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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.
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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
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