0
Attachment Disorders  Identifying Symptoms, Challenges, andTreatment of Attachment Disordered Youth
Attachment Disorders   Jennifer Vernon, MS, LPC – Clinical Manager of Child and    Family Services   Michelle Anspaugh, ...
Attachment Styles of Youth   Secure Attachment   Avoidant Attachment   Anxious Attachment   Ambivalent/Disorganized At...
Secure Attachment   Seek primary attachment figure when distressed.   Curious and responsive to environment   Self-conf...
Avoidant Attachment   Develops when caregiver is rejecting and unresponsive   Moms/parents – often depressed, drugs/alco...
Anxious Attachment   Develops when caregiver is inconsistent responding to child.   Anxiety connected to fear of abandon...
Ambivalent/Disorganized Attachment   Most severe attachment disorders   Often develop into personality disorders and soc...
Experiences That Lead to Attachment Problems   Abuse and neglect   Loss of parent   Unavailability of parent   Prematu...
Challenges of Treatment   Availability of attachment figure   Attachment and trauma hx of attachment figures   Time in ...
Treatment   PACE   Connection vs. Correction   Create a Coherent Narrative     Connect client’s story to current      ...
PACE ATTITUDE            Daniel Hughes – Attachment-Focused Family Therapy   Playfulness   Acceptance   Curiosity   Em...
How do we get in?   Connnection vs. Correction:       Feels counter-intuitive       Reflect youth’s feelings/inner thou...
Create A Coherent Narrative   Connect youth’s story to thoughts/feelings   Trauma Work – Trauma effects attachment.    A...
Any Questions?
Thank you for attending today
References   Attach.org   Clark, Mindi Higgins Kessler. (2009) Diagnostic and Treatment    Features of Reactive Attachme...
Upcoming SlideShare
Loading in...5
×

Attachment disorders presentation

2,331

Published on

0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total Views
2,331
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
50
Comments
0
Likes
1
Embeds 0
No embeds

No notes for slide

Transcript of "Attachment disorders presentation "

  1. 1. Attachment Disorders Identifying Symptoms, Challenges, andTreatment of Attachment Disordered Youth
  2. 2. Attachment Disorders Jennifer Vernon, MS, LPC – Clinical Manager of Child and Family Services Michelle Anspaugh, MS, LPC – Child and Family Therapist Synergy Services, Inc. How many of you have been to attachment trainings? How many of you currently do attachment work?
  3. 3. Attachment Styles of Youth Secure Attachment Avoidant Attachment Anxious Attachment Ambivalent/Disorganized Attachment
  4. 4. Secure Attachment Seek primary attachment figure when distressed. Curious and responsive to environment Self-confident and good self-esteem Empathetic, humorous, playful Will try in the face of adversity Can ask for help when needed/balanced with developing independence. In shelters for situation specific (parent lost job) or conflict w/ parent
  5. 5. Avoidant Attachment Develops when caregiver is rejecting and unresponsive Moms/parents – often depressed, drugs/alcohol problems Passive and withdrawn behavior – doesn’t express distress Avoids closeness to others Avoids feelings Seldom seeks comfort Passive-aggressive Don’t expect much/minimize expectations Have minimal narrative-facts (explicit memory) vs. emotional memories (implicit memory)
  6. 6. Anxious Attachment Develops when caregiver is inconsistent responding to child. Anxiety connected to fear of abandonment Seeks emotional closeness as “valium” to quiet anxiety. Can be charming or whiny/complain Non-stop talking, constantly interrupting, or asking questions Looks like ADHD Uses “impression management”/people pleasers Behavior varies depending on who is present Rarely openly defiant or passive-aggressive Fall in love easily – focus on “other”
  7. 7. Ambivalent/Disorganized Attachment Most severe attachment disorders Often develop into personality disorders and sociopaths Root cause is often Betrayal Trauma - occurs when the people or institutions we depend on for survival violate us in some way Child/teen responds with extreme self-reliance Very controlling with others Push-pull style Odd behaviors and unpredictable moods Focus on injustices done to them/consider themselves victims Openly angry, defy rules, high-risk behaviors, superficially charming, lack empathy, delinquent acts, self-harm, suicide attempts, cry to get others to engage, lying, aggression, promiscuity RAD, ODD, CD, Complex/Developmental Trauma
  8. 8. Experiences That Lead to Attachment Problems Abuse and neglect Loss of parent Unavailability of parent Premature birth Medical problems (especially before age 2) Chronic pain Poor prenatal care
  9. 9. Challenges of Treatment Availability of attachment figure Attachment and trauma hx of attachment figures Time in tx Fears of clients:  Trusting us  Allowing others to help  Being let down (again)  Being hurt  Being vulnerable – dangerous
  10. 10. Treatment PACE Connection vs. Correction Create a Coherent Narrative  Connect client’s story to current behaviors/feelings  Trauma work Educate caregivers/ staff about Therapeutic Parenting
  11. 11. PACE ATTITUDE Daniel Hughes – Attachment-Focused Family Therapy Playfulness Acceptance Curiosity EmpathyTherapist engages youth with this attitude, helping youth engage relationally in a different way.Therapist helps the parent/caregiver engage in PACE attitude to become emotionally connected to youth.
  12. 12. How do we get in? Connnection vs. Correction:  Feels counter-intuitive  Reflect youth’s feelings/inner thoughts before giving consequences/lecture  Changing neural feedback loops of interacting Speaking to Speaking for Speaking about
  13. 13. Create A Coherent Narrative Connect youth’s story to thoughts/feelings Trauma Work – Trauma effects attachment. Ask youth to bridge the gap between distressing event and emotions/thoughts/body sensations – between explicit and implicit memory. EMDR, TFCBT, etc.
  14. 14. Any Questions?
  15. 15. Thank you for attending today
  16. 16. References Attach.org Clark, Mindi Higgins Kessler. (2009) Diagnostic and Treatment Features of Reactive Attachment Disorder Emdria.org Forbes, Heather T. and Post, Bryan B. (2009) Beyond Consequences, Logic, and Control: A Love Based Approach to Helping Children With Severe Behaviors Freyd, Jennifer J., What is Betrayal Trauma? What is Betrayal Trauma Theory? http://dynamic.uoregon.edu/~jif/defineBT.html Hughes (2007). Attachment-Focused Family Therapy
  1. A particular slide catching your eye?

    Clipping is a handy way to collect important slides you want to go back to later.

×