Rearing in unusual settings that severely limit opportunities to form selective attachments (e.g., institutions with high child to caregiver ratios).ĭ.Repeated changes of primary caregivers that limit ability to form stable attachments (e.g., frequent changes in foster care).Social neglect or deprivation in the form of persistent lack of having basic emotional needs for comfort, stimulation and affection met by caregiving adults.
The child has exhibited a pattern of extremes of insufficient care as evidenced by at least one of the following: The behaviors in Criterion A are not limited to impulsivity (as in Attention-Deficit/Hyperactivity Disorder) but include socially disinhibited behavior.Ĭ. Willingness to go off with an unfamiliar adult with little or no hesitation.ī.Diminished or absent checking back with adult caregiver after venturing away, even in unfamiliar settings.Overly familiar verbal or physical behavior (that is not consistent with culturally sanctioned and with age-appropriate social boundaries).Reduced or absent reticence in approaching and interacting with unfamiliar adults.A pattern of behavior in which a child actively approaches and interacts with unfamiliar adults and exhibits at least two of the following: The DSM-5 gives the following criteria for Disinhibited Social Engagement Disorder:Ī. Home Programs Topic Areas DSM-5 Criteria for Disinhibited Social Engagement Disorder
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