When normal attachment happens between a child and parent, the child feels safe, loved and secure. When there is an adoption, even if it is at birth, there is a chance that the child will have some features of RAD. The most common features of RAD are:
- Poor trust from child to adult
- Lying
- Stealing
- Manipulative behaviors
The ICD-10 description states:
- markedly disturbed and developmentally inappropriate social relatedness in most contexts (e.g., the child is avoidant or unresponsive to care when offered by caregivers or is indiscriminately affectionate with strangers);[36]
- the disturbance is not accounted for solely by developmental delay and does not meet the criteria for pervasive developmental disorder;
- onset before five years of age (there is no age specified before five years of age at which RAD cannot be diagnosed);[36]
- a history of significant neglect;
- an implicit lack of identifiable, preferred attachment figures
In my previous blog post, I wrote out the DSM-IV criteria for RAD.
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