Attachment Analysis

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Attachment disorders were first introduced into the DSM-III in 1980 and the criteria involved has been subsequently revised since then in the DSM-III-R, DSM-IV, ICD-10, and DSM-5. The first study to provide any validity to the attachment disorders was introduced in 1998. Convergence of the criteria occurred in the DSM-IV and ICD-10 that included common features of the disorder of “cross-contextual aberrant social behavior caused by grossly inadequate care and the two clinical phenotypes of inhibited and disinhibited behavioral patterns” (Zeanah & Gleason, 2014). The ICD-10 then decided to separate the two sub-types into two distinct disorders. The DSM-V then followed suit and divided the disorder into Reactive Attachment Disorder and Disinhibited …show more content…
These studies indicate that the core deficit of attachment disorder is more about unmodulated and indiscriminate behavior such as approaching unfamiliar adults than nonselective attachment behaviors. (Zeanah & Gleason, 2014) Other attachment disorders outside of the DSM-V have been found to include reversed attachment (the child becomes the source of comfort to the parent, who is insecure and vulnerable), and angry attachment (a strong relationship exists between parent and infant that is unique and exclusive; however is marked by anger features and exchanges) (Lubit et al., 2015). With respects to differential diagnoses, RAD is in close relation to Pervasive Developmental Disorder, however can be distinguished from PDD by the presence of other associated impairmentsin communications and restricted, repeated, and/or stereotyped patterns of behavior (Corbin, 2007). DSED is in close relation to ADHD with respects to the impulsive attachment behaviors present, however can be distinguished from ADHD indicating the attempt to form social attachment after only a “very brief acquaintance” (Corbin,