological security, perception of family relationships, and attitudes toward the family home. This work has implications for joint custody arrangements after divorced, as well as giving added information to parents and professional persons who are attempting to guide preschoolers with this acute family change. This study presents a challenge for society and health professionals to understand more of the developmental intricacies of mourning for different age children and of the role that object attachment plays for children in times of crisis. It offers information and a further challenge to understand more fully the general role of object attachment in the lives of preschoolers and in this process aids the development of preventive programs for children of divorce.     

Qualitative Health Research with Children

The authors of this article identify and discuss some of the practical and ethical issues of qualitative research with children. The problems are illustrated through a research study about children's experience of asthma, and the way in which they perceive and interpret their condition. It is shown that social research with children has inherent difficulties relating to access, ethical and developmental issues. Researchers do not only have to gain parental permission but also want the child to enter the research voluntarily. Because of the children's stage of development and the asymmetrical relationship between researcher and informants, adequate safeguards and awareness of these problems are essential.     

Processes of Place Attachment: An Interactional Framework

How do people form place attachments through interaction with others and with places over time? I propose that there are seven distinct processes through which people form bonds with places. This framework was developed from the analysis of 104 depth interviews conducted in California and Colorado, newspaper and magazine columns and letters, memoirs, and first person essays. This framework proposes that seven distinct processes interact at the individual, group, and cultural level to shape place attachment. Each of the seven processes has a unique nature and develops differently over time and space.     

The Role of Parenting and Family Factors in the Developmental Catch-Up for Children Adopted Internationally

Internationally adopted children are at greater risk for cognitive difficulties. While age at adoption is an established significant predictor of cognitive outcomes, considerable variation persists. The present study focused on whether parenting and family factors explain additional variance in cognitive and linguistic catch-up in this group of children. In total, 46 children were examined at two time points, approximately 12 months apart. Cognitive and linguistic abilities were measured at both time points, with parenting and family factors examined at follow-up, using hierarchical linear regression. Age at adoption and baseline cognitive abilities were the best predictors of cognitive and linguistic catch-up; parenting and family factors generally did not account for a significant increase in explained variance.