When trauma precedes a child's placement in the foster care system, it can lead to lasting mental health difficulties. Often, children who experience extreme, chronic trauma prior to age 5 develop Reactive Attachment Disorder (RAD). However, the diagnosis of RAD is often overlooked. This article discusses the characteristics of RAD as well as diagnostic criteria and possible etiology. We present the case example of an adolescent diagnosed with RAD as an example of treatment from an in-home perspective.
A brief experimental analysis was used to compare the effects of the presence of tangible objects in an alone condition following an inconclusive functional analysis of screaming and handmouthing behavior of an 8-year-old boy. The alone condition with tangibles involved having toys available throughout the session with no interaction from the therapist and produced a higher percentage of intervals with screaming and handmouthing. The study demonstrates the importance of evaluating the effects of the presence of tangible items during a functional analysis.
Attachment is a critical issue among children in foster and adoptive settings. It is essential for mental health counselors who work with these children to develop appropriate appraisal skills for diagnosing Reactive Attachment Disorder (RAD), a syndrome associated with extreme attachment problems. However, there is no comprehensive procedure to assess a child for RAD.Thus, we propose a battery of semi-structured interviews, global assessment scales, attachment-specific scales, and behavioral observations to help mental health counselors identify the disorder. We provide a case example to illustrate the utility of each assessment process.
This study replicates and extends the work of Watson (1996) in which a sign eliminated graffiti when posted on bathroom walls. The present study investigated the effects of three different signs on walls in six men's bathrooms located on a university campus. Posting the signs was followed by the elimination or sharp reduction of graffiti. Removal of the signs was followed by a resurgence of graffiti.
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