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.
KeywordsReactive attachment disorder Attachment therapy Special needs adoption
- American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.Google Scholar
- Barth, R. P., Berry, M., Yoshikami, R., Goodfield, R. K., & Carson, M. L. (1988). Predicting adoption disruption. Social Work, 33(3), 227–233.Google Scholar
- Bowlby, J. (1980). Attachment and loss: Volume III: Loss. New York: Penguin Books.Google Scholar
- 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.Google Scholar
- 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.Google Scholar
- Fisher, B. S., & Turber, J. (2003). The center for attachment resources and enrichment [Brochure]. Decatur, GA: Author.Google Scholar
- 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.Google Scholar
- Hodges, K. (2000). Child and adolescent functional assessment scale (CAFAS < Form FAS10). Ann Arbor, MI: Functional Assessment Systems.Google Scholar
- Hughes, D. A. (1998). Building the bonds of attachment: Awakening love in deeply troubled children. Northvale, NJ: Jason Aronson, Inc.Google Scholar
- Inc., S. P. S. S, (2002). SPSS for windows (Version 11.5) [Computer software]. Chicago: Author.Google Scholar
- Kagen, R., & Reid, W. (1986). Critical factors in the adoption of emotionally disturbed youths. Child Welfare, 65(1), 63–73.Google Scholar
- Karen, R. (1998). Becoming attached: First relationships and how they shape our capacity to love. New York: Oxford University Press.Google Scholar
- Magid, K., & McKelvey, C. A. (1987). High risk: Children without a conscience. New York: Bantam Books.Google Scholar
- Nelson, C. A. E. (2000). The effects of early adversity on neurobehavional development (Vol. 31). Mahwah, New Jersey: Lawrence Erlbaum Associates.Google Scholar
- Randolph, E. M. (2000). Manual for the randolph attachment disorder questionnaire–RADQ (3rd ed.). Evergreen, CO: The Attachment Center Press.Google Scholar
- Randolph, E. M. (2001). Broken hearts, wounded minds: The psychological functioning of severely traumatized and behavior problem children. Salt Lake City, UT: RFR Publications.Google Scholar
- Siegel, D. J. (1999). The developing mind: How relationships and the brain interact to shape who we are. New York: Guilford Press.Google Scholar
- Solomon, J., & George, C. (Eds.). (1999). Attachment disorganization. New York: The Guilford Press.Google Scholar
- 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.