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What Educators Need to Know

copyright Attachment and Integration Methods, Inc., 2012


Any stressful experience that is
◦ Prolonged
◦ Overwhelming
◦ Unpredictable



Where the victim’s response is
◦ Intense fear
◦ Helplessness
◦ Horror
Subjective experience
 Extreme stress
 Overwhelms an individual’s ability to
cope


Giller, 1999


By conservative estimates, about 40
percent of American children will have
at least one potentially traumatizing
experience by age eighteen.
The Boy Who was Raised as a Dog
Bruce D. Perry, M.D., Ph.D. and Maia Szalavitz
11% emotionally abused
 30% physically abused
 20% sexually abused
 13% witnessed mothers being battered
 23.5% exposed to family alcohol abuse
 18.8% exposed to family mental
illness
 4.9% exposed to family drug abuse


Adverse Childhood Experiences study
by Kaiser Permanente & CDC
 63%

reported 1or more ACEs;
 32% reported 3 or more ACEs

Adverse Childhood Experiences study
by Kaiser Permanente & CDC
Emotional, physical, or sexual abuse
 Neglect
 Spousal abuse
 Parental substance abuse
 Parental mental health issues
 Family member in jail
 Parents separated or divorced

Abandonment
 Separation from or unavailability of
the primary caregiver
 Foster care
 Adoption (even at birth)
 Prenatal stress, chemical affronts,
poor nutrition
 Medical trauma

Substance abuse, smoking
 Multiple sexual partners, unintended
pregnancies, STDs
 Risk for intimate partner violence
 Suicide attempts
 Depression
 Obesity

Heart disease (COPD and IHD)
 Liver disease
 Fetal death

Outcomes

0

1

2

3

ACEs
www.acestudy.org

4+
Early
Death
Disease,
Disability, &
Social Problems

Adoption of Healthrisk Behaviors
Social, Emotional & Cognitive
Impairment

Adverse Childhood Experiences
ACESTUDY.ORG
iStock_000001308548
Interferes with normal development
 May affect sensory processing
 Affects capacity for emotional
regulation
 Interferes with attachment (and future
relationships)
 Leads to shame and poor self-esteem
 Leads to maladaptive coping

Interferes with normal development
 Foundational steps missed
 Development is SEQUENTIAL, so…




Later development also suffers

copyright Attachment and Integration Methods, Inc., 2012
Sequential (Primitive complex)
 Characterized by “sensitive” or peak
periods (the “right” time)
 Use-dependent (states  traits by
repetition)

Cortex

Limbic
System

Brainstem
The brain is always comparing current incoming
patterns with previously stored templates and
associations. This matching process takes place
initially in the lowest, simplest parts of the
brain.
Does this incoming data potentially suggest
danger?

Our default is set at suspicion, not acceptance.
Bruce Perry

The Boy Who was Raised as a Dog
iStock_000010137906
State of stress
 Thinking is distorted
 Time sense is distorted
 Short-term memory suppressed
 Regress to younger emotional age
 Regress to lower level brain functions


copyright Attachment and Integration Methods, Inc., 2012




Hyperarousal - Fight/Flight
Hypoarousal or Dissociation -Freeze
or Surrender

copyright Attachment and Integration Methods, Inc., 2012

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Hyperactivity; movement; won’t sit still
Tension, irritability, and impatience
Anger outbursts and aggression
Reactivity, defiance, impulsivity
Hypervigilance
Exaggerated startle response
Chatter

copyright Attachment and Integration Methods, Inc., 2012
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Daydreams, spaces out, sleeps in class
Forgets assignments & material previously
mastered
Unmotivated, lazy
Not processing material just read
Self-soothing behaviors

copyright Attachment and Integration Methods, Inc., 2012




Hyperfocus

Blocks memory or awareness of an
event or activity but maintains some
level of functioning for other activities

copyright Attachment and Integration Methods, Inc., 2012
Inattention or a voluntary shift in
attention
 Willful matters of choice
 Within the individual’s control


copyright Attachment and Integration Methods, Inc., 2012


Explicit (Declarative)



Implicit (Procedural/Nondeclarative)

◦ Conscious recollection
◦ Top-down storage & retrieval
◦ Organized, associated

◦ No conscious awareness
◦ Previous experiences affect performance
◦ Procedural and motor memory


Cognitive (Thinking)
◦ Facts, data, info - orderly
◦ Often tied to an emotional memory




Emotional (Feeling)
Motor (Doing)
◦ “Like riding a bike.”



State (Being)
◦
◦
◦
◦

Unconscious
Non-verbal (pre-verbal)
Earliest to develop
Monster under the bed

copyright Attachment and Integration Methods, Inc., 2012

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

Trauma interferes with memory processing
Memories filed disjointed, not intact
Meaning denied
Memories stored in the body
◦ may not be accessible to verbal/cognitive
processing



Can be triggered without warning, and
without conscious understanding

copyright Attachment and Integration Methods, Inc., 2012
Common outcome of early trauma
 “My fault” I was abused, neglected,
abandoned
 Negative self-view throughout life


copyright Attachment and Integration Methods, Inc., 2012
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Hour to hour
Beginning / end of day
Loss of structure
Subs, new teachers, teachers/staff leaving
End of semester / year
New kids / kids leaving
Field trips
Future / Magic 18

copyright Attachment and Integration Methods, Inc., 2012
Also applies to transitions
 Fear of loss
 DRAMA!!


◦ In the middle of others’ relationships –
doesn’t even want those to fail

copyright Attachment and Integration Methods, Inc., 2012
They’re doing the best they can.

Some days, their best is better than
other days.
It just depends.

copyright Attachment and Integration Methods, Inc., 2012


Intense emotions
◦ Evoke implicit memories
◦ Seen as precursor to maltreatment



Project calm, open acceptance of the
student and his feelings – even when
his behavior is unacceptable

copyright Attachment and Integration Methods, Inc., 2012
Time of year / Traumaversaries
 Implicit and explicit memories
 Not your Hallmark holiday memory
 Ramp up / down


Review behavior patterns from prior
years
 Make feelings conscious


copyright Attachment and Integration Methods, Inc., 2012


Assignments
◦ Amount
◦ Difficulty
◦ Content / triggers
◦ Fear of failure or success (shame!)

Skip triggering content
 Warn ahead
 “Alternate” assignments not a solution


copyright Attachment and Integration Methods, Inc., 2012
Penmanship
 Spelling
 Notes (teacher provided)
 Time (tests, writing)
 Location (tests)
 Chunk assignments
 Fidgets


copyright Attachment and Integration Methods, Inc., 2012


Before the term begins
◦ Meet teachers
◦ Select seat
◦ Preferential seating (maybe back to wall)
◦ Type of seating (e.g., standing desk)
◦ Team meeting to discuss educational
impacts of RAD / PTSD

copyright Attachment and Integration Methods, Inc., 2012
Establish routines
 Make rules & expectations clear
 Advance notification of changes to
routine
 When things change, emphasize that
the student is safe and OK


copyright Attachment and Integration Methods, Inc., 2012
Designate a safe area & safe person
 Red card / freedom to leave room
 Call home
 Calming activity
 Physical activity


copyright Attachment and Integration Methods, Inc., 2012
Not just academic
 Emotional regulation
 Self-calming techniques
 Communication
 Problem solving
 Physical awareness of stress response


copyright Attachment and Integration Methods, Inc., 2012
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Breathe / Mindfulness
Drink water
Body scan / Stay in the body
Tapping
PACE (Brain Gym)
BE, not do or talk
Safe person / safe location
Music

copyright Attachment and Integration Methods, Inc., 2012
Permit absences on high-stress days
 Early passing time
 Attendance optional at large-group
activities, assemblies
 Music / nature sounds


copyright Attachment and Integration Methods, Inc., 2012
Make feelings and behavior conscious
 Direct student’s attention to his
physical stress response
 Help student name his feelings
(physical and emotional)
 Validate the feelings (not the
behaviors)


copyright Attachment and Integration Methods, Inc., 2012
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Don’t ask “Why…?”
No fearful or negative future predictions
No optimistic positive predictions
No comparing yesterday’s achievements to
today’s
Be OK with student’s performance and goals
Rewards/consequences don’t help when the
behavior is outside the student’s control

copyright Attachment and Integration Methods, Inc., 2012





“Notice” more than praise
Expect acting-out around traumaversaries
and transitions
Let the lesson be the lesson

copyright Attachment and Integration Methods, Inc., 2012


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Don’t expect regulated behavior from a
dysregulated individual

Forget chronological age
What’s the child’s emotional age AT THAT
MOMENT?
Which part of his brain is in control?
Communicate AT THAT LEVEL
What’s the child’s STATE?

copyright Attachment and Integration Methods, Inc., 2012
If you're trying to reach people in a
state of distress, adding to their stress
can be disastrous.
Goulston, 2010
Calm yourself
 Let posture, position, tone
communicate calm
 Focus on connection, not control
 Skip logic – go for empathy
 Listen


copyright Attachment and Integration Methods, Inc., 2012


Remember – parents’ #1 priority is
relationship
◦ Don’t usurp the attachment role

School handle school
 Communicate!
 Communicate DIRECTLY with the
parents
 Avoid triangulation


◦ Confirm child’s reports

copyright Attachment and Integration Methods, Inc., 2012
iStock_000011725262XSmall
iStock_000008011843XSmall


Contact Info:
◦ attachmentandintegrationmethods.com
◦ kmbenckendorf@gmail.com



Services
◦
◦
◦
◦
◦
◦

Parent coaching (phone)
Training (online or your site)
Speaking, seminars, presentations
Writing
Integrated Healing
Rhythmic Movement Training

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Children of Trauma - What Educators Need to Know

  • 1. iStock_000010132889XSmall What Educators Need to Know copyright Attachment and Integration Methods, Inc., 2012
  • 2.  Any stressful experience that is ◦ Prolonged ◦ Overwhelming ◦ Unpredictable  Where the victim’s response is ◦ Intense fear ◦ Helplessness ◦ Horror
  • 3. Subjective experience  Extreme stress  Overwhelms an individual’s ability to cope  Giller, 1999
  • 4.  By conservative estimates, about 40 percent of American children will have at least one potentially traumatizing experience by age eighteen. The Boy Who was Raised as a Dog Bruce D. Perry, M.D., Ph.D. and Maia Szalavitz
  • 5. 11% emotionally abused  30% physically abused  20% sexually abused  13% witnessed mothers being battered  23.5% exposed to family alcohol abuse  18.8% exposed to family mental illness  4.9% exposed to family drug abuse  Adverse Childhood Experiences study by Kaiser Permanente & CDC
  • 6.  63% reported 1or more ACEs;  32% reported 3 or more ACEs Adverse Childhood Experiences study by Kaiser Permanente & CDC
  • 7. Emotional, physical, or sexual abuse  Neglect  Spousal abuse  Parental substance abuse  Parental mental health issues  Family member in jail  Parents separated or divorced 
  • 8. Abandonment  Separation from or unavailability of the primary caregiver  Foster care  Adoption (even at birth)  Prenatal stress, chemical affronts, poor nutrition  Medical trauma 
  • 9. Substance abuse, smoking  Multiple sexual partners, unintended pregnancies, STDs  Risk for intimate partner violence  Suicide attempts  Depression  Obesity 
  • 10. Heart disease (COPD and IHD)  Liver disease  Fetal death 
  • 12. Early Death Disease, Disability, & Social Problems Adoption of Healthrisk Behaviors Social, Emotional & Cognitive Impairment Adverse Childhood Experiences ACESTUDY.ORG
  • 13.
  • 15. Interferes with normal development  May affect sensory processing  Affects capacity for emotional regulation  Interferes with attachment (and future relationships)  Leads to shame and poor self-esteem  Leads to maladaptive coping 
  • 16. Interferes with normal development  Foundational steps missed  Development is SEQUENTIAL, so…   Later development also suffers copyright Attachment and Integration Methods, Inc., 2012
  • 17. Sequential (Primitive complex)  Characterized by “sensitive” or peak periods (the “right” time)  Use-dependent (states  traits by repetition) 
  • 18.
  • 20. The brain is always comparing current incoming patterns with previously stored templates and associations. This matching process takes place initially in the lowest, simplest parts of the brain. Does this incoming data potentially suggest danger? Our default is set at suspicion, not acceptance. Bruce Perry The Boy Who was Raised as a Dog
  • 21.
  • 22.
  • 24. State of stress  Thinking is distorted  Time sense is distorted  Short-term memory suppressed  Regress to younger emotional age  Regress to lower level brain functions  copyright Attachment and Integration Methods, Inc., 2012
  • 25.   Hyperarousal - Fight/Flight Hypoarousal or Dissociation -Freeze or Surrender copyright Attachment and Integration Methods, Inc., 2012
  • 26.        Hyperactivity; movement; won’t sit still Tension, irritability, and impatience Anger outbursts and aggression Reactivity, defiance, impulsivity Hypervigilance Exaggerated startle response Chatter copyright Attachment and Integration Methods, Inc., 2012
  • 27.      Daydreams, spaces out, sleeps in class Forgets assignments & material previously mastered Unmotivated, lazy Not processing material just read Self-soothing behaviors copyright Attachment and Integration Methods, Inc., 2012
  • 28.   Hyperfocus Blocks memory or awareness of an event or activity but maintains some level of functioning for other activities copyright Attachment and Integration Methods, Inc., 2012
  • 29. Inattention or a voluntary shift in attention  Willful matters of choice  Within the individual’s control  copyright Attachment and Integration Methods, Inc., 2012
  • 30.  Explicit (Declarative)  Implicit (Procedural/Nondeclarative) ◦ Conscious recollection ◦ Top-down storage & retrieval ◦ Organized, associated ◦ No conscious awareness ◦ Previous experiences affect performance ◦ Procedural and motor memory
  • 31.  Cognitive (Thinking) ◦ Facts, data, info - orderly ◦ Often tied to an emotional memory   Emotional (Feeling) Motor (Doing) ◦ “Like riding a bike.”  State (Being) ◦ ◦ ◦ ◦ Unconscious Non-verbal (pre-verbal) Earliest to develop Monster under the bed copyright Attachment and Integration Methods, Inc., 2012
  • 32.     Trauma interferes with memory processing Memories filed disjointed, not intact Meaning denied Memories stored in the body ◦ may not be accessible to verbal/cognitive processing  Can be triggered without warning, and without conscious understanding copyright Attachment and Integration Methods, Inc., 2012
  • 33. Common outcome of early trauma  “My fault” I was abused, neglected, abandoned  Negative self-view throughout life  copyright Attachment and Integration Methods, Inc., 2012
  • 34.         Hour to hour Beginning / end of day Loss of structure Subs, new teachers, teachers/staff leaving End of semester / year New kids / kids leaving Field trips Future / Magic 18 copyright Attachment and Integration Methods, Inc., 2012
  • 35. Also applies to transitions  Fear of loss  DRAMA!!  ◦ In the middle of others’ relationships – doesn’t even want those to fail copyright Attachment and Integration Methods, Inc., 2012
  • 36. They’re doing the best they can. Some days, their best is better than other days. It just depends. copyright Attachment and Integration Methods, Inc., 2012
  • 37.  Intense emotions ◦ Evoke implicit memories ◦ Seen as precursor to maltreatment  Project calm, open acceptance of the student and his feelings – even when his behavior is unacceptable copyright Attachment and Integration Methods, Inc., 2012
  • 38. Time of year / Traumaversaries  Implicit and explicit memories  Not your Hallmark holiday memory  Ramp up / down  Review behavior patterns from prior years  Make feelings conscious  copyright Attachment and Integration Methods, Inc., 2012
  • 39.  Assignments ◦ Amount ◦ Difficulty ◦ Content / triggers ◦ Fear of failure or success (shame!) Skip triggering content  Warn ahead  “Alternate” assignments not a solution  copyright Attachment and Integration Methods, Inc., 2012
  • 40. Penmanship  Spelling  Notes (teacher provided)  Time (tests, writing)  Location (tests)  Chunk assignments  Fidgets  copyright Attachment and Integration Methods, Inc., 2012
  • 41.  Before the term begins ◦ Meet teachers ◦ Select seat ◦ Preferential seating (maybe back to wall) ◦ Type of seating (e.g., standing desk) ◦ Team meeting to discuss educational impacts of RAD / PTSD copyright Attachment and Integration Methods, Inc., 2012
  • 42. Establish routines  Make rules & expectations clear  Advance notification of changes to routine  When things change, emphasize that the student is safe and OK  copyright Attachment and Integration Methods, Inc., 2012
  • 43. Designate a safe area & safe person  Red card / freedom to leave room  Call home  Calming activity  Physical activity  copyright Attachment and Integration Methods, Inc., 2012
  • 44. Not just academic  Emotional regulation  Self-calming techniques  Communication  Problem solving  Physical awareness of stress response  copyright Attachment and Integration Methods, Inc., 2012
  • 45.         Breathe / Mindfulness Drink water Body scan / Stay in the body Tapping PACE (Brain Gym) BE, not do or talk Safe person / safe location Music copyright Attachment and Integration Methods, Inc., 2012
  • 46. Permit absences on high-stress days  Early passing time  Attendance optional at large-group activities, assemblies  Music / nature sounds  copyright Attachment and Integration Methods, Inc., 2012
  • 47. Make feelings and behavior conscious  Direct student’s attention to his physical stress response  Help student name his feelings (physical and emotional)  Validate the feelings (not the behaviors)  copyright Attachment and Integration Methods, Inc., 2012
  • 48.       Don’t ask “Why…?” No fearful or negative future predictions No optimistic positive predictions No comparing yesterday’s achievements to today’s Be OK with student’s performance and goals Rewards/consequences don’t help when the behavior is outside the student’s control copyright Attachment and Integration Methods, Inc., 2012
  • 49.    “Notice” more than praise Expect acting-out around traumaversaries and transitions Let the lesson be the lesson copyright Attachment and Integration Methods, Inc., 2012
  • 50.       Don’t expect regulated behavior from a dysregulated individual Forget chronological age What’s the child’s emotional age AT THAT MOMENT? Which part of his brain is in control? Communicate AT THAT LEVEL What’s the child’s STATE? copyright Attachment and Integration Methods, Inc., 2012
  • 51. If you're trying to reach people in a state of distress, adding to their stress can be disastrous. Goulston, 2010
  • 52. Calm yourself  Let posture, position, tone communicate calm  Focus on connection, not control  Skip logic – go for empathy  Listen  copyright Attachment and Integration Methods, Inc., 2012
  • 53.  Remember – parents’ #1 priority is relationship ◦ Don’t usurp the attachment role School handle school  Communicate!  Communicate DIRECTLY with the parents  Avoid triangulation  ◦ Confirm child’s reports copyright Attachment and Integration Methods, Inc., 2012
  • 56.  Contact Info: ◦ attachmentandintegrationmethods.com ◦ kmbenckendorf@gmail.com  Services ◦ ◦ ◦ ◦ ◦ ◦ Parent coaching (phone) Training (online or your site) Speaking, seminars, presentations Writing Integrated Healing Rhythmic Movement Training