Attachment Emails

Psychology In Seattle Podcast

Kirk Honda

Mental Health, Health & Fitness

4.6 • 1.2K Ratings

🗓️ 4 October 2021

⏱️ 113 minutes

🔗️ Recording | iTunes | RSS

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Summary

Dr. Kirk answers patron emails.

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Transcript

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0:00.0	Hey, Deserve and Listeners, it's just me today. I thought I would answer a bunch of interesting
0:04.9	emails about attachment. The first email is from Aperture Patron Heather from New England. She says,
0:12.2	Could you talk a bit about reactive attachment disorder? My cousin is 18 and adopted
0:18.5	and is diagnosed with reactive attachment disorder. Her behavior and emotional struggles are
0:24.4	many and severe. Will this condition ever be able to be controlled and of email? Okay,
0:31.0	so let's look into a reactive attachment disorder. And I thought I'd also go into
0:35.8	its companion disorder in the DSM-5 disinhibited social engagement disorder as well.
0:42.3	So let me just talk about those. And if you want more detail on this, listen to my attachment
0:47.9	deep dive, which is available at patrons only. Okay, DSM-5, reaction, reactive attachment disorder,
0:55.7	basically someone with some one diagnosed with reactive attachment disorder would probably
1:02.8	also be observed to be disorganized attachment if you're familiar. Could be extreme avoidant,
1:08.8	but usually disorganized. Reactive attachment disorder, the symptoms are failure to seek comfort.
1:16.8	They avoid eye contact. You know, these are children. So that the child will just never reach out
1:23.7	to caregivers. They don't have a lot of eye contact. Frozen watchfulness is described,
1:30.8	meaning that they seem like they're remaining very still, but they're hypervigilant at the same
1:38.8	time. They will have unpredictable reunion responses, meaning that when the child is reunited with
1:45.6	their caregivers, the behavior from the child will be unpredictable. In that, the child will sometimes
1:53.6	celebrate the reunion, sometimes be terrified, sometimes ignore. But essentially, the DSM-5 doesn't
2:02.0	really describe reactive attachment disorder very well. So let me describe it in its essence.
2:09.4	These children, for very logical reasons of abuse and neglect, are terrified of caregivers
2:18.4	and avoid attachments. They don't trust caregivers and they seem, they can seem completely detached.
2:25.8	And often it's a result of massive attachment disruption that can occur during adoption.
	...

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