attachment disorder therapy


 

 

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Research


Dyadic Developmental Psychotherapy, an attachment-based therapy is an evidence-based treatment for children with Trauma-Attachment Disorders, Reactive Attachment Disorder, and other disorders of attachment that are complicated by severe trauma or histories of maltreatment.  See our study in the March 2006 issue of Child and Adolescent Social Work, a professional peer-reviewed journal.   This demonstrates that Dyadic Developmental Psychotherapy is an evidence-based effective treatment for children with Reactive Attachment Disorder. 

At the Center For Family Development we only begin working with families after completing a thorough assessment.  We carefully evaluate the child and the family.  Our success rate is now over 95%.  Success means that the child has developed the capacity to love and be loved and is functioning at least at about 80% of the level you'd expect for a child that age.  

We have completed an research study following children after treatment and have found that Affective Developmental Psychotherapy is an effective treatment method for children with trauma-attachment disorders. Click here to see our follow-up studies and research.

Trends in Research

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There are several forms of attachment-based treatment for children with trauma-attachment disorders. Some, use what might be described as coercive methods to force a child's compliance. Others are quite confrontational, and may involve yelling at a child. Dyadic Developmental Psychotherapy differs from other forms of "attachment-therapy" in several regards. Dyadic Developmental Psychotherapy does not use coercive methods or involve screaming at children.

Dyadic Developmental Psychotherapy, developed by Dr. Daniel Hughes and used at The Center For Family Development is based on Attachment Theory and recent findings about the effects of maltreatment on brain development and affect regulation. One of it's core features is the reliance on affective attunement as a key therapeutic agent. Maintaining an affective relationship with the child is central to healing. Parents are encouraged to maintain a healing PLACE (Playful, Loving, Accepting, Curious, and Empathic) while therapists maintain a healing PACE.

The research cited below is about attachment therapies other than DDP. The books and articles cover a wider gamut of approaches.
 

1. Does Attachment Therapy Work?  Results of Two Preliminary Studies, Second Edition.  Published by Association for Teaching and Training in the Attachment of Children available from The Attachment Center Press.

 2.  Cognitive problem-solving skills training and parent management training in the treatment of antisocial behavior in children. J of Consulting and Clinical Psychology, 60, 733-747, 1992.

 3.  Modification of anger in children by affective imagery training, J. of Abnormal Child Psychology, 1, 115-130, 1983.

 4.  Treating Traumatized Children by Beverly James, 1989.

 5.  Intensive short-term therapy with attachment disordered children in Innovations in clinical practice: a source book, vol. 14

 6.  Give Them Roots, Then Let Them Fly: Understanding Attachment Therapy, edited by McKelvey

7.  Handbook of Attachment: Theory, Research, and Clinical Applications, edited by J. Cassidy & P. Shaver, 1999.

8.  Handbook of Infant Mental Health, edited by Charles Zeanah, 1993.

9.  Attachment Disorganization, Edited by Judith Solomon, Ph.D., & Carol George, Ph.D., 1999.

10.  Handbook of Attachment Interventions, edited by Terry Levy, Ph.D., 2000. 

11.  Attachment, Trauma, and healing: understanding and treating attachment disorder in children and families, 1998, Child Welfare League of America press.

 12. Emotional Development, L. Alan Sroufe, 1995.

 13. Attachment in the Preschool Years: Theory Research, and Intervention, edited by Mark Greenberg, Dante Cicchetti, and E. Mark Cummings, 1990.

 14. Affect Regulation and the Origin of the Self: The Neurobiology of emotional development, Allan N. Schore, MD, 1994.

 15. Facilitating Developmental Attachment, Daniel Hughes, Ph.D., 1998.

 


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