101434: What Works in Treating Reactive Attachment Disorder: Parents' Perspectives

About the Course:

Reactive attachment disorder (RAD) is a relatively recent DSM diagnosis that draws attention to the effects of early pathogenic caregiving. There is no evidence-based approach to treating RAD. Two different approaches, relationship-based attachment therapy and holding therapy, are widely mentioned in the literature. This qualitative study sought to identify a treatment package based on the views of parents whose children with RAD had made and sustained considerable progress. Parental commitment and availability, ability to find strengths, strong environmental structure, and emotional attunement are key sources of change, according to these parents. Findings also indicate children can make and sustain considerable progress in making attachments and improving social behavior without the use of therapeutic holding, the core feature of holding therapy. COURSE SYLLABUS I. Overview of Reactive Attachment Disorder II Method III Findings IV Discussion

Publication Date:

2008/Vol. 89, No. 3

Authors

James Drisko, PhD, LICSW; Karen Zilberstein, MSW, LICSW

About the Authors:

Professor and Co-Director of the Doctoral Program, School of Social Work, Smith College

Clinical Social Worker, The Children’s Clinic of Cutchins Programs

Recommended For:

This course is recommended for social workers, counselors, psychologists, and other human services and behavioral health professionals who seek knowledge about __. It is appropriate for participants with introductory to intermediate levels of knowledge about the topic.

Course Objectives:

  1. Explore potential treatments for reactive attachment disorder.

  2. Consider and evaluate empirical evidence gathered through multiple in-depth interviews as presented by parents of RAD clients.

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