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Case study in attachment issues and behavioral difficulties

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Ivan is a six‐year‐old Hispanic boy who lives with his grandparents. He first lived with his young mother who regularly used narcotics, left Ivan alone for long periods of time, and struggled to provide adequate food, water, and shelter for the family. Ivan was removed from the home by child welfare when he was three years old. His mother’s parental rights were terminated and his grandparents adopted him. Ivan currently has no contact with his mother. His grandparents have struggled with how to manage Ivan’s behavioral difficulties since they adopted him; he cries, yells loudly, breaks things when he is frustrated and behaves aggressively when they try to comfort him. Ivan’s grandparents also worry about his social development, noting that he has behavioral issues at school (e.g., tantrums) and tends to be rude and physically aggressive towards peers.

As the clinician seeing this family, what diagnoses would you consider? Discuss how Ivan’s early experiences with his mother might underlie his current difficulties and use this information to guide how you might intervene to treat Ivan’s behaviors.

Developmental Psychopathology

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