中文标题：2005 AACAP 美国婴儿与儿童早期反应性依赖障碍的儿童和青少年患者的评价和治疗指南
英文标题：2005AACAP Practice parameter for the assessment and treatment of children and adolescents with reactive attachment disorder of infancy and early childhood
制定者：美国儿童和青少年精神病学会(AACAP,American Academy of Child and Adolescent Psychiatry)
摘要：This parameter reviews the current status of reactive attachment disorder with regard to assessment and treatment. Attachment is a central component of social and emotional develop-ment in early childhood, and disordered attachment is defined by specific patterns of abnormal social behavior in the context of “pathogenic care.” Clinically relevant subtypes include an emotionally withdrawn/inhibited pattern and a socially indiscriminate/disinhibited pattern. As-sessment requires direct observation of the child in the context of his/her relationships with pri-mary caregivers. Treatment requires establishing an attachment relationship for the child when none exists and ameliorating disturbed attachment relationships with caregivers when they are evident. Coercive treatments with children with attachment disorders are potentially dangerous and not recommended.
关键词：attachment, reactive attachment disorder, indiscriminate behavior, practice parameter, practice guideline.