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3 results

  • Autism and attachment disorders – how do we tell the difference?

  • Claire Davidson, Heather Moran, Helen Minnis
  • Journal:
    BJPsych Advances / Volume 28 / Issue 6 / November 2022
    Published online by Cambridge University Press:
    24 February 2022, pp. 371-380
    Print publication:
    November 2022
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  • Clinicians assessing children with autism are sometimes faced with a dilemma, especially if there is a definite or suspected history of abuse or neglect: is this autism or attachment disorder? This is important because the attachment disorders (reactive attachment disorder and disinhibited social engagement disorder) are thought to be caused by abuse or neglect, whereas autism is not. We discuss the Coventry Grid, a clinical tool aiming to aid differentiation between autism and attachment disorders. We examine the small body of empirical studies focusing on this differential diagnosis and find that the Coventry Grid can be regarded as an evidence-based tool. We also discuss preliminary findings regarding a relatively unstructured observational method involving two assessors who engage the child in jokes and playful social dilemmas, which might help clinicians elicit the information required to complete the Coventry Grid.

  • Treating children with disinhibited social engagement disorder symptoms: Filial therapy

  • S. Hatam, S. Moss, C. Cubillo, D. Berry
  • Journal:
    European Psychiatry / Volume 64 / Issue S1 / April 2021
    Published online by Cambridge University Press:
    13 August 2021, p. S640
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  • Introduction

    Children affected by social neglect and other forms of abuse are at significant risk of developing mental health problems as well as social, academic, and behavioral functioning difficulties. Some studies have assessed the effectiveness of treatment for children with trauma-attachment disorder. Nevertheless, some questions remain to be answered regarding appropriate treatment.

    Objectives

    Aim This research identified how filial therapy affects the extent to which foster parents are responsive, sensitive, and attentive to the needs of their children in their care. Subsequently, the study explored how this bond, influenced during filial therapy, affects the signs and symptoms of disinhibited social engagement disorder.

    Methods

    Method This study used case study as the methodology to research the influence of filial therapy (CPRT) in foster children who show the symptoms of disinhibited social engagement disorder- aged three to six. Two sets of foster parents received a 10-session filial therapy model (CPRT) across 10 weeks. Pre and post measures of the parent-child relationship were analyzed.

    Results

    Result The findings indicate that filial therapy greatly enhances the bond between foster parents and children with DSEDs. Moreover, these improvements in the bond diminished the symptoms of disinhibited social engagement disorder.

    Conclusions

    Conclusion The impact of filial therapy as a responsive intervention reduced the symptoms of disinhibited social engagement disorder. The symptoms have declined very likely as a result of rebuilding, regenerating, and enhancing the relationship between foster children and foster parents.

    Disclosure

    No significant relationships.

  • P02-331 - Trauma, Attachment and Personality Development

  • M. Ammon
  • Journal:
    European Psychiatry / Volume 25 / Issue S1 / 2010
    Published online by Cambridge University Press:
    17 April 2020, 25-E1030
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  • The paper gives an overview about classic psychoanalytic formulations of psychic trauma and compares them with recent contributions from trauma therapy, attachment research, and neurobiology. It focuses especially on Günter Ammon's understanding of early relationship trauma and its consequences for personality development. After reviewing relevant trauma-therapeutic approaches in contemporary psychoanalysis, Ammon's therapeutic concept for patients with early traumatizations is outlined. Finally the realization of this concept in Dynamic Psychiatry, e. g. the therapeutic setting of the clinic Menterschwaige, is described.

    Objectives

    The paper gives an overview about classic psychoanalytic formulations of psychic trauma and compares them with recent contributions from trauma therapy, attachment research, and neurobiology.

    Methods

    Brain research and psychotherapeutic methodes.

    Results

    Results of the brain research show that early traumatization affects brain areas in emotional states which verbalization cannot reach.

    Conclusions

    For early traumatized patients a treatment concept of non-verbal methods as well as verbal are necessary,