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Reactive Attachment Disorder
According to the Diagnostic and Statistical Manual of Mental Disorder (DSM-IV- TR), there are two types of reactive attachment disorder:
I. Inhibited Type
Reactive attachment disorder - inhibited type has been identified among institutionalized children or those that have a history of maltreatment. However, in children raised in institutions the reactive attachment disorder cease to be a problem once they are placed in foster families.
II. Disinhibited Type
This type is characterized by "a pattern of diffuse attachment" (2). The child shows indiscriminate sociability or lack of selectivity in their choice of attachment figures. These children fail to discriminate attachment figures and may approach unfamiliar adults without reservation seeking or receiving comfort from them. Also, these children protest when are separated from strangers and wander away from parent or caregiver without checking back. These children are very demanding, seeking attention, and can be perceived as shallow. Also, children with reactive attachment disorder, disinhibited type have a higher risk to go off with strangers, because they fail to distinguish between people that want to help or harm.
Reactive attachment disorder, disinhibited type has been identified both in children institutionalized or those that have been maltreated. However, this type is more persistent than the inhibited type even when the child is placed in a well functioning family.
Article by Alina Morrow
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