Practitioner Development

Response to Allen (2018): Points of agreement and disagreement on reactive attachment disorder.

Waschbusch et al. (2018) · Research in developmental disabilities 2018
★ The Verdict

This is a scholarly debate about interpreting RAD comorbidity research, not a study with clinical recommendations.

✓ Read this if BCBAs who assess or treat children with complex trauma histories and multiple diagnoses.
✗ Skip if RBTs looking for step-by-step intervention protocols.

01Research in Context

01

What this study did

Burrows et al. (2018) wrote a reply to another scholar's view on reactive attachment disorder. The paper is pure discussion. No new kids were tested. No clinic data were gathered.

The authors wrestle with how to read earlier studies that link RAD to other disorders. They weigh what 'comorbidity' really means for this rare diagnosis.

02

What they found

The piece ends without a clear 'finding.' It maps where experts agree and clash on RAD research. The main product is a sharper set of questions to ask when you see RAD paired with conduct or mood disorders.

03

How this fits with other research

Allen (2018) shares the same worry. That review gives you a 5-question checklist to judge RAD studies. Use it after you read any paper Burrows et al. (2018) would debate.

Davidson et al. (2015) moves from talk to action. Their data show that careful observation, not parent surveys, best splits RAD from autism. The debate paper nods to this need for tighter tools.

English et al. (1995) looks at attachment in adults with learning disabilities. All three papers circle the same idea: attachment theory is useful, but only if we measure it well.

04

Why it matters

When you see RAD listed next to oppositional defiant disorder or PTSD, pause. Ask: Was RAD measured with valid tools? Was the sample right? Let the 5-question checklist from Allen (2018) guide you, and prefer structured observation over checklists. Clear diagnosis leads to clearer treatment paths.

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Pull the 5-question checklist from Brian (2018) and use it to vet the next RAD paper you cite in a report.

02At a glance

Intervention
not applicable
Design
theoretical
Finding
not reported

03Original abstract

Reactive attachment disorder (RAD) is a very rare, understudied, and controversial disorder. Research in Developmental Disabilities (RIDD) recently published our research study, "Reactive attachment/disinhibited social engagement disorders: Callous-unemotional traits and comorbidity" (Mayes, Waschbusch, Calhoun, Breaux, & Baweja, 2017) investigating comorbidity in children with RAD and demonstrating a high prevalence of conduct disorder and callous-unemotional traits, consistent with previous research. Allen (2018) responded with a paper published in RIDD criticizing our study and offering his points of view. In our response to Allen, which follows, we discuss areas where we agree with Allen, as well as areas of disagreement, all presented within the context of scientific research. A point we assume we all agree on is the importance of continued empirical research to advance our knowledge and understanding of RAD.

Research in developmental disabilities, 2018 · doi:10.1016/j.ridd.2018.09.002