Reactive attachment disorder (RAD) is a relatively recent diagnosis that draws attention to the effects of early pathogenic caregiving. There is no evidence-based approach to treating RAD. Two different approaches, relationship-based attachment therapy and holding therapy, are widely mentioned in the literature. This qualitative study sought to identify a treatment package based on the views of parents whose children with RAD had made and sustained considerable progress. Parental commitment and availability, ability to find strengths, strong environmental structure, and emotional attunement are key sources of change, according to these parents. Findings also indicate children can make and sustain considerable progress in making attachments and improving social behavior without the use of therapeutic holding, the core feature of holding therapy.
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