9/18/2012

Overview of Training

Trauma & Attachment -

A Therapeutic Response

Developed by Trent
ComexCa re 5an & Brett Seems

What is Trauma? Trauma Defined

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, "mum...““mmu
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Grnup Dlscuslion Yuum. .. Own-momma
., What makes an even! maumanc? , mum“
mm“. Mann-"Inn
mmumm
» What do usumauc events have In common? m. mn-
. mum».
m-«hmmLmnmy
zap:
 9/18/2012

Tmes of Trauma Group Discussion

What kinds of trauma do you think
the children you support have
been exposed to?

n.“ . mi. Eunl m. . uuruuucwumv-

1

lmgact of Trauma Basic Brain Anatomy

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v‘
‘

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» mum-aw , wm min
m: lnwnl n
m unmmm. mm)mm
“maim-
.m
mea- m
mug
 9/15/2012

Basic Brain Anatomy

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The F'ght or F ‘ght Resgonse The Human Resgonse to Threat

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x nemmrmgm mm. umwm
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‘vVJuPHW‘ 15:» §u>vw<5d

 9/18/2012

‘Flght or Flight Hygeramusal)

Body Response
. “WW": mLawn-m ”my mm m: mmmy Irma! a
napl
, Mum. .m- cm d‘mll‘nn m mm mm m w mm me
"man man
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mm mm mm my
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y

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Cognitive Response —
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mueuwx: 9/18/2012
*W‘ucu [Mime nun“ 4

‘The Freeze RasEonse‘

{Dissociation} w mmw
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kw‘mmwmmznnyli‘mzanunmé‘
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new, mm dammed...) , chimnnmnm
mm-mmuwP-nng ”mm.“ .mmmna an
mnwmmm "mu mm;

Impact of Ragetitive Trauma

on Brain Functioning Neurobiology oi Trauma
Adults
.mmtna Wlnry
mmmmuvnm-ihminI-W
m
nu mm m-

> In e mature adull's argamsad brain traumahc .m «m. . mm Inn-fl mm.

mm M liv Dim“.
H!
is in

events will mcd' or rewgamse neural pathways . m-uwMu-nw

and can :reais mumes m funniionmg
-inmhmnAmWIxmv'Mund
Children
.Nmt wily pm",
> tn chitdlsn‘ weumeuc events can become tne my mm My
pnmauy prgamslng sxpanenca in! men “mm mm a.
Mum». .n .m my“
developmgpraim and news a devasteung impact .u e. um t. mmm m

,
on functioning “lawn:- ..
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g V's/Mn I/w‘j fl-flum ‘JVA" Wt]

Mam
Mal m MW in w e, MLGMHW
2 «1”,», no.1, N
5

“'me
 9/15/2012

Complex Trauma Neurobiology of Trauma

> Children exposed Io chronic/wnsistenl
Ma r; expand to mimic
lulmslm
rlM! mum»:
wlll trauma will reset their baseline state 0!
nmclale move m
ln slum-rid
arousal to alarm‘ even when no external
m."mm «mm plllunxmm
m
mm n r In new mu
we rvrvr. lunmn
threats are present
,, As external stressars are introduced, child
mm Mr :mlmue
I
ants mm ,
‘ruubcul below rn. we hu .n will become more reactive moving mm a
awonumy var aminlnu:
stale offeal or terror in the presence at
intern/elation cl
Warm-Klan
mm unsaW even minor slressors

m mm

Neurobiology of Trauma Affect Dysregula on

mrmrr 1m
, new?! ulll WWW...
b What is lt like (0 be conslantly alarmed? “Hummus“ Lyemurat:
)» What does ll feel like to never be calm?
. rmr mum.“
mm. aim mm
M . win. men-n
lemma m "mm r-sr
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in.
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In

m m {mu rm
m

mm
r
at
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m

. wmmmrv unmlnruulu mm

fllsrnhefdij M 4 ncn)
we A war we cam,
 9/18/2012

Cycle of Trauma
Ymmullnd chllflun mu am mummy “run
we upllclb IMII- mm «mum-an mm Ilm. (aw! Question Time
, Bic-nu mm amm- Ineqmmu m -
nu WM m .xpmm u.
mm. amm
mslh buundlnes
mm :1 mum me u:
'

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who by to em
usn urn-mm;
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mmm
mm «amlzmmum
num-m-mnwemmmmmm mm
\

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mm may; am new ‘nuafluniwhau I'm rev
one nauflmnllmummmng-v‘nu
Morning Tea
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?Mfl' . mumuneven
m “mum. awning mm mum mm.an mm
manna wnmmx “5tu
m
WJW Moldy-u
“summer! mm omv
5* LVI”

Wimp 0/7

Attachment What is Attachment? / 0w WW

p qundflnmt’“
.f
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m m an
mm
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wmfim and p‘easum
. Les: ormnalol was: We ammmumfiguvs svoknx
minus
 hid “Mans # Ageur) .U r2 cxwtmt .

9/18/2012

A Strange Situat'on
-, m me «9503‘ Amrwnnh uawsada [Housman mm
A Strange swuaoam «o abserve unachmenx remonshlps
beaween a calegwer and cmld

> In w: pmmflnra a: (he slmngn mmahon m chug .3

alum/3d maymamr 20 mum mm: uragwars and
Graup DIIcuulon mangevsemerand weave me mnm‘ mmaung me naw
Mme Vlmmarind unhmfliar presence m maflcmldran'i
> What are me swgns a! an unheamw or Insecure was Thu smmmnvanas m wenmlnsssam ma mum-s
anachmem raspamaure obsewad
, Wha| are me swgns or no attachment?
emu-Ag 90.9mm: Cw war
D‘gm mmwei»
gmhégmd —_ pmth/Hrvg {WW mM
A Strange Sltua n A Strange Sltuatlon
F0 upacuunm mm Bahawzm in ammo
5mm imchmnl
‘\ *oai 91'

m nmwnl w my.) m- . Admdwuucwl‘y Immdw u. mum»

Maw
v M axphmmn (a a mm mm
renames lhmuuhom
m . "mummy wan-um" up...“
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wLu/x
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on me am ulm‘rbeh-v‘wmmnhndlan sum-nunat.an
, ma «- “>454 ms ww- mntnav nu:
. w- wmm- my: a.» «a mm m m «mu mm
umaamu mm iuurqvoups Em amaseamm veflen: 1
Mann m m mmmnnt m-flmxhlp wnh me mm.“

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m Lam!
 mlw faked: gnflb a van “new, ¥ {<1:l_ q Snap/Mm

9/18/2012

A Strange Situat on A Strange Situation

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mm ”in in mm mam .mmi m. vim-mm mm
Multan m m many-n. m Wm m m. .mi.
-. A
m .n .wimwm mmm «,1. Dru-M.4
mm in , meuwmr-mwwi r-miwnvm
mm
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miawmmmm mm. mutant»: nml‘n Sun in in , tnmumm mymiuwly "um m- muwmnm wvmzn m in“
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m
mm
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my mm um»... am. my.

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m won». m1
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wind m w m. rim-r-
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m! » m-
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«mm m. mm man u. m m m m.
h—qulnuy
H

mm mm to NH-w m minim-mu m ms, nu nu mum

nwr my mum

A Strange Situation A Strange Situation

Dllumiiluod nmciimni Dlsomaiilufl uii-chmem
» mm awn-v wl: mm by Ainmnhi
mm. M-ry Mm , A mum mm m. nan-n w Ammws wuuws Mary mm
» um mlywdmw "91mm my mm mmMiwh-n m », mm may m1 mm saplrlhun Wtwmd (he may when m
"mum mum-cm. mm mmmmmummw Mum! m mwlwmlm mu mm in." Vial-uh“ mm. My
swim mmyw mum m u mm.“ m «M. Sun! smwstaiwlvved wmw Nah-s mm mum Hum
ups-um mu (him-N“ Vivi-tam Mung lmmu‘v:
. mm
mama
Inna main-twain "imam mmueflmdien
“win... armurtuum mm batsman/WIN
, Wm: Nun mm m mmioflmmaih-n wwcmm
Minimum mlpncuuarolherlmuml mm, Mrs my in.
W umi-wuil mflhbd mm Noe-nine WING-Drum!
by mumm- MAM-Ad m mm by buwminq Wm, «mun
 9/18/2012

Bondin is Real rocal Attunement involves M' ro 'ng

mawaé
5&4?le

Wsul; veohue
Aflunament Development of Emotional
Regulation - Soolhlng
. stem mail
emmn
wim-numml m- mammal-am mm m
» mm miwmum lmmm/
> wnan mm: (M mmu‘u “Willa! mm meleeiinv mum um..." mam-«l mm la
mum: M DMIiflbaiui
mmmm 99ml simply mill: nun-mm, mm «mm Mina m
». Response "mmmenm amnmnwmwmm .nmmm
mmw ewrsssimx
um mum
» 5mm"; in tama-
» mm; m limimmm Mums-15M ml." Mums m . ma :Md 4;
mmahly an. wm. Ailhun'lnl Minuum mm. m sunk» m- mum“
rumml ”mm “.1 m. mac-mu wemmlhlume mm mm“ mm mm
‘

“mm m. was (um mwmml

. in ma my on u mm m mm m man may
Win/91mm» “Mama:

3qu M .wimmc
“JAM! (‘3 x: ‘Vbag‘k
may-cow gum ,
a. k,» //
m4»
Lw
Warm/x W “W IN“ i
10
 9/18/2012

Davelogment of Bounda as and Anunement and Shame

Emo Ional Vocabulag Shun- m . mm. Amen-mm (Dan Huvhsfi a Am Sam.)
» A mus Mlammanl mam“ . mum mwmmw
-, 1». an my “a. u.
um. um mm; "mm
m m flour-mu mm m «4.1 a: mu:
m w , Duvmnmsml mmmm [humid ”run-m2: wmnhm
I

Mm m unenanu
ov-muv- mm Mar-mom mm IN mmurkmmnnn mum
. m, m m- m mmwuwr mmmm mm“ m p‘ulm m: m... mm mm».
My. mum mm , Mlmmflmalg-n1K5713mmmil’nmmhlslmmxunm
mihsmm stain-nun mm. mm... mum \nwm mu
mm“New
may
"‘ "fr? “3"“
mmmmm” mm mm. Wlnluxpirvsnungw. .
»
m
mwum
It wmum w . hmk m m. mmm m mm»
mmrum-luau" mm“- m hgm wmwmmm‘ws
. mum»; mmmam-mm , m shim: Mummy .7. mm mmmuu “mm
mm ”.5me In at
Jam mum a. Map-“m m w :1. mm: 1 mm a. m nu w m -
A

Wylu‘ m.
w hm (mum. mm mInnm-\um-m
mm MN mm
canwmnv mum m an mmmmmw
mum Immywxm \asmg
anmm mm mm. mnmlcy

/“ \/
(mum

Ammamen! and Shame Attunemem and Shame

shamamwn . mummx Rill‘unme sum mm . Pour Ammmanl mmm
, Emwwu mmnemw m mam: m mmmnmdm m.» 1mm.Imam-6M0”
. gnu/um xp-n-mz mpaw Mbchmum villmnimps \:
«w ma wk
vlflcnan
mulher: 5mm" mm,” m
>
mmmmm. .m mwuclwsluyundummme . um
Ewn mm mm w manlhl mm . Wmllummenl um
«www- w. u- mama-g mm Mur- upmlmn/Iulunamy m m
Wm
m maul on to . mm. Maw. m.
) m. mun «Maw-mm gems mam-d Managua mm.
mlmnnn nan-um: “My mum Vum'mamsr n- m . m. u . \mkufowunumry{mwnm mhmammr-nu
m Mummm Ind m. m nun: w- m new": Ind cmnmpl m: mm"
» TM ammumm mm“ mm umumlq-sd
mum
» wn-nnnm mwunlm mm. [My - Dewy lw‘ppafl m , n.- hwy aquam- m urwrv mot-hon mm, .m MM
«.1 m. n. mm m mum-«t mm mm.» wu \nnwvl m mm "mg x», mm mmmmm wnlumwlrv‘smm
urn-my Inn Mm mm m) um mm

11
 9/18/2012

Attachment in Adulthood
_ Marc-m M. .r mm. «mm mm“ n am pm“ :1 .
. emit-nann- .m...m........
beau .xpmq m law- .“ um. .u Mm
new H mm. m m.
In mm m
um. mum m (ml-um) am we mm.
mum." n0

, mm“ muncnunnm
«Fund » . m... m mo mum
mnmm “manually!"
mm. .m .n mun-n4 .1 mm an. mm m: m \. Mn mm
. 4n- Icahn-m w m. m. mmm
H >
W'- "ma.mww-
a Wn
5... mmR.
Mm».“mum“mumwmmmmm
, «pane/me mutunflenu m mummy m-y mm no... m
mm mm. ’
mar-Wmmmm
m. wmwmwm-m elm
umemadl‘
n
m mamas-ama .m m .. m mm m mm m... ammm
mm... mum:
m. .
m.‘ wrm‘flullm
«:1
.nn
WWW mm"

Flaw, ban-nJLt/‘PMO ~sme W

Neglect Neglem as Developmental Trauma
m1-
m
... m yum-ll-
mu m... mmmw 9, Undnnhnlln' mm. mm...
mun-Inlay. .: hum-Ind
mm?”
..1

mm?» “W"
.m mm;- mm." mun“
mum w imam-”mu mm
, nrwuhiad! m. mm
' smmmwm
n-mrwmmmmp-
mm mm
y
mmmmn
mun-mun
m. msmm
V
, Muwmwmm
.m.. Rim-mm Wu“ run-64
Imummuwmmh
m. » m. human-mm-
mmm .m Ium m
mmwwmu
mm‘mn mm
Iblndnnm m
(rt-mu Mm-mnwmwmmmm
y
m.
u .mmmmm mm
5...,"mm”:mu

12
 9/18/2012

In Utero Trauma Complex Trauma

mg. pinfl m me «am.
Any
Chilonn who hm Mn mm and mums wili
summm dumb“!!! I:
am m m mm. mum: In on." have exp-mm: complex llyen of traum-
mu
w-r‘vuinow-
m mu
um «I m. mg.
. hwy ”yam-“M m mum imins mum-um miiunxhip
mm mm m. .xpam mm inumulmnn mm: mmviKA
my mm m mm mm ("air
“may min- w hymnmuni
m -,mumM hlwbnnwm man ‘MmItich-Vi-ncl-Ini
.m. uwiineningcfwvinncymienw‘ we «mud-d ID
flhysuilndwiunlil u." mm waumhys-muanuu
mam . mire mm in mm. , Unnmumtinw IN minim Mair-mm an 5..., lulu!
memmm an mm mm: heyand rm chaiilnging Ind
m mly mam. . mm: clam
mm "oi—Mum. m mum. in.
in Mlsn fliswmmq “mm dilpiflyefl (Mlemiidmn
w
dmiawflvl
"Minn-my
m . numw .ummm

How do Trauma ed
Ch dren Behave? Groug Discussion

How do the traumatised

chiidren you support
behave?

15L Kt, wk iachS

13
 \
1“ «
C‘fig‘ 9418/2012
(u
,L
:fle‘o
[YMMV
\L {fiA
How do Traumalised Children Behave?
mama-1mm
Huh-flaw:mm... by mm.“
lmm “amu- mummuxmm um mm.
mm." m. "Mm” m ,
,
"cruised
Im‘smmmfldv mam (mm mm» mm. mum-mp-
) mm. anwmm 1mm , Pmrcmmummm
, m. ym: mmmmm
>70urm
unpuvmmyu-am “mum N" mmw . nmmmmnmmw cm M man Dmrpmvww w: u
sum“ mm
. um mm.“ mm mm , LICK mummy ummameamm armmmnmrmnm

mm ”mm mmwmm emu:

. We , mm
may «a m. mum-1 m M: nuuhld)
. mum dumxmmn ”mm-w hyplwfllnm
. 1mm,
wwmny
m NM mm m , Pumflwsnm mm mm" mm m4mbumnw - bum
Mm"; mm
, m mm«mm
mm
mummy
ant-nu»:
L
mm

Cagaclg to Learn Concentration

LAW
mumuun childnn hm
Chllfllln mnhmakmnmm um um
mmmw
nun-v. hum Mllulullly m. mm. 4.1m
my flhnrnlmud mlnfll
mmmmm.
“mama." m‘mwm Wu
‘
. m-ymlwuwl «mm mm mm W M. m»... .u... u-xumunmuuwnm
. "Jewmhm
. wyawmm-ymmmmm
mymaymmnmmmm , Smumm‘udmmm ’"" m, " mum“ mmm. my
mmmr-ppmmmm. mmunwmuwnm-mn

mgmuuuuumm
»
mm m.“ .u
, smpammnm
. mm
, mem ”Mm.”
” 'V
Wm
»
.
thmlmuuuw mm
. mmmmmamkmn
Aumm-mamuum
Amdyvmumm
. ymumwm
"m. .mu-mewwmmm.
mum m1 mm"? (mm mm.
m mumm.
u. m.
..uwmm.
mm
wuwnwwnhuunhufll

14
 9/18/2012

Responding to Traumatised Changing the Brain

Children Nauru-sequential Modal olThorapeutics
arm WW
5 Princigle: of NMT
i, Lower hrliu respond- «0 pater-ml nun-«x
berm inlormailon ls conulcusly
pmuuud
1 N-urII syulml chlnga |n - uu-doplnd-nl
(ashlar! (narrowed. "Mimi/a aciivlty
change! an. bmin)
:. Tm hrllu dnwlnps in . uqunmial filhinn

Groug Discussion
How do we change a
brain that is wired on
‘bad’ experiences?
Neurons that fire
together, wire together

15
 9/18/2012

_. iwsna 4w
Changing the Brain Changing the Brain
Repetition Repemlon, Repetition Nurturing replacement experiences
> Neural systems and children change with > Change is a long and slow process
repetition > Therapeutic replacement experiences must he
develnpmemaiiyappropriate out not necessarily
> By providing children with repetitive age appropriate
nurtunngexperiences, patterns of neural > This becomes more and more eithcutt as
activity previously assoctaled with threat. children become older
can become associated with positive
experiences > Chlldven‘s impaired mnctlarlirigi maxee I| dimcult
tor them to interact in a positive way
Imu Pmy EmceF:W

Changing the Brain Chang ng the Brain

Stimulation of the lower biain regions
Brain-stem Interventlons
» Repetitive stimulation rriust occur in the areas Pamrvltl-umlmhl .r. we fluMnmadmiupm-m eith. imi
that are dysiurictieriai , buiri
ih mare

Parts olthe brain can notoe chaneeo ilthey are , mimic watery 1mm: "twat-twin aim-mam mm
m mum thawixnb-nd luacim withhmnetion er
>
not activated mew-mi IM-Infllowum
x conventional therapy does riot stimulate or » Mime-Ind nevmmmiviiie. lhil prem- nlualriafl Imiitm
activate the brain stem
mvmmicelimuim Mihl brain am am men. amp-inns
brain-tam ayarenuiuien

> As long as the brainstern is poorly regulatedy it . eminn flmmmlr‘zi mulicmflnmmed masueeun .ii vein th.
Willdlsrttp| tunaiening in higher parts at the
mil/nut“ thrwnh mpnm .emupiien .i in ten. per ninuie a
brain ane interfere with traditional interventions
“swim; «in en mi Bruno Furry

16
 flaw/mgr Wfiwt‘s 0&qu Bmu A $40»?
,8 EA QM ’7
9/18/2012

KM, ‘ «Amttj (3 ,{WhLI/T‘l fl,

Healing from Trauma Healing from Trauma
throughout histom throughout histom
, Sm u. b-gmmnn mama mamandl Mnunum: h-vn
mum “mm. W mflu— 41mm“ mum: and up! , Comutsmsnu mtI-is
> Out-mum! m locwawtm mm. m
hmes cummum! .m lhmvcutlmatn surwame “m wuuwl rig-ta .
"murmur "Wm, ,
m
. Abunqtnll mm .u mm. wane 4m
mm mm pnnamu mm
mm mm mmm puma-1 mmmmlw tan me
"turn

.
m. m what
mm"-
lvwnmn m. m

Changing the Brain

Pal Therapy
-. Rewvsry Dmoess 1mm retenonat
nwleclcan scanwm. ammats

, Ammats such as dogs have the

capacuy w vmvlfla uncommanat
antenatal“):and mama mpmma
nummng “penance:

17
 9/15/2012

Relationshig Based Practices Rela ns QBased Practices

Dan Hunhes— Dyndlc Developmental Psychommuy Din Nunm- Dyaflln ummpmmmmycnmhmpy
my in mnMiamllymM-pyi..." numcmmmm m no: llIwVMllmlU may hum! onmmmmumym
lmnuuhnuivfly immummw
> mimualemvlw mm lame mm memo“! axmem . lnlav-sublnmlvllylfl-lxlnlh- 5mm mwwl urn/mice
Ween lulev .m midi wherebym: :anenca n mm human acavev m cm wharebylh- exvevlancealunh l;
mm In mum on .xpmmm. mm mvms m "up“: an me Exvenenmalme ulnar
, Chlldm»exacnancamemselveu Daslhvelywhenevnrlflelr
celery upemcmm .s m-mfuslmn malnchnmclnnsnm.
. Chlldmn exp-Henna «mum puxlmely whenever mew
cums axpmm mm A: mlnflel‘lflfi «me mummies
and um. um: mu m van.
-. n lsexmmelyanfinulua expmm m nllomlmlylllm , n u mama-1y ammo exparlmu we tell pnslwely Wm:
lmpaflin‘ Deanle m aurllves an nmflpemnmm I: being
lhal way
u
lmPflflinl mm. ln nurllvu an nmaxpamnoeu. nelw
am my

Groug Discussion Relationship Based Prac es

PACE .
unmamwymmmm
m-lmlnonnlnnm-m
How do we positively affect our >Playfullle55 . c-nrmnlmpllhynnlpl-ymlnul
child, rather than allow them to > Acceptance Wm... m "mum in
"my.“ m m. m. m.
mm
“aloud
negatively affect us? )Cm'm'w . cmmummmm .n on
> Empathy mm. mmm- in «mm. as
mam mm. mm
“Wm.W.
um... W. "m.

15
 9/18/2012

Playfulness Accegtance
. mmnmu... Illflmmmnm
w...
v... m
.xplamm mm.
mm W 1mm
. Yh-chllfl x: marl mam-«mo m
mm m \- uwym “mung-Hen
.nu
. mmmmmna Immnm. mm I:
mum-m m w... hand
' m- arm-1 his .n Inn-Ind mam tn
“won vn-wumwu w». an
mmm- phqul :Mmcllan. u
mm. m. amummum.

Curiosng and Interest Em Qathx

. Yhozhllfllmammwmamnm , 11w nmucrucwl a non",
urmmom um! um. .r. « anyway-mn- p
”Mum mm m all u. vuw anunwlmkd uuna
mm: m ». Ingmu Mm m.
mm Ind haw": wanna. m- mm". mmnm. Moe-no]
“tun-mom
Infill-mm
"mu-4 mum-w- rmwmmw mum-s m. «an mm mm .m
.
wnllln m... n x. “Mm": MIA
M m mun-n, mom
you,
unwrumw m chl‘d mum
wnu. m n. :ommunklflnl m. mm vim-1w \um um: mum
"Wm“ w. m 1... "mm s. u Ind mm m .m. n I. mhm
cummunlulml wllulflon Ind
:mkllm Eng-sewn mm mun-my :-
mm. 1» mm
m

19
 9/18/2012

W
T as for Facnitatmg Attachment T as for Fac ital ng Attachment
mm mm

, Eye Contact, {Me Mvame gegtumsmd loucn are

actlvele‘lam‘fioyd (e oemmumcale:91er em ”paw
never me In common

. The adults‘ ematmnal same ulalmn ahmlxes must

,
mmm mlmm
mum.“
sum as a model (arms um wmammn
, succumb-v14
, m adults musmnslamlv Ilzwu to have amaamyler
the cm and m nevev larget mat ‘chlldlenda well u they
. mumaum
Dunn-mum M‘Mw-vu
nn-Hy-v-ryfl-y
can‘
, ‘Buh-m-mMum-u mm m

Collaborative Problem

W
Dlscigline Solv ng
>
mgmm w: mmumnuu
mm” m
., Wlmmwaw
mm

. Mliuflvnulaulm m mu rm”:
film-ma m
Hallwmmequenus m
Imw m

, m. matmwlah-kmv-m-n
mm. hmwum m
"mm“ mm)
“Mm
WWW”?
mm
’ mm
"

20
 9/18/2012

Collaboratlve Problem Solv ng Collaborative Problem Solving

Molivaflgnal Theom manna Exvmsivz ms
b Chlldren do well lithey want to mm 5mm“ 5mm“
> Children choose lo behave or mlsbehave
5 Paihwaxs to Exgiosivo Behaviour
Rewards and punishmenis need to > Executiveskills

LEW
>
outweigh child’s mulivaiion to misbehave » Language-pmcesslng skills
5 Emotion regulation ski/is
> Children do well ii they can > Cognitiveflexibility skills
> Children's challenging behaviouris due to > Soclal skills
cognitive deficits

Wor g Memom Language

mm m... m mm
mm“ mm
miningmm
mm
in
Diem-m
w you“ n m an mm
w in
, Neglaolv Eavly mlalmnshlps should be rich ln language
including me language aiemaiians and relmnnsnip
mm mm: mm. mm m . Trauma , Dissocizllon snms awn our ieii brain or
language cenim This makeslinflmg words my
. mnngmnflww experience and lianslallng emwans into words vary
mmonll
. ...,.......m.mmn «n. m. n . mu "mm... m Lari us mason Skills GreeneaAh n 2006
. mmm'mm-mwmm ummmmm New . men has mom unlessinglhoughu needs or
concems [n words
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. mmsumnu mmmmn-mm . Lang dalayibefore msponflingko queslions

,mm....
nmwnm‘ I” mmmmw M."-
, m m‘m V . DiMcully knowing nrsayiny new helm: laels

21
 9/18/2012

W
Cognit ve FleXIbIIIg Ham 3! and AdagtIVIg
Chllflnn whom" up. Inced lnuma may Illa
flhplly mm mm“

» €11an lam-mm mm m.“ um ww- hm»,

» mm. an mm min min mme‘ angina? pen
» Dan pm, mmmm mama-mm mum
m
uncvuinl‘f

, mm m «w: m. u “mm Bambi!

mm
Dummy
Dummmnva ur

) nmum-wmm wwwm mm” m nuimdw-w

W
Emy

.
m
Impact on Social Functioning
“mm".
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mm.” im-mnpw'lflnnwnwmmhmun
mm...
WWW"

”mm .am
1.

Mummy.“
.0.
mm...“

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m.mm.”(mammmmmmmmmm
Mum-i
mm m .n mmv
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pm...
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w, Wham um.

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pmumnmmiu.m.m...w.mmmm
mum. ..
W
> Dflfimky

>
>
«msmm
Affect Dysregulag n

mymg caim enuugh to "1in Manny {when

» CmnkY‘ gmuchy‘
(mummy
mevy‘ «mama (mm comm oi
sm. mgum‘hrm‘iuwemrgy
Amen nevvws‘wnmudlealmi —

22
 9/15/2012

ldentl In ers Idsn in Trl ere

Wsuwo mm
m. w gum“ mum
was
msflwe EXFLDslvE
m
The next stop Is lduMIIyIng ma Magus am in)- w Grun- m .1 5mm
m
bring on .xploam lplsodn
Once pathways and lnggers have been
> Starr axpectalvons idenlified. explosive episodes become
> Moving on to new tasks more predictable and carers a suppon
a Unstructured or [res (fine people can slarl to proacllvely prevent
> Nova! armanbrrs them from occurring
> Trauma mlafsd mggsrs

cam. lurh-ndllng pramemr Plan B' The Collaborative

@331» Problem Sol ng Aggroach
mm m
Plan A To will IN mm m MW
mmrlar. WWW
{Mm-mum
Inn
Emergency versus Pmacflvs
m c Rtmawoxpflumn
mMarmara
a wumullve memrsowr
Sis—lea
1 , Empathy + Reassurance
Gwlnlnwlvldb 5am Plan
a“um
much“ 3,1“;ng Yam-m- 2 - Defining the Problem
Dy“
Plln c
/ 3 . Invitation to solve the Problem
man a «

23
 9/18/2012

The Collaborative Problem- The Collaborative Problem-

Solving Aggroach $olvln A roach
Sup 1: Empathy, plus roassurance- sup 2' Dlflnlng m. prohllm _ m the slum what lllell
reflect/repeat whal the Child says. ll your oonoem lsl mpealmmllall concern is men the zdull
child feels understood, they are more likely Dmvldes mall mm mnoem
to keep calm . ADULT I
m. mm .1 has new a wuggle lol yau in

gel readylor school lately Wnars up?

mammal: » CHlLD I don’lllke golngm school. ll‘s cup

W
, mm
mammmmqum mlm l

> ADULT (mempallllslng) You don‘t like golng la wheel

. Abuu Younontwlnllnqnmfichml7Wmllnn7 and mm W: map New oama7

ml ulllymWm:
, ADUU l mum l m bun . wuwl. :u ynu lD gm may (a , CHILD don‘t know 710qu do (he won alum teacher
I

W7 duesn‘lglve me enough help

The Collaborative Problem- The Collaborative Problem-

Snlving Approach Solvin A roach
sum: lam-gnaw Ill-amid lnnlvl mlpmblam Mm l slur
mm"; lh- mum Column-d lhlle/w 1m pmbllm li mm». mild Inflaflult-mdnlnw
mum. Thu-alum» film .mymcm .la mull
» Yh-K-ywlll'ml',aln mmml Ibvmmmuwllnlnmll
, mm yump-lhlmlvl ul me mu m. I understand Yw am m farm-MINI IMlIw‘ l-
armmmmm
ll.
school Dec-us!
my My?
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u‘iullumwlkn mu lull «l Jllll u lelmlni
m m auwmnnl. l dam mm mm an annual
, (w
a ml min»;
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. M: all: xhnulfl >- film [M m {m . mm: ll. m." rm hm

, Auun lmuwmn m «am my mum» Nowl‘m w mm hm- my WT)
(Ml yaw-win ma .nml m mnu'lly aw llka WNMV w.
. Hm-mmiowlusl' an all Wham well Mvuw
l

you .qu l all my wnum lull-mm mum meal yell

Mill-ll lllmmlla m mlu mil m . lmhlwvommlllu m- aulwmm mm

24
 9/18/2012

The Collaborative Problem-

Solv g Aggroach
> "me cmla responds wmu an Idea lhal doesn‘l
work lnr mm pafllss‘ me aaull mlgm respond ‘
Question Time
“Well (here‘s an idea nm as mink abuul l“ l'm
I

nalsm (or yaul can actually do my (orynurl

Break for
I

pan 5 Iol arms lime. lal’s mm of a solullon

max we bum can aclually an,“ an
'WBII‘ma! solullun would pmhahly work well '0! Afternoon Tea
you hm il wauldn‘l work well In! me Let‘s try m
mink 013 Stillman (hell would work WEN 50! both
of us“

Resnonding to Escalated
Young Peogle W
Responding to Escalated

mm mm P-ny um

25
 9/18/2012

Responding to Escalated Young FaoEII Pre Escalaled Stage

Pre-Escalaled Slage
mm
sen-Wm Aem‘mnrl wa- Wm \nmlan-wunn punch w
mm dimmed .m mm m. ave-am «WM
mp m: .n expkmv mm-
App-Iv "yo-mun m1 my
:1:

Escalaled Stage mmmmx \nm-vwm-‘m m :Mldawnnmuhnnuy

mly IMW kn m nomad mm m.‘
.M [mm-mu lnfl my mam-w mm.”
may bum». nmwmpunnl
my my." mm- amnmm mm.
Recovery Stage
am mam; 2| nib-m

mm
Pr Escalated Stage Escalated Stage
mummy
, Damn-m mm [Mum mmm m
fly m. mm puma») m" um “WWW...“ mm. “mm
m mm
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26
 9/18/2012

W Recovefl Stage Reference List

am , mm wmsmwmmswhnmamsw-mm
w.
1

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m. mm.» m. w dimly-d
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n mm m Win»: In! umv m m
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m my..." Mum m‘mm m... m Earn-4m mummm
> cums 1n- Dip-«ml m cm N M.

Mn: N DW)AnuflmmAmI/umn1nmusdva-x ww

27
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