Report of the APSAC Task Force on Attachment Therapy, Reactive Attachment Disorder, and Attachment Problems
Abstract
Although the term attachment disorder is ambiguous, attachment therapies are increasingly used with children who are maltreated, particularly those in foster care or adoptive homes. Some children described as having attachment disorders show extreme disturbances. The needs of these children and their caretakers are real. How to meet their needs is less clear. A number of attachment-based treatment and parenting approaches purport to help children described as attachment disordered. Attachment therapy is a young and diverse field, and the benefits and risks of many treatments remain scientifically undetermined. Controversies have arisen about potentially harmful attachment therapy techniques used by a subset of attachment therapists. In this report, the Task Force reviews the controversy and makes recommendations for assessment, treatment, and practices. The report reflects American Professional Society on the Abuse of Children's (APSAC) position and also was endorsed by the American Psychological Association's Division 37 and the Division 37 Section on Child Maltreatment.
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The prevalence of mental disorders was higher for youths placed in congregate care.
“Consistent with other studies, [12,15,16] the prevalence was higher for youths placed in congregate care [14].”
From Mental disorders in foster children: a study of prevalence, comorbidity and risk factors (2013) · cites this paper as [12]
One early study reported a point-prevalence of DSM-III-R disorders of 57.0% in foster youth.
“One early study reported a point-prevalence of DSM-III-R disorders of 57.0% in foster youth [12].”
From Mental disorders in foster children: a study of prevalence, comorbidity and risk factors (2013) · cites this paper as [12]
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- Authors
- Chaffin, M., Hanson, R., Saunders, B. E., Nichols, T., Barnett, D., Zeanah, C., Berliner, L., Egeland, B., Newman, E., Lyon, T., Letourneau, E., & Miller-Perrin, C.
- Affiliations
- University of Oklahoma Health Sciences Center (US)
- Medical University of South Carolina (US)
- Family Attachment Counseling Center
- Wayne State University (US)
- Tulane University (US)
- Harborview Medical Center (US)
- University of Minnesota (US)
- University of Tulsa (US)
- University of Southern California (US)
- Pepperdine University
- ORCID
- Venue
- Child Maltreatment
- Publisher
- SAGE Publications
- Published
- 2006-02
- Volume
- 11
- Issue
- 1
- Pages
- 76-89
- ISSN
- 1077-5595 (ISSN-L)
- 1552-6119
- OpenAlex
- W2169999660
- Cited by
- 229
- References
- 46
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 3 · 2023: 4 · 2022: 8 · 2021: 9 · 2020: 11 · 2019: 10 · 2018: 12 · 2017: 16 · 2016: 11 · 2015: 17 · 2014: 14 · 2013: 20 · 2012: 19
- FWCI
- 20.95
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Child Maltreatment (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Safety Research › Child Welfare and Adoption
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- attachment therapy, reactive attachment disorder, attachment problems, foster care, adoptive families, parenting methods, treatment risks and benefits, child abuse
- MeSH terms
- Child, Humans, Object Attachment, Parent-Child Relations, Psychological Theory, Reactive Attachment Disorder
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