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Advocates for Children in Therapy

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Advocates for Children in Therapy (ACT) is a U.S. advocacy group opposed to attachment therapy and related treatments. The organization opposes a number of psychotherapeutic techniques which it considers potentially or actually harmful to children who undergo treatment. The group's mission is to provide advocacy by "raising general public awareness of the dangers and cruelty" of practices related to attachment therapy. According to the group, "ACT works to mobilize parents, professionals, private and governmental regulators, prosecutors, juries, and legislators to end the physical torture and emotional abuse that is Attachment Therapy."

Opposition to attachment therapy

Attachment therapy is an ambiguous term with no precise professional meaning but popularly used to describe controversial, non-mainstream "treatments" for children allegedly suffering from attachment disorder, in itself an ambiguous term. (APSAC, 2006, p78) There are many variants, for example “holding therapy,” “compression therapy,“ “corrective attachment therapy,” “the Evergreen model,” “holding time,” “rage-reduction therapy”, and somewhat erroneously, “rebirthing therapy.”.

ACT states that attachment therapy frequently involves "the imposition of boundary violations — most often coercive restraint — and verbal abuse on a child, usually for hours at a time … typically, the child is put in a lap hold with the arms pinned down, or alternatively an adult lies on top of a child lying prone on the floor" and as "a growing, underground movement for the 'treatment' of children who pose disciplinary problems to their parents or caregivers." The group further notes that attachment therapy "almost always involves extremely confrontational, often hostile confrontation of a child by a therapist or parent (sometimes both). Restraint of the child by more powerful adult(s) is considered an essential part of the confrontation" and refers to attachment therapy as "the worst quackery in our nation today."

ACT has listed seven criteria for operationally defining attachment therapy:

"For our purposes, we have identified several distinguishing characteristics, any one of which qualifies a practice to be called Attachment Therapy:

  • "Practices, teaches or recommends restraint (or other violations of interpersonal boundaries) for an allegedly therapeutic purpose. The things mentioned are often deliberately confrontational and intrusive.
  • "Principally treats, or is concerned with, a condition of 'Attachment Disorder' (distinct from the DSM-recognized diagnosis of Reactive Attachment Disorder), and assesses for that condition using unvalidated diagnostic tools, or uses no tools at all for objective assessment.
  • "Practices or recommends treatment based on a belief in the efficacy of any of the following: re-traumatization; catharsis, especially through expression of rage, fear, sadness, or other 'negative' emotion; recapitulation (re-enactment, re-living, or 're-doing') of stages of development; or repatterning of the brain.
  • "Adheres to unvalidated notions about child development or attachment, especially the so-called 'Attachment Cycle' (aka Bonding Cycle, Need Cycle, Rage Cycle). Though reference may be made to the Attachment Theory, pioneered by John Bowlby and Mary Ainsworth, Attachment Therapy shares very little with that empirical work (and indeed runs counter to it in almost all important respects).
  • "Claims that AT practices are safe and efficacious when there is a near complete lack of scientific support.
  • "Practices or teaches harsh parenting and respite methods, based principally upon combinations of deprivation, isolation or humiliation for the child.
  • "Uncritically recommends materials (such as websites, books, videos, lectures, and conference presentations) which do any of the above."

ACT also challenges the diagnosis of attachment disorder, stating, "A large fringe element of pseudoscientific psychotherapists — Attachment Therapists (AT) — have invented the dubious, unrecognized diagnosis of 'Attachment Disorder' (AD) and its cure. AD is thought to be a child's inability to form a close, loving relationship with his caregiver, typically because of early childhood abuse or neglect. Many, if not most, undesirable behaviors seen in childhood supposedly stem from AD."

ACT has advocated for the elimination of attachment therapy and specifically criticizes the referral of children for government-funded attachment therapy by courts and state workers, referring to such practices as "state-sponsored torture."

Activities

The group reports that some of its members had been directly involved in prosecution of those responsible for the death of Candace Newmaker in 2001 before the group's formation the following year. In 2003, a book on that case was published, Attachment Therapy on Trial: The Torture and Death of Candace Newmaker.

ACT entered a statement into the record of a Congressional hearing into a child starvation case.

Attachment Therapy on Trial: The Torture and Death of Candace Newmaker (Praeger, 2003), was written by "ACT authors" Jean Mercer, Larry Sarner, and Linda Rosa. The book has been criticized in the media for various errors Mr. Charles Hannasch stated,

As part of the Newmaker trial coverage for a national news service bureau in Denver, one day during the trial while coming out for lunch I cornered lead prosecutor Steve Jensen and asked him what his prosecution was based on.Was it going to put "attachment therapy on trial?" Jensen's answer was simple and straightforward. "No!"He intended on pursuing a very narrow prosecution to prove that Watkins and Ponder were responsible under the terms of the state's child abuse / homicide statute for the death of Candace Newmaker. Child abuse/homicide is the most serious felony in the Colorado state criminal code.Thus, with the title, the authors are fraudulenty trying to assert something which simply is not true. The only part of the Newmaker trial that was concerned with the value of Attachment Therapy was the defense. And, unfortunately, that was because of the existence of a videotape which showed Watkins and Ponder "in the act." The defense had no other alternative than to assert that it was simply a mistake of the therapy. Certainly, if the videotape did not exist, the defense would have probably have opted for a different defensive strategy.And, unfortunately, the book does have several factual errors ... such as the notation by Mr. Patterson. A check with the local Midvale, Utah police department shows Krystal's date of birth as December 7, 1991, and her date of death as July 7, 1995, making her three years, eight months old at her death.

ACT sporadically publishes an electronic newsletter, "AT News", although much of this material is either out of date or lacking in a factual basis.

Articles from ACT sometimes appear on the controversial and fringe website of Stephen Barrett's Quackwatch, although this material is several years old and may be outdated.

In mid-2009, two blogs supportive of ACT's positions (childtorture.wordpress.com and attachmentquackery.wordpress.com) were suspended due to violations of WordPress' terms of service. Larry Sarner has been extremely critical of WordPress' decision.

The ACT website also reports on cases which it identifies as involving elements of attachment therapy, including some for which its members assisted authorities.

The number of members is unknown since membership statistics are not available on the ACT website, but Colorado Corporation filings only show the three leaders as active in the group. It's "Board of Professional Advisors" is lead by Jean Mercer, and includes Monica Pignotti, Randal Pennington, and Scott Lilienfeld.

Related Groups

ACT has a few of its articles cited by and posted on Quackwatch which is run by Stephen Barrett.

The group is closely affiliated with the journal, Scientific Review of Mental Health Practices, led by Scott Lilienfeld, and in which Jean Mercer has published many of her editorials and position papers for ACT.

See also

References

  1. Advocates for Children in Therapy (2004). "Mission statement".
  2. ^ Chaffin M; et al. (February 2006). "Report of the APSAC Task Force on Attachment Therapy, Reactive Attachment Disorder, and Attachment Problems". Child Maltreatment. 11 (1): 76–79. doi:10.1177/1077559505283699. ISSN 1552-6119. PMID 16382093. {{cite journal}}: Explicit use of et al. in: |author2= (help)
  3. ^ Advocates for Children in Therapy (2003). "Overview of attachment therapy". Cite error: The named reference "ACT 2003a" was defined multiple times with different content (see the help page).
  4. Advocates for Children in Therapy (2003). "Government Subsidies for Attachment Therapy".
  5. Mercer J; Sarner L; Rosa L (2003). Attachment therapy on trial: The torture and death of Candace Newmaker. Child Psychology and Mental Health. chapter by Costa G. Westport, CT: Praeger Publishers. ISBN 0-275-97675-0. ISSN 1538-8883. OCLC 51242100.
  6. Sarner LW; Mercer J (November 2003). "Statement Before Human Resources Subcommittee of US House Ways & Means Committee".

External links

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