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

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Sep 02, 2023 33 likes •134 views

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

SLIDE 1

Using the DMM to unde r stand and r e spond to De ve lopme ntal T r auma in Child Pr

te c tion

Se r vic e s Aoife Bair e ad, Soc ial Wor ke r

SLIDE 2

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.

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 .

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.

SLIDE 3

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.

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.

SLIDE 4

Re g ula tion a nd a rousa l

T he first ta sk o f a pa re nt in DMM te rms fo r the first thre e mo nths o f life is the physio lo g ic a l re g ula tio n b y the pa re nt o f the infa nt’ s so ma tic sta te . Cha ng e s in o ur a ro usa l syste ms info rm us a b o ut c ha ng e s in o ur e nviro nme nt a nd o ur ne e ds within this; de sire fo r c o mfo rt, fe a r, a ng e r e tc

Proc e ssing a nd inte g ra tion

Info rma tio n pro c e ssing is tie d to

de ve lo pme nt a nd ma tura tio n

xplic it me mo ry o c c urs a fte r two ye a rs o f a g e . Prio r to this implic it (pre -ve rb a l) me mo ry is do mina nt a nd we re ly o n this muc h mo re q uic kly tha n ve rb a l

r inte g ra tive me mo ry whe n we

fe e l unde r thre a t.

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

SLIDE 5

Se lf e ste e m and Dispositional Re pr e se ntations

he ne uro lo g ic a l pro c e ss o f fo rming de ve lo pme nta l pa thwa ys is linke d to

ur e mo tio na l sta te s a t tha t time . Due

to this o ur se nso ry a nd a ro usa l sta te s a re intrinsic a lly linke d to the a c q uisitio n

f info rma tio n (pro c e dura l, ima g e d,

se ma ntic a nd c o nno ta tive )

he o utc o me o f this is tha t c hildre n who do no t de ve lo p in a se nsitive a nd c a ring e nviro nme nt a re like ly to ha ve a n inc o mple te se t o f da ta to re ly o n.

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

f se lf tha t is ne g a tive

Ruptur e and Re pair

Be c a use A a nd C a tta c hme nt

stra te g ie s pro vide misinfo rma tio n to the a tta c hme nt fig ure , the a b ility o f the pa re nt o r c a re r to a tte nd to the rupture s in the a tta c hme nt re la tio nship is ha mpe re d.

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

ppo rtunity the re is fo r the re la tio nship

to stre ng the n, a nd fo r the c hild to func tio n within the ir zo ne o f pro xima l de ve lo pme nt.

SLIDE 6

Using the DMM to infor m inte r ve ntion

Wor king with par e nts and foste r c ar e r s

SLIDE 7

Psyc hoe duc ational wor k

T he Zone of Pr

ximal

De ve lopme nt

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 c a pa c ity a nd c a pa b ility a s

ppo se d to wha t the y e xpe c t

to se e in te rms o f c hro no lo g ic a l a g e .

Dispositional Re pr e se ntations

T his a llo ws the pa re nt o r c a re r to unde rsta nd the pro c e ss the c hild ha s to g o thro ug h to ‘ re - le a rn’ de ve lo pme nta lly. T his is e spe c ia lly impo rta nt whe n 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

SLIDE 8

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

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)

SLIDE 9

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
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 .

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.

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.