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RESTORING SAFETY: AN ATTACHMENT-BASED APPROACH TO CLINICAL WORK WITH A TRAUMATIZED TODDLER
1University of Michigan.
Insights
This study shows how to help abused and neglected children in foster care. Integrating infancy research and psychotherapy can restore a child
Area of Science:
- Child Psychology
- Developmental Neuroscience
- Attachment Theory
Background:
- Abused and neglected children often develop defensive strategies due to inadequate caregiving.
- Understanding early brain development and attachment is crucial for therapeutic interventions.
Observation:
- A case study of 'Anthony' illustrates managing trauma in foster/adoptive placements.
- Therapeutic sessions focused on joint parent-child interaction and parental guidance.
Findings:
- Integrated therapeutic approaches can help contain traumatized children's distress.
- Fostering secure-base parental responses aids in self-integration and affect regulation.
- Therapeutic interventions facilitate a shift towards secure attachment behaviors.
Implications:
- This approach offers a framework for supporting traumatized children in alternative care.
- Enhancing parental capacity to provide secure attachment is key to recovery.
- Clinical practice can benefit from integrating infancy research and psychotherapy models.
Abstract:
This clinical case study explores the integration of infancy research, brain development, attachment theory, and models of infant-parent/child-parent psychotherapy to address the needs of abused and neglected young children placed in foster or adoptive homes. Traumatized children employ defensive strategies to survive when there is no "good enough" caregiver (D.W. Winnicott, 1953, p. 94), and helping professionals can provide therapeutic experiences to develop or restore a child's sense of safety. With the case example of Anthony and his foster/adoptive parents, I illustrate how to manage and contain a traumatized child's terror, rage, and grief through therapeutic sessions with the parent and child together, and supportive parental guidance. I promote attention to the child's ability to self-integrate and to regulate his own affect, and encourages secure-base parental responses that facilitate a child's shift toward secure attachment behavior.
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