An exploratory study of the association between reactive attachment disorder and attachment narratives in early school-age children.

  • Minnis H
  • Green J
  • O'Connor T
 et al. 
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OBJECTIVE: To explore attachment narratives in children diagnosed with reactive attachment disorder (RAD).

METHOD: We compared attachment narratives, as measured by the Manchester Child Attachment Story Task, in a group of 33 children with a diagnosis of RAD and 37 comparison children.

RESULTS: The relative risk (RR) for children with RAD having an insecure attachment pattern was 2.4 (1.4-4.2) but 30% were rated as securely attached. Within the RAD group, children with a clear history of maltreatment were more likely to be Insecure-Disorganised than children without a clear history of maltreatment.

CONCLUSIONS: Reactive attachment disorder is not the same as attachment insecurity, and questions remain about how attachment research informs clinical research on attachment disorders.

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  • Helen Minnis

  • Jonathan Green

  • Thomas G. O'Connor

  • Ashley Liew

  • D. Glaser

  • E. Taylor

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