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{{Talk header}}
do we need all of those footnots? -- from cleanup
{{Article history
::my persional oppinion is yes, yes, YES. infact i would go as far to sa that this is what most wikipedia articals lack ] 22:20, 23 Aug 2004 (UTC)
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|action1date=01:51, 19 December 2007
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I agree. Footnotes add veracity to the material and allows readers to delve more deeply into the subject ] 25 Dec 2005
|action2date=18:57, 30 January 2008
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== Introduction ==
|action3date=00:37, 4 March 2008
|action3link=Misplaced Pages:Featured article candidates/Reactive attachment disorder
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The first paragraph of this article is overly complex and does not give a clear description of this disorder that would be accessible to many people who do not have a background in the subject.
|action4date=20 April 2008
:'''Reactive Attachment Disorder''' (sometimes called "RAD")(] 313.89, ] F94.1/2) is a psychophysiologic condition secondary to pathogenic behaviour from a caregiver during the first three years of life which would, in the absence of such pathogenic behaviour, normally meet well-timed milestones, so that the developmental trajectory is qualitatively different from the superficially similar failures or deviances in ] and ]s). This pathogenic caregiving behaviour constitutes any form of neglect, ], mistreatment and ].
|action4link=Misplaced Pages:Today's featured article/April 20, 2008
The DSM-IV intro is much clearer.
|action4result=Maindate
:The essential feature of Reactive Attachment Disorder is markedly disturbed and developmentally inappropriate social relatedness in most contexts that begins before age 5 years and is associated with grossy pathological care.
|action4oldid=206793247
May I suggest this replacement:
:'''Reactive Attachment Disorder''' (sometimes called "RAD")(] 313.89, ] F94.1/2) is a psychophysiologic condition with markedly disturbed and developmentally inappropriate social relatedness in most contexts that begins before age five years and is associated with grossly pathological care. This pathological caregiving behaviour may consist of any form of neglect, ], mistreatment and ].


|maindate=April 20, 2008
:In ] attachments to caregivers are consistent with the level of development. In ]s attachments to caregivers either fail to develop or are highly deviant, but this usually occurs in a context of reasonably supportive care.
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--] 22:19, 7 Oct 2004 (UTC)
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== Outdated Medical Information ==
::Thank you, CloudSurfer.
::Imagine that, to have written a first paragraph to an article in an online encyclopedia that is much less clear than the DSM-IV. And that book is not a piece of obscurantist dogma, or it shouldn't be.
::Still, four big words in the middle clause (the one that begins with 'so that'...)- I am not doing '''that''' again in a big hurry! The four were 'developmental' 'trajectory' (might have just said 'path', but that might have connoted spirituality), 'qualitiatively' and 'superficial'.
::The lack of clarity was in part due to political correctness: or, more simply, not wanting to offend anybody in the three diagnostic categories mentioned. As you might see, 'markedly disturbed' and 'developmentally inappropriate' are very loaded words (though usually not meant so in the medical context), as when discussing Pervasive Developmental Disorders as being 'highly deviant' in this area. This is well-balanced by the 'reasonably supportive care'.
::Apart from these points, I do agree with the replacement and the editing of the first paragraph. I suppose 'patho''genic''' would be a loaded word too (as psychogenic had been), as compared to patho''logical'', in terms of how things are '''caused'''.
::As to the background thing would this 'markedly disturbed' and 'developmentally appropriate' be obvious to doctors, to parents, and/or to you and me?
::Your edits make much better that point that Reactive Attachment Disorder '''is''' different, especially to the ordinary reader.
::Just a little point: it is ''five'' years, not ''three'', according to the DSM-IV?
]


Many of the facts presented in this article are grossly outdated. Most sources cited are close to 2 decades old. Much progress has been made with these children in this time. For example, Attachment Therapy is no longer considered the mainstream way to treat RAD children. And the article mentions moving RAD children as treatment. This would NEVER happen now as it is widely known that it can make the condition worse.
:::Thanks for that, so it seems you are happy with the suggestions so I have put it in, with 5 not 3 years. I just wanted to check that I wansn't missing anything crucial. --] 05:11, 9 Oct 2004 (UTC)


Often talk therapy for the child and parenting coaching to adjust parenting skills to appropriately address RAD behaviors without exacerbating them is employed. This article from the well regarded Cleveland Clinic outlines more modern approaches to treating RAD children: https://my.clevelandclinic.org/health/diseases/17904-reactive-attachment-disorderI don't have time to update this page, but it is medically out of date and often times insulting to the children who suffer from this condition and their caregivers and health care providers. <!-- Template:Unsigned IP --><small class="autosigned">—&nbsp;Preceding ] comment added by ] (]) 15:42, 19 February 2021 (UTC)</small> <!--Autosigned by SineBot-->
:Hi, I don't know what 'grossly pathological care'/pathogenic caregiving means... would it be useful to have a link to a definition, or include the definition here? ] 14:50, 7 September 2005 (UTC)


== ] ==
Hi, I noted the thing about Randalph Questionnaire. But I saw a site that mentioned that this Questionnaire is ONLY used for attachment disorder. Reactive attachment disorder and ODD/CD togheter in one person are not common. However, the real Questionnaire can only be used for Attachment disorder (AD) and not RAD...


I am reviewing this very old FA as part of ], an effort to determine whether old ] still meet the ]. This article is badly outdated, has uncited text, and has too many long quotes. The main editor hasn't edited for years, and it is unlikely someone else will bring the article back to standard, so I am listing at ]. ] (]) 02:18, 14 November 2023 (UTC)
Actually, most children with a clinical diagnosis of Reactive Attachment Disorder would also meet the DSM IV criteria for ODD and/or CD. That is because DSM IV diagnoses are usually made solely based on the presence of absence of certain behaviors. RAD is one of the few diagnoses in the DSM that relies on cause or etiology. ] 25 Dec 2005

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Outdated Medical Information

Many of the facts presented in this article are grossly outdated. Most sources cited are close to 2 decades old. Much progress has been made with these children in this time. For example, Attachment Therapy is no longer considered the mainstream way to treat RAD children. And the article mentions moving RAD children as treatment. This would NEVER happen now as it is widely known that it can make the condition worse.

Often talk therapy for the child and parenting coaching to adjust parenting skills to appropriately address RAD behaviors without exacerbating them is employed. This article from the well regarded Cleveland Clinic outlines more modern approaches to treating RAD children: https://my.clevelandclinic.org/health/diseases/17904-reactive-attachment-disorderI don't have time to update this page, but it is medically out of date and often times insulting to the children who suffer from this condition and their caregivers and health care providers. — Preceding unsigned comment added by 2806:104E:B:4873:2DE5:13C5:E4C7:C21C (talk) 15:42, 19 February 2021 (UTC)

WP:URFA/2020

I am reviewing this very old FA as part of WP:URFA/2020, an effort to determine whether old featured articles still meet the featured article criteria. This article is badly outdated, has uncited text, and has too many long quotes. The main editor hasn't edited for years, and it is unlikely someone else will bring the article back to standard, so I am listing at WP:FARGIVEN. SandyGeorgia (Talk) 02:18, 14 November 2023 (UTC)

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