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El. knyga: Attachment-Based Milieus for Healing Child and Adolescent Developmental Trauma: A Relational Approach for Use in Settings from Inpatient Psychiatry to Special Education Classrooms

  • Formatas: PDF+DRM
  • Išleidimo metai: 19-Oct-2017
  • Leidėjas: Jessica Kingsley Publishers
  • Kalba: eng
  • ISBN-13: 9781784507398
  • Formatas: PDF+DRM
  • Išleidimo metai: 19-Oct-2017
  • Leidėjas: Jessica Kingsley Publishers
  • Kalba: eng
  • ISBN-13: 9781784507398

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This is an introductory guide to attachment for professionals working in intensive child and adolescent mental health treatment programs. The book provides an attachment-informed theoretical treatment model for working with young people, and explores a range of situations and dynamics frequently encountered in the intensive treatment setting.

This book presents an innovative relational and community based therapeutic model to ensure children's essential attachment needs are catered for in intensive mental health care.The text combines an overview of theory relating to attachment and trauma before laying out a model for working with children and adolescents in an attachment-informed way. The approach applies to a diverse range of settings - from in-patient psychiatric settings, through to schools-based programs, and provides the reader with the knowledge and guidance they need to introduce the approach in their own service. It also addresses the complexities of working with specific clinical populations, including children with ADHD, ASD, RAD and psychosis. Accessible for entry level clinical caretakers, yet sophisticated enough for clinical supervisors, this book is essential reading for professionals looking to improve the effectiveness of child and adolescent treatment programs.

Recenzijos

John Stewart's new work is an excellent endeavor to describe the complex qualities that are central in developing and maintaining a milieu that provides young people with the relationships that they need to begin to trust. -- From the foreword by Dan Hughes, psychologist and founder of Dyadic Developmental Psychotherapy In Attachment-Based Milieus, John Stewart shares his original and practical approach to utilize relationship based approaches to healing. In a clear and well-written way, he provides us with the tools to leverage our Paleolithic tribal instincts in the service of plasticity and positive change -- Louis Cozolino PhD, Professor of Psychology, Pepperdine University John Stewart has given us a gift. This book expands our use of attachment theory and provides a road map for institutions to travel on towards more secure base milieu care. -- Guy Diamond, Director, Center for Family Intervention Science, Drexel University, Professor Emeritus, University of Pennsylvania

Daugiau informacijos

Attachment-informed relational approach to intensive child and adolescent mental health treatment
Foreword 11(5)
Dan Hughes
Preface 16(7)
Introduction 23(8)
SECTION I INTRODUCTION TO ATTACHMENT THEORY
31(24)
1 Treatment within a Theoretical Model
33(3)
2 What Attachment Theory tells us Is Wrong with these Kids and What They Need
36(2)
3 Introduction to Attachment Theory
38(6)
What is attachment?
38(2)
Why are attachments important?
40(4)
4 Attachment Needs within a Three-Stage Developmental Framework
44(11)
Safety and security vs. insecurity and shame
46(2)
Emotional regulation vs. emotional dysregulation
48(2)
Meaning and purpose vs. meaninglessness
50(2)
Conclusion
52(3)
SECTION II SUPPORTING HEALING ATTACHMENTS IN THE TREATMENT MILIEU
55(153)
5 How Are Attachments Formed and How Is this Applied in the Treatment Milieu?
57(36)
Intersubjectivity
59(2)
PACE
61(21)
Optimal frustration---supporting secure attachment, sense of self and evolving competency
82(8)
Connect--tear--repair
90(3)
6 Understanding and Using Co-regulation of Emotion as a Precursor to Self-Regulation
93(7)
Emotional co-regulation
94(3)
Unreasonable attributions and accepting responses
97(3)
7 Executive Functioning Weaknesses, Attachment and Organization of the Treatment Milieu
100(11)
Making sense of the environment
101(1)
Factors affecting a child's capacity to organize
102(3)
Program challenges in work with children with weak organizational capacity
105(2)
Analogy to support empathic understanding of a life with limited executive functioning skills
107(4)
8 Attachment-Informed Limit Setting within the Treatment Milieu
111(31)
Use and misuse of behavioral limits
112(5)
The what and how of structure within an attachment-informed treatment milieu
117(7)
Connect, and only then direct
124(1)
Use as few words as possible and don't offer too many warnings
125(1)
Express respect for the child and avoid threats
126(2)
Managing overtly oppositional behavior
128(14)
9 Rewriting (Healing) Shame-Based Self-Narratives within the Treatment Milieu
142(11)
An introduction to the neurosciences
142(2)
Creating a positive self-narrative
144(2)
Planting the seeds of self-work with children with limited identity development
146(7)
10 What Gets in the Way of the Attachment-Informed Stance for Clinical Caretakers?
153(5)
Limited understanding of the importance of connection
153(2)
Competing objectives and values
155(1)
Environmental stress
156(1)
Conclusion
157(1)
11 Institutional Support to Attachment-Informed Work
158(7)
Institutional core values and philosophy
158(2)
Criteria for hiring
160(1)
The nature and focus of staff training and supervision
161(3)
Effective Clinical Administration Management of Frightening Episodes of Aggression and/or Assault within the Milieu
164(1)
12 Attachment-Informed Work within the Treatment Milieu with Special Populations
165(24)
Autistic spectrum disorders
165(4)
Reactive attachment disorder and developmental trauma
169(1)
Psychotic disorders
170(2)
Narcissistically defended children and adolescents
172(17)
13 Special Strategies and Considerations for Milieu-Based Attachment-Focused Treatment
189(15)
Touch
189(1)
Food
190(4)
Unexpected positive reactions
194(3)
Transitional objects
197(2)
Peer-centric milieus
199(5)
14 The Role of Kindness in Treatment
204(4)
Conclusion
206(2)
References 208(2)
Subject Index 210(4)
Author Index 214
John Stewart is a psychologist with 35 years' experience. He is Assistant Clinical Professor, Department of Psychiatry, Tufts School of Medicine, Boston MA.