Reactive Attachment Disorder and Attachment Issues – A Self Reflection Quiz
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Question 1 of 4
1. Question
Read the article titled “Attachment Issues and Reactive Attachment Disorder”.
After reading the article, which of the following is not typically a cause of Reactive Attachment Disorder?
CorrectIncorrectHint
According to the article, Reactive Attachment Disorder can be caused when chronic instances of the following behaviours occur:
- A baby cries and no one responds or offers comfort.
A baby is hungry or wet, and they aren’t attended to for hours.
No one looks at, talks to, or smiles at the baby, so the baby feels alone.
A young child gets attention only by acting out or displaying other extreme behaviors.
A young child or baby is mistreated or abused.
Sometimes the child’s needs are met and sometimes they aren’t. The child never knows what to expect.
The infant or young child is hospitalized or separated from his or her parents.
A baby or young child is moved from one caregiver to another (can be the result of adoption, foster care, or the loss of a parent).
The parent is emotionally unavailable because of depression, an illness, or a substance abuse problem.
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Question 2 of 4
2. Question
Which of the following is a sign or a symptom of insecure attachment in infants:
CorrectIncorrectHint
Here are some signs and symptoms of insecure attachment in infants:
- Avoids eye contact
- Doesn’t smile
- Doesn’t reach out to be picked up
- Rejects your efforts to calm, soothe, and connect
- Doesn’t seem to notice or care when parent or caregiver leaves them alone
- Cries inconsolably
- Doesn’t coo or make sounds
- Doesn’t follow you with his or her eyes
- Isn’t interested in playing interactive games or playing with toys
- Spend a lot of time rocking or comforting themselves
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Question 3 of 4
3. Question
The article describes some common signs and symptoms of reactive attachment disorder. Use the matrix to match the sign or symptom with it’s correct description.
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- Children with reactive attachment disorder often flinch, laugh, or even say “Ouch” when touched. Rather than producing positive feelings, touch and affection are perceived as a threat.
- Most children with reactive attachment disorder go to great lengths to remain in control and avoid feeling helpless. They are often disobedient, defiant, and argumentative.
- Anger may be expressed directly, in tantrums or acting out, or through manipulative, passive-aggressive behavior. Children with reactive attachment disorder may hide their anger in socially acceptable actions, like giving a high five that hurts or hugging someone too hard.
- Children with reactive attachment disorder may act like they don’t have a conscience and fail to show guilt, regret, or remorse after behaving badly.
- For example, children with reactive attachment disorder may act inappropriately affectionate with strangers while displaying little or no affection towards their parents.
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An aversion to touch and physical affection.
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Control issues.
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Anger problems.
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An underdeveloped conscience.
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Difficulty showing genuine care and affection.
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Question 4 of 4
4. Question
The article described five ways you can help a child with reactive attachment disorder feel safe and secure. Fill in the gaps below to review each of these strategies. You can find the answers in the article or by using the hints section in this quiz.
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- Set and .
- Take , yet remain when your child is upset or misbehaving.
- Be immediately to reconnect following a conflict.
- Own up to mistakes and repair.
- Try to maintain routines and schedules.
CorrectIncorrectHint
- Set limits and boundaries.
- Consistent, loving boundaries make the world seem more predictable and less scary to children with attachment problems such as reactive attachment disorder. It’s important that they understand what behavior is expected of them, what is and isn’t acceptable, and what the consequences will be if they disregard the rules. This also teaches them that they have more control over what happens to them than they think.
- Take charge, yet remain calm when your child is upset or misbehaving.
- Remember that “bad” behavior means that your child doesn’t know how to handle what he or she is feeling and needs your help. By staying calm, you show your child that the feeling is manageable. If he or she is being purposefully defiant, follow through with the pre-established consequences in a cool, matter-of-fact manner. But never discipline a child with an attachment disorder when you’re in an emotionally-charged state. This makes the child feel more unsafe and may even reinforce the bad behavior, since it’s clear it pushes your buttons.
- Be immediately available to reconnect following a conflict.
- Conflict can be especially disturbing for children with insecure attachment or attachment disorders. After a conflict or tantrum where you’ve had to discipline your child, be ready to reconnect as soon as he or she is ready. This reinforces your consistency and love, and will help your child develop a trust that you’ll be there through thick and thin.
- Own up to mistakes and initiate repair.
- When you let frustration or anger get the best of you or you do something you realize is insensitive, quickly address the mistake. Your willingness to take responsibility and make amends can strengthen the attachment bond. Children with reactive attachment disorder or other attachment problems need to learn that although you may not be perfect, they will be loved, no matter what.
- Try to maintain predictable routines and schedules.
- A child with an attachment disorder won’t instinctively rely on loved ones, and may feel threatened by transition and inconsistency—for example when traveling or during school vacations. A familiar routine or schedule can provide comfort during times of change.
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