The Link Between Types of Attachment and Childhood Trauma
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Trauma-Focused Cognitive Behavioral Therapy for Children in Foster Care: an Implementation Manual
Trauma-Focused Cognitive Behavioral Therapy for Children in Foster Care: An Implementation Manual Esther Deblinger, Ph.D. Anthony P. Mannarino, Ph.D. Melissa K. Runyon, Ph.D. Elisabeth Pollio, Ph.D. Judith Cohen, M.D. Preparation of this manual was supported by the Substance Abuse and Mental Health Services Administration (SAMHSA) National Child Traumatic Stress Initiative (NCTSI) Grant #54319 to Allegheny Singer Research Institute. Staff members from NCTSN sites who offer services to children and their caregivers in the foster care system participated in a series of calls to generate important topics to consider when offering TF-CBT to the foster care population. The authors gratefully acknowledge the valuable contributions of the following participating NCTSN Community Treatment (Category III) Centers: Family Services of Rhode Island, Providence, RI Kempe Center, Denver, CO Mt. Hope Family Center, Rochester, NY The Children’s Center, Salt Lake City, UT University of Kentucky, Lexington, KY University of Massachusetts, Worcester, MA 1 Table of Contents Introduction …………………………………………………………………………………………..3 Applicability of TF-CBT for Children in Foster Care…..……...…………………………………….4 Clinical Application of TF-CBT with Children Foster Care ………………………………….........10 Review of TF-CBT Core Components ……………………………………………………………..11 Barriers to Effective Treatment for Children in Foster Care ...…………………………………….15 Engaging the System in Implementation of TF-CBT …………………………………………........17 Engaging Foster Parents in TF-CBT………………………………………………………………..20 Legal -
The Effects of Childhood and Combat-Related Trauma on Psychological Outcomes in Veterans" (2014)
Loma Linda University TheScholarsRepository@LLU: Digital Archive of Research, Scholarship & Creative Works Loma Linda University Electronic Theses, Dissertations & Projects 9-2014 The ffecE ts of Childhood and Combat-Related Trauma on Psychological Outcomes in Veterans Alyson C. Hermé Follow this and additional works at: http://scholarsrepository.llu.edu/etd Part of the Clinical Psychology Commons Recommended Citation Hermé, Alyson C., "The Effects of Childhood and Combat-Related Trauma on Psychological Outcomes in Veterans" (2014). Loma Linda University Electronic Theses, Dissertations & Projects. 378. http://scholarsrepository.llu.edu/etd/378 This Thesis is brought to you for free and open access by TheScholarsRepository@LLU: Digital Archive of Research, Scholarship & Creative Works. It has been accepted for inclusion in Loma Linda University Electronic Theses, Dissertations & Projects by an authorized administrator of TheScholarsRepository@LLU: Digital Archive of Research, Scholarship & Creative Works. For more information, please contact [email protected]. LOMA LINDA UNIVERSITY School of Behavioral Health in conjunction with the Faculty of Graduate Studies ____________________ The Effects of Childhood and Combat-Related Trauma on Psychological Outcomes in Veterans by Alyson C. Hermé ____________________ A Thesis submitted in partial satisfaction of the requirements for the degree Doctor of Philosophy in Clinical Psychology ____________________ September 2014 © 2014 Alyson C. Hermé All Rights Reserved Each person whose signature appears below certifies that this thesis in his/her opinion is adequate, in scope and quality, as a thesis for the degree Doctor of Philosophy. , Chairperson Kendal C. Boyd, Associate Professor of Psychology Sylvia Herbozo, Assistant Professor of Psychology Lois V. Krawczyk, Clinical Psychologist, VA Boston Healthcare System David A. -
Guilt, Shame, and Grief: an Empirical Study of Perinatal Bereavement
Guilt, Shame, and Grief: An Empirical Study of Perinatal Bereavement by Peter Barr 'Death in the sickroom', Edvard Munch 1893 A thesis submitted in fulfilment of the requirements for the degree of Doctor of Philosophy Centre for Behavioural Sciences Faculty of Medicine University of Sydney November, 2003 Preface All of the work described in this thesis was carried out personally by the author under the auspices of the Centre for Behavioural Sciences, Department of Medicine, Faculty of Medicine, University of Sydney. None of the work has been submitted previously for the purpose of obtaining any other degree. Peter Barr OAM, MB BS, FRACP ii The investigator cannot truthfully maintain his relationship with reality—a relationship without which all his work becomes a well-regulated game—if he does not again and again, whenever it is necessary, gaze beyond the limits into a sphere which is not his sphere of work, yet which he must contemplate with all his power of research in order to do justice to his own task. Buber, M. (1957). Guilt and guilt feelings. Psychiatry, 20, p. 114. iii Acknowledgements I am thankful to the Department of Obstetrics and Department of Neonatology of the following hospitals for giving me permission to approach parents bereaved by stillbirth or neonatal death: Royal Prince Alfred Hospital, Royal Hospital for Women, Royal North Shore Hospital and Westmead Hospital. I am most grateful to Associate Professor Susan Hayes and Dr Douglas Farnill for their insightful supervision and unstinting encouragement and support. Dr Andrew Martin and Dr Julie Pallant gave me sensible statistical advice. -
Effects of Respectful Parenting in Early Childhood on Young Adults' Attachment Style and Approach to Information Processing
University of Montana ScholarWorks at University of Montana Graduate Student Theses, Dissertations, & Professional Papers Graduate School 1999 Effects of respectful parenting in early childhood on young adults' attachment style and approach to information processing: Implications for latent inhibition contingency perception and behavioral adjustment Tami M. Eldridge The University of Montana Follow this and additional works at: https://scholarworks.umt.edu/etd Let us know how access to this document benefits ou.y Recommended Citation Eldridge, Tami M., "Effects of respectful parenting in early childhood on young adults' attachment style and approach to information processing: Implications for latent inhibition contingency perception and behavioral adjustment" (1999). Graduate Student Theses, Dissertations, & Professional Papers. 10564. https://scholarworks.umt.edu/etd/10564 This Dissertation is brought to you for free and open access by the Graduate School at ScholarWorks at University of Montana. It has been accepted for inclusion in Graduate Student Theses, Dissertations, & Professional Papers by an authorized administrator of ScholarWorks at University of Montana. For more information, please contact [email protected]. INFORMATION TO USERS This manuscript has been reproduced from the microfilm master. UMI films the text directly from the original or copy submitted. Thus, som e thesis and dissertation copies are in typewriter face, while others may be from any type of computer printer. The quality of this reproduction is dependent upon the quality of the copy submitted. Broken or indistinct print, colored or poor quality illustrations and photographs, print bleedthrough, substandard margins, and improper alignment can adversely affect reproduction. In the unlikely event that the author did not send UMI a complete manuscript and there are missing pages, these will be noted. -
About Emotions There Are 8 Primary Emotions. You Are Born with These
About Emotions There are 8 primary emotions. You are born with these emotions wired into your brain. That wiring causes your body to react in certain ways and for you to have certain urges when the emotion arises. Here is a list of primary emotions: Eight Primary Emotions Anger: fury, outrage, wrath, irritability, hostility, resentment and violence. Sadness: grief, sorrow, gloom, melancholy, despair, loneliness, and depression. Fear: anxiety, apprehension, nervousness, dread, fright, and panic. Joy: enjoyment, happiness, relief, bliss, delight, pride, thrill, and ecstasy. Interest: acceptance, friendliness, trust, kindness, affection, love, and devotion. Surprise: shock, astonishment, amazement, astound, and wonder. Disgust: contempt, disdain, scorn, aversion, distaste, and revulsion. Shame: guilt, embarrassment, chagrin, remorse, regret, and contrition. All other emotions are made up by combining these basic 8 emotions. Sometimes we have secondary emotions, an emotional reaction to an emotion. We learn these. Some examples of these are: o Feeling shame when you get angry. o Feeling angry when you have a shame response (e.g., hurt feelings). o Feeling fear when you get angry (maybe you’ve been punished for anger). There are many more. These are NOT wired into our bodies and brains, but are learned from our families, our culture, and others. When you have a secondary emotion, the key is to figure out what the primary emotion, the feeling at the root of your reaction is, so that you can take an action that is most helpful. . -
Bereavement Resource Manual 2018 Purpose
Richmond’s Bereavement Resource Manual 2018 Purpose This manual is designed to serve as an educational resource guide to grieving families and bereavement professionals in the Central Virginia area and to provide a practical list of available national and local support services. It is meant to be a useful reference and is not intended as an exhaustive listing. Grief is not neat and tidy. At Full Circle Grief Center, we realize that each person’s grief journey is unique and personal, based on many factors. Keep in mind that there is no “right” or “wrong” way to cope with grief. After losing a loved one, family members have varying ways of coping and may require different levels of support over time. We hope that some aspect of this manual will be helpful to those grieving in our community and the professionals, friends, and family who support them. Manual created by: Graphic Design by: Copyright © 2010 Allyson England Drake, M.Ed., CT Kali Newlen-Burden Full Circle Grief Center. Founder and Executive Director www.kalinewlen.com Revised January 2018. Full Circle Grief Center All rights reserved. Cover Art Design by: Logan H. Macklin, aged 13 2 Table of Contents Purpose Page 2 Full Circle Grief Center Page 4 Grief and Loss Pages 5 - 9 Children, Teens and Grief Pages 10 - 20 Perinatal Loss and Death of an Infant Pages 21 - 23 Suicide Loss Pages 24 -26 When Additional Support is Needed Pages 27-31 Self-Care Page 32 Rituals and Remembrance Page 33 How to Help and Support Grieving Families Page 34 Community Bereavement Support Services Pages 35-47 Online Grief and Bereavement Services Pages 48-49 Book List for Grief and Loss Pages 50-61 Thoughts from a Grieving Mother Pages 61-63 Affirmations and Aspirations Pages 64-65 3 Full Circle’s mission is to provide comprehensive, professional grief support to children, adults, families, and communities. -
Counselin Services Ce Counselin Services Ce
Counseling Services Center COUNSELING UNDERSTANDING YOUR RESPONSE TO GRIEF & TRAUMA SERVICES CENTER Grief is a normal and natural, though often deeply painful, response to loss. The death of a loved one is the most common way we think of loss, but many other significant changes in one's life can involve loss and therefore grief. The more significant the loss, the more intense the grief is likely to be. For many, however the most immediate response to a substantial loss is shock, numbness, and a sense of disbelief. Physical symptoms such as heart palpitations, tightness in the throat, and shortness of breath, sweating and dizziness are common at this time. At other times in the grieving process it is normal to experience a wide range of emotional and physical reactions. Common reactions include: Emotions and Feelings Physical, Behavioral & Cognitive Sadness, yearning, depressed mood Changes in sleep or appetite Loneliness Exaggerated startle response Helplessness & loss of control Fatigue and/or loss of motivation Guilt, shame, remorse Increased physical illnesses Fearfulness, panic, anxiety Social withdrawal or isolation Apathy Preoccupation with the loss Poor concentration Secondary Trauma (Vicarious Trauma) What is Secondary Trauma? When individuals become emotionally drained from hearing about and being exposed to the pain and trauma of other people around them Who can experience it? Anyone who receives any type of indirect exposure to a traumatic event (e.g., watching news reports) What are possible signs of experiencing Secondary Trauma? Anger · difficulty concentrating · anxiety · depression · sadness · low self-esteem · emotional exhaustion · trouble making decisions · difficulty remembering things fatigue · headaches or body aches · changes in sleep habits · changes in eating habits · increase in addictive behaviors · withdrawing from others Counseling Services Center How can someone reduce its effects? Talking with others 524 W. -
Marriage, Waldorf & Attachment Parenting
1 Marriage, Waldorf & Attachment Parenting Some thoughts from a veteran homeschooling mom Introduction Hi, my name is Melisa Nielsen. I am an attached parent and a Waldorf homeschooler. I am on my second marriage and have five children. I am a brain damage survivor. I have an amazing marriage and an amazing sex life with my husband. Am I crazy? Maybe. I have been a homeschool coach, Life Essentials coach and curriculum writer for about 8 years. A homeschooling mom for much longer. As I am writing this, my oldest is 17 and my youngest is 3. In my years of being a coach, I have worked to help moms focus on the essentials. A successful homeschool depends largely on Mom and where her priorities are, including a successful marriage. Now I am not talking about marriages that are abusive and dysfunctional – those need much more serious help but what I am talking about are the marriages falling apart because of lack of communication and flexibility - this is where we will start for this ebook. Before my incident that injured my brain, we had a great marriage and a pretty good sex life, we connected regularly and we worked through life with 5 kids, an ex-husband and a very fat cat. When I had my injury and nearly lost my life, it became very clear to me just how fragile things are. I stepped up everything and let go of a lot. I stepped up time with my family, I became more present, I changed my work priorities, I made sure my husband was where he belonged - at the center of my life. -
The Promise and Practice of Trauma Informed Care
RESPONDING TO CHILDHOOD TRAUMA: THE PROMISE AND PRACTICE OF TRAUMA INFORMED CARE Gordon R. Hodas MD Statewide Child Psychiatric Consultant, Pennsylvania Office of Mental Health and Substance Abuse Services February 2006 2 TABLE OF CONTENTS INTRODUCTION 5 PART I: THE CHALLENGE OF CHILDHOOD TRAUMA 7 WHAT IS TRAUMA? 7 A SYNOPSIS OF CHILD DEVELOPMENT AND DIFFERENTIAL RESPONSES TO TRAUMA 8 Characteristics of the Individual child 8 Age of the Child 8 Past Exposure to Trauma 9 Presence of Pre-Existing Mental Health Problems 9 Nature of Pre-Trauma Support 10 Other Circumstances Compromising Development 10 Characteristics of the Trauma Exposure 10 Proximity to the Trauma 10 Specific Type of Trauma 10 Gender 11 Relationship to the Perpetrator 12 Severity, Duration, and Frequency 12 Chronicity 12 Post-Trauma Factors 12 Early Intervention 12 Social Support and Social Responses 13 Response to Interventions and Degree of Symptom Resolution 13 RISK AND PROTECTIVE FACTORS RELATED TO CHILD MALTREATMENT 14 THE MAGNITUDE OF THE PROBLEM OF TRAUMA 15 Prevalence and Frequency of Trauma 16 Medical and Physical Health Consequences 17 Consequences Related to Child Psychiatric Disorders 19 Consequences Related to Adult Psychiatric Disorders 20 Consequences Related to Juvenile and Criminal Justice 20 Other Social Consequences for Women 22 Under-Diagnosis, Misdiagnosis, and Inappropriate Interventions 22 Subtle Psychological effects of Trauma on Children 24 A CLOSER LOOK AT SUBTLE PSYCHOLOGICAL EFFECTS 24 OF TRAUMA ON CHILDREN Behaviors of Concern That Have Been -
Surrogacy and the Maternal Bond
‘A Nine-Month Head-Start’: The Maternal Bond and Surrogacy Katharine Dow University of Cambridge, Cambridge, UK This article considers the significance of maternal bonding in people’s perceptions of the ethics of surrogacy. Based on ethnographic fieldwork in Scotland with people who do not have personal experience of surrogacy, it describes how they used this ‘natural’ concept to make claims about the ethics of surrogacy and compares these claims with their personal experiences of maternal bonding. Interviewees located the maternal bond in the pregnant woman’s body, which means that mothers have a ‘nine-month head-start’ in bonding with their children. While this valorises it, it also reproduces normative expectations about the nature and ethic of motherhood. While mothers are expected to feel compelled to nurture and care for their child, surrogate mothers are supposed to resist bonding with the children they carry. This article explores how interviewees drew on the polysemous nature of the maternal bond to make nuanced claims about motherhood, bonding and the ethics of surrogacy. Keywords: maternal bonding, surrogacy, nature, ethics, motherhood ‘A Nine-Month Head-Start’ One afternoon towards the end of my fieldwork in northeastern Scotland, I was sitting talking with Erin. I had spent quite some time with her and her family over the previous eighteen months and had got to know her well. Now, she had agreed to let me record an interview with her about her thoughts on surrogacy. While her daughter was at nursery school, we talked for a couple of hours – about surrogacy, but also about Erin’s personal experience of motherhood, which had come somewhat unexpectedly as she had been told that she was unlikely to conceive a child after sustaining serious abdominal injuries in a car accident as a teenager. -
Childhood Trauma
Occupational Therapy’s Role in Mental Health Promotion, Prevention, & Intervention With Children & Youth Childhood Trauma Did you know… OCCUPATIONAL THERAPY PRACTITIONERS use meaningful activities to promote physical and mental health and well-being. Occupational therapy practitioners focus on participation in A report of a child abuse is made the following areas: education, play and leisure, social activities, activities of daily living (ADLs; every 10 seconds (Childhelp, n.d.). e.g., eating, dressing, hygiene), instrumental ADLs (IADLs; e.g., preparing meals or cleaning up, caring for pets), sleep and rest, and work. These are the usual occupations of childhood. Task Occupational Performance analysis is used to identify factors (e.g., motor, social–emotional, cognitive, sensory) that may Children who experience trauma may be challenged in limit successful participation across various settings, such as school, home, and community. the following ways: Occupational therapy practitioners offer activities and accommodations within their service to Social Participation promote successful performance in these settings. • Impaired social skills • Increased depression, anxiety, and emotional numbing WHAT IS CHILDHOOD TRAUMA? • Over activated traumatic stress response Childhood trauma is a psychologically distressing event involving “exposure to actual or threat- • Poor interpersonal boundaries ened death, serious injury, or sexual violence…” (American Psychiatric Association, 2013, p. 261). • Fear of failure/hyperawareness of possible failure, leading to decreased participation in activities Such events involve a sense of fear, helplessness, and horror. Childhood trauma occurs whenever • ADL deficiencies (listed below) that can lead to both internal and external resources are inadequate to cope with an external threat (van der Kolk, difficulty interacting with peers (e.g., being teased 1989). -
Long-Term Consequences of Child Abuse and Neglect
FACTSHEET April 2019 Long-Term Consequences of WHAT’S INSIDE Child Abuse and Neglect Physical health consequences Aside from the immediate physical injuries children Psychological can experience through maltreatment, a child’s consequences reactions to abuse or neglect can have lifelong and even intergenerational impacts. Childhood Behavioral maltreatment can be linked to later physical, consequences psychological, and behavioral consequences as well Societal as costs to society as a whole. These consequences consequences may be independent of each other, but they also may be interrelated. For example, abuse or neglect may Federal research on stunt physical development of the child’s brain and adverse childhood lead to psychological problems, such as low self- experiences esteem, which could later lead to high-risk behaviors, Preventing and such as substance use. The outcomes for each child reducing the long- may vary widely and are affected by a combination of term consequences factors, including the child’s age and developmental of maltreatment status when the maltreatment occurred; the type, Conclusion frequency, duration, and severity of the maltreatment; and the relationship between the child and the References perpetrator. Additionally, children who experience maltreatment often are affected by other adverse experiences (e.g., parental substance use, domestic violence, poverty), which can make it difficult to separate the unique effects of maltreatment (Rosen, Handley, Cicchetti, & Rogosch, 2018). Children’s Bureau/ACYF/ACF/HHS 800.394.3366 | Email: [email protected] | https://www.childwelfare.gov Long-Term Consequences of Child Abuse and Neglect https://www.childwelfare.gov This factsheet explains the long-term physical, Migraine headaches psychological, behavioral, and societal consequences of Chronic bronchitis/emphysema/chronic obstructive child abuse and neglect and provides an overview of pulmonary disease adverse childhood experiences (ACEs).