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Continuum of Attachment
The attachment theory is divided into four classifications called the continuum of attachment
which ranges from healthy to disruptive. The secure attachment is a healthy balance. The child
may cry initially when separated from the caregiver, but rebounds shortly. They will feel
comfortable with intimacy and affection. The caregivers presence liberates them to move about
and explore which in turn, encourages their independence. A child experiencing an anxious
attachment may be clingy or resist physical touch entirely. They may be reluctant to connect or
bond with their caregiver. With a disorganized attachment, a child can be hostile while
unapologetic. And their inability to trust in their caregiver may result in defiance and retaliation.
The last on the continuum and most damaging is that of the nonattached. A child with this
attachment is severely troubled. Their inability to form any relationship fuels their excessive
narcissism while their lack of conscience allows for predatory behaviors (Crosson-Tower, 2012, p.
32).
Effective Treatments
There are several therapies in practice today for treatment of attachment disorders.
Dyadic Developmental Psychotherapy (DDP) is commonly referred to as Play Therapy or
Theraplay. Therapists use the technique PACE (Playful, Accepting, Curious, and Empathetic)
and PLACE (Playful, Loving, Accepting, Curious, and Empathetic) to assist in the healing
between the caregiver and child (Becker-Weidman, 2006). The counselor begins with the
caregiver in a separate room, showing them how to be supportive and nurturing, focusing on
nonverbal methods. The counselor may then join both the caregiver and the child and will help
guide them through PACE and PLACE techniques (Becker-Weidman, 2006).
Another effective treatment for attachment disorder is parent training and family support,
sometimes referred to as the Circle of Serenity (Hoffman, Marvin, Cooper & Powell, 2006).
OConnor and Zeanah found that attending support groups helped adoptive and foster parents
prepare for feelings of confusion and rejection if animosity arises from the new addition to their
household.
Conclusion
References
Becker-Weidman, A. (2006). Treatment for children with trauma-attachment disorders: Dyadic
developmental psychotherapy. Child and Adolescent Social Work Journal, 23(2), 147-171.
doi: 10.1007/s10560-005-0039-0
Bretherton, I. (1992). The origins of attachment theory: John Bowlby and Mary Ainsworth.
Developmental Psychology, 28(5), 759-775. doi:10.1037/0012-1649.28.5.759
Crosson-Tower, C. (2012). Exploring child welfare a practice perspective. (6th ed.). Upper
Saddle River: Pearson.
Hoffman, K. T., Marvin, R. S., Cooper, G., & Powell, B. (2006). Changing toddlers' and
preschoolers' attachment classifications: the circle of security intervention. Journal of
Consulting and Clinical Psychology, 74(6), 1017-1026. doi: 10.1037/0022-006X.74.6.1017
O'Connor, T. G., & Zeanah, C. H. (2003). Attachment disorders: Assessment strategies and
treatment approaches. Attachment & Human Development, 5(3), 223.