Final Paper

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School

Westfield State University *

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0621

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Sociology

Date

Jan 9, 2024

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docx

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18

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Final Paper: Adjustment Disorder and Trauma Theory Jennifer McKennedy Department of Social Work, Westfield State University SOCW 0621 Mark Horwitz, PHD, LICSW, JD December 18, 2023
Section I: Attachment and Trauma I have never had the desire as a social worker to want to work with children for many reasons that are not relevant at this juncture. However, I realized that the adults we work with in therapy have a past and how that has manifested in the individuals we serve and support as adults. In addition to trauma in childhood, there is also attachment trauma. Attachment trauma arrives from a disruption in the bonding process between a child and their primary caregiver. This disruption can have lasting effects into adulthood. A combination of these two can result in a very emotionally dysregulated adult. A child’s early life experiences significantly shape their adult life. The relations with their primary caregiver are crucial for their development. If a child’s early relational needs are not met, they can manifest later in life through challenges in their mental health, relationships, and childhood neglect towards the next generation.
Attachment- development and presentation Attachment can be defined as a deep and enduring emotional bond between two people in which each seeks closeness and feels more secure when in the presence of the attachment figure. Attachment theory explains how the parent-child relationship emerges and influences subsequent development. How the theory developed British psychologist John Bowlby was the first attachment theorist, describing attachment as a "lasting psychological connectedness between human beings." Bowlby was interested in understanding the separation anxiety and distress that children experience when separated from their primary caregivers. Some of the earliest behavioral theories suggested that attachment was simply a learned behavior. These theories proposed that attachment was merely the result of the feeding relationship between the child and the caregiver. Because the caregiver feeds the child and provides nourishment, the child becomes attached. What Bowlby observed is that even feedings did not diminish the anxiety experienced by children when they were separated from their primary caregivers. Instead, he found that attachment was characterized by clear behavioral and motivation patterns. When children are frightened, they will seek proximity from their primary caregiver in order to receive both comfort and care. Attachment is an emotional bond with another person. Bowlby believed that the earliest bonds formed by children with their caregivers have a tremendous impact that continues throughout life. He suggested that attachment also serves to keep the infant close to the mother, thus improving the child's chances of survival.
Bowlby viewed attachment as a product of evolutionary processes. While the behavioral theories of attachment suggested that attachment was a learned process, Bowlby and others proposed that children are born with an innate drive to form attachments with caregivers. Throughout history, children who maintained proximity to an attachment figure were more likely to receive comfort and protection, and therefore more likely to survive to adulthood. Through the process of natural selection, a motivational system designed to regulate attachment emerged. So what determines successful attachment? Behaviorists suggest that it was food that led to forming this attachment behavior, but Bowlby and others demonstrated that nurturance and responsiveness were the primary determinants of attachment While this process may seem straightforward, there are some factors that can influence how and when attachments develop, including: Opportunity for attachment: Children who do not have a primary care figure, such as those raised in orphanages, may fail to develop the sense of trust needed to form an attachment. Quality caregiving: When caregivers respond quickly and consistently, children learn that they can depend on the people who are responsible for their care, which is the essential foundation for attachment. This is a vital factor. There are four patterns of attachment, including: Anxious attachment: These children become very distressed when a parent leaves. As a result of poor parental availability, these children cannot depend on their primary caregiver to be there when they need them.
Avoidant attachment: Children with an avoidant attachment tend to avoid parents or caregivers, showing no preference between a caregiver and a complete stranger. This attachment style might be a result of abusive or neglectful caregivers. Children who are punished for relying on a caregiver will learn to avoid seeking help in the future. Disorganized attachment: These children display a confusing mix of behavior, seeming disoriented, dazed, or confused. They may avoid or resist the parent. Lack of a clear attachment pattern is likely linked to inconsistent caregiver behavior. In such cases, parents may serve as both a source of comfort and fear, leading to disorganized behavior. Secure attachment: Children who can depend on their caregivers show distress when separated and joy when reunited. Although the child may be upset, they feel assured that the caregiver will return. When frightened, securely attached children are comfortable seeking reassurance from caregivers. Unfortunately, when attachment interruptions (such as abandonment) occur in infancy, abnormal associations may be created. Physiological state memories, motor vestibular memories, and emotional memories are stored, and they can be triggered in later life. These triggers can manifest as mistrust or fear of interpersonal attachment. Since the original template for how relationships work was formed in early childhood, all future relationships can be corrupted. The person may find themselves struggling with difficulties in relationships, particularly with respect to trust, bonding, and intimacy—the core elements of healthy attachment. Part of the problem may be the person having absolutely no cognitive awareness of the source of their fears or that they were betrayed in infancy. This can make treatment efforts difficult.
Research suggests that failure to form secure attachments early in life can have a negative impact on behavior in later childhood and throughout life. Children diagnosed with oppositional defiant disorder (ODD), conduct disorder (CD), or post- traumatic stress disorder (PTSD) frequently display attachment problems, possibly due to early abuse, neglect, or trauma. Clinicians suggest that children adopted after the age of 6 months have a higher risk of attachment problems. Children who are securely attached as infants tend to develop stronger self-esteem and better self-reliance as they grow older. These children also tend to be more independent, perform better in school, have successful social relationships, and experience less depression and anxiety.
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