Department of Psychiatry.
Psychol Serv. 2019 Feb;16(1):120-133. doi: 10.1037/ser0000263. Epub 2018 Nov 26.
is defined as repeated or prolonged exposure to traumatic events perpetrated within the caregiving relationship during early childhood. Diagnostic decision making is challenging for this vulnerable population, given the widespread impact of these experiences across domains of developmental, social, emotional, and behavioral functioning. One domain, attachment, receives considerable attention for youth within the child welfare system, leading to frequent diagnosis of attachment disorders (i.e., reactive attachment disorder and disinhibited social engagement disorder). This is concerning, given the rarity, level of misunderstanding, associated stigma, and lack of psychometrically sound measures to assess attachment disorders. This article provides an overview of complex trauma and its effects, with a focus on attachment concerns. It subsequently describes one statewide assessment program for youth in the child welfare system with a history of experiencing complex trauma, elaborating on strengths and areas of future growth. A case study demonstrates the program's adherence to established guidelines and the resulting diagnoses and recommendations. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
被定义为在儿童早期的照料关系中反复或长期暴露于创伤性事件。鉴于这些经历对发育、社会、情感和行为功能等各个领域都有广泛影响，对于这个弱势群体来说，做出诊断决策是具有挑战性的。在儿童福利系统中，一个被称为依恋的领域受到了极大的关注，导致了 Attachment Disorders（即反应性依恋障碍和去抑制性社会参与障碍）的频繁诊断。这令人担忧，因为 Attachment Disorders 非常罕见，而且人们对其误解程度很高，同时还存在相关污名和缺乏可靠的心理测量学措施来评估 Attachment Disorders。本文概述了复杂创伤及其影响，重点关注 Attachment 问题。随后，本文描述了一个全州范围内针对有复杂创伤经历的儿童福利系统青年的评估项目，阐述了该项目的优势和未来发展方向。一个案例研究展示了该项目对既定准则的遵循，以及由此产生的诊断和建议。（美国心理协会，2019 年，所有权利保留）。
