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

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Abstract

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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Minnis, H., Green, J., O’Connor, T. G., Liew, A., Glaser, D., Taylor, E., … Sadiq, F. A. (2009). An exploratory study of the association between reactive attachment disorder and attachment narratives in early school-age children. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 50(8), 931–942. https://doi.org/10.1111/j.1469-7610.2009.02075.x

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