Attachment disorder is a broad term intended to describe disorders of mood, behavior, and social relationships arising from unavailability of normal socializing care and attention from primary care giving figures in early childhood. Such a failure would result from unusual early experiences of neglect, abuse, abrupt separation from caregivers between three months and three years of age, frequent change or excessive numbers of caregivers, or lack of caregiver responsiveness to child communicative efforts resulting in a lack of basic trust. A problematic history of social relationships occurring after about age three may be distressing to a child, but does not result in attachment disorder.
Reactive attachment disorder (RAD) is described in clinical literature as a severe disorder that can affect children, although these issues do occasionally persist into adulthood. RAD is characterized by markedly disturbed and developmentally inappropriate ways of relating socially in most contexts. It can take the form of a persistent failure to initiate or respond to most social interactions in a developmentally appropriate way—known as the "inhibited form". In the DSM-5, the "disinhibited form" is considered a separate diagnosis named "disinhibited attachment disorder".
Child psychopathology refers to the scientific study of mental disorders in children and adolescents. Oppositional defiant disorder, attention-deficit hyperactivity disorder, and autism spectrum disorder are examples of psychopathology that are typically first diagnosed during childhood. Mental health providers who work with children and adolescents are informed by research in developmental psychology, clinical child psychology, and family systems. Lists of child and adult mental disorders can be found in the International Statistical Classification of Diseases and Related Health Problems, 10th Edition (ICD-10), published by the World Health Organization (WHO) and in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), published by the American Psychiatric Association (APA). In addition, the Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood is used in assessing mental health and developmental disorders in children up to age five.
Self-criticism involves how an individual evaluates oneself. Self-criticism in psychology is typically studied and discussed as a negative personality trait in which a person has a disrupted self-identity. The opposite of self-criticism would be someone who has a coherent, comprehensive, and generally positive self-identity. Self-criticism is often associated with major depressive disorder. Some theorists define self-criticism as a mark of a certain type of depression, and in general people with depression tend to be more self critical than those without depression. People with depression are typically higher on self-criticism than people without depression, and even after depressive episodes they will continue to display self-critical personalities. Much of the scientific focus on self-criticism is because of its association with depression.
Relational aggression, alternative aggression, or relational bullying is a type of aggression in which harm is caused by damaging someone's relationships or social status.
Complex post-traumatic stress disorder is a stress-related mental disorder generally occurring in response to complex traumas, i.e., commonly prolonged or repetitive exposures to a series of traumatic events, within which individuals perceive little or no chance to escape.
Lyn Yvonne Abramson is a professor of psychology at the University of Wisconsin–Madison. She was born in Benson, Minnesota. She took her undergraduate degree at the University of Wisconsin–Madison in 1972 before attaining her Ph.D. in clinical psychology at University of Pennsylvania in 1978.
Developmental psychopathology is the study of the development of psychological disorders with a life course perspective. Researchers who work from this perspective emphasize how psychopathology can be understood as normal development gone awry. Developmental psychopathology focuses on both typical and atypical child development in an effort to identify genetic, environmental, and parenting factors that may influence the longitudinal trajectory of psychological well-being.
Childhood trauma is often described as serious adverse childhood experiences (ACEs). Children may go through a range of experiences that classify as psychological trauma; these might include neglect, abandonment, sexual abuse, emotional abuse, and physical abuse, witnessing abuse of a sibling or parent, or having a mentally ill parent. These events have profound psychological, physiological, and sociological impacts and can have negative, lasting effects on health and well-being such as unsocial behaviors, attention deficit hyperactivity disorder (ADHD), and sleep disturbances. Similarly, children whose mothers have experienced traumatic or stressful events during pregnancy have an increased risk of mental health disorders and other neurodevelopmental disorders.
Attachment-based therapy applies to interventions or approaches based on attachment theory, originated by John Bowlby. These range from individual therapeutic approaches to public health programs to interventions specifically designed for foster carers. Although attachment theory has become a major scientific theory of socioemotional development with one of the broadest, deepest research lines in modern psychology, attachment theory has, until recently, been less clinically applied than theories with far less empirical support. This may be partly due to lack of attention paid to clinical application by Bowlby himself and partly due to broader meanings of the word 'attachment' used amongst practitioners. It may also be partly due to the mistaken association of attachment theory with the pseudo-scientific interventions misleadingly known as attachment therapy. The approaches set out below are examples of recent clinical applications of attachment theory by mainstream attachment theorists and clinicians and are aimed at infants or children who have developed or are at risk of developing less desirable, insecure attachment styles or an attachment disorder.
Mary Main was an American psychologist notable for her work in the field of attachment. A Professor at the University of California Berkeley, Main is particularly known for her introduction of the 'disorganized' infant attachment classification and for development of the Adult Attachment Interview and coding system for assessing states of mind regarding attachment. This work has been described as 'revolutionary' and Main has been described as having 'unprecedented resonance and influence' in the field of psychology.
Patricia McKinsey Crittenden is an American psychologist known for her work in the development of attachment theory and science, her work in the field of developmental psychopathology, and for creation of the Dynamic-Maturational Model of Attachment and Adaptation (DMM).
Dante Cicchetti is a developmental psychology and developmental psychopathology scientist specializing in high-risk and disenfranchised populations, including maltreated children and offspring of depressed parents. He holds a joint appointment in the Department of Psychiatry at the University of Minnesota Medical School and in the Institute of Child Development. He is the McKnight Presidential Endowed Chair and the William Harris Endowed Chair.
Arnold J. Sameroff is an American developmental psychologist. He researches and writes about developmental theory and the factors that contribute to mental health and psychopathology, especially related to risk and resilience. Together with Michael Chandler he is known for developing the transactional model of development. He is one of the founders of the field of developmental psychopathology.
The Mt. Hope Family Center, located in Rochester, NY, is a research center affiliated with the University of Rochester that integrates its research with clinical therapy methods. The Center focuses on helping at-risk impoverished families overcome challenges such as childhood maltreatment, trauma, and major depressive disorder.
Sidney J. Blatt was a professor emeritus of psychiatry and psychology at Yale University's Department of psychiatry. Blatt was a psychoanalyst and clinical psychologist, empirical researcher and personality theoretician, who made enormous contributions to the understanding of personality development and psychopathology. His wide-ranging areas of scholarship and expertise included clinical assessment, psychoanalysis, cognitive schemas, mental representation, psychopathology, depression, schizophrenia, and the therapeutic process, as well as the history of art. During a long and productive academic career, Blatt published 16 books and nearly 250 articles and developed several extensively used assessment procedures. Blatt died on May 11, 2014, in Hamden, Conn. He was 85.
Psychodynamic Therapy with Infants and Parents aims to relieve emotional disturbances within the parent(s), the baby, and/or their interaction, for example, postnatal depression and anxiety, infant distress with breastfeeding and sleep, and attachment disorders. It rests on attachment theory and psychoanalysis. Sigmund Freud suggested that a modification of his method could be applied to children, and child analysis was introduced in the 1920s by [Anna Freud].., [Melanie Klein], and Hermine Hug von Hellmuth. Klein speculated on infantile experiences to understand her patients' disorders but she did not practice PTIP. Donald Winnicott, a pediatrician and analyst, focused on the mother-baby interplay in his theorizing and his brief parent-child consultations, but he did not work with PTIP.
Nicki Rae Crick was a psychologist and professor of child development and family studies known internationally for her research on relational aggression, defined as the use of relationships as agents of harm. At the time of her death, she held the position of Distinguished McKnight University Professor and Irving B. Harris Professor of Child Psychology at the Institute of Child Development, University of Minnesota.
Judy Garber is a clinical psychologist known for her research on emotional dysregulation and mood disorders, with a focus on cognitive-behavioral interventions for adolescents who have depression. Garber is Cornelius Vanderbilt Professor of Psychology and Human Development at Vanderbilt University.
Joy D. Osofsky is a clinical and developmental psychologist, known for her research on infant mental health, how parents nurture their infants and children, and the repercussions that follow exposure to traumatic events and violence. Some of her notable work has examined the aftereffects of Hurricane Katrina, experiences of children raised in broken households, and the impact of the COVID-19 pandemic on communities. Osofsky is employed as a Professor of Pediatrics, Psychiatry, and Public Health at the Louisiana State University Health Sciences Center, and she is Head of the Division of Pediatric Mental Health at the Louisiana State University School of Medicine. Osofsky holds the Barbara Lemann Professorship of Child Welfare at LSU Health New Orleans.
