[Dr Snide]

I make a pretty firm distinction between attachment disruption/difficulties and RAD. I tend to see RAD as pretty severe attachment disruption related to profound neglect (Eastern European Orphanages, Criminal child neglect, etc) which results in some signifiant behavioral disruptions. Numerically, I would come in much lower than you.

Now, if we were talking attachment disruption/problems (such as Anxious attachment or insecure attachment patterns) maybe 20% would be close. But I always have to justify my diagnosis in court, so I usually am pretty stringent.

[Quix]

That makes sense.

YEAH, I include ATTACHMENT DISRUPTION, INSECURE ATTACHMENT etc. all under RAD.

So, you are saying that you could more closely buy into my 20% don’t have it

IF

we included all the levels of significant ATTACHMENT related problems?

Thanks for your kind responses. I don’t get to discuss such things much any more with colleagues active in the field given that I only teach these days.