Paeds Vivas · mental-behavioural-and-psychosomatic
Attachment disorders and relational trauma — branching viva
Branching viva on the two-disorder DSM-5-TR structure, caregiving-history assessment, the autism differential, the BEIP / ABC / Child-Parent Psychotherapy evidence, no first-line medication, no holding therapy, and a safeguarding conversion.
On this page
Study tools
Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
You are the general paediatrician assessing a young child with disordered social relatedness after pathogenic care. The examiner will test the two-disorder structure, the caregiving-history gateway, the autism differential, evidence-based relationship interventions, pharmacotherapy traps, and a safeguarding twist.
Stem
The examiner opens with a young child seen after pathogenic care, then escalates through the two-disorder structure, the autism differential, first-line relationship treatment, a pharmacotherapy trap, and a safeguarding twist. [1] [13]
References8ShowHide
- [1]Zeanah CH, Scheeringa M, Boris NW, Heller SS, Smyke AT, Trapani J Reactive attachment disorder in maltreated toddlers. Child Abuse Negl, 2004.PMID 15350771
- [2]Gleason MM, Fox NA, Drury S, Smyke A, Egger HL, Nelson CA 3rd, et al Validity of evidence-derived criteria for reactive attachment disorder: indiscriminately social/disinhibited and emotionally withdrawn/inhibited types. J Am Acad Child Adolesc Psychiatry, 2011.PMID 21334562
- [3]Gleason MM, Fox NA, Drury SS, Smyke AT, Nelson CA 3rd, Zeanah CH Indiscriminate behaviors in previously institutionalized young children. Pediatrics, 2014.PMID 24488743
- [4]Smyke AT, Zeanah CH, Gleason MM, Drury SS, Fox NA, Nelson CA, et al A randomized controlled trial comparing foster care and institutional care for children with signs of reactive attachment disorder. Am J Psychiatry, 2012.PMID 22764361
- [7]Dozier M, Peloso E, Lewis E, Laurenceau JP, Levine S Effects of an attachment-based intervention on the cortisol production of infants and toddlers in foster care. Dev Psychopathol, 2008.PMID 18606034
- [9]Lieberman AF, Ghosh Ippen C, Van Horn P Child-parent psychotherapy: 6-month follow-up of a randomized controlled trial. J Am Acad Child Adolesc Psychiatry, 2006.PMID 16865033
- [11]Rutter ML, Kreppner JM, O'Connor TG Specificity and heterogeneity in children's responses to profound institutional privation. Br J Psychiatry, 2001.PMID 11483469
- [13]Zeanah CH, Chesher T, Boris NW Practice Parameter for the Assessment and Treatment of Children and Adolescents With Reactive Attachment Disorder and Disinhibited Social Engagement Disorder. J Am Acad Child Adolesc Psychiatry, 2016.PMID 27806867