Peculiarities of the formation of early attachment models in children with traumatic experiences
DOI:
https://doi.org/10.35774/pis2023.02.194Keywords:
early attachment models, types of psychological trauma, adverse childhood experiences (ACEs), mentalizationAbstract
This article presents the results of a meta-analysis of relevant studies published in English literature between 2010 and 2022, focusing on the definition of traumatic experience, types of psychological trauma, early attachment models, and the concept of mentalization. The search services PsycInfo, PubMed, APA Web-of-Science, and Research Gate were used to accomplish the set objectives. The influence of childhood traumatic events on the development of primary attachment models was explored. It was established that early attachment models are internal representations or perceptions formed during childhood, that determine a child’s perception of close individuals and their relationships. The effectiveness and scientifically substantiated aspects of the Neurosequential Model in Education and the Neurosequential Model of Therapeutics (NMT) in working with children who have experienced traumatic events are described. It was found that childhood traumatic experience affects seven main aspects of psychology: sensory development, dissociation (changes in consciousness), attachment, affect regulation, behavioral regulation, cognitive domain, self-awareness, and identity development. Each type of traumatic experience has its conditions, characteristics, mechanisms, and consequences for the formation of early attachment models in children and overall psychosocial functioning. Thus, understanding the entire spectrum of changes, including neurobiological aspects, is crucial when working with children who have experienced traumatic events and require specialized support. This analysis revealed that the quality of parent-child interaction depends on parents' ability to mentalize and their capacity to understand the child‘s inner world, which, in turn, influences the formation of early childhood attachment models. Depending on the presence or absence of traumatic experiences in a child's life, different attachment styles can be developed. The identified generalizations shed light on the pathogenesis of relationship trauma-related disorders and can be practically applied in the development and implementation of professional recommendations or programs for psychosocial support for children who have experienced traumatic events. Emphasizing the necessity for further empirical research to gain a more detailed understanding of this issue.
References
Cohen, J.A., Mannarino, A.P., Deblinger, E. (2012). Trauma-Focused CBT for Children and Adolescents: Treatment Applications. 308 Pages.
Cook, A., Spinazzola, J., Ford, J., Lanktree, C., Blaustein, M., Cloitre, M., & Mallah, K. (2017). Complex trauma in children and adolescents. Psychiatric Annals, 35(5), 390-398. doi:10.3928/00485713-20050501-05.
https://doi.org/10.3928/00485713-20050501-05
Courtois, C.A. (2008). Complex trauma, complex reactions: Assessment and treatment. Psychological Trauma Theory Research Practice and Policy, S(1), 86-100. doi:10.1037/1942-9681.S.1.86.
https://doi.org/10.1037/1942-9681.S.1.86
Downey, C., & Crummy, A. (2021). The impact of childhood trauma on children's well-being and adult behavior. European Journal of Trauma & Dissociation, 5, 100237. https://doi.org/10.1016/j.ejtd.2021.100237.
https://doi.org/10.1016/j.ejtd.2021.100237
Ford, J.D., & Bessel van der Kolk, B.A. (Eds.). (2006). Treating Traumatic Stress in Children and Adolescents: How to Foster Resilience through Attachment, Self-Regulation, and Competency. New York, NY: The Guilford Press.
Fonagy, P., & Allison, E. (2012). What is Mentalization?: The Concept and its Foundations in Developmental Research. In N. Midgley & I. Vrouva (Eds.), Minding the Child: Mentalization-Based Interventions with Children, Young People, and Their Families (pp. 11-34). New York: Routledge.
Frewen, P.A., Evans, B., Goodman, J., Halliday, A., Boylan, J., Moran, G., Reiss, J., Schore, A., & Lanius, R.A. (2013). Development of a Childhood Attachment and Relational Trauma Screen (CARTS): a relational-socioecological framework for surveying attachment security and childhood trauma history. Eur J Psychotraumatol, 4, 20232. doi: 10.3402/ejpt.v4i0.20232
https://doi.org/10.3402/ejpt.v4i0.20232
Hambrick E., Brawner, T., Perry, B.D. (2019). Timing of Early Life Stress and the Development of Brain-Related Capacities, Behavioral Neuroscience.
https://doi.org/10.3389/fnbeh.2019.00183
Hiller, R.M., MeiserStedman, R., Elliott, E., Banting, R., & Halligan, S.L. (2020). A longitudinal study of cognitive predictors of (complex) posttraumatic stress in young people in outofhome care. Journal of Child Psychology and Psychiatry, 62(1), 48-57. https://doi.org/10.1111/jcpp.13232.
https://doi.org/10.1111/jcpp.13232
Hughes, D., Golding, K., & Hudson, J. (2019). Healing relational trauma with attachment-focused interventions: Dyadic developmental psychotherapy with children and families. New York, NY: W. W. Norton & Company.
Isobel, S., Goodyear, M.J., & Foster, K.N. (2017). Psychological Trauma in the Context of Familial Relationships: A Concept Analysis. Trauma, Violence, & Abuse, 20(2), 255-265. doi:10.1177/1524838017726424.
https://doi.org/10.1177/1524838017726424
Lumley, M.N., & Harkness, K.L. (2007). Specificity in the Relations among Childhood Adversity, Early Maladaptive Schemas, and Symptom Profiles in Adolescent Depression. Cognitive Therapy and Research, 31, 639-657. doi: 10.1007/s10608-006-9059-9.
https://doi.org/10.1007/s10608-006-9100-3
McCrory, E. (2020). Childhood Trauma and the Brain: A Short Guide about the Importance of Social Relationships for Mental Health. UCL.
Midgley, N., Sprecher, E.A., & Sleed, M. (2021). Mentalization-Based Interventions for Children Aged 6-12 and Their Carers: A Narrative Systematic Review. Journal of Marital and Family Therapy, 169-189. doi: 10.1080/15289168.2021.1915654
https://doi.org/10.1080/15289168.2021.1915654
Mikulincer, M., Gillath, O., & Shaver, P.R. (2002). Activation of the attachment system in adulthood: Threat-related primes increase the accessibility of mental representations of attachment figures. Journal of Personality and Social Psychology, 83(4), 881-895. https://doi.org/10.1037/0022-3514.83.4.881
https://doi.org/10.1037/0022-3514.83.4.881
Nelson, C.A., Zeanah, C.H., & Fox, N.A. (2019). The role of the social environment on adaptive neuroplasticity in early development. [Review Article]. Volume 2019, doi: 10.1155/2019/1676285.
https://doi.org/10.1155/2019/1676285
Nelson, C.A., Bhutta, Z.A., Burke Harris, N., Danese, A., Samara, M. (2020). Toxic Stress and PTSD in Children: Adversity in childhood is linked to mental and physical health throughout life. BMJ, 371, m3048. doi: http://dx.doi.org/10.1136/bmj.m3048
https://doi.org/10.1136/bmj.m3048
Pfeiffer, E., Beer, R., Birgersson, A., Cabrera, N., Cohen, J. A., & Deblinger, E. (2023). Implementation of evidence-based trauma-focused treatment for traumatized children and their families during the war in Ukraine: a project description. Journal Title, Volume(Issue).
https://doi.org/10.1080/20008066.2023.2207422
Reid, D. (2020). Rewiring the Nervous System with Art Therapy: Advocating for an Empirical, Interdisciplinary Neuroscience Approach to Art Therapy Treatment of Traumatized Children, A Literature Review. Expressive Therapies Capstone Theses, 247.
Responding to Children's Care in the Context of the Ukraine Crisis: Key Recommendations and Considerations https://bettercarenetwork.org (last accessed 04 Jul 2022) - 56 p [In Ukrainian].
Sachser, C., Keller, F., & Goldbeck, L. (2017). Complex PTSD as proposed for ICD 11: validation of a new disorder in children and adolescents and their response to TraumaFocused Cognitive Behavioral Therapy. Journal of Child Psychology and Psychiatry, 58(2), 160-168.
https://doi.org/10.1111/jcpp.12640
Salberg, J. (2015). The Texture of Traumatic Attachment: Presence and Ghostly Absence in Transgenerational Transmission. The Psychoanalytic Quarterly, 84(1), 21-46. doi:10.1002/j.2167-4086.2015.00002.x
https://doi.org/10.1002/j.2167-4086.2015.00002.x
Shaver, P.R., & Mikulincer, M. (2009). Attachment theory and research: Resurrection of the psychodynamic approach to personality. Journal of Research in Personality, 43(2), 145-147.
Siegel, D.J., & Bryson, T.P. (2020). The Power of Showing Up: How Parental Presence Shapes Who Our Kids Become and How Their Brains Get Wired. New York, NY: Ballantine Books.
Slade, A., Stob, V. (2020). The Family Cycle: Breaking the Intergenerational Transmission of Trauma through Mentalizing. Journal of Infant Child and Adolescent Psychotherapy, 19(1), 1-16. doi:10.1080/15289168.2020.1786762.
https://doi.org/10.1080/15289168.2020.1786762
Smith P., Dyregrov E., Yule W. Children, and War: Teaching Healing Techniques. For children aged 8 to 18 years old. Lviv: Vidavnicha Spilka, 2022. 108 pages [In Ukrainian].
Sullivan, R., Perry, R., Sloan, A., Kleinhaus, K., & Burtchen, N. (2011). Infant bonding and attachment to the caregiver: insights from basic and clinical science. Clinics in Perinatology, 38(4), 643-655.
https://doi.org/10.1016/j.clp.2011.08.011
Terradas, M.M., Poulin-Latulippe, D., Paradis, D., & Didier, O. (2020). Impact of early relational trauma on children's mentalizing capacity and play: A clinical illustration. European Journal of Trauma & Dissociation, 1-7. https://doi.org/10.1016/j.ejtd.2020.100160
https://doi.org/10.1016/j.ejtd.2020.100160
Treisman, K. (2016). Working with Relational and Developmental Trauma in Children and Adolescents. Routledge.
https://doi.org/10.4324/9781315672762
Van der Kolk, B.A. (2014). The body keeps the score: Brain, mind, and body in the healing of trauma Penguin, 464 pages.
Webster, E.M. (2022). The Impact of Adverse Childhood Experiences on Health and Development in Young Children. All Articles. doi:10.1177/2333794X221078708
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