Psychiatry and Psychology Commons^™

Reactive Attachment Disorder : Implications For Counselors, Kim Rogers

Graduate Research Papers

The purpose of this paper is to provide background on reactive attachment disorder. Reactive attachment disorder (RAD) is growing in diagnosis and yet it is one of the least researched disorders. This paper will discuss attachment theory, problems with the RAD diagnosis, interventions for mental health professionals, and future research ideas.

Reactive Attachment Disorder, Kalen J. Espy

Graduate Research Papers

Reactive Attachment Disorder, or RAD, has several possible causes usually stemming from traumatic childhood events. The attachment disorders were initially explored in 1948 by John Bowlby which led to the attachment theory being established in the 1960's. Attachment is the bond a child makes with other human beings, allowing for a healthy emotional and psychological growth. Attachment is developed primarily from birth to two years of age and up to the age of five.

There are four attachment styles and four phases that a child must go through to develop a healthy attachment to a caregiver. A child who is …

Social Phobia, Sarah S. Cosley

Graduate Research Papers

Social phobia is a common diagnosis for people of all ages. In the United States alone millions of people suffer from Social Phobia. People who suffer from social phobia can have problems in many areas of their life including: work, school, relationships, and daily functioning. Symptoms associated with social phobia can range from general fears to specific fears. A discussion of the definition of social phobia, symptoms, treatment, and application will be explored in the following paper.

Aspergers Syndrome, Miquel K. Anastasi

Graduate Research Papers

Aspergers Syndrome has recently become a "popular" topic in the mental health fields. More and more school aged children are being formally diagnosed with the disorder. Yet, many professionals do not truly understand the nature of Aspergers syndrome beyond being a form of autism. In this paper Aspergers Syndrome is defined and compared with Autism and the causes and possible treatments are discussed, particularly from biological and sociocultural points of view.

Self-Mutilating Behaviors, Patience Niemoth-Coleman

Graduate Research Papers

Treating self-mutilating behaviors (SMB) is complex. Since people are continuing to engage in the behaviors, counselors need to be informed of the various techniques that are used with SMB as well as to be informed about common myths around self-mutilating behaviors. This paper will explore the methods of SMB, the common myths surrounding SMB, and the theories that explain and inform treatment of.

Abuse And Dissociation Disorder, Myrtle Godfrey

Graduate Research Papers

Child sexual abuse is widely regarded as a cause of mental problems in adult life. The damage inflicted by child sexual abuse.has an affect on the child's capacity to develop trust, intimacy and sexuality. Sexually abused children not only encounter assaults on their developing sense of sexual identity, but a blow to their interpretation of the world as a safe environment, and their developing sense of others as trustworthy. In addition, childhood sexual abuse is correlated with higher levels of dissociation. (Fleming, J. & Mullen, P. E., 1998). Of the victims that were abused by someone with whom he or …

Introversion : Relationship With Mental Well-Being, Elizabeth A. Balder

Graduate Research Papers

This paper explores connections between introversion and decreased mental well-being. The author sought to discover whether introverts are more vulnerable to depressive symptoms than extroverts. Overall findings show introverts are more vulnerable than extroverts to depression and decreased mental well-being. Introverts are more likely to be compliant and have lower self-esteem than extroverts, and also have less social support than extroverts, which can be detrimental when experiencing depression. Western culture gives preference to extroverted individuals, which pressures introverts to attempt to change their personalities.

Attachment Disorders In Residential Treatment, John Church

Graduate Research Papers

Various aspects of developmental attachment are explored in this power point presentation. Attachment is defined and differentiated from bonding. The variations of attachment are described as they relate to the work of Mary Ainsworth (1978) and Katharine Leslie (2004). Trauma is also explored as one of the major contributors to attachment disorders. The trauma information is also linked with how the brain develops and ultimately is affected by trauma. Lastly, the symptoms of reactive attachment disorder are discussed and explored as they relate to other diagnoses such as depression and oppositional defiant disorder.

Weight Loss Practices In Amateur Wrestlers And Its Relationship To Disordered Eating, Lyndsey M. Manderfield

Graduate Research Papers

The premise behind many athletic programs is to encourage wellness, a state of well being in both physical and emotional aspects. This research paper reviews how wrestling and other athletic programs where weight plays a significant role, may affect eating and other weight-related habits. It addresses whether weight loss practices in wrestling play a role in disordered eating patterns of its participants.

Overview Of Attachment Disorder And Effective Treatments For Children, Kathryn H. Hedican

Graduate Research Papers

When children experience extreme chronic trauma as a result of the effects of the disruption of healthy attachment patterns, a disorder known as Reactive Attachment Disorder (RAD) can develop. The importance for mental health counselors to understand the etiology of RAD cannot be overemphasized. Symptoms most often associated with this disorder include the inability to trust, failure to develop intimate relationships, or show affection, lack of self-confidence, low self-esteem, and anti-social behaviors and attitudes (Levy & Orlans, 1998 as cited in Sheperis, Renfro-Michel, & Doggett, 2003). Highlighting the foundational work of Erikson, Harlow, Bowlby, and Ainsworth includes a brief overview …

Oppositional Defiant Disorder : Using Family Therapy And Parent Training Techniques For Effective Treatment Outcomes, Caroline S. Dieken

Graduate Research Papers

Oppositional Defiant Disorder (ODD) clinically affects children and adolescents through the display of unwanted disruptive, hostile, defiant, and oppositional behaviors. Development of these can be linked to parental psychopathology, family and marital dysfunction, poor parent-child interaction, atypical parenting, maternal age, substance abuse, poor supervision, and inconsistent or harsh discipline. The effects of ODD lead to impaired social functioning, depression, low self-esteem, academic failure, substance abuse, delinquency, and family discord. Compared to other treatments ( e.g., medication, behavior modification, punishment, or removal from the home) the most effective course of treatment for ODD is the use of family therapy and parent …

Difficulties In Recognizing And Treating Depression In The Elderly : Implications For Counselors, Kristin A. Schloemer

Graduate Research Papers

Diagnosing elderly depression is a difficult, overlooked process. Many elderly seek out family physicians, but few visit mental healthcare professionals (Lyness et al., 1997; Sable & Dunn, 2002). When assessing elderly depression, it is important for counselors to be aware of symptoms, ensuring correct treatment.

According to Friedrich ( 1999), it is difficult for healthcare professionals, including counselors, to diagnose depression in the elderly. As elderly may not display traditional depressive symptoms, it is necessary to distinguish between depression, bereavement, and illness, all common in late life. Once depression has been diagnosed, treatments including: medication, psychotherapy, or perhaps the most …

Borderline Personality Disorder : A Comparison Of Linehan And Kernberg's Treatment Modalities, Janet M. Riley

Graduate Research Papers

About 30% of clients worldwide are diagnosed as Borderline Personality Disorder (BPD) (Bohus et al., 2000). BPD is a complex disorder and difficult to treat. Therefore, it is necessary for counselors to gain as much knowledge about treatment modalities and their effectiveness as possible. This paper attempts to define BPD by looking closely at its history.and describing the criteria for diagnosis. Linehan's Dialectical Behavior Therapy (DBT) and Kernberg's Object Relational Theory (ORT) are compared as to their effectiveness in working with clients who exhibit symptoms of BPD.

Childhood Depression And Schools, Jeni Barry

Graduate Research Papers

Depression in children is a problem that is becoming more prevalent. With children and adolescents under more stress and pressure than ever before, the seriousness of the issues children deal with is also intensifying. Depression in children is a major concern because it can interfere with school and academics, social functioning, and even lead to somatic symptoms. If depression is left untreated it can lead to other mental disorders. An important concern is that children who are depressed are at great risk of suicide. Population studies show that at any one time between 10 and 15 percent of the child …

Reactive Attachment Disorder : Diagnosis, Assessment, And Treatment, Kimberly A. Rees

Graduate Research Papers

In recent years, there has been an increasing trend toward the use of Reactive Attachment Disorder (RAD) as a diagnosis to describe myriad problem behaviors and disturbed interactions between infants, young children and their caregivers. There is considerable disagreement about what RAD actually entails and, in particular, what types of assessments and treatment interventions to use with affected children and families (Hanson & Spratt, 2000). This paper is intended to clarify what the current research states about Reactive Attachment Disorder. It includes the definitions and diagnosis, importance of attachment, biological components, risk factors later in life, assessment, and treatment available …

Attachment Disorders And Personality Disorders : A Possible Connection, Jen Sacora

Graduate Research Papers

Researchers now propose that attachment theory can be applied beyond childhood. They believe attachment exists in adulthood and influences adult relationships. Possible connections between personality disorders and well-known approaches to personality development such as attachment theory have been made (Brennan & Shaver, 1998).

The purpose of this paper is to examine the relationships between parent-infant attachment which influence adult relationships and psychopathology. Theories of personality development as they relate to attachment will be explored as well as influence of early childhood experiences on personality. Finally, possible connections between attachment disorders and personality disorders will be speculated.

The Importance Of Behavioral Interventions And Stimulant Medication Effects On Reducing Attention Deficit Hyperactivity Disorder, Elizabeth Alvarez

Graduate Research Papers

Overall, various avenues of research state that ADHD is a complex disorder that requires treatment by multiple modalities. Most research states that a combination of medication and behavior therapy is necessary to resolve the symptoms. It should be noted that the dose of stimulant medication prescribed to a child with ADHD should be adjusted based on the child's response to a behavioral intervention, as well as the combination of the behavioral and pharmacological treatments. Rapport et al. (1982), as well as others, have found that medication alone will not "cure" ADHD. But with multiple methods of treatment the symptoms will …

A School Psychologist's Role In Decreasing Eating Disorder Prevalence In School-Aged Children, Natalie Muth

Graduate Research Papers

Eating disorders have dramatically increased over the last 20 years, resulting in prevalence rates exceeding other high-incidence medical conditions treated in the educational setting. Chapter 2 presents a review of literature covering eating disorder identification, history, prevalence and epidemiological data. Theoretical perspectives, risk and protective factors, symptoms, and medical complications are also reviewed. Current assessment measures used for screening and diagnosing anorexia and bulimia is additionally presented along with a summary of school-based primary prevention programs. The second chapter concludes with a brief overview of eating disorder treatment.

A summary is presented in chapter 3 along with implications for school …

Anorexia Nervosa : A Psychological Perspective Of Etiology And Current Treatment Procedures, Arlene Lagary

Graduate Research Papers

Anorexia nervosa is a chronic and sometimes fatal illness characterized by physical and psychological complications. Although no etiology for this illness has been determined, this paper presents a psychological etiology based on a synthesis of both traditional and current literature. The influence of culture, the therapeutic alliance, and client resistance are also considered. Relapse is common and the illness may last for many years. The health care community has addressed the complexity and chronicity of this illness by using a multi-component approach that includes psychoeducation, cognitive-behavioral therapy, psychodynamic interventions, family therapy, and psychopharmacology.

Attention Deficit Hyperactivity Disorder : Is It A Behavior Disorder Or Active Childhood Behavior?, Larry G. Scheel

Graduate Research Papers

Although attention-deficit hyperactivity disorder constitutes 33 to 50% of mental health referrals for children, an increasing number of researchers has begun to question the validity of ADHD as a legitimate diagnosis. Eberstadt in her 1999 review stated, "Society has changed since the mid-1980s to view what may be normal childhood activity as lack of behavioral compliance" (p.1). Could the prevalence of ADHD simply be an increasingly active society's response to normal, active childhood behavior? The purpose of this paper is to examine the history of ADHD and explore assessment methods. Data from current literature and personal interviews with recognized professionals …

Self-Mutilation : Using Pain To Cope, Wendy S. Cook

Graduate Research Papers

Self-mutilation is a serious mental and physical health problem that is often under-reported and misdiagnosed. The mutilation is a reaction to negative internal feelings, such as despair, anxiety, anger, or cognitive constriction. The goal of the self-mutilation is relief from emotional pain by using physical pain. The self-mutilator has low self-esteem, bouts of depression, difficulty forming intimate relationships, and usually suffered some type of trauma such as physical or sexual abuse. Pharmacological treatment for the self-mutilator has been experimental but has not been well researched. However, research seemed to indicate that individual and group therapy, specifically cognitive-behavioral therapy, is helpful …

Oppositional Defiant Disorder (Odd) In Children And Adolescents, Maria J. Garlie

Graduate Research Papers

This paper is a review of the literature on Oppositional Defiant Disorder (ODD) in children and adolescents. Included in this review is information on the history of changes through which the diagnosis of ODD has gone, a comparison of children with ODD to "normal" children in terms of development, gender differences, co-morbidity, etiology, and treatment interventions.

Play Therapy For Children With Aggressive Behavior, Jennifer M. Brehm

Graduate Research Papers

The purpose of this literature review was to investigate the effectiveness of various play therapy interventions for decreasing developmentally inappropriate aggression of children. Psychoanalytic, cognitive-behavioral, and person-centered approaches of play therapy were reviewed. Each of the three theoretical approaches to therapy was described in relation to the aggressive behaviors of children. Similarities and differences among the three therapies were discussed. Efficacy of the interventions was presented based on published literature only. More studies of the various types of play therapy, particularly in relation to the aggressive behaviors of children, need to be conducted and results disseminated.

Bibliotherapy : The Use Of Books As An Intervention With Children And Adolescents, Jennifer R. Schmidt

Graduate Research Papers

Bibliotherapy is defined as "the use of literature and poetry in the treatment of people with emotional problems or mental illness" (Pardeck, 1994, p.421). The purpose of this paper is to explore bibliotherapy and to identify the advantages of using it with children and adolescents. Readers will gain an understanding of the stages of bibliotherapy, the goals of bibliotherapy, how to implement bibliotherapy into a counseling program, and the benefits and limitations of bibliotherapy. In addition, suggestions for working with specific client populations are given.

"Epidemic" Depression In School-Age Youth, Trudy L. Erickson

Graduate Research Papers

With the traditional image of children as happy and care-free, it has been troubling to think of them suffering the effects of major depression and dysthymia. Successful intervention for.depressive youth is complicated by failure to diagnose, limited referral or consuItation, and resolute parental denial.

The purpose of this paper is to inform the reader about depression in today's student population. Depression will be defined and described as it is manifested in youth. Typical symptoms and proposed etiologies will be discussed. Finally, suggested interventions will be addressed, although research concerning interventions for depressed youth, particularly children, has been sparse.

Oppositional Defiant Disorder And Conduct Disorder : Different Names For The Same Condition?, Daryl L. Hawkins

Graduate Research Papers

The purpose of this paper is to present a review of the literature related to the proposition that oppositional defiant disorder and conduct disorder are, in essence, the same disorder, with varying degrees of severity. The author of this paper believes that it would make more sense diagnostically to combine these two diagnoses into one category.

This paper will cover a variety of areas related to oppositional defiant disorder and conduct disorder. First, a section on the formulation of the diagnostic criteria is presented. Brief definitions and descriptions of the two disorders follow the diagnostic criteria section. In addition to …

Characteristics And Treatment Of Conduct Disorders, Vicky Jo Kukral

Graduate Research Papers

Conduct Disorder is the most diagnosed condition in both outpatient and inpatient mental health facilities for children in the United States. Behavior problems such as aggression, destruction of property, theft and violation of basic rules are concerns for parents, teachers, peers and other adults. In an effort to help increase the reader's understanding of the Conduct Disorder population and their treatment, the author of this paper will describe and characteristics of this population. The author will also address specific mental health concerns as found in a review of the literature, and the status of mental health treatment.

School-Based Primary Prevention Programs For Eating Disorders, Suzanne D. Holmes

Graduate Research Papers

The primary purpose of this paper is to provide an extensive review of the literature and research related to anorexia nervosa, and to emphasize the importance of prevention programs in school settings and the role of school psychologists in the prevention and intervention process. Chapter two of this paper covers anorexia nervosa and the theories regarding its etiology, complications, co-morbidities, risk factors, and treatment. Because anorexia nervosa is a disorder which most frequently begins during adolescence, chapter three addresses the specific factors of adolescence that can lead to eating disorders.

Throughout the paper, there is an emphasis on the lack …

Interventions For Children With Attention Deficit Hyperactivity Disorder, Justin M. Larson

Graduate Research Papers

Attention Deficit Hyperactivity Disorder (ADHD) continues to be widely studied within the literature and researchers continue to investigate interventions and environments which allow for success. Whalen and Renker (1991) argue that multiple intervention methods are needed for success of children and adolescents in social situations. The purpose of this paper is to review the literature, and review interventions used to facilitate appropriate behaviors in children, aged six to eleven, with a diagnosis of attention deficit hyperactivity disorder.

Childhood Physical Or Sexual Abuse As A Possible Indicator Of Subsequent Adult Anxiety Disorders, Lynn Merry Cornwell

Graduate Research Papers

In recent years, there has been a growing acceptance that childhood physical and sexual abuse lead to higher rates of psychiatric morbidity in adulthood. Childhood abuse experiences have been reported to be highly prevalent among patients with anxiety disorders. Similarly, childhood incest victims have been found to suffer from a significantly higher rate of anxiety disorders in adulthood especially agoraphobia, than a non-victimized, matched comparison group. Epidemiology studies also support a relationship between childhood abuse and the subsequent development of anxiety disorders. Two separate community surveys found that childhood sexual victimization predicted the later onset of agoraphobia, obsessive-compulsive disorder, and …