Using the DMM to unde r stand and r e spond to De ve lopme ntal - PowerPoint PPT Presentation

Using the DMM to unde r stand and r e spond to De ve lopme ntal T r auma in Child Pr ote c tion Se r vic e s Aoife Bair e ad, Soc ial Wor ke r

Unde r standing de ve lopme ntal tr auma De ve lo pme nta l tra uma o c c urs in the first thre e ye a rs o f • life whe n a c hild’ s no rma tive de ve lo pme nt is disrupte d due to the a b usive o r ne g le c tful na ture o f the ir re la tio nships with the ir prima ry c a re r. T he c hild’ s e a rly life e xpe rie nc e s a re c hro nic a lly a nd • pe rsiste ntly frig hte ning , unre spo nsive o r unpre dic ta b le . As so c ia l a nima ls who a re e ntire ly de pe nde nt o n • a dult/ o lde r c a re g ive rs fo r surviva l o ur physic a l, e mo tio na l a nd b e ha vio ura l de ve lo pme nt is intrinsic a lly linke d to the na ture o f the c a re we re c e ive . T he mo re c ha o tic o r frig hte ning the re la tio nship the • c hild ha s with the ir prima ry c a re r, the mo re like ly the y a re to ha ve the ir de ve lo pme nt c urta ile d o r de la ye d.

Using the DMM to unde r stand e ar ly c hildhood tr auma and de ve lopme nt Pa re nt’ s re spo nse in te rms o f the c hild’ s ‘ zo ne o f pro xima l de ve lo pme nt’ (ZPD) will impa c t the c hild’ s a b ility to a c q uire o r ma ste r the se skills. Whe n the re is a n o ng o ing o r pro fo und risk the infa nt o r • c hild will ha ve to ma ke g re a te r a da pta tio ns fo r survive , a nd this will b e e vide nt in the c hild’ s de ve lo pme nt; e mo tio na l, c o g nitive a nd se nso ry de ve lo pme nt. T he g re a te r the se a da pta tio ns, the g re a te r ne e d the re is • fo r the pa re nt to re c o g nise a nd re spo nd to the c hild’ s ZPD. Whe re the y do no t o r c a nno t, the c hild must ma ke g re a te r le a ps to me e t the de ma nds o f surviva l. T his re sults in ‘ sho rt c uts’ – a n o ve rre lia nc e o n c o g nitive info rma tio n o r a n o ve rre lia nc e o n ne g a tive a ffe c t.

Re g ula tion a nd a rousa l Proc e ssing a nd inte g ra tion T he first ta sk o f a pa re nt in DMM Info rma tio n pro c e ssing is tie d to • te rms fo r the first thre e mo nths o f de ve lo pme nt a nd ma tura tio n life is the physio lo g ic a l re g ula tio n E xplic it me mo ry o c c urs a fte r • b y the pa re nt o f the infa nt’ s two ye a rs o f a g e . Prio r to this so ma tic sta te . implic it (pre -ve rb a l) me mo ry is Cha ng e s in o ur a ro usa l syste ms do mina nt a nd we re ly o n this info rm us a b o ut c ha ng e s in o ur muc h mo re q uic kly tha n ve rb a l e nviro nme nt a nd o ur ne e ds within o r inte g ra tive me mo ry whe n we this; de sire fo r c o mfo rt, fe a r, a ng e r fe e l unde r thre a t. e tc Childre n who ha ve ha d • de trime nta l e a rly re la tio nships a re mo re ‘ wire d fo r stre ss’ a nd re ly o n ‘ fig ht, flig ht o r fre e ze ’ muc h mo re c o mmo nly tha n tho se with no rma tive fa mily histo rie s. Due to this the y ha ve le ss o ppo rtunitie s fo r inte g ra tio n

Se lf e ste e m and Dispositional Ruptur e and Re pair Re pr e se ntations Be c a use A a nd C a tta c hme nt • T he ne uro lo g ic a l pro c e ss o f fo rming • stra te g ie s pro vide misinfo rma tio n to de ve lo pme nta l pa thwa ys is linke d to the a tta c hme nt fig ure , the a b ility o f o ur e mo tio na l sta te s a t tha t time . Due the pa re nt o r c a re r to a tte nd to the to this o ur se nso ry a nd a ro usa l sta te s rupture s in the a tta c hme nt re la tio nship a re intrinsic a lly linke d to the a c q uisitio n is ha mpe re d. o f info rma tio n (pro c e dura l, ima g e d, se ma ntic a nd c o nno ta tive ) T he mo re c a pa c ity the pa re nt o r c a re r • ha s to re pa ir the b re a c h, the mo re T he o utc o me o f this is tha t c hildre n • o ppo rtunity the re is fo r the re la tio nship who do no t de ve lo p in a se nsitive a nd to stre ng the n, a nd fo r the c hild to c a ring e nviro nme nt a re like ly to ha ve func tio n within the ir zo ne o f pro xima l a n inc o mple te se t o f da ta to re ly o n. de ve lo pme nt. Childre n with the se e xpe rie nc e s a re • mo re like ly to ha ve a n inte rna l mo de l o f se lf tha t is ne g a tive

Using the DMM to infor m inte r ve ntion Wor king with par e nts and foste r c ar e r s

Psyc hoe duc ational wor k T he Zone of Pr oximal Dispositional De ve lopme nt Re pr e se ntations T his a llo ws the pa re nt o r c a re r T his a llo ws the pa re nt o r c a re r to o b se rve the c hild’ s a c tua l to unde rsta nd the pro c e ss the c a pa c ity a nd c a pa b ility a s c hild ha s to g o thro ug h to ‘ re - o ppo se d to wha t the y e xpe c t le a rn’ de ve lo pme nta lly. T his is to se e in te rms o f e spe c ia lly impo rta nt whe n c hro no lo g ic a l a g e . unde rsta nding ho w to re spo nd to b e ha vio urs a nd re spo nse s tha t a re implic it, o r pre -ve rb a l, a nd whe the r the c hild is the c hild ha s o ve r re lie d o n a ffe c tive o r c o g nitive info rma tio n

Se nsor y and play base d dyadic inte r ve ntion • Ada pting g a me s a nd pla y ta sks to g ive the c hild the o ppo rtunity to re e xpe rie nc e de ve lo pme nta l sta g e s (physio lo g ic a l re g ula tio n, turn ta king , pla ying the g a me , re c ipro c a l c o mmunic a tio n a ro und o b je c ts o f jo int a tte ntio n a nd inc o rpo ra ting la ng ua g e into pla y • Wo rking with the c a re r to ho ld the mse lve s in a se nsitive a nd re spo nsive spa c e b e ing a wa re o f the ir a ffe c tive a nd c o g nitive re spo nse s (fa c e , vo ic e , po sitio n, a ffe c tio n, turn ta king , c o ntro l a nd a c tivity)

Impor tanc e of the DMM whe n wor king with tr auma An unde rsta nding o f tra uma pro vide s a n unde rsta nding • o f wha t is b e ing se e n. T he DMM pro vide s a n ro a dma p no t just o f ho w the c hild de ve lo pe d b ut why this wa s impo rta nt a nd ne c e ssa ry within the ir c o nte xt o f c a re . T his e xpla na tio n g ive s pa re nts a nd fo ste r c a re rs a wa y • to unde rsta nd the c hild’ s live d e xpe rie nc e a nd ho w tha t is impa c ting the m in the pre se nt. By unde rsta nding this a nd the ro le the y c a n pla y in the re pa ir o f the se de ve lo pme nta l stra te g ie s a ppe a rs to inc re a se the ir se nsitivity a nd the ir mo tiva tio n to a da pt to the c hild’ s de ve lo pme nta l ne e ds. T he DMM ma y a lso b e a use ful g uide to re wire a nd • re pa ir the de ve lo pme nta l pa thwa ys within the ra pe utic wo rk.

Be rtino ro , 2008 Camb ridg e , 2010 T o download pr ogr am mate r ials, c lic k he r e https:/ / www.ia sa - dmm.org / ia sa - c onfe re nc e / F rankfurt, 2012 Miami, 2015