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Dynamic Solutions for Change. Attachment Focused Family Therapy Approaches to Supporting Children Experiencing Developmental Trauma & Learning Disabilities. Mikenda Plant DAFT Conference May 2014 . www.chrysalisassociates.org. Aims . - PowerPoint PPT PresentationTRANSCRIPT
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Dynamic Solutions for Change
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Dynamic Solutions for Change
www.chrysalisassociates.org
Dynamic Solutions for Change
Mikenda PlantDAFT Conference May 2014
Attachment Focused Family Therapy Approaches to Supporting Children Experiencing Developmental Trauma &
Learning Disabilities
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Dynamic Solutions for Change
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Dynamic Solutions for ChangeAims • To think about how developmental trauma, separation and
loss can impact long term on the learning abilities of children in care and children who have been adopted.
• To think about what ‘executive functioning’ means and how Attachment Focussed Family Therapy can be used to help support the development of children’s learning abilities.
• To explore how parents and carers can be supported therapeutically to facilitate effective learning environments for their children.
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Dynamic Solutions for Change
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Dynamic Solutions for Change
• Introductory exercise • Theory• Videos
- adoptive parents' experience of therapeutic parenting sessions - use of Theraplay based work in family sessions - adoptive parents' experiences of using social story ideas in family
sessions• Questions and feedback
Outline
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Dynamic Solutions for Change
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Dynamic Solutions for Change
• Physical and emotional responses of a child to life threatening events
• To self or significant other• Loss of coping capacity• Feelings of terror, powerlessness, and out-of-control
physiological arousal• Complex trauma – multiple traumatic events
What Is Developmental Trauma?
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Dynamic Solutions for Change
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Dynamic Solutions for ChangeImpact of Developmental Trauma• Interpersonal interactions• Self esteem• Impulse control• Emotion• Conscience development• Cognitive problems• Developmental problems
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Dynamic Solutions for ChangeTrauma and the Brain
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Dynamic Solutions for Change
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Dynamic Solutions for ChangeImpact of Trauma on the Developing Brain• Brain stem - over-developed ‘flight or fright’ response• Pre-frontal cortex - under developed executive functioning
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Dynamic Solutions for Change
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Dynamic Solutions for ChangeBehaviour Rating of Executive Functioning (BRIEF) • Behaviour inhibition• The ability to shift• Emotional control• To initiate tasks• Working memory• Plan• Organise oneself and one’s materials• Self-monitor
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Dynamic Solutions for Change
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Dynamic Solutions for Change
Shame
• Global self• Overwhelming unbearable pain• Want to curl up and
die/disappear• Reinforces view that `I’m
rubbish. I never get anything right. Everyone hates me’
• Leads to denial/ rage/blaming others, `downward spiral’
• Reinforced by BLAME and PUNISHMENT
Guilt
• Specific behaviour• Sharp discomfort• Want to `undo’ the specific
behaviour• Sense of having `let myself
down’ or `let others down’• Leads to desire to confess,
apologise, repair, not do it again• Reinforced by EMPATHY
Shame Versus Guilt
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Dynamic Solutions for Change
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Dynamic Solutions for Change
Poor Executive Function
Child Fails to
complete task
Adult responds with criticism,
disappointment, anger
Child feels shame: “I’m a
stupid kid and no-
body likes me”
Shame triggers Fight, Flight,
Freeze, Giggle
Brain stem takes over. Cortex de-activated.
How Shame paralyses Executive Function
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Dynamic Solutions for Change
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Dynamic Solutions for ChangeAttachment Focused Family Therapy• Combination of therapeutic approaches:
– Attachment Focused Family Therapy– Theraplay based work– Eye Movement Desensitisation and Reprocessing (EMDR)
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Dynamic Solutions for Change
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Dynamic Solutions for Change
Key elements:• Interactive & Relationship Based• Direct Here and Now Experience• Guided by the Adult • Responsive, Attuned, Empathic & Reflective• Preverbal/Social/Right Brain Level• Multi-sensory including Touch• Playful
Theraplay
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Dynamic Solutions for Change
• Active• Intersubjective therapeutic stance• Co-creation of meaning & coregulation of affect
Role of Therapist
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Dynamic Solutions for Change
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Dynamic Solutions for Change
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Dynamic Solutions for Change
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Dynamic Solutions for Change