The Boy Who Was Raised By Bruce Perry

In the book, “The Boy Who Was Raised As A Dog” by Bruce D. Perry, M.d., Ph.D. and Maia Szalavitz we are provided insight into the world of traumatized children and the effect in which trauma has on the development of children. Throughout this 263-page book, Dr. Perry provides different situations, methods, solutions and outcomes in relation to specific children who have been exposed to traumatic experiences from birth through adolescents. In this paper, I will provide a summary as well as a critique of the book. I will also include my personal perspective in regards to the contents of Dr. Perry and Maia Szalavitz’s book.

Dr. Bruce Perry, an incredible psychiatrist, describes some of his many experiences with extremely traumatized children in his novel, “The Boy who was Raised as a Dog and Other Stories from a Child Psychiatrist’s Notebook”. Throughout this book, Dr. Perry presents just a slight insight into what children all over the world experience: violence, neglect, abuse, starvation. Due to the effects of these harsh realities, many children are viewed as strange or different, but in reality, they are some of the bravest children I’ve ever heard of. Though all of these stories are incredibly remarkable, one of the children that stood out to me the

Larry Watson suggests that traumatic experiences transform children into adults, and that disturbing experiences lead to changes of mind, growth in morals, and an emerging sense of adulthood.

When children experience a traumatic event, not only does it affect their emotions but it can affect many areas of development if not all of them. Equally, health and learning difficulties can also have a less desirable effect on holistic development. By looking at how such factors can affect child development, we can work towards finding a suitable learning method and helping children overcome and recover from their experiences.

A child’s sense of self as separate from the world is formulated early in development. Children exposed to early trauma, especially by a primary care giver, develop a distorted sense of the self, others, and the world. When exposed to trauma, children become overwhelmed and are unable to effectively self-regulate thus leading to a disjointed sense of self. They have a tendency to lose hope and expect that life will be dangerous thus challenging their ability to survive (Terr, 1992). Survival becomes the predominant drive for children exposed to trauma and their focus becomes toward responding and adapting to a potentially threatening environment. Feelings of trust and the sense of self become compromised as resources are allocated toward coping with threats. Traumatized children experience guilt and low self-esteem and perceive themselves as unlovable and unworthy of protection or love (Johnson, 1985, 1987).

In the immediate, as well as long-term aftermath of exposure to trauma, children are at risk of developing significant emotional and behavior difficulties (CWIG, 2012). The most damaging types of trauma include early physical and sexual abuse, neglect, emotional/psychological abuse, exposure to domestic violence and other forms of child maltreatment (Hoch, 2009). Research has shown that children that are exposed to these types of trauma will experience developmental delays including language and verbal processing. Also, they will have risk of poor physiological and psychosocial functioning, and will be vulnerable to emotional and behavioral dysregulation disorders, thus, leading to an increase risk of poor outcomes including substance abuse, suicidality, teen pregnancy and paternity, criminal activity, and revictimization (Hoch, 2009).

Such toxic stress can have damaging effects on learning, behavior, and health across the lifespan. Learning how to cope with adversity is an important part of healthy child development. The most effective prevention is to reduce exposure of young children to extremely stressful conditions. Research also indicates that supportive, responsive relationships with caring adults as early in life as possible can prevent or reverse the damaging effects of toxic stress response (Center on Developing Child, nd). By establishing clear lines of communication between adults and children, and home and school, parents and teachers can help to shape children’s perceptions in informed ways. During times of trouble, when emotions run high, parents and teachers can help children develop the skills necessary to manage their feelings, to confront unpleasant or adverse realities, and to acquire greater emotional stability. In order to support children in better understanding their world, adults may have to help them come to terms with circumstances that are frightening, confusing, overwhelming, or possibly unrelated to their past experience. By providing a safe and supportive environment and a healthy acceptance of all that is good in life, a calm and ready-to-listen adult can facilitate children’s well being, and help to alleviate the fear, dismay or confusion they may feel. In doing so, it is important to honor and nurture children’s sensitivity. Although parents and teachers cannot shelter children from all adversity, they are well positioned to help children learn about the imbalances in the world, to better comprehend their impact, and to find thoughtful ways to strike a comfortable and meaningful balance of their own (Foster & Matthews,

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.

Trauma is one of the many issues facing children of all ages today. Trauma can be defined as any negative experience that causes a child psychological or emotional stress or damage. Exposure to trauma can hinder development in many areas for children, including brain development, social development, and emotional development. The purpose of this study was to determine what impacts trauma-informed care practices had on students in a second grade classroom. Throughout the study all students had access to a calm corner, which is a place they could go if they were feeling overwhelming emotions. Students participated in daily morning community meetings. Students were also taught direct

Silverman, W. K., Ortiz, C. D., Viswesvaran, C., Burns, B. J., Kolko, D. J., Putnam, F. W., & Amaya-Jackson, L. (2008). Evidence-Based psychosocial treatments for children and adolescents exposed to traumatic events. Journal of Clinical Child & Adolescent Psychology, 37, 1, 156-183.

The impact that trauma has on relationships are demonstrated by all children who have been affected by trauma and continues through their life cycle. While with therapy and support these children and young adults can have positive outcomes, most children who have been affected by trauma go on to have relationship issues with many types of relationships in their life (Doyle, 2012). The main presenting impact for this child or young adults is the lack of trust. Trust is an emotion that needs to be part of any healthy relationship. As those who have had trauma in their life their trust of other with reason is not always present. Children find it hard to receive and give love out and this can affect all times of relationships, with friends, and intimate parents and caregivers. They become untrusting and are not sure what is expected of them in return. One of

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is a psychotherapeutic approach that involves conjoint therapy sessions of with the child and the parent. This approach is employed among children and/or adolescents that are experiencing emotional and behavioral difficulties that are significant and related to life events that are traumatic (Cohen, Mannarino, & Deblinger, 2012). TF-CBT is a components-based model of treatment that includes intervention that are trauma-sensitive and cognitive behavioral, family and humanistic therapy

on preventing trauma in children, by giving them the physical and emotional attention they deserve.

Childhood is a time for playdates and learning, a time for big dreams and imaginary adventures. Safety and security should not be questions that linger in uncertainty. However, this is not the case for many children across the globe. Thousands of children from all walks of life each day are faced with unspeakable horror and must deal with the resulting trauma from then on. However, in children, managing this trauma takes a different toll on the mind and heart than it does in adults. While the type of trauma may vary in pervasiveness across countries, trauma occurring in childhood has the ability to cause long term damage to the growing neurological functioning in the brain and negatively influence children’s spiritual development, wounding

Almost anyone that has had the misfortune of enduring an early childhood traumatic experience will readily admit that it has had lasting effects on his life. A traumatic occurrence at an early time in one's life will not only change the person's way of thinking, but it will also alter the relationships that this person has with certain people, places, or things. Normally comfortable settings will suddenly become extremely uncomfortable. People that the child was once at great ease with unexpectedly are transformed into completely different people in the child's eyes. For an adult, traumatic experiences are easier to handle, at least in my opinion. But for a child, going through a tragic event could completely destroy the type of