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Early Childhood Mental Health Treatment: Training Reference Guide

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Fact Sheet<br />

Attachment<br />

ATTACHMENT DISORDERS<br />

• The DSM-IV identifies 5 kinds of attachment disorders (Zeanah, 1993):<br />

Nonattached Attachment Disorder<br />

- This occurs when an infant has not had any chance to form emotional connections<br />

with people<br />

- This may be due to abuse, foster care or institutionalization, drug addicted or<br />

alcoholic mothers, or mothers suffering from severe mental illness<br />

Indiscriminant Attachment Disorder<br />

- May be due to a long separation from an attachment figure<br />

- May also be due to foster care and the lack of opportunity to form a close<br />

relationship with another human being<br />

- Often seen in children who have been institutionalized<br />

Inhibited Attachment Disorder<br />

- Occurs due to a lack of parental availability or unpredictability as a result of<br />

frequent separations such as hospitalizations<br />

Aggressive Attachment Disorder<br />

- Occurs when feelings of anger and frustration dominate the relationship<br />

- Child may also demonstrate excessive aggression toward attachment figure<br />

Role-Reversed Attachment Disorder<br />

- Child assumes the parenting role<br />

- Child may show extreme behaviours such as bossiness, overnurturing, or controlling<br />

cont’d...<br />

6

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