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Reactive Attachment Disorder and its Representation in Eastern European Children in Institutional Care Reactive attachment disorder (RAD) refers to an unrelenting and severe disturbance in a child's ability to interact and relate to others across social situations (Hanson & Spratt, 2000). The onset of RAD typically occurs before the age of five, and begins in a child's earliest relationships with caregivers. It is to be differentiated from autism and pervasive developmental disorders by its distinctively social origins and the child's relatively normal cognitive functioning (Zeanah & Emde, 1985). The prevalence of reactive attachment disorder is unclear. Attachment disorders are commonly misconstrued and under-diagnosed. The symptoms begin early and they often become pervasive throughout life; the disorder may bear a resemblance to many others by the time they are recognized (Sheperis, Renfro-Michel & Doggett, 2003). Although a significant amount of research has been reported on attachment between parents and infants,...

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