Generational Immigrant Trauma

In the earliest stages of development, emotions are diffuse and infants have little control over their behavioral expression, relying instead on the dyadic regulation provided by their caregivers’ responses to behavioral signals. Attachment disorders form in infancy and early childhood as a result of instability in the child-caregiver relationship. Attachment-disordered children typically have experienced abusive or neglectful care, multiple changes between caregivers and environments, or the sudden loss of a parent or parents.

One thing is for sure: No recipe for parenting will guarantee a good night's sleep every night or perfect children (Hotelling, 2004). As stated in the article Bowlby (1982) defined attachment as a child being “strongly disposed to seek proximity to and contact with a specific figure and to do so in certain situation, notably when he is frightened, tired or ill”. Typically, preferred attachment emerges clearly in the latter part of the 1st year of life, as evidenced by the appearance of separation protest and stranger wariness. Under usual conditions, preferred attachment unfolds gradually over the 1st year of life (Zeanah and Fox, 2004). Preferred attachments to caregivers may develop at any time after infants reach a cognitive age of 7 to 9 months, provided that the new caregivers have sufficient involvement with the child. Thus, young children adopted out of foster care or institutions readily form attachments to their new caregivers (Zeanah and Fox, 2004). Zeanah and Fox (2004) states there are four patterns of attachment, secure, avoidant, resistant, and disorganized have described individual differences in the organization of an infant’s attachment behaviors with respect to an attachment figure in this procedure. RAD was first introduced into the diagnostic nosologies just over 20 years ago, with the publication of the Diagnostic and Statistical Manual of Mental Disorders (3rd ed. [DSM-III], American Psychiatric

Reactive Attachment Disorder is a common infancy/early childhood disorder. Reactive attachment disorder is located under the trauma- and stressors-related disorder section of the Diagnostic and Statistical Manuel of Mental Disorders (DSM-5), Fifth Edition. It is normally diagnosed when an infant or child experience expresses a minimal attachment to a figure for nurturance, comfort, support, and protection. Although children diagnosed with reactive attachment disorder have the ability to select their attachment figure, they fail to show behavioral manifestation because they had limited access during the early developmental stage. Some disturbed behaviors include diminished or absence of positive emotions toward caregiver. In addition,

Reactive Attachment Disorder (RAD) was first introduced just over 20 years ago, with the publication of DSM-III (American Psychiatric Association, 1980). In the DSM-IV. The disorder is defined by aberrant social behavior that appears in early childhood and is evident cross contextually(1994). The disorder describes aberrant social behaviors in young children that are believed to derive from being reared in caregiving environments lacking species-typical nurturance and stimulation, such as in instances such as maltreatment or institutional rearing. (First, M., & Tasman, A. 2010) . In cases of RAD two major types of abnormalities have been cited; these include an emotionally withdrawn/inhibited type and an indiscriminately social/disinhibited pattern (First, M., & Tasman, A. 2010).Conditions in in foreign orphanages and institutions such as, multiple caregivers, maltreatment, abuse, neglect, and others contribute to the inability for internationally adopted children to form secure attachments. All of these factors contribute to internationally adopted children being at a higher risk to develop attachment disorders such as RAD and other behavioral problems.

Immigration trauma has different phases, but generally begins years before the individual leaves the country. The person is usually leaving conditions deemed intolerable; poverty, unemployment, and violence, and fear for one's safety are common. The immigrant then has to endure acculturative stress, the loss of social support, and displacement. A recent study asserts that 11% of all immigrant Latinos reported political violence exposure and 76% described additional lifetime traumas (Foster, 2001). Armed with this knowledge, the clinician assessing Mario and Mary would want to screen Mario for trauma,

Trauma is perceived as a physical or psychological threat or assault to a person’s physical integrity, sense of self, safety and/or survival or to the physical safety of a significant other; family member, friend, partner. (Kilpatrick, Saunders, and Smith, 2003). An adolescent may experience trauma from a variety of experiences, including but not limited to: abuse (sexual, physical, and/or emotional); neglect; abandonment; bullying; exposure to domestic violence and/ or community violence; natural disasters; medical procedures; loss/grief due to a death of a family member(s); surgery; accidents or serious illness; and war (Kilpatrick, Saunders, and Smith, 2003).

Sixty percent of adults report experiencing abuse or other difficult family circumstances during childhood. (Mental Health Connection, N.D.). This shocking statistic exemplifies the high prevalence of childhood trauma. Furthermore, twenty-six percent of children in the United States will witness or experience a traumatic event before the age of four. (Mental Health Connection, N.D.) Trauma is an extremely common and complex phenomenon. But what is trauma? According to Merriam Webster, trauma is defined as, “a disordered psychic or behavioral state resulting from severe mental or emotional stress or physical injury.” (Merriam Webster, 2017). Dr. Lenore C. Terr from the Child and Adolescent Psychiatric Clinics of America further describes trauma as unique to each individual. It can be caused by a series of events or one severe incident. Unfortunately, childhood trauma is usually experienced repeatedly. For example, many children endure sexual abuse, bullying, and severe family problems over and over again. Children may experience a variety of traumas that have lasting consequences on their mental health. Those who experience childhood trauma are more likely to develop psychological disorders. This occurs because their brains lack neuroplasticity, which inhibits their ability to adapt to various stressful circumstances.

From their study, they concluded that there were significant differences in the types of alleged maltreatment that brought children of immigrants to the attention of the child welfare system compared to children of U.S.-born parents (Dettlaff & Earner, 2012). It was also concluded that children in immigrant families are more likely to experience emotional abuse, however, they are nearly eight times less likely to experience physical neglect compared to their U.S.-born parents counterparts (Dettlaff & Earner, 2007, p.

After exploring only some of the many traumatic experiences children and women immigrants might face, it is peculiar only 34% of Latinx immigrant adults, of which 88% are females, and 29% of Latinx immigrant adolescents experienced a traumatic event according to Perreira 2013. The way Perreira, 2013 was conducted might have influenced the results of the study. There was only a total of 281 participants, some of which were adults and the rest were adolescents. This is a really small sample considering the amount of Latinx immigrants living in the United States. In fact, according to a Pew study, in 2015, 42% of the 11.6 million immigrants in the United States were from a Latin American country. Most of the participants in Perreira 2013 were

Infant attachment is the first relationship a child experiences and is crucial to the child’s survival (BOOK). A mother’s response to her child will yield either a secure bond or insecurity with the infant. Parents who respond “more sensitively and responsively to the child’s distress” establish a secure bond faster than “parents of insecure children”. (Attachment and Emotion, page 475) The quality of the attachment has “profound implications for the child’s feelings of security and capacity to form trusting relationships” (Book). Simply stated, a positive early attachment will likely yield positive physical, socio-emotional, and cognitive development for the child. (BOOK)

“American Psychiatric Association defines trauma as an event that represents a threat to life or personal integrity. Trauma can also be experienced when children are faced with a caregiver who acts erratically, emotional and /or physical neglect, and exploitation” (Maltby, L., & Hall, T. 2012. p. 304). Trauma comes in many different forms including: war, rape, kidnapping, abuse, sudden injury, and

Trauma occurs when a child has experienced an event that threatens or causes harm to her emotional and physical well-being. Events can include war, terrorism, natural disasters, but the most common and harmful to a child’s psychosocial well-being are those such as domestic violence, neglect, physical and sexual abuse, maltreatment, and witnessing a traumatic event. While some children may experience a traumatic event and go on to develop normally, many children have long lasting implications into adulthood.

An infant with a secure attachment style has a natural bond with their parent, where they are able to trust them, at the same time leaving their side to discover and explore their surroundings. In an insecure/resistant attachment the relationship the child has with their mother or caregiver is very clingy, thus making them very upset once the caregiver is away. When the mother or caregiver is back they are not easily comforted and resist their effort in comforting them. In an insecure/avoidant attachment the infant is, “indifferent and seems to avoid the mother, they are as easily comforted by a stranger, as by their parent” (Siegler 2011, p.429). Lastly, the disorganized/disoriented attachment is another insecure attachment style in which the infant has no way of coping with stress making their behavior confusing or contradictory. Through these brief descriptions of the attachment theory, many researchers have defined the turning point in which each attachment definition can have an influence on one’s self esteem, well-being and their marital relationship.

There are many types of trauma that can effect an adolescent and without the proper treatment of the traumatic event the adolescent can have difficulty adapting and developing into adulthood. Kathleen J. Moroz, of the Vermont Agency of Human Services, defines trauma as a physical or psychological threat or assault to a child’s physical integrity, sense of self, safety of survival or to the physical safety of another person significant to the child. She goes on to list the types of trauma a child may be exposed to. Abuse of every kind, domestic violence, natural disasters, abandonment, serious illness or an accident are just a few traumatic events that can effect the development of a child. (2) When these events occur as an acute event

Attachment theory is a concept that explores the importance of attachment in respect to direct development. “It is a deep and enduring emotional bond that connects one person to another across time and space” (Bowlby, 1969; McLeod, 2009). It is the relationship that develops within the first year of the infant’s life between them and their caregiver. The theory also relates to the quality of the attachment that is shown in the behavior of the infant (Rieser-Danner, 2016). Attachment theory shows that infants need a close nurturing relationship with their caregiver in order to have a healthy relationship. Lack of response from the caregiver