This book shows how to work successfully with emotional and behavioral problems rooted in deficient early attachments. In particular, it addresses the emotional difficulties of many of the foster and adopted children living in our country who are unable to form secure attachments. Traditional interventions, which do not teach parents how to successfully engage the child, frequently do not provide the means by which the seriously damaged child can form the secure attachment that underlies behavioral change. Dr. Daniel Hughes maps out a treatment plan designed to help the child begin to experience and accept, from both the therapist and the parents, affective attunement that he or she should have received in the first few years of life. Hughes' approach includes: —Using foster and adopted parents as co-therapists —Teaching differentiation between old and new parents —Overcoming the perception of discipline as abusive —Framing misbehavior, discipline, conflicts, and parental authority as important aspects of a child's learning to trust. All children, at the core of their beings, need to be attached to someone who considers them to be very special and who is committed to providing for their ongoing care. Children who lose their birth parents desperately need such a relationship if they are to heal and grow. This book shows therapists how to facilitate this crucial bond. A Jason Aronson Book

This book will be of use to social workers, therapists and parents striving to assist poorly attached children. It is a narrative, composite case study of the developmental course of one child. The author blends attachment theory, research and trauma with general principles of parenting and family therapy to develop a solid model for intervention. It will prove a practical guide for all adults trying to help high-risk youth.

An invaluable resource for students and professionals as well as parents, this text offers a composite case study of one child's development following years of abuse and neglect. Blending theory and research into a powerful narrative, Hughes offers effective strategies for facilitating attachment in children who have experienced serious trauma.

Over fifty years ago, John Bowlby and Mary Ainsworth’s research on the developmental psychology of children formed the basic tenets of attachment theory. And for years, following these tenets, the theory’s focus has been on how children develop vis-a-vis the attachments—whether secure or insecure—they form with their caregivers. In the therapy room, this has meant working with individuals one-on-one, with the therapist assuming the role of the attachment figure in order to provide a secure base for treating clients’ problems that arose from troubled interpersonal relationships in childhood. Here, Daniel A. Hughes, an eminent clinician and attachment specialist, is the first to expand this traditional model, applying attachment theory to a family therapy setting. Drawing on more than 20 years of clinical experience, Hughes presents his comprehensive, effective, and accessible treatment model for working with all members of a family—not simply the individual in question—to recognize, resolve, and heal personal and family problems using principles from theories of attachment and intersubjectivity. Beginning with an overview of attachment and intersubjectivity—the twin theories from which he forms his treatment plan—Hughes carefully outlines, chapter by chapter, the core principles and strategies of his family-based approach. He elaborates on the need to develop and maintain PACE (playfulness, acceptance, curiosity, and empathy)—the central therapeutic stance of attachment-focused family therapy—and supplies tips and sample dialogues for implementing this position. The importance of fostering affective/reflective (a/r) dialogue is covered in detail, as well as helping families to manage shame, understand and embrace the break-and-repair cycle of their interactions, and explore and resolve childhood trauma. Also discussed are the more procedural issues of how to incorporate parents into therapeutic conversations, when and how to question them on their own attachment histories, and how to “be” with children. Grounded in the fundamental principle of parents facilitating the healthy emotional development of their children, Attachment-Focused Family Therapy is the first book of its kind to offer therapists a complete manual for using attachment therapy with families. Extensive case studies, vignettes, and sample dialogues throughout clearly demonstrate how Hughes’s model plays out in the therapy room. By showing therapists how to create a bond of psychological safety and intersubjective discovery with parents and caregivers, Hughes reveals how they, in turn, can bring about similar experiences of safety and discovery for their children.

With the unmistakable authority of a clinician, Dan Hughes builds a stirring story around the composite figure of Katie--a fragmented, tormented, isolated little girl in foster care whose terror, shame, rage and despair drive her to deeds like lacing the family hamburger with her own feces--in order to expose the tragedy of the attachment-impaired child. The author also affirms and demonstrates the possibility of transformative intervention. Allison is the confident, compassionate, and controversial therapist who diagnoses and treats Katie's profound attachment disorder. Jackie is the therapeutic foster mother who fights to create a lasting bond with Katie by applying Allison's blend of affective attunement and effective discipline. Dr. Hughes speaks in both popular and clinical voices as he animates Katie's demoralizing but eventually reparative odyssey through more homes than any child should have to live in, drawing on his decades of experience with foster and adopted youngsters, their families, and the professionals who support them. Building the Bonds of Attachment: Awakening Love in Deeply Troubled Children is richly webbed with commentary on the dynamics of that odyssey, and also on the separate and tandem roles of case manager, therapist, and parent-surrogate.

Attachment research has tremendous potential for helping clinicians understand what happens when parent–child bonds are disrupted, and what can be done to help. Yet there remains a large gap between theory and practice in this area. This book reviews what is known about attachment and translates it into practical guidelines for therapeutic work. Leading scientist-practitioners present innovative strategies for assessing and intervening in parent–child relationship problems; helping young children recover from maltreatment or trauma; and promoting healthy development in adoptive and foster families. Detailed case material in every chapter illustrates the applications of research-based concepts and tools in real-world clinical practice.

Providing an accessible introduction to attachment thinking, this practical book offers early years practitioners’ advice on translating attachment principles into practice in their settings. It clearly explains how knowledge about attachment theory underpins everyday practice and highlights the crucial role of secure attachments in young children’s learning and development. Developing Attachments in Early Years Settings examines the importance of emotional‚ ‘holding’ and the nurturing of individual relationships within group childcare. The book aims to help you make a real difference to young children’s sense of self and emotional security by being ‘tuned in’, available, responsive and consistent. With a strong focus on facilitating secure attachments from the beginning and guidance on how to observe young children effectively, this new edition has been thoroughly updated and revised to include: How to make a positive contribution to good practice for Government funded 2 year olds A new chapter on the Emotional Environment and the Developing Brain Expansion of material on the importance of the outdoors, as well as Nurture group practice Additional material about working in partnership with parents and developing positive relationships Each chapter includes a personal reflection exercise and a positive contribution to good practice section. With its accessible approach, this book is essential reading for both practitioners and students looking for guidance on how to nurture secondary attachment relationships in group care settings.