Sally: A 12-Year-Old Who May Have Disinhibited Social Engagement Disorder

Author(s):  
James W. Drisko ◽  
Melissa D. Grady
2017 ◽  
Author(s):  
Donald W. Black

The chapter “Trauma- and Stressor-Related Disorders” is new to DSM-5 and includes two disorders that begin in childhood (reactive attachment disorder, disinhibited social engagement disorder), posttraumatic stress disorder (PTSD), acute stress disorder, and adjustment disorders. In each condition, the individual has been exposed to a traumatic or stressful event or, in the case of the childhood conditions, early social neglect. The disorders are briefly reviewed, and interested readers are referred to reviews on PTSD and adjustment disorders.  This review contains 5 tables, and 28 references. Key words: acute stress disorder, adjustment disorder, disinhibited social engagement disorder, posttraumatic stress disorder (PTSD), reactive attachment disorder, stressors, trauma 


Author(s):  
Walter Sinnott-Armstrong ◽  
Jesse S. Summers

Biopsychosocial theories of mental illness claim that biological, psychological, and social factors are all central to every mental illness. This general approach cannot be assessed or employed properly without specifying the precise relation between mental illnesses and these three levels of understanding. This chapter distinguishes disjunctive, causal, explanatory, therapeutic (or treatment), and constitutive (or definitional) versions of biopsychosocial theories. However, all of these claims are uncontroversial and not distinctive of the biopsychosocial approach, except the constitutive claim. That constitutive claim is inaccurate, because almost all mental illnesses are and should be defined by their psychological symptoms instead of their biological or social causes. These lessons are applied to case studies of post-traumatic stress disorder, disinhibited social engagement disorder, obsessive–compulsive disorder, and scrupulosity.


Author(s):  
Astrid R. Seim ◽  
Thomas Jozefiak ◽  
Lars Wichstrøm ◽  
Stian Lydersen ◽  
Nanna S. Kayed

AbstractInsufficient care is associated with most psychiatric disorders and psychosocial problems, and is part of the etiology of reactive attachment disorder (RAD) and disinhibited social engagement disorder (DSED). To minimize the risk of misdiagnosis, and aid treatment and care, clinicians need to know to which degree RAD and DSED co-occur with other psychopathology and psychosocial problems, a topic little researched in adolescence. In a national study of all adolescents (N = 381; 67% consent; 12–20 years old; 58% girls) in Norwegian residential youth care, the Child and Adolescent Psychiatric Assessment interview yielded information about psychiatric diagnoses and psychosocial problems categorized as present/absent, and the Child Behavior Check List questionnaire was applied for dimensional measures of psychopathology. Most adolescents with a RAD or DSED diagnosis had several cooccurring psychiatric disorders and psychosocial problems. Prevalence rates of both emotional and behavioral disorders were high in adolescent RAD and DSED, as were rates of suicidality, self-harm, victimization from bullying, contact with police, risky sexual behavior and alcohol or drug misuse. Although categorical measures of co-occurring disorders and psychosocial problems revealed few and weak associations with RAD and DSED, dimensional measures uncovered associations between both emotional and behavioral problems and RAD/DSED symptom loads, as well as DSED diagnosis. Given the high degree of comorbidity, adolescents with RAD or DSED—or symptoms thereof—should be assessed for co-occurring psychopathology and related psychosocial problems. Treatment plans should be adjusted accordingly.


2019 ◽  
Vol 47 (10) ◽  
pp. 1735-1745
Author(s):  
Katherine L. Guyon-Harris ◽  
Kathryn L. Humphreys ◽  
Devi Miron ◽  
Mary Margaret Gleason ◽  
Charles A. Nelson ◽  
...  

2018 ◽  
Vol 57 (5) ◽  
pp. 329-335.e2 ◽  
Author(s):  
Katherine L. Guyon-Harris ◽  
Kathryn L. Humphreys ◽  
Nathan A. Fox ◽  
Charles A. Nelson ◽  
Charles H. Zeanah

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