Attachment Disorders in Couple and Family Therapy
Name of Concept
Attachment Disorders in Couple and Family Therapy.
Attachment disorders have several meanings in the field of couple and family therapy. The first refers to the relatively rare, diagnosable disorders of Reactive Attachment Disorder (RAD) and Disinhibited Social Engagement Disorder (DSED) which are seen exclusively in maltreated children. The second refers to commonly enduring attachment styles of parent-child interactions that were first identified by John Bowlby (1969) and Ainsworth et al. (1978) for children and later expanded to adults (Hazan and Shaver 1987). The third meaning of “attachment disorder” is a pseudo-diagnostic term with criteria ambiguous enough to include most developmentally appropriate child behavior such as lying, persistent questions, or triangulation of caregivers. This entry focuses on RAD and DSED. Both RAD and DSED have particular relevance to field of Couple and Family Therapy as the disorders result from severe and persistent...
- Ainsworth, M. D., Blehar, M. C., Waters, E., & Wall, S. (1978). Patterns of attachment: A psychological study of the strange situation. Hillsdale, NJ: Erlbaum.Google Scholar
- Bowlby, J. (1969). Attachment and loss: Attachment. New York: Basic Books.Google Scholar
- Guyon-Harris, K. L., Humphreys, K. L., Fox, N. A., Nelson, C. A., & Zeanah, C. H. (2018). Course of disinhibited social engagement disorder from early childhood to early adolescence. Journal of the American Academy of Child & Adolescent Psychiatry, 57, 329–335. https://doi.org/10.1016/j.jaac.2018.02.009.CrossRefGoogle Scholar
- Lyons-Ruth, K. (2015). Should we move away from an attachment framework for understanding disinhibited social engagement disorder (DSED)? A commentary on Zeanah and Gleason. Journal of Child Psychology and Psychiatry, 56, 223–227. https://doi.org/10.1111/jcpp.12373.CrossRefPubMedPubMedCentralGoogle Scholar
- O’Connor, T. G., Rutter, M., & English and Romanian Adoptees Study Team. (2000). Attachment disorder behavior following early severe deprivation: Extension and longitudinal follow-up. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 703–712. https://doi.org/10.1097/00004583-200006000-00008.CrossRefPubMedPubMedCentralGoogle Scholar
- Prior, V., & Glaser, D. (2006). Understanding attachment and attachment disorders: Theory, evidence and practice. Philadelphia: Jessica Kingsley Publishers.Google Scholar
- Smyke, A., & Zeanah, C. H. (1999). Disturbances of attachment interview. New Orleans, LA: Tulane University School of Medicine, Department of Psychiatry.Google Scholar