Lisa is a candidate for interventions that address her traumatic past, her attachment disruptions, and the internalizing behaviors. She could possibly benefit from Attachment, Regulation, and Competency (ARC) treatment or CBT. Her internalizing behaviors may impart be associated with her insecure attachment that was a result of her not feeling safe and aforementioned disruptions with attachment figures. The attachment theory has been well researched and studies have made a correlation between disruptions in attachment and mental health issues. “Negative experiences and disruptions of these affectional and security bonds in both humans and animals, through loss, separation, threat or separation, misattunement, violence, abuse, or neglect, …show more content…
That being said, I feel that Lisa would benefit from individual therapy, where her core beliefs, her schemas, attachment style, thoughts and feelings, and traumatic loss/grief can be further explored. Her individual goals would be discussed with Lisa. She could also openly discuss her desires regarding her living situation when her grandfather was not participating. In order for the ARC intervention to be utilized her grandfather and ideally the foster parents would have to participate. This would be challenging due to the grandfather’s mental illness, his assumptions regarding Lisa’s anxiety and depression being a result of the loss of her mother, and his resistance to an ongoing relationship with the foster parents. Prior to this intervention, it could possibly benefit this family system to give the grandfather psychoeducation on attachment with the desired effect being that he would be an open and a willing participate. If the grandfather would agree to the intervention the ARC intervention could begin.
“The ARC framework is a components-based model that identifies three core domains of intervention for children who have experienced trauma and their caregiving systems: attachment, self-regulation, and competency (Blaustein, M & Kinniburgh, K., p.36, 2008). There are three parts of ARC, which are referred to as blocks; the attachment blocks, the self-regulation blocks, and the competency blocks. All sections will
Assessment of the core emotional needs underpinning complex behaviour is paramount for intervention to be effective (Cairns, 2002). An immense challenge for client’s who have experienced abuse is that their developmental growth is affected and they struggle for autonomy, independence and identity without a secure base (Daniel, Wassail, & Gilligan, 2002). They are struggling to execute developmental tasks with abilities and skills that have been damaged by
It is the primary caregiver who the child first begins to develop these intra- and interpersonal processes with. Future success of social-emotional development in children, is dependent upon the “the presence of caregiver-child relationships,” and the consistent, reliable, and empathic, positive serve and return of the caregiver (Briggs, Silver, Krug, Mason, Schrag, et al, 2014). Caregivers who have experienced childhood trauma, have a decreased ability to provide this type of interaction. Therefore, a child’s social-emotional development is at risk. Due to the caregiver’s traumatic history, they may have an inability to effectively interpret a child’s emotional state, and they may inappropriately respond to a child’s attempt for interaction. This caregiver may respond by using negative parenting practices including severe physical and psychological aggression, or neglectful behaviors (Briggs et al.). Thus, through inadequate parenting techniques, caregivers continue the intergenerational cycle (Brigs et
1. The following paper discusses a case scenario of Adrian, Judy, and Pam. The family is presenting to therapy in regards to their concern about their adult daughter (Pam) not listening to her parents (Adrian and Judy) requests. From the beginning of the session, it is apparent each member has a different view of what their role is in the family. Roles are vital in ensuring healthy family functioning and should be clearly defined so that each member understands what they are to accomplish (Tobin, 2016a). It is revealed later into the session that Judy and Adrian were not able to conceive children, so they adopted both Pam and their deceased son, Victor. Victor committed suicide ten years ago.
As children our world often revolves around our parents. This is because parents are our source of safety and security, of love and understanding, of nurturance and support. A child experiencing abuse develops strategies that become coping mechanisms. These coping mechanisms enable day-to-day functioning and help the child detach from the emotional and physical pain of events, especially when the abuse continues over a long
Other health problems arise when the trauma from past experiences such as abuse or violence in the home cause long term effects in the children. The needs of children in foster care are multifaceted and the problems are exacerbated when the resources in the community are scarce and when the service system is fragmented (Halfon, Berkowitz, & Klee, 1993). Due to the complexity of their problems and the degree of vulnerability, a well-trained and
The effects of maltreatment in children can last through adolescence and on through adulthood for many. Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) is a very popular type of therapy that join the caregiver and the child’s sessions. The basic process of this therapy is educate and improve parenting skills, teach relaxation techniques and skills, introduce cognitive coping skills, allow the child to talk about the narrative and make the child feel comfortable about talking about the trauma and allow the child cognitively process the traumatic events, ensure that the child feels safe. Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT). For children who suffer post-traumatic stress syndrome, this treatment can require maintenance for up to 2 years after the child has completed treatment (Deblinger, Steer, & Lippmann,
This intervention focuses on helping to provide the client who has suffered a complex trauma with an attachment style intervention that focuses on the various subsystems in the client’s life (Foroughe & Muller, 2014). TBRI can be applied not just in a clinical setting but in any environment. This intervention would help Sarah to continue to make bonds with people and be aware of how these systems affect her. Also Sarah would receive support for her separation anxiety disorder as well. The individual sessions would also allow for interventions that assess how Sarah is adjusting to her new life, and the outlook of her new family.
Practice should include promoting safety, trust, choices, and a collaborative approach which is strength based and empowering (Hopper, Bassuk, & Olivet, 2010). Focus with a trauma informed model also needs to place emphahsis on helping the child build attachments within the setting as the opportunity to establish safe social networkers with carers, treatment providers, peers and the wider community is a reparative practice (TIP,
The treatment for Beth’s attachment disorder, the first step was to temporarily take her out of the home with her brother and adoptive parents. She needed to be away from them. Once this happened she moved in with a specialist that gave Beth boundaries. Since Beth did not trust anyone, they didn’t not trust her so she was given these boundaries and chores to start her on her treatment. Whenever she wanted to do something that was out of the eye sight of her guardian she had to ask permission. If she
The National Child Traumatic Stress Network (NCTSN) was stablished by Congress in 2000 and brings a comprehensive focus to childhood trauma. This network raises the average standard of care and improves access to services for traumatized children, their families and communities throughout the United States. The NCTSN defines trauma‑focused cognitive behavioral therapy (TF‑CBT) as an evidence‑based treatment approach that is shown to help children, adolescents, and their caregivers overcome trauma‑related difficulties. It is designed to reduce negative emotional and behavioral responses following a traumatic event. The treatment addresses distorted beliefs related to the abuse and provides a supportive environment so the individual can talk about their traumatic experience. TF‑CBT also helps parents cope with their own emotional issues and develop skills to support their children.
An individual who has positive childhood experiences with attachment will have positive relationships as an adult (Brandman University, n.d.-a). Given that all I witnessed of this young lady was her having a good time then sitting quietly and being solitary and still, I would predict that she has secure attachments with her family. She did not appear distressed at any point during the twenty to thirty minutes that I observed her. None of her behavior seemed apart from the norm, and there were no distressing issues
Trauma is very complex and varied in its nature. Traumatic events include child abuse, neglect and maltreatment. Wamser‐Nanney & Vandenberg (2013) found that one of the more harmful types of trauma is the abuse is committed intentionally. This directly impacts the victim 's safety and sense of trust. The devastating effects of this type of trauma is the way in which it impacts not only the survivors, but also future generations, and the ability they have to form attachments (Connolly, 2011).
Attachment theory is a psychological model that provides an influential, biologically driven explanation of how the parent-child interaction emerges and how it influences human development over a life span. The term attachment refers to the complex set of related thought processes and behaviors towards a primary care giver. The attachment behaviors are biologically guided by our natural instinct for protection and safety. This evolved behavioral system organizes human motivation, emotions, cognition, and memory. The attachment relationship that an individual creates in infancy effects their growth, behavior in other relationships, risk taking, and mental health through their human development (George, 2014, p. 97). I chose to use attachment theory to understand Carla’s current situation because the theory has been powerful in understanding the range of relationships patterns that develop between mother and their infants and children. It has been shown that children who experience inadequate parenting are at a much higher risk for an insecure attachment style and experience more interpersonal difficulties in adulthood especially with relationships. Carla grew up in a very inconsistent environment her whole life. Using attachment theory I am analyzing how her childhood shaped who she is as a woman and the choices she made that ultimately brought her to where she is today.
This family is seeking therapy assistance due to the following reasons: grief and loss encountered during Kate’s cancerous condition and after her death, the lawsuit Anna placed onto her parents, Jesse’s delinquent behavior, and the parents’ deteriorating relationship. The family is concerned with the alliances that have been building within the family and in regards to their negative communication skills. The Fitzgerald family feels that the family is becoming dysfunctional and distant. Having a positive attachment amongst each other at all times assists with minimizing issues, and it is much easier to find solutions to any problems or challenges when positive relationships emerge (Cassidy and Shaver, 2008, p. 200). This is why the Fitzgerald family is seeking help now.