Book contents
- Frontmatter
- Contents
- List of contributors
- Preface
- Part I Introduction
- Part II Summary of treatment modalities in psychiatric disorders
- Part III Specific treatments
- 9 Delirium
- 10 Management of behavioural and psychological symptoms of dementia and acquired brain injury
- 11 Dementia: pharmacological and non-pharmacological treatments and guideline review
- 12 Pharmacological treatment of psychosis and depression in neurological disease in older adults
- 13 Psychological treatments of alcohol use disorders
- 14 Pharmacotherapy of alcohol misuse, dependence and withdrawal
- 15 Educational interventions for alcohol use disorders
- 16 Complex interventions for alcohol use disorders
- 17 Complementary and alternative medicine for alcohol misuse
- 18 Empirically validated psychological therapies for drug dependence
- 19 Treatment of stimulant dependence
- 20 Treatment of opioid dependence
- 21 Treatment of sedative-hypnotic dependence
- 22 Treatment of cannabis dependence
- 23 Treatment of nicotine dependence
- 24 Treatment of co-occurring psychiatric and substance use disorders
- 25 Pharmacological treatments for schizophrenia
- 26 Psychosocial and pharmacological treatments for schizophrenia
- 27 Psychopharmacology of mood disorders
- 28 Efficacy of brain stimulation and neurosurgical procedures for treatment of mood disorders
- 29 Psychotherapy for depression: current empirical status and future directions
- 30 Alternative therapies for mood disorders
- 31 Treatment of generalised anxiety and somatoform disorders
- 32 Panic disorder
- 33 Specific phobias and agoraphobia
- 34 Social phobia
- 35 Obsessive-compulsive disorder
- 36 Post-traumatic stress disorders and adjustment disorders
- 37 Psychopharmacology of eating disorders
- 38 Other somatic physical treatments and complex interventions for eating disorders
- 39 Psychological treatments for eating disorders
- 40 Educational interventions for eating disorders
- 41 Alternative treatments for eating disorders
- 42 Complex treatments for eating disorders
- 43 Personality disorder
- 44 Other treatments for persistent disturbances of behaviour
- 45 Effectiveness of treatments of sexual disorders
- 46 Disorders of gender identity
- 47 Psychological treatments for children and adolescents
- 48 Drugs and other physical treatments
- 49 Educational interventions and alternative treatments
- 50 Attachment insecurity and attachment disorder
- 51 Feeding and sleeping disorders in infancy and early childhood
- 52 Evaluating interventions for children with autism and intellectual disabilities
- 53 ADHD and hyperkinetic disorder
- 54 Oppositional defiant disorder and conduct disorder
- 55 Treatment of depressive disorders in children and adolescents
- 56 Treatment of psychoses in children and adolescents
- 57 Anxiety disorders
- 58 Treatment of eating disorders in children and adolescents
- Appendix I Summary of specific drugs having evidence of effectiveness in mental disorders
- Appendix II Key to effectiveness tables
- Index
- References
50 - Attachment insecurity and attachment disorder
from Part III - Specific treatments
Published online by Cambridge University Press: 12 May 2010
Book contents
- Frontmatter
- Contents
- List of contributors
- Preface
- Part I Introduction
- Part II Summary of treatment modalities in psychiatric disorders
- Part III Specific treatments
- 9 Delirium
- 10 Management of behavioural and psychological symptoms of dementia and acquired brain injury
- 11 Dementia: pharmacological and non-pharmacological treatments and guideline review
- 12 Pharmacological treatment of psychosis and depression in neurological disease in older adults
- 13 Psychological treatments of alcohol use disorders
- 14 Pharmacotherapy of alcohol misuse, dependence and withdrawal
- 15 Educational interventions for alcohol use disorders
- 16 Complex interventions for alcohol use disorders
- 17 Complementary and alternative medicine for alcohol misuse
- 18 Empirically validated psychological therapies for drug dependence
- 19 Treatment of stimulant dependence
- 20 Treatment of opioid dependence
- 21 Treatment of sedative-hypnotic dependence
- 22 Treatment of cannabis dependence
- 23 Treatment of nicotine dependence
- 24 Treatment of co-occurring psychiatric and substance use disorders
- 25 Pharmacological treatments for schizophrenia
- 26 Psychosocial and pharmacological treatments for schizophrenia
- 27 Psychopharmacology of mood disorders
- 28 Efficacy of brain stimulation and neurosurgical procedures for treatment of mood disorders
- 29 Psychotherapy for depression: current empirical status and future directions
- 30 Alternative therapies for mood disorders
- 31 Treatment of generalised anxiety and somatoform disorders
- 32 Panic disorder
- 33 Specific phobias and agoraphobia
- 34 Social phobia
- 35 Obsessive-compulsive disorder
- 36 Post-traumatic stress disorders and adjustment disorders
- 37 Psychopharmacology of eating disorders
- 38 Other somatic physical treatments and complex interventions for eating disorders
- 39 Psychological treatments for eating disorders
- 40 Educational interventions for eating disorders
- 41 Alternative treatments for eating disorders
- 42 Complex treatments for eating disorders
- 43 Personality disorder
- 44 Other treatments for persistent disturbances of behaviour
- 45 Effectiveness of treatments of sexual disorders
- 46 Disorders of gender identity
- 47 Psychological treatments for children and adolescents
- 48 Drugs and other physical treatments
- 49 Educational interventions and alternative treatments
- 50 Attachment insecurity and attachment disorder
- 51 Feeding and sleeping disorders in infancy and early childhood
- 52 Evaluating interventions for children with autism and intellectual disabilities
- 53 ADHD and hyperkinetic disorder
- 54 Oppositional defiant disorder and conduct disorder
- 55 Treatment of depressive disorders in children and adolescents
- 56 Treatment of psychoses in children and adolescents
- 57 Anxiety disorders
- 58 Treatment of eating disorders in children and adolescents
- Appendix I Summary of specific drugs having evidence of effectiveness in mental disorders
- Appendix II Key to effectiveness tables
- Index
- References
Summary
Editor's note
Attachment problems can be divided into two broad categories. First, attachment insecurity and disorganization characterize patterns of child/caregiver relationship that represent risk factors for later psychopathology. Second, so-called attachment disorders are categorical disorders of disrupted attachment usually associated with early social deprivation, neglect or maltreatment. These latter include both disinhibited attachment disorder, which reveals itself in indiscriminate sociability, and inhibited attachment disorder. In cases of attachment insecurity, various forms of intervention with parents appear to have effectiveness in increasing parental sensitivity but their impact on attachment per se is less clear cut. These interventions appear to work best when they are relatively brief and specifically target caregiver sensitivity. In more severe cases, especially those involving attachment disorder, interventions may require placement of the children in adoptive homes. ‘Holding therapy’ lacks empirical support and may pose serious risk to children.
Introduction
Child attachment refers to particular key characteristics of the relationship between child and specific caregiver that are known to be strongly associated with social development and mental health. Research on normative patterns of attachment in infancy find that attachment insecurity (including ‘disorganization’) is a relative psychosocial risk factor for later development and is best conceptualized as a developmental risk variable on Axis V of a multiaxial classification (Green & Goldwyn, 2002).
Two less common forms of developmental disturbance associated with severe disruption or absence of early attachment relationships are recognized as Axis 1 clinical disorders in both DSM and ICD systems, although neither has yet received robust empirical validation.
- Type
- Chapter
- Information
- Cambridge Textbook of Effective Treatments in Psychiatry , pp. 748 - 754Publisher: Cambridge University PressPrint publication year: 2008
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