Disinhibited Attachment Disorder - Comparison With The DSM-IV

Comparison With The DSM-IV

The DSM-IV distinguishes two categories of RAD: an inhibited subtype and a disinhibited subtype (in the DSM it is listed as 313.89 under infant diagnoses). The ICD-10 describes the former, emotionally withdrawn subtype as RAD and the latter subtype as Disinhibited Attachment Disorder (DAD) (Zeanah et al., 2004).

Generally, the DSM-IV criteria for the inhibited subtype of RAD were generated by studies done on children who were maltreated or abused. Criteria for the DSM-IV disinhibited subtype of RAD were based on research on children raised in institutions (Zeanah, 1996). This is largely based on the fact that inhibited subtype of RAD is more prevalent in maltreated children, and the disinhibited subtype of RAD is more prevalent in children raised in institutions (Zeanah, 2000).

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