About Us | Accolades | Links | Directions | Contact Us  
     
 

Dyadic Therapy

An Attachment-Based Treatment of Maltreated Children and Young People

Dan Hughes, Attachment & Human Development, 2004, 6, 263-278
ABSTRACT (Summary)

When children experience repetitive intrafamilial maltreatment, thus having no setting that provides attachment security, they are at high risk for developing a fragmented sense of self and disorganized attachment patterns. Basic survival requires all of their psychological and physical energy. Their affect is likely to be reactive, cognition may be rigid and their behaviour may be impulsive. They also are at risk to be dissociated from their experiences with gaps in their personal narrative. These patterns, along with habitual controlling and avoidant behaviors are likely to permeate their daily functioning and to be present during therapy as well.

The goal of treatment is to provide these children with an opportunity to safely become engaged with their therapist - as well as their primary attachment figure when appropriate - across a full range of experiences. Their attuned presence enables these children to be more likely to activate aspects of self which they had previously failed to do. With successful treatment, their affect - being co-regulated - is now more able to resonate across a much wider range of implicit and explicit memories and here and now experiences. Their reflective abilities are more able to expand and incorporate the flexible, responding in the unique manner that will meet their best interests. They are able to remain present over the course of the sessions, including the memories elicited, and in so doing, are able to begin to build a coherent personal narrative. Their sense of self is becoming integrated. The intersubjective experiences of the therapist and caregiver - with them now in the terrifying and shameful events of the past - have provided them with new ways to give meaning to those events so that they can more fully enter into their autobiographical narrative.

Books regarding attachment
Archer, Caroline (199) - First Steps in Parenting the Child Who Hurts
Bailey, Beckey. Ph.D. (2000) - I Love You Rituals
Becker-Weidman, Arthur & Shell, Deborah (2005) - Creating Capacity for Attachment
Hughes, Daniel A. (1998, 2006) - Building the Bonds of Attachment
Hughes, Daniel A. (1997) - Facilitating Developmental Attachment
Hughes, Daniel A. (2007) - Attachment - Focused Family Therapy
Kagan, Richard (2004) - Rebuilding Attachments with Traumatized Children
Levy, Terry and Orlans, Michael (1998) - Attachment, Trauma and Healing
Siegel, Daniel J. and Hartzell, Mary (2003) - Parenting from the Inside Out
Weininger, Otto, Ph.D. (2002) - Time-in-Parenting

Books to read with your children with an attachment base
Gliori, Debi (1999) No Matter What
McCourt, Lisa (2001) I Love You, Stinky Face
Modesitt, Jeanne (1993) Mama, If You Had a Wish
Munsch, Robert (1995) Love You Forever
Penn, Audrey (1993) The Kissing Hand