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Developing self-regulation in a dysregulating world: Attachment and Biobehavioral Catch-up for a toddler in foster
Steven D Imrisek1, Katerina Castaño2, Kristin Bernard1
1Department of Psychology, Stony Brook University.
Insights
Foster toddlers often experience trauma, risking attachment issues. The Attachment and Biobehavioral Catch-up for Toddlers in Foster Care (ABC-T) program supports foster parents in nurturing children and managing distress for better regulation.
Area of Science:
- Developmental Psychology
- Child Psychiatry
- Attachment Theory
Background:
- Toddlers in foster care frequently have histories of maltreatment and caregiver disruptions.
- These experiences increase the risk for disorganized attachment and dysregulation in young children.
Purpose of the Study:
- To describe the Attachment and Biobehavioral Catch-up for Toddlers in Foster Care (ABC-T) intervention.
- To support foster parents in promoting secure attachment and emotional regulation in toddlers.
- To outline the theoretical basis, evidence, and clinical application of ABC-T.
Main Methods:
- The ABC-T model focuses on supporting foster parents in responding nurturantly to child distress.
- Key components include following the child's lead and assisting with self-regulation during overwhelming moments.
- A case example illustrates typical intervention progress, emphasizing real-time observation and commentary on parent-child interactions.
Main Results:
- The intervention aims to enhance foster parents' capacity to provide sensitive, responsive caregiving.
- Focus on biobehavioral regulation supports toddlers in managing distress and improving attachment security.
- The case example demonstrates the practical application and potential benefits of the ABC-T approach.
Conclusions:
- ABC-T offers a structured approach to address the unique needs of toddlers in foster care.
- The intervention supports foster parents in building secure attachments and promoting healthy biobehavioral development.
- Challenges in delivering attachment-based interventions within the foster care system are acknowledged.
Abstract:
Toddlers in foster care have typically experienced histories of maltreatment and disruptions in relationships with primary caregivers. As a result, they are at increased risk for developing disorganized attachment and showing emotional, behavioral, and physiological dysregulation. Attachment and Biobehavioral Catch-up for Toddlers in Foster Care (ABC-T) was developed to address the needs of these vulnerable children by supporting foster parents in responding with nurturance to children's distress, following children's lead, and helping children calm when they are becoming overwhelmed or dysregulated. We describe the theoretical underpinnings, evidence base, and clinical approach of ABC-T. Using a case example of Luna and her foster mother Ms. Rosio, we present the typical course of ABC-T, demonstrating core aspects of the model including ongoing observation of parent-child interactions and "in the moment" commenting. Additionally, we consider several challenges to delivering attachment-based interventions in the context of foster care.
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