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Family Attachment Narrative Therapy Renewing the mind of a child

Family Attachment Narrative Therapy Renewing the mind of a child. ATTACh 2002 Preconference Institute October 16, 2002  Costa Mesa, California. Denise Lacher, MA, LP Todd Nichols, MA, MPAff Maren Harris, MA, LMFT Jan Norman, PsyD, LP. Attachment Relationships. Model and Meaning.

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Family Attachment Narrative Therapy Renewing the mind of a child

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  1. Family Attachment Narrative Therapy Renewing the mind of a child ATTACh 2002 Preconference Institute October 16, 2002  Costa Mesa, California Denise Lacher, MA, LP Todd Nichols, MA, MPAff Maren Harris, MA, LMFT Jan Norman, PsyD, LP

  2. Attachment Relationships Model and Meaning Meaning

  3. Attachment Patterns of Behavior • Organized • Secure • Insecure-avoidant • Insecure-resistant or ambivalent • Disorganized/Disoriented

  4. Attachment Relationships Life Events Trauma Model and Meaning Meaning

  5. Trauma Effects • Affect regulation • Attention-Impulsivity • Aggression • Dissociation

  6. Attachment Relationships Life Events Trauma Model and Meaning Meaning Development

  7. Developmental Issues • Emotional • Cognitive • Social • Neurological disorders

  8. Discovering the Model • Gathering information • Standardized testing • Observational methods

  9. Attachment-Promoting Interactions • Structuring • Challenging • Engaging • Nurturing From The Theraplay Model, Jernberg & Booth

  10. Other Essential Interactions • Empathy • Stress Reduction • Playfulness From The Theraplay Model, Jernberg & Booth

  11. Discovering the Model • Gathering information • Standardized testing • Observational methods • What parents know • Putting the pieces together

  12. Parental Attunement

  13. Attunement • Enhances emotional • Supports healthy development of representation of self and others • Supports language development • Becomes cooperative partnership • Supports development of coherent narrative

  14. Lack of Attunement • Easily overwhelmed with emotion • Negative mental representation of self and others • Impaired language development • Insecure relationship with caregiver • Incoherent narrative

  15. Role of Professional • Support • New way of looking at child • New tools • Assess parents • Relationship with child

  16. Constructing Stories • Setting • Props • Perspective • Hero • Message

  17. Shifting Inner Working Model with Narratives

  18. Claiming Narratives • Strengthens emotional bond • Facilitates trust • Establishes birth order • Extended family • Passes on traditions, history, rituals

  19. Trauma Narratives • Heals pain of trauma • Creates empathy • Fosters understanding

  20. Developmental Narratives • Facilitates cognitive development • Enhances emotional regulation • Builds relationships • Remedial skill building

  21. Successful Child Narratives • Teaches values • Reinforces cause and effect thinking • Presents alternative behaviors • Explains basics of “How To Do” life

  22. Narrative Themes From the first, you were a child that deserved to be loved and cared for by parents you could trust.

  23. Narrative Themes Even though you experienced abuse, abandonment, neglect, you deserved to be loved and cared for by responsible parents.

  24. Narrative Themes Your problem behavior does not define your value and we will be there to love and support you as you make changes.

  25. Program Outcomes

  26. Data Collection Plan

  27. Child Behavior Rating Scale • Examines four diagnoses • Conduct Disorder • Oppositional Defiant Disorder • Attachment Disorder • Attention Deficit Hyperactivity Disorder • Compares parent report of child behavior to diagnostic criteria from DSM IV

  28. Pre Post CBRS

  29. Achenbach CBCL • Total Score • 2 Broadband Measures-Internalizing and Externalizing • 8 Syndromes-Withdrawn, Somatic, Anxious/Depressed, Social, Thought, Attention, Delinquent, Aggressive

  30. Significant Change CBCL N=69 All differences significant at 99% level.

  31. Client Satisfaction • 98% Believe program helped parent child better • 98% Would recommend program to others • 94% Believe program helped them parent child better N=60

  32. Additional Resources • Parenting with Stories: Creating a foundation of attachment for parenting your child available at conference bookstore and website • Forthcoming book for professionals and parents • Speaking and training • Website: www.familyattachment.com

  33. Family Attachment Center 18322C Minnetonka Blvd Deephaven, MN 55391 952-475-2818 www.familyattachment.com

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