The current classification system, DSM-IV, inadequately captures the range and type of psychopathology seen in the “in care” population of children. A combination of pre-natal influences, early interpersonal trauma involving the primary caregiving relationship, disturbed and disrupted attachment relationships and other significant losses and adverse environmental effects produce a complex constellation of symptoms and a pervasive impact on development that is difficult to categorize. The challenges facing DSM-V are illustrated, highlighting unresolved topics such as quasi-autism, reactive attachment disorder and complex trauma.
Aacap. (2005). Practice parameter for the assessment and treatment of children and adolescents with reactive attachment disorder of infancy and early childhood. Journal of the American Academy of Child and Adolescent Psychiatry, 44, 1206-1218.
2.
Ainsworth, M.D., Blehar, M.C., Waters, E., & Wall, S. ( 1978). Patterns of attachment: A psychological study of the strange situation. Hillsdale, NJ: Erlbaum Associates.
3.
Angold, A., & Costello, E.J. (2009). Nosology and measurement in child and adolescent psychiatry. Journal of Child and Adolescent Psychology and Psychiatry, 50, 9-15.
4.
Bergman, K., Sarkar, P., O’Connor, T.G., Modi, N., & Glover V. ( 2007). Maternal stress during pregnancy predicts cognitive ability and fearfulness in infancy. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 1454-1463.
5.
Baroni, A., Lunsford, J.R., Luckenbaugh, D.A., Towbin, K.E., & Leibenluft, E. (2009). Practitioner review: The assessment of bipolar disorder in children and adolescents. The Journal of Child Psychology and Psychiatry, 50, 203-215.
6.
Bowlby, J. ( 1969/82). Attachment and loss, Volume 1: Attachment (2nd ed.) . New York: Basic Books.
7.
Bowlby, J. ( 1973). Attachment and loss, Volume 2: Separation, anxiety and anger. London: Hogarth Press.
8.
Bowlby, J. ( 1980). Attachment and loss, Volume 3: Loss, sadness and depression . London: Hogarth Press.
9.
Byrne, J.G. ( 2003). Referral biases and diagnostic dilemmas. Attachment & Human Development, 5, 249-252.
10.
Carlson, G.A. ( 1998). Mania and ADHD: Comorbidity or confusion. Journal of Affective Disorders, 51, 177-187.
11.
Cloitre, M., Stolbach, B.C., Herman, J.L., van der Kolk, B., Pynoos, R., Wang, J., & Petkova, E. ( 2009). A developmental approach to Complex PTSD: Childhood and adult cumulative trauma as predictors of symptom complexity. Journal of Traumatic Stress, 22, 399-408.
12.
Cook, A., Spinazzola, J., Ford, J., Lanktree, C., Blaustein, M., Cloitre, M., et al. (2005). Complex trauma in children and adolescents . Psychiatric Annals, 35, 390-398.
13.
Crittenden, P.M. ( 1997). Towards an integrative theory of trauma: A dynamic- maturational approach. In D. Cicchetti, & S.L. Toth (Eds.), The Rochester Symposium on developmental psychopathology: Vol. 10. Risk, trauma and mental processes (pp. 34-84). Rochester, NY: University of Rochester.
14.
Ford, T., Vostanis, P., Meltzer, H., & Goodman, R. ( 2007). Psychiatric disorder among British children looked after by local authorities: Comparison with children living in private households . British Journal of Psychiatry, 190, 319-325.
15.
Fraley, R.C., & Spieker, S.T. ( 2003). Are infant attachment patterns continuously or categorically distributed? A taxometric analysis of Strange Situation behaviour. Developmental Psychology, 39, 337-404.
16.
Garno, J.L., Goldberg, J.F., Ramirez, P.M., & Ritzler, B.A. ( 2005). Impact of childhood abuse on the clinical course of bipolar disorder. The British Journal of Psychiatry, 186, 121-125.
17.
Gilbert, R., Kemp, A., Thoburn, J., Sidebotham, P., Radford, L., Glaser, D., et al. (2008) Recognising and responding to child maltreatment . The Lancet, December issue, 21-34.
18.
Glaser, D. ( 2000). Child abuse and neglect and the brain - a review. Journal of Child Psychology and Psychiatry, 41, 97-116.
19.
Green, J. ( 2003). Are attachment disorders best seen as social impairment syndromes? Attachment and Human Development, 5, 259-264.
20.
Green, J.M., & Goldwyn, R. ( 2002). Annotation: Attachment disorganisation and psychopathology: New findings in attachment research and their potential implications for developmental psychopathology in childhood. Journal of Child Psychology and Psychiatry, 43, 835-846.
21.
Herman, J. ( 1992). Complex PTSD: A syndrome in survivors of prolonged and repeated trauma. Journal of Traumatic Stress, 5, 377-391.
22.
Hoksbergen, R., ter Laak, J., Rijk, K., van Dijkum, C., & Stoutjesdijk, F. (2005). Post-institutional autistic syndrome in Romanian adoptees. Journal of Autism and Developmental Disorders, 35, 615-623.
23.
Kinniburgh, K.J., Blaustein, M., & Spinnazola, J. (2005). Attachment, self-regulation and competency. Psychiatric Annals, 35, 424-430.
24.
Lansdown, R., Burnell, A., & Allen, M. ( 2007). Is it that they won’t do it, or is it that they can’t? Executive functioning and children who have been fostered and adopted. Adoption & Fostering, 31, 1-10
25.
Leibenluft, E., Charney, D.S., Towbin, K.E., Bhangoo, R.K., & Pine, D.S. ( 2003). Defining clinical phenotypes of juvenile mania. American Journal of Psychiatry, 160, 430-437.
26.
Marchand, W.R., Wirth, B.S., & Simon, M.S.W.C. (2005). Adverse life events and pediatric bipolar disorder in a community mental health setting. Community Mental Health Journal, 41, 67-75.
27.
Minde, K. ( 2003). Attachment problems as a spectrum disorder: Implications for diagnosis and treatment. Attachment & Human Development , 5, 289-296.
28.
Minnis, H., Green, J., O’Connor, T.G., Liew, A., Glaser, D., Taylor, E., et al. (2009). An exploratory study of the association between reactive attachment disorder and attachment narratives in early school-age children. Journal of Child Psychiatry and Psychology, 50, 931-942.
29.
Newman, L., & Mares, S. ( 2007). Recent advances in the theories of and interventions with attachment disorders. Current Opinion in Psychiatry, 20, 343-348.
30.
Nunn, K. ( 2001). In search of new wineskins: The phenomenology of anorexia nervosa, not covered in DSM or ICD. Clinical Child Psychology and Psychiatry, 6, 1359-1045.
31.
Pincus, H.A., McQueen, L.E., & Elinson, L. ( 2003). Subthreshold mental disorders: Nosological and research recommendations. In K.A. Phillips, M.B. First and H.A. Pincus (Eds.), Advancing DSM: Dilemmas in psychiatric diagnosis (pp. 129-144). Washington, DC: American Psychiatric Association.
32.
Prior, V., & Glaser, D. ( 2006). Understanding attachment and attachment disorders: Theory, evidence and practice. London and Philadelphia: Jessica Kingsley Publishers.
33.
Rutter, M. ( 2009). Emanuel Miller Lecture: Attachment insecurity, disinhibited attachment, and attachment disorders: Where do research findings leave the concepts?Journal of Child Psychology and Psychiatry, 50, 529-543.
34.
Rutter, M., Anderson-Wood, L., Beckett, C., Bredenkamp, D., Castle, J., Groothus, C., et al. (1999). Quasi-attachment patterns following severe early global privation. Journal of Child Psychology and Psychiatry , 40, 537-549.
35.
Rutter, M., Kreppner, J., Croft, C., Murin, M., Colvert, E., Beckett, C., et al. (2007). Early adolescent outcomes of institutionally deprived and non-deprived adoptees. III. Quasi-autism. Journal of Child Psychology and Psychiatry, 48, 1200-1207.
36.
Shankman, S.A., Lewinsohn, P.M., Klein, D.N., Small, J.W., Seeley, J.R., & Altman, S.E. ( 2009). Subthreshold conditions as precursors for full syndrome disorders: A 15-year longitudinal study of multiple diagnostic classes. Journal of Child Psychology and Psychiatry, 50, 1485-1494.
37.
Schuetze, P., Eiden, R.D., & Danielewicz, S. (2009). The association between prenatal cocaine exposure and physiological regulation at 13 months of age . Journal of Child Psychology and Psychiatry, 50, 1401-1409.
38.
Sturgess, W., & Selwyn, J. ( 2007). Supporting the placements of children adopted out of care. Clinical Child Psychology and Psychiatry, 12, 13-28.
39.
Swanson, J.D., & Wadhwa, P.M. ( 2008). Developmental origins of child mental health disorders . Journal of Child Psychiatry and Psychology, 10, 1009-1019.
40.
Tarren-Sweeney, M. ( 2006). Patterns of aberrant eating among pre-adolescent children in foster care. Journal of Abnormal Child Psychology, 34, 623-634.
41.
Tarren-Sweeney, M. ( 2007). The Assessment Checklist for Children - ACC: A behavioural rating scale for children in foster, residential and kinship care. Children and Youth Services Review, 30, 1-25.
42.
Tarren-Sweeney, M. ( 2008). Predictors of problematic sexual behaviour among children with complex maltreatment histories. Child Maltreatment, 13, 182-198.
43.
Thapar, A., & Rutter, M. ( 2009). Do prenatal risk factors cause psychiatric disorder? Be wary of causal claims. British Journal of Psychiatry, 195, 100-101.
44.
van der Kolk, B. ( 2005). Developmental trauma disorder. Psychiatric Annals, 35, 401-408.
45.
van der Kolk, B., Roth, S., Pelcovitz, D., Sunday, S., & Spinazzola, J. (2005). Disorders of extreme stress: The empirical foundation of a complex adaptation to trauma. Journal of Traumatic Stress, 18, 389-399.
46.
Volkmar, F.R., State, M., & Klin, A. ( 2009). Autism and autistic spectrum disorders: Diagnostic issues for the coming decade. Journal of Child Psychology and Psychiatry , 50, 108-115.
47.
Woodcock Ross, J., Hooper, L., Stenhouse, E., & Sheaff, R. ( 2009). What are child- care social workers doing in relation to infant mental health? An exploration of professional ideologies and practice preferences within an inter-agency context. British Journal of Social Work, 39, 1008-1025.
48.
Zeanah, C.E. ( 1996). Beyond insecurity: A reconceptualization of attachment disorders of infancy. Journal of Consulting and Clinical Psychology , 64, 42-52.
49.
Zeanah, C., Sceerings, M., Boris, N., Heller, S., Smyke, A., & Trapani, J. ( 2004). Reactive Attachment Disorder in maltreated toddlers. Child Abuse & Neglect, 28, 877-888.
50.
Zeanah, C.H., Smyke, A.T., & Settles, L. ( 2006). Children in orphanages. In K. McCartney & D. Phillips (Eds.), Blackwell handbook of early childhood development (pp. 224-254). Malden, MA: Blackwell Publishing.
51.
Zeanah, C.E., & Smyke, A.T. ( 2008). Attachment disorders in relation to deprivation. In M. Rutter et al. (eds) Rutter’s child and adolescent psychiatry (5th ed.)(pp. 906-915). Oxford: Blackwell.
52.
Zilberstein, K. ( 2006) Clarifying core characteristics of attachment disorders: A review of current research and theory. American Journal of Orthopsychiatry, 76, 55-63.
