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Infants with RAD may also have trouble with feeding and gaining weight, and their muscle tone can be rigid due to a lack of affection. In infancy, RAD looks like a child who is unable to be comforted, who refuses comforting, and cries inconsolably. In this scenario, the child does not approach the adult for soothing because they have learned that their bids for comfort will be futile. Insecure attachment develops if a child’s needs go consistently and deeply unmet or if the child experiences abuse or trauma at the caregiver’s hands. If a child avoids or seems ambivalent about approaching their caregiver when in distress, the child displays one of three forms of insecure attachment. 2 If the child turns towards the caregiver for protection and comfort when distressed, this indicates a secure attachment.
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This secure form of attachment is identified by how the child reacts to their caregiver when in distress. If a child’s basic needs are well met, a secure, loving attachment between the child and the caregiver will develop. According to Diane Benoit, MD, 2 secure attachment is a relational bond that forms between infant and primary caregiver when their primary caregivers consistently meet an infant’s needs for love, warmth, safety, food, and attention. To clearly understand RAD, we first have to talk about the concept of attachment.
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