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Attachment theory vignettes
Papers on trauma focused cognitive behavioral therapy
The Strength Of Attachment Theory
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The Children’s Center is a private, not-for-profit mental health clinic located in downtown Salt Lake City, Utah. Their mission is to provide “comprehensive mental health care to enhance the emotional well-being of infants, toddlers, preschoolers, and their families.” They provide affordable services and subsidize families in need with charitable funds. It is the largest agency of its kind and provides care to over 2,000 families a year, helping children under the age of seven to improve in managing their feelings, learning to play, making friends, and succeeding in school and at home.
The Center is a partner of the National Child Traumatic Stress Network and provides evidence-based treatment to children and families exposed to traumatic events. Dr. Douglas Goldsmith is the Executive Director of The Children’s Center and has created wide spread impact on the clinical application of attachment theory to help heal parent-child relationships and is nationally and internationally recognized as an expert in the field of attachment
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It provides group therapy, in addition to individual therapy, to support improvement for specific behavioral goals. This program provides intensive daily treatment, where the children can gain skills necessary to succeed in school, such as learning to listen to adults, manage their emotions, and play with peers. I will be interning at this preschool, assisting Dr. Goldsmith and other specialists with a group of nine children, age 2-5 years old, with a wide range of emotional and behavioral health diagnoses (i.e. autism, hyperactivity, depression, and aggression) and traumatic experiences (i.e. domestic violence, abuse and/or neglect, refugee from war-torn countries, and parent(s) in the military that returned with PTSD). I will be there Mondays-Fridays from 9:00am-3:00pm from June through August this
High Sky Children’s Ranch first opened their doors in 1963, when a woman named Joan Nobles was concerned about girls who had no absolutely no place to go. She was the president of the PTA when she heard a young juvenile probation officer speak about the need for a home for those girls that had no where to go. She, along with many others, worked for three years to open the first home. In 1963 the first home was opened and housed five girls (High Sky Children’s Ranch, 2011). In 1985 High Sky changed their license to accept both boys and girls, which enabled them to keep sibling groups together. In 1987 High Sky was relicensed as a treatment facility to work with kids who were more traumatized or needed a higher level of care and was later licensed as a Therapeutic Foster Care. These programs help i...
Osofsky, Joy D. “Parenting After Traumatic Events: Ways to Support Children.” Psych Central. 30 Jan 2013. Web. 12 Dec 2013.
Cohen, J. A., & Mannarino, A. P. (2008). Trauma-Focused Cognitive Behavioral Therapy for Children and Parents. Child & Adolescent Mental Health, 13(4), 158-162.
Criticisms of attachment theory have come mainly from the feminist schools of thought since the theory has been used to argue that no woman with a young child should work outside the home or spend time away from her baby (Goodsell and Meldrum, 2010). Children’s experience and development also depend on what happens after early years, whether bad or good later in life may change a child’s emotional development, e.g. lack of basic needs, diet, education, stimulation such as play might affect a child’s development (Rutter, 1981) Difference in cultures have to be taken into consideration as well. A study by Schaffer and Emmerson (1964) provided contradictory evidence from Bowlby’s attachment theory. They noted attachment was more prominent at eight months, and afterwards children became attached to more than one person. By one year six months only 13%of infants had one attachment. This study by Schafer and Emmerson (1964) concluded care giver can be male or female and mothering can be a shared responsibility. Social workers should therefore understand that parents are not totally responsible for the way the children develop. They did give them their genes and therefore do have some influence. Attachment theory also fails to consider the fact that the father and siblings, and other close relatives can also
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is one of the most commonly utilized interventions for children (Cary & McMillen, 2011). TF-CBT is a highly structured intervention consisting of 90-minute weekly sessions. The clinician works with the client through eight competencies, including psychoeducation, relaxation, affective expression and regulation, cognitive coping, trauma narrative development and processing, gradual exposure, joint parent/child sessions, and enhancing future development (Cary & McMillen, 2011). TF-CBT has an extensive history and many variations. Clinicians utilize a number of other cognitive behavior treatments that have been adapted to meet the needs of traumatized children (Cary, & McMillen, 2012; Smith et al., 2007). While there are a number of cognitive behavior treatments, TF-CBT has received the highest classification rating for supported and effective treatment from many studies (Cary, & McMillen, 2012; Kauffman Best Practices Project, 2004).
The first topic that came up in the interview relates to idea of attachment theory. Attachment theory explains the human’s way of relating to a caregiver and receives an attachment figures relating to the parent, and children. In addition, the concept explains the confidence and ability for a child to free explore their environment with a place to seek support, protection, and comfort in times of distress (Levy, Ellison, Scott, and Bernecker, 2010, p. 193). Within attachment theory explains different types of attachment styles that children experience during early childhood. These attachment styles affect the relationships they continue to build in adulthood. The best attachment style happens when the parent is attuned to the child during his or her early childhood called secure attachment (Reyes, 2010, p. 174). In order for complete secure attachment, the child needs to feel safe, seen, and soothed. Any relationship that deviates from this model represents the anxious or insecure attachment. This means that parents or caregivers are inconsistently responsive to the children. Children who have these parents are usually confused and insecure. Some children experience a dismissive attachment where they
Stagman, Shannon, and Janice L. Cooper. "Children's Mental Health." WWW.nccp.org. Ed. Columbia University. Columbia University, n.d. Web. 14 Mar. 2014. .
Attachments are formed with parents; this contributes to give a sense of who we are and who we will become in later life. However where these attachments are broken the child needs to have a secure attachment established with an alternative adult care giver,...
Cassidy, J., & Shaver, P.R. (1999). Handbook of attachment: Theory, research, and clinical applications. New York: The Guilford Press.
Attachment is an emotional bond that is from one person to another. The attachment theory is a psychological, an evolutionary and an ethological theory that is concerned with relationships between humans, specifically between mother and infant. A young infant has to develop a relationship with at least one of their primary caregivers for them to develop socially and emotionally. Social competence is the condition that possesses the social, emotional and intellectual skills and behaviours, the infant needs these to success as a member of society. Many studies have been focused on the Western society, but there are many arguments to whether or not this can be applicable to other cultures, such as the poorer countries.
Barth, R., Crea, T., John, K., Thoburn, J. & Quinton, D. (2005). Beyond attachment theory and therapy: Towards sensitive and evidence-based interventions with foster and adoptive families in distress. Child and Family Social Work, 10, 257-268.
The goal of “A Kid’s Place” is to formulate, carry out and monitor programs that improve residential nurturing for foster kids.
Acknowledging, the importance of attachment has been in helpful development of couples therapy, in particular to Emotionally Focused Couples Therapy (EFT), “where it helps explain how even healthy adults need to depend on each other,” (Nichols, 2013, p. 62). EFT is an empirically validated experiential therapy model that works with emotion to create change. EFT therapists use “attachment theory to deconstruct the familiar dynamic in which one partner criticizes and complains while the other gets defensive and withdraws,” (Nichols, 2013, p.63). Research has demonstrated the importance of attachment in individuals. It is not solely a childhood trait attachment is a trait that individuals carry for the rest of their lives. Nonetheless, it is important to work on the attachments with families and couples in order to alleviate some of the negative interactions that arise from feeling a fear of losing the attachment with
Children are a crucial part of society. They participate in almost all aspects of a society whether it is in schools, community activities, or in the workforce. However, not all children develop the same skills and are granted the same opportunities as others because of a mental illness. Mental illnesses are as serious as physical illnesses and they negatively affect a child’s life. There are a variety of mental illnesses children may have with different levels of severity; mental illnesses hinder childhood development, and they affect a child’s social and home life.
Perry, B. D. (2002). Bonding and Attachment in Maltreated Children: Consequences of Emotional Neglect in Childhood. Retrieved December 4, 2011, from teacher.scholastic.com: http://teacher.scholastic.com/professional/bruceperry/bonding.htm