Thesis (M.S.W.)--Smith College School for Social Work, Northampton, Mass., 2009. / Includes bibliographical references (p. 53-55).

Made available in DSpace on 2016-03-15T19:39:40Z (GMT). No. of bitstreams: 1 Renata Hottum Melani.pdf: 608991 bytes, checksum: 6035df6aea1434c006511b5c156ac7cd (MD5) Previous issue date: 2010-02-04 / This research aimed to investigate signs of Attachment Disorders in sheltered children using the Human Figure Drawing. 25 children (15 males and 10 female), aged 4 to 12 years living in a sheltered home in São Paulo metropolitan area were assessed. The instrument used for assessment was the Human Figure Drawing (HFD), following Koppitz‟s 30 emotional indicators. Results showed that 48% of the assessed children present shyness, withdrawal and lack of aggression, as well as poor social interest, feelings of immobility, despair and inability of going on with self confidence. Another indicator observed in 40% of the children was openly aggression towards the environment and 40% of the children also showed signs of inadequacy or guilt concerning their inability to act correctly or to act in general. Results suggest that some of the children in this sample present significant signs of Attachment Disorder. As diagnosis criteria for the disorder are still lacking precision, more research using the drawing are still needed. / Esta pesquisa teve como objetivo investigar por meio de desenho da figura humana, sinais de Transtorno de Apego Reativo na Infância em crianças abrigadas. Foram avaliadas 25 crianças (15 do sexo masculino e 10 do feminino), com idades entre 4 a 12 anos, que vivem em um abrigo na região metropolitana de São Paulo. O instrumento utilizado para avaliação foi o Desenho da Figura Humana (DFH) seguindo os 30 indicadores emocionais propostos por Koppitz. Os resultados mostraram que 48% das crianças analisadas têm como característica a timidez, afastamento e falta de agressividade, além de reduzido interesse social, sentimento de imobilidade, desamparo e uma inabilidade de seguir em frente com autoconfiança. Outro indicador que se observou em 44% das crianças foi à agressividade aberta em relação ao ambiente e 40% das crianças apresentam sinais de sentimento de inadequação, ou culpa sobre a incapacidade de agir corretamente ou de agir em geral. Os resultados encontrados sugerem que algumas crianças dessa instituição apresentam indicadores significativos do Transtorno de Apego Reativo. Como os critérios diagnósticos para o transtorno ainda são imprecisos, outras pesquisas sobre o tema envolvendo o desenho ainda são necessárias.

This research project will examine, from the social worker's perspective, parental substance abuse and its effects on attachment.

Reactive attachment disorder (RAD) is characterised by severely underdeveloped or absent attachment between a child and a caregiver. Adopted children who have experienced adverse early experiences prior to adoption may have lacked opportunities to form selective attachment relationships and, in rare cases, may have a diagnosis of reactive attachment disorder. The needs of adoptive families rearing children with special needs, such as children with a RAD diagnosis, are unique and it is crucial to understand the experiences of the families in order to increase the understanding of how to provide support and adequate services and interventions that respond to the needs of the families. Previous research focusing on adoptive parents’ experiences rearing children with a RAD diagnosis is scarce. Therefore, this systematic literature review aimed to explore their experiences. After a comprehensive literature search, seven articles that addressed the study aim and met the predefined inclusion criteria were included. A thematic synthesis was carried out to combine the results of the included articles. The findings suggest that adoptive families rearing children with a RAD diagnosis experience a wide range of challenges in their everyday lives, such as a lack of social network support and adequate support, services and interventions from professionals and service providers. Some facilitative factors, such as adoptive parents’ willingness to stay committed to their children, were found. Further research is needed to find out effective interventions to address the complex challenges adoptive families and their children with a RAD diagnosis experience. Study limitations and methodological considerations are discussed.

Univ., Diss.--Regensburg, 2002.

Abstract : The diagnostic criteria for Reactive Attachment Disorder (RAD) have remained fairly constant over the last few decades. However, the most recent change in the fifth version of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5; American Psychiatry Association; APA, 2013) is fairly significant, as the inhibited and disinhibited types of RAD that were found in the previous versions of the manual have been removed. RAD has been replaced with a definition that resembles in some ways the previous inhibited type. Diagnosed in early childhood, this disorder interferes with the child’s ability to form secure relationships with their attachment figures and others. One of the criteria that remain constant is that deprivation in the quality of early care is a risk factor for developing RAD. Although physical abuse and extreme neglect may be easier to identify, emotional neglect is more challenging as a variable to understand. There has been less research on RAD regarding the subtle interactions between mother and child. The theory of mentalization explores some of the complications that arise in attachment and relationships to others that are aggravated by neglect, abuse, and trauma (Bateman & Fonagy 2004). The infant relies on the sensitive attunement and capacity to mentalize of the primary caregiver to help him understand what he is experiencing. The first article uses mentalization and object relations theory applied to children with RAD, in order to facilitate an understanding of these children psychologically as well as certain aspects of the relationship with their mothers. The second article presents two case studies of mother-child dyads of children who have been diagnosed with RAD. The mother and child were evaluated with instruments that provided information regarding the mother’s capacity to mentalize and the child’s attachment representations. The objective of the case studies were meant to reveal how these instruments could be utilized for the specific scores, but also to illustrate what is transpiring psychologically in the relationship between mother and child. The capacity to mentalize of the mothers was measured with the Addendum to Reflective Functioning Scoring Manual (Fonagy, Steele, Steele, & Target, 1998) applied to the Parent Development Interview-Revised (PDI-R; Slade, Aber, Berger, Bresgi, & Kaplan, 2005). The results of the mother’s scores for mentalization were in the low and questionable range. The attachment representations of the children were evaluated through the use of the Attachment Focused Coding System (AFCS; Reiner & Splaun, 2008) applied to the Attachment Story Completion Task (ASCT; Bretherton, Ridgeway, & Cassidy, 1990). The results of the instrument revealed that the two children with RAD (inhibited and disinhibited type) had lowered scores for Supportive Mother and a tendency for Avoidant Attachment Behaviour and Communication. The notions of mentalization and attachment representations were shown to provide a more profound understanding of the mother and child dyad. These evaluation methods support considering a larger study to explore the link between the mother’s capacity to mentalize and the child’s attachment representations in children diagnosed with RAD. / Résumé : Les critères diagnostiques du trouble réactionnel de l'attachement (TRA) sont demeurés relativement stables au cours des dernières décennies. Toutefois, la cinquième version du Manuel diagnostique et statistique des troubles mentaux (DSM-5; American Psychiatric Association; APA, 2013) propose un seul type de TRA, qui correspond au type inhibé de la quatrième version révisée (DSM-IV-TR; APA, 2000), au lieu de distinguer entre deux types, soit inhibé et désinhibé. Diagnostiqué dans la petite enfance, le TRA interfère avec la capacité de l'enfant à former des relations sécurisantes avec ses principales figures d'attachement qui demeure un des critères diagnostiques et un facteur de risque pour le développement du TRA. Bien que l’abus physique et la négligence extrême soient plus faciles à identifier, la négligence au plan affectif est plus subtile et difficile à comprendre. Peu de recherches portent sur les interactions subtiles entre les mères et les enfants ayant reçu un diagnostic de TRA. La notion de mentalisation explore les complications qui peuvent survenir dans la relation aux principales figures d’attachement et dans les interactions sociales dans un contexte d’abus et de négligence (Bateman & Fonagy 2004). Pour être en mesure de comprendre ce qu’il vit, l'enfant nécessite des figures d’attachement sensibles et capables de mentaliser. Dans le premier article, les théories relatives aux notions de mentalisation et des relations d’objet sont utilisées pour comprendre le fonctionnement psychologique des enfants et la relation qu’ils entretiennent avec leurs mères chez des jeunes présentant un diagnostic de TRA. Dans le second article, deux études de cas de dyades mère-enfant ou l’enfant a reçu un diagnostique de RAD sont présentés. Les études de cas avaient pour objectif d’illustrer que les notions de mentalisation et de représentation d’attachement ainsi que les instruments permettant de les mesurer pourraient être utilisé pour approfondir ce qui passe entre la mère et l’enfant aux plans psychologique et relationnel. La capacité de mentalisation des mères participant à l’étude a été mesurée à l’aide de l'Échelle du fonctionnement réflexif (Addendum to Reflective Functioning Scoring Manual; Fonagy et al., 1998) appliquée à l’Entrevue sur le développement du parent (Parent Development Interview-Revised; PDI-R; Slade et al., 2005). Les résultats de la capacité de mentalisation des mères se situent dans les catégories faible ou questionnable. Les représentations d'attachement des enfants ont été évaluées en utilisant le Système de cotation centré sur l’attachement (Attachment Focused Coding System. (AFCS; Reiner & Splaun, 2008) appliqué aux Histoires d’attachement à compléter (Attachment Story Completion Task, ASCT; Bretherton, Ridgeway, & Cassidy, 1990). Les enfants participant à l’étude, ayant respectivement un TRA de type inhibé et désinhibé, ont obtenus des scores faibles dans les échelles Mère soutenante et Évitement des comportements et des communications relatifs à l’attachement. La théorie et la recherche concernant la notion de mentalisation permettent de mieux comprendre les difficultés rencontrées chez les dyades mère-enfant dont les jeunes présentent un diagnostic de TRA. Les notions de mentalisation et de représentations d’attachement ont permis d’approfondir la compréhension des dyades mère-enfant. Les méthodes d’évaluation utilisées dans la présente étude pourraient être utilisés pour explorer le lien entre la capacité de mentalisation de la mère et les représentations d'attachement de l'enfant au sein d’un échantillon plus large d’enfants présentant un diagnostic de TRA.

Research indicates that victims of childhood abuse are at increased risk for transmitting violence in adulthood-a phenomenon known as the intergenerational transmission of abuse (ITA). Adult survivors of childhood victimization (i.e., child abuse or witnessed parental violence) are at increased risk for becoming abusive parents, perpetrators of intimate partner violence, and victims of intimate partner violence. The current study examined the latter form of ITA, in which a survivor of childhood victimization is re-victimized in adulthood by intimate partner violence. Attachment theory has been used to explain the ITA by positing that abuse is transmitted across generations via insecure attachment. The purpose of this study was to use structural equation modeling to test the attachment theory of ITA by examining the role of childhood and adult attachment in predicting re-victimization and symptoms of distress in adulthood. In the hypothesized model, childhood victimization by one's parents was hypothesized to predict adult intimate partner violence victimization through insecure attachment relationships in childhood (with one's parents) and adulthood (with one's partner). Furthermore, adult romantic attachment anxiety and attachment avoidance were hypothesized to predict different symptoms of distress. Self-report measures from 59 adult woman seeking services for intimate partner victimization at a domestic violence clinic were analyzed using a partial least squares path analysis. Results supported a reduced model in which insecure attachments in childhood and adulthood significantly predicted the ITA, but only through father-child attachment and not mother-child attachment. In addition, adult romantic attachment anxiety and attachment avoidance predicted different symptoms of distress. Results supported the attachment theory of the ITA and highlighted the importance of examining outcomes of adult attachment anxiety and avoidance separately. Implications and directions for future research are discussed.

"The influx of children adopted into the United States from other countries has increased the need for social workers experienced in practice techniques that asssist in building rapport between the parents and children in these newly formed families. This study explored the use of employing the kinetic family drawing as a tool to build rapport between parents and children. This was an exploratory multiple case design. Six families participated in the process of drawing a picture of their family engaged in an activity together. It was anticipated that the drawings would be an effective tool to build rapport between parent and child."

The purpose of the study was to examine the association between foster care children and the behaviors they exhibit particularly in attachment outcomes. The study was also an informative tool that addressed the impact of children with attachment issues currently in the foster care system. Examining the relationship between the two variables may be able to help parents and their children, by providing future resources necessary to both parties in case separation and loss occurs.

This diploma thesis aims to compare the results in the field of cognitive functions obtained by static and dynamic assessment of children with attachment disorder at preschool age. The ACFS-cz assessment battery was used for the dynamic assessment, specifically four subtests: Categorisation, Short-term auditory memory (Story Retelling), Short-term visual memory, Sequential Pattern Completion. The method of static assessment was Woodcock- Johnson IV COG, specifically four subtests: Visualization, Verbal Attention, Picture Recognition, Analysis-Synthesis. The research sample consisted of 16 preschool children (3 to 6 respectively 8 years) placed in institutional care. The results showed that there were no differences between the of the ACFS-cz pretest scores and the Woodcock-Johnson IV COG scores. While the comparison of the results of the ACFS-cz posttest with Woodcock- Johnson IV COG showed significant differences in the three examined areas (Categorisation, Short-term auditory memory, Short-term visual memory). The outcomes of the dynamic assessment lead to suitable interventions for the cognitive development of children in institutional care. Keywords ACFS, Woodcock-Johnson IV COG, cognitive functions, attachment disorder, preschool age.