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"[Reactive attachment disorder : a case-based approach adds to a now growing research base, providing scholars and clinicians with a well-rounded analysis of RAD and suggested treatments. The case-based approach used in this Brief follows the representative case of “Jorge,” presented as unfolding over time and structured to illustrate challenges of diagnosis, to show examples of co-morbidity, and to provoke reflection on what questions may arise during treatment. Readers are asked to appraise the overlap with other clinical syndromes, the forms of psychotherapy which may apply, and the potential role of psychiatric medications as part of a comprehensive treatment plan., Reactive attachment disorder : a case-based approach adds to a now growing research base, providing scholars and clinicians with a well-rounded analysis of RAD and suggested treatments. The case-based approach used in this Brief follows the representative case of “Jorge,” presented as unfolding over time and structured to illustrate challenges of diagnosis, to show examples of co-morbidity, and to provoke reflection on what questions may arise during treatment. Readers are asked to appraise the overlap with other clinical syndromes, the forms of psychotherapy which may apply, and the potential role of psychiatric medications as part of a comprehensive treatment plan.]"

"Penerapan rheraplay diberikan kepada anak laki-laki berusia 5.5 tahun dengan Reactive Attachment Disorder Inhibited Type, yaitu anak yang secara persisten gagal memulai atau rnerespon dengan cam yang tepat pada kcbanyakan interaksi sosial. Tujuan dari intervensi adalah mengctahui pengamh penerapan rheraplay terhadap hubungan antara orangtua dan anak dengan Reactive Attachment Disorder. Penerapan scsi theraplay yang berlangsung selama dua bulan dilakukan dalam rangkaian dua scsi asesmen pre-test, sembilan sesi theraplay, dan satu scsi post-test untuk melihat perubahan kuaiitas hubungan antam orangtua dan anak. Setelah theraplay selesai dilakukan, terlihat ada peningkatan kualitas hubungan antara orangtuadananak.Orangt\1alebihnampakmemahami tingkahlakuanakdan rnenyadari pentingnya peran orangtua dalam hubungan orangiua dengan anak dan pengaruhuya terhadap rasa tidak aman yang ada dalam diri anak. Anak menjadi lebih terbuka dalam mcnerirna kegiatan yang membuatnya tentram dan nyaman; dan lebih dapat mengikuti aturan dan batasan yang diberikan oleh orangtua dibandingkan dengan kondisi sebelumnya. Beberapa satan yang dapaf dibexikan antara Iain: Ibu memperbanyak waktu berkualitas dengan anak dau mmgisinya dengan interaksi yang telah diperkenalkan dalam sesi theraplay orangtua meme:-iksa kegiatan rutin yang hams dilakukan secara konsisten oleh anak, dan diadakannya konseling pemikahan ataupun theraplay bagi Ayah dan Ibu......Theraplay treatment was given for a 5.5 year old boy with Reactive Attachment Disorder Inhibited Type, whom persistenly fails to initiate and to respond appropriately in most social interactions. The aim of intervention is to know how theraplay influencing the relationship between the child and his caretakers. The theraplay treatment carried out for two months andconsists of twelve sessions sequenee;which is two sessions of pre-test assesment., nine sessions of theraplay treatment, and one session of posttest. Posttest session was held to see the change of attachment quality in the relationship between the parent and the child. After the theraplay treatment had been given, there was enhancement of attachment quality in the relationship between thc parent and the child. The parent could understand her child better. Furthermore, the parent had an increased awareness about the importance of panent?s role in making a relationship with a good quality of attachment with their children. Parents also now understand how insecure attachment developed. After the treatment, the child was more at ease when taking nurturing activities. Moreover, the child followed the structured activity while being in his parents control better compared to when he had not in the theraplay treatment. Some suggestions that was given are: having more quality time between the parent and the child by using the theraplay dimension activities, the parent should consistently checking the child's routine activities, and referring marriage counseling or theraplay for the parents."

"ABSTRAKPenelitian ini difokuskan untuk melihat penerapan CBT dalam meningkatkan keterampilan regulasi emosi pada anak usia sekolah dengan reactive attachment disorder (RAD). Penelitian ini merupakan penelitian single-case dengan menggunakan teknik pretest-posttest. Subjek adalah anak perempuan berusia 10 tahun yang telah didiagnosa dengan RAD dan memiliki kesulitan dalam meregulasi emosi. Pengukuran dilakukan sebelum dan sesudah dilakukan intervensi melalui observasi, wawancara, dan penggunaan skala perilaku CBCL dan DERS. Sebelum program intervensi diberikan, subjek memiliki pemikiran maladaptif, keterampilan regulasi emosi yang kurang berkembang sesuai dengan usianya, serta memperlihatkan masalah perilaku internalizing seperti menarik diri dan cemas/depresi, masalah sosial, serta masalah pikiran. Hasil dari penelitian ini menunjukkan bahwa CBT efektif dalam meningkatkan keterampilan regulasi emosi dan mampu merubah pemikiran maladaptif pada anak. Hal tersebut terlihat dari meningkatnya keterampilan regulasi terutama dalam mengidentifikasi, mengevaluasi, dan menyalurkan emosi, serta menurunnya masalah perilaku internalizing, sosial, dan pemikiran. Subjek juga menunjukkan pemikiran yang lebih positif berkaitan dengan emosi.

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ABSTRACTThis study examined the application of CBT in order to enhance emotion regulation skill in school-aged children with reactive attachment disorder. The research was conducted using single-case experimental design with pretest-posttest technique. Subject of the study is a ten-year-old female student who has been diagnosed with reactive attachment disorder and has difficulty in regulating her emotions. Measurements were taken before and after intervention program through interviews, observation, and behavior scale such as CBCL, and self report such as DERS. Before interventions were conducted, subject was unable to identify; understand or describe her own emotions and also tend to bury her emotions and feelings, particularly anger and sadness; and exhibit internalizing behavior such as withdrawan and anxious/depressed; social problems; and thought problems. Subject also appeared to have maladaptive thoughts which refer to a belief that she should not have negative emotions and children who express their emotions are bad and spoil children. The results of this study indicate that CBT is effective in order to improve the emotion regulation skill and to change cognitive distortion on children. It can be seen from the ability to regulate subject‟s emotions, especially to identifying, evaluating, and using emotion regulation strategies that have significantly improved as well as decreasing in internalizing behavior, social, and thought problems. The findings from the evaluations of the intervention also show the changes in cognitive distortions about her emotion and improve positive thinking related to emotions."