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Advocates for Children in Therapy


Advocates for Children in Therapy (ACT) is a U.S. advocacy group opposed to attachment therapy and related treatments. The organization opposes a number of psychotherapeutic techniques which it considers potentially or actually harmful to children who undergo treatment. The group's mission is to provide advocacy by "raising general public awareness of the dangers and cruelty" of practices related to attachment therapy. According to the group, "ACT works to mobilize parents, professionals, private and governmental regulators, prosecutors, juries, and legislators to end the physical torture and emotional abuse that is Attachment Therapy."

Attachment therapy is an ambiguous term with no precise professional meaning but popularly used to describe controversial, non-mainstream "treatments" for children allegedly suffering from attachment disorder, in itself an ambiguous term. (APSAC, 2006, p78) There are many variants, for example “holding therapy,” “compression therapy,“ “corrective attachment therapy,” “the Evergreen model,” “holding time,” “rage-reduction therapy”, and somewhat erroneously, “rebirthing therapy.”.

ACT states that attachment therapy frequently involves "the imposition of boundary violations — most often coercive restraint — and verbal abuse on a child, usually for hours at a time … typically, the child is put in a lap hold with the arms pinned down, or alternatively an adult lies on top of a child lying prone on the floor" and as "a growing, underground movement for the 'treatment' of children who pose disciplinary problems to their parents or caregivers." The group further notes that attachment therapy "almost always involves extremely confrontational, often hostile confrontation of a child by a therapist or parent (sometimes both). Restraint of the child by more powerful adult(s) is considered an essential part of the confrontation" and refers to attachment therapy as "the worst quackery in our nation today."

ACT has listed seven criteria for operationally defining attachment therapy:

"For our purposes, we have identified several distinguishing characteristics, any one of which qualifies a practice to be called Attachment Therapy:

ACT also challenges the diagnosis of attachment disorder, stating, "A large fringe element of pseudoscientific psychotherapists — Attachment Therapists (AT) — have invented the dubious, unrecognized diagnosis of 'Attachment Disorder' (AD) and its cure. AD is thought to be a child's inability to form a close, loving relationship with his caregiver, typically because of early childhood abuse or neglect. Many, if not most, undesirable behaviors seen in childhood supposedly stem from AD."


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