{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T15:40:53Z","timestamp":1759333253158},"reference-count":41,"publisher":"Wiley","issue":"7-8","license":[{"start":{"date-parts":[[2013,9,6]],"date-time":"2013-09-06T00:00:00Z","timestamp":1378425600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2014,4]]},"abstract":"<jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To understand how adoptive parents caring for children with a diagnosis of reactive attachment disorder (<jats:styled-content style=\"fixed-case\">RAD<\/jats:styled-content>) make sense of their life\u2010worlds by establishing the meanings that underlie and structure their experiences of their everyday lives.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Reactive attachment disorder is a serious psychosocial disorder of childhood that causes short\u2010 and long\u2010term relationship, health and social consequences for children. It is more likely to be observed in children being cared for by foster carers, kinship carers or adoptive parents. Exploration of adoption from parents' perspectives is not well documented, and no previous work has been undertaken to understand the challenges of caring for children with a diagnosis of reactive attachment disorder.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>The study was guided by <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>usserl's phenomenology, which aims to uncover the underlying essential meanings intrinsic to a phenomenon. Three concepts are central to this approach: essences, intuiting and eidetic reduction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Semi\u2010structured interviews were conducted with eight adoptive parents. Data were analysed using an adaptation of <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>olaizzi's method.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Four essential elements fundamental to participants' lived experiences of caring for a child with a diagnosis of <jats:styled-content style=\"fixed-case\">RAD<\/jats:styled-content> were uncovered: being profoundly unprepared, being insecure, being assailed by unexpected emotions and being committed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The parent\u2013child relationship is a fragile bond developed at an unexpectedly high personal cost; it is a committed relationship but vulnerable to continual destabilisation. The involvement in the preparation of adoptive parents of child and adolescent mental health (<jats:styled-content style=\"fixed-case\">CAMH<\/jats:styled-content>) staff with expertise in the impact of early neglect or separation on children should be considered.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>The development of systems to prepare, screen and identify potential challenges and problems prior to adoption might help adoptive parents. Access to a <jats:styled-content style=\"fixed-case\">CAMH<\/jats:styled-content> professional in the pre and postadoption phases might assist potential adoptive parents in making informed decisions around the choice of a child for adoption.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.12341","type":"journal-article","created":{"date-parts":[[2013,9,6]],"date-time":"2013-09-06T10:12:47Z","timestamp":1378462367000},"page":"1076-1085","source":"Crossref","is-referenced-by-count":15,"title":["A fragile bond: adoptive parents' experiences of caring for children with a diagnosis of reactive attachment disorder"],"prefix":"10.1111","volume":"23","author":[{"given":"Michael","family":"Follan","sequence":"first","affiliation":[{"name":"Specialist Children's Services Templeton Business Centre Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"McNamara","sequence":"additional","affiliation":[{"name":"UCD School of Nursing Midwifery and Health Systems UCD College of Health Sciences UCD Dublin Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,9,6]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"Adoption UK(2011)Information and Support on Adoption and the Adoption Process. 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