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The American Psychiatric Association considers "...Disinhibited Social Engagement Disorder more closely resembles ADHD; it may occur in children who do not necessarily lack attachments and may have established or even secure attachments. The two disorders differ in other important ways, including correlates, course, and response to intervention ...
"Children with reactive attachment disorder are presumed to have grossly disturbed internal models for relating to others. After ensuring that the child is in a safe and stable placement, effective attachment treatment must focus on creating positive interactions with caregivers."
Cassidy's research program focuses on attachment, family relationships, and social and emotional development in children and adolescents. [7] Her work expanded the attachment behavioral system developed by John Bowlby, which described internal working models as organized frameworks for understanding the world, developed by infants through experience with their caregivers.
Treatment for reactive attachment disorder for children usually involves a mix of therapy, counseling, and parenting education. These must be designed to make sure the child has a safe environment to live in and to develop positive interactions with caregivers and improves their relationships with their peers.
Internal working models are considered to result out of generalized representations of past events between attachment figure and the child. [11] [2] [3] Thus, in forming an internal working model a child takes into account past experiences with the caregiver as well as the outcomes of past attempts to establish contact with the caregiver. [3]
In June 1994, however, Katie begins to work with a therapist (Allison) and foster-mother (Jackie) whose practice is based on adopting a playful, accepting, curious, and empathic attitude to Katie associated with dyadic developmental psychotherapy, nurturing Katie's recognition that she is now in a safe environment in which she no longer needs ...
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The emotional bond formed between a caregiver and their child is called attachment. (Lin, 2003). [117] A child having attachment issues is significant because a child can have either a good or bad attachment to their primary caregiver. Which can lead to development and behavioral issues as the age depending on the type of attachment.