Attachment

Question 1

what is attachment theory?

Answer 1

theory that the child’s early relationship with primary caregiver predicts future personality development

Question 2

how is attachment assessed?

Answer 2

stranger situation study

Question 3

who is a stranger situation study carried out on?

Answer 3

infant aged 12-18 months

Question 4

three attachment types

Answer 4

1. secure
2. ambivalent
3. avoidant

Question 5

secure attachment signs

Answer 5

1. separation anxiety when mother leaves
2. avoidant of stranger when alone, but friendly when mother present
3. reunion is happy
4. uses mother as safe base

Question 6

ambivalent attachment signs

Answer 6

1. distressed when mother leaves
2. fear of stranger
3. resists reunion
4. cries more and explores less

Question 7

avoidant attachment signs

Answer 7

1. no distress when mother leaves
2. comfortable with stranger
3. little interest when mother returns
4. equally comforted by mother and stranger

Question 8

personality of insecure ambivalent

Answer 8

low self value
finds others unreliable
attention seeking
antisocial
difficulty controlling emotions

Question 9

personality of insecure avoidant

Answer 9

sees self as unloved
finds others controlling
avoids relationships
lacks empathy

Question 10

define secure base

Answer 10

attachment figure provides a safe space to explore the world from

Question 11

define secure haven

Answer 11

attachment figure is a safe place to retreat at time of danger

Question 12

define attunement

Answer 12

ability of caregiver and infant to tune into each others emotional states

Question 13

what is reactive attachment disorder (RAD)?

Answer 13

infant does not form a relationship with primary care giving resulting in developmentally inappropriate behaviour before aged 5 associated with pathological care

Question 14

presentation of RAD

Answer 14

malnutrition
growth delay
NAI

Question 15

sub-types of RAD

Answer 15

1. inhibited

2. disinhibited

Question 16

describe inhibited RAD

Answer 16

fail to initiate or respond to social interactions

does not seek comfort from carer

Question 17

describe disinhibited RAD

Answer 17

unable to display appropriate selective attachment

familiarity with strangers

Question 18

DD for RAD

Answer 18

CD (form better relationships)
depression
ASD
ADHD

Question 19

management of RAD

Answer 19

family therapy
play therapy
special educational intervention

Question 20

red flags that would raised concern for wellbeing of child

Answer 20

persistent/unexplained colic
poor eye contact
no reciprocal smile
delayed development
difficulty being comforted
appear stiff

Question 21

what is conduct disorder (CD)?

Answer 21

persistent pattern of behaviour where basic rights of others are violated

Question 22

diagnosis requires 3 or more of what to be present in the past 12 months?

Answer 22

aggression to people or animals
destruction of property
deceitfulness or theft
serious violation of rules

Question 23

what is severe CD divided into?

Answer 23

unsocialised

socialised

Question 24

management of CD

Answer 24

therapy

risperidone and SSRIs

Question 25

risk factors for CD

Answer 25

unable to meet the needs to the child
mental health
drugs/alcohol
domestic violence
single parent
lack of rules

Question 26

ADHD presentation

Answer 26

triad of inattention, hyperactivity and impulsivity

Question 27

management of ADHD

Answer 27

methylphenidate

atomoxetine

Question 28

presentation of autism

Answer 28

difficulties with social communication, language and repetitive behaviour

Question 29

what is Asperger’s syndrome?

Answer 29

form of autism that has no problems with social communication