A Preliminary Investigation of the Effectiveness of Attachment Therapy for Adopted Children with Reactive Attachment Disorder
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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.
- Ainsworth, M. D. S. (1989). Attachments beyond infancy. American Psychologist, 44(4), 709–716. CrossRef
- American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
- Barth, R. P., Berry, M., Carson, M. L., & Goodfield, R. (1986). Contributors to disruption and dissolution of older-child adoptions. Child Welfare, 65(4), 359–371.
- Barth, R. P., Berry, M., Yoshikami, R., Goodfield, R. K., & Carson, M. L. (1988). Predicting adoption disruption. Social Work, 33(3), 227–233.
- Bowlby, J. (1980). Attachment and loss: Volume III: Loss. New York: Penguin Books.
- Bowlby, J., Ainsworth, M. D., Andry, R. G., Harlow, R. G., Lebovici, S., Mead, M., et al. (1966). Maternal care and mental health & deprivation of maternal care. New York: Schocken Books.
- Brodzinsky, D. M., Radice, C., Huffman, L., & Merkler, K. (1987). Prevalence of clinically significant symptomatology in a nonclinical sample of adopted and nonadopted children. Journal of Clinical Child Psychology, 16(4), 350–356. CrossRef
- Children Unlimited Inc. (2004). Attachment Center of South Carolina. Retrieved June 10, 2005 from http://www.children-unlimited.org/attachment_center_of_south_carol.htm.
- Delaney, R. J. (1998). Fostering changes (2nd ed.). Okalahoma City: OK: Wood ‘N’ Barnes Publishing.
- Fisher, B. S., & Turber, J. (2003). The center for attachment resources and enrichment [Brochure]. Decatur, GA: Author.
- Groze, V., & Rosenthal, J. A. (1993). Attachment theory and the adoption of children with special needs. Social Work Research and Abstracts, 29(2), 5–12.
- Hall, S. E. K., & Geher, G. (2003). Behavioral and personality characteristics of children with reactive attachment disorder. Journal of Psychology, 137(2), 145–162.
- Henry, D. L. (1999). Resilience in maltreated children: Implications for special needs adoption. Child Welfare, 78(5), 519–540.
- Hodges, K. (2000). Child and adolescent functional assessment scale (CAFAS < Form FAS10). Ann Arbor, MI: Functional Assessment Systems.
- Hodges, K., & Wong, M. M. (1996). Psychometric characteristics of a multidimensional measure to assess impairment: The child and adolescent functional assessment scale. Journal of Child and Family Studies, 5(4), 445–467. CrossRef
- Hodges, K., Xue, Y., & Wotring, J. (2004). Use of the CAFAS to evaluate outcome for youths with severe emotional disturbance served by public mental health. Journal of Child and Family Studies, 13(3), 325–339. CrossRef
- Howe, D. (2003). Attachment disorders: Disinhibited attachment behaviors and secure base distortions with special reference to adopted children. Attachment & Human Development, 5(3), 265–270. CrossRef
- Hughes, D. A. (1998). Building the bonds of attachment: Awakening love in deeply troubled children. Northvale, NJ: Jason Aronson, Inc.
- Hughes, D. A. (1999). Adopting children with attachment problems. Child Welfare, 78(5), 541–560.
- Inc., S. P. S. S, (2002). SPSS for windows (Version 11.5) [Computer software]. Chicago: Author.
- Kagen, R., & Reid, W. (1986). Critical factors in the adoption of emotionally disturbed youths. Child Welfare, 65(1), 63–73.
- Karen, R. (1998). Becoming attached: First relationships and how they shape our capacity to love. New York: Oxford University Press.
- Magid, K., & McKelvey, C. A. (1987). High risk: Children without a conscience. New York: Bantam Books.
- Nelson, C. A. E. (2000). The effects of early adversity on neurobehavional development (Vol. 31). Mahwah, New Jersey: Lawrence Erlbaum Associates.
- O’Connor, T. G., & Zeanah, C. H. (2003a). Attachment disorders: Assessment strategies and treatment approaches. Attachment and Human Development, 5(3), 223–244. CrossRef
- O’Connor, T. G., & Zeanah, C. H. (2003b). Current perspectives on attachment disorders: Rejoinder and synthesis. Attachment & Human Development, 5(3), 321–326. CrossRef
- Randolph, E. M. (2000). Manual for the randolph attachment disorder questionnaire–RADQ (3rd ed.). Evergreen, CO: The Attachment Center Press.
- Randolph, E. M. (2001). Broken hearts, wounded minds: The psychological functioning of severely traumatized and behavior problem children. Salt Lake City, UT: RFR Publications.
- Schore, A. N. (2000). Attachment and the regulation of the right brain. Attachment & Human Development, 2(1), 23–47. CrossRef
- Shapiro, V., Shapiro, J., & Paret, I. (2001). International adoption and the formation of new family attachments. Smith College Studies in Social Work, 71(3), 389–418. CrossRef
- Siegel, D. J. (1999). The developing mind: How relationships and the brain interact to shape who we are. New York: Guilford Press.
- Solomon, J., & George, C. (Eds.). (1999). Attachment disorganization. New York: The Guilford Press.
- US Department of Health and Human Services, Administration for Children and Families, Children’s Bureau. (2004). Trends in foster care and adoption. Retrieved June 10, 2005 from http://www.acf.hhs.gov/programs/cb/dis/afcars/publications/afcars_stats.htm.
- Westhues, A., & Cohen, J. S. (1990). Preventing disruption of special-needs adoptions. Child Welfare, 69(2), 141–155.
- A Preliminary Investigation of the Effectiveness of Attachment Therapy for Adopted Children with Reactive Attachment Disorder
Child and Adolescent Social Work Journal
Volume 26, Issue 4 , pp 351-360
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Reactive attachment disorder
- Attachment therapy
- Special needs adoption
- Author Affiliations
- 1. Dalton State College School of Social Work, 650 College Drive, Dalton, GA, 30720, USA
- 2. University of Georgia School of Social Work, Athens, GA, USA
- 3. Graduate College of Social Work, University of Houston, Houston, TX, USA