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A child’s close bond with mother, father, or guardian usually provides a foundation for trust in all future attachments. Children deprived of early and healthy dependency—who do not form normal attachment with their caregivers—may later suffer from Reactive Attachment Disorder (RAD). This childhood disorder is characterized by a general failure in social relationships resulting from pathogenic care. Although first included in the third edition of the Diagnostic and Statistical Manual (DSM-III) in 1980, RAD is one of the more uncommon and understudied forms of psychopathology. Reactive Attachment Disorder: A Case-Based Approach adds to a now growing research base, providing scholars and clinicians with a well-rounded analysis of RAD and suggested treatments. The case-based approach used in this Brief follows the representative case of “Jorge,” presented as unfolding over time and structured to illustrate challenges of diagnosis, to show examples of co-morbidity, and to provoke reflection on what questions may arise during treatment. Readers are asked to appraise the overlap with other clinical syndromes, the forms of psychotherapy which may apply, and the potential role of psychiatric medications as part of a comprehensive treatment plan.

Attachment disorder in children. --- Attachment disorder in children --- Mental Disorders Diagnosed in Childhood --- Psychological Phenomena and Processes --- Mental Disorders --- Psychiatry and Psychology --- Psychological Theory --- Reactive Attachment Disorder --- Medicine --- Social Sciences --- Health & Biological Sciences --- Psychology --- Pediatrics --- Child psychopathology. --- Children --- Mental illness in children --- Psychopathology, Child --- Psychopathology in children --- Reactive attachment disorder in children --- Mental disorders --- Psychology. --- Psychiatry. --- Psychotherapy. --- Social work. --- Families. --- Families --- Child psychology. --- School psychology. --- Developmental psychology. --- Child and School Psychology. --- Social Work. --- Developmental Psychology. --- Family. --- Social aspects. --- Child mental health --- Psychology, Pathological --- Child psychiatry --- Child psychopathology --- Psychagogy --- Therapy (Psychotherapy) --- Mental illness --- Clinical sociology --- Mental health counseling --- Benevolent institutions --- Philanthropy --- Relief stations (for the poor) --- Social service agencies --- Social welfare --- Social work --- Human services --- Medicine and psychology --- Mental health --- Development (Psychology) --- Developmental psychobiology --- Life cycle, Human --- Treatment --- Psychotherapy   . --- Families—Social aspects. --- Family --- Family life --- Family relationships --- Family structure --- Relationships, Family --- Structure, Family --- Social institutions --- Birth order --- Domestic relations --- Home --- Households --- Kinship --- Marriage --- Matriarchy --- Parenthood --- Patriarchy --- Psychology, School --- Psychology, Applied --- Behavior, Child --- Child behavior --- Child study --- Pediatric psychology --- Child development --- Developmental psychology --- Social aspects --- Social conditions