Our Treatment

Our treatment program (Corrective Attachment Therapy) and parenting program (Corrective Attachment Parenting) are grounded in a foundation of basic theories, principles and research. These are the key elements of our philosophy, which inform our work with children, adults, couples and families:

Family Systems

The child, parents, and other family members must be understood in the context of the systems that influence their lives. The focus is on prior and current family systems, and external systems such as social services, extended family, social networks, and community resources. The systems model concentrates on the behavior of family members as they interact in ongoing and reciprocal relationships, and on the family as it interacts with external social influences. For example, family members affect one another—each person’s behavior serving both as a response and a trigger. A child who enters an adoptive family with an attitude of hostility may trigger an angry and punitive response from adoptive parents. This parental response reinforces the child’s belief that all caregivers are hostile and rejecting. Hostility and rejection become mutually reinforcing in this child-parent relationship. Thus, interventions must focus on both the individual and the social systems in which he or she functions.

Interpersonal Neurobiology

In utero and early attachment experiences significantly affect the wiring of the brain, because the young child’s brain grows more than any other time in life, and relationships shape the developing brain. Lack of secure attachment (i.e., nurturing, support, attunement) and exposure to traumatic stress triggers an alarm reaction, altering the neurobiology of the brain and central nervous system. Traumatized children have impaired wiring in the brain’s limbic system and altered levels of stress hormones, resulting in anxiety, depression, and self-regulation problems. Effective treatment and parenting rewires the limbic system and reduces the biochemistry of stress.

Attachment theory and therapy

Early attachment relationships set the foundation for the rest of our lives. Attachment is at the core of our beliefs (internal working model), emotions, behaviors, relationships, and morality. Effective assessment, treatment, and parenting hinges on understanding healthy and disrupted attachment. Facilitating secure attachment with children and adults involves the establishment of healing relationships, which include trust, empathy, safety, dependability, appropriate boundaries, and limbic resonance.

Trauma therapy

Abuse, neglect, and compromised attachment are traumatic experiences that cause psychological, social, behavioral, and biological distress. Trauma results in anxiety, depression, dissociation, shame, the stress response (fight, flight, freeze), and long-term health problems. Effective treatment depends on understanding developmental trauma and posttraumatic stress disorder (PTSD), in order to ameliorate the effects of trauma on self-concept, attachment styles, self-regulation, core beliefs, and depression.
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Developmental perspective

Child development consists of a series of stage-relevant tasks that are essential to learn, which lead to the mastery of subsequent developmental tasks over time. The most important task of the first year of life is the establishment of secure attachment, resulting in the mastery of important skills and competencies—trust, self-confidence, positive relationships, optimistic attitude, resiliency, success. The emotional and cognitive stage of a child at the time of interpersonal trauma determines the reaction and consequences. The developmental stage of the child at the time of treatment dictates the type of interventions utilized. Further, treatment is sequential and developmental; creating a therapeutic foundation, setting and achieving goals, mastering skills, and integrating healing experiences.

Integrative and holistic

Assessment and intervention occur on all relevant levels of the human experience—emotional, cognitive, social, physical, behavioral, moral, and spiritual. This orientation assumes that all of these dimensions are interconnected. Behavioral change leads to alteration in meaning and beliefs; cognitive changes produce alterations in actions and choices; relationship change brings about rewiring of the brain and reduces stress; emotional security fosters academic achievement. Mind affects body and body affects mind. Interventions are didactic, experiential, skill-based, systemic, biological, and community-oriented.

Experiential change

Recovering from PTSD, rewiring the brain, developing secure attachment, learning constructive coping skills, and changing core beliefs are best achieved via positive experiences with significant others—therapists, parents, siblings, extended kin, teachers. Effective treatment employs change-producing mental, emotional, and interpersonal experiences, in a safe, sensitive, supportive, and consistent manner. Healing parents realize that the experience of a positive relationship with their children is the primary vehicle for change. The process of change is primarily experiential, requiring active participation and genuine involvement on the part of children, parents, families, and therapists.
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Positive Psychology

Therapy is strength and competency based. All family members have resources and strengths the must be identified and encouraged. It is helpful to focus on “what is right” and build upon that, not only on “what is wrong.” For example, although it is necessary for children to deal with prior traumatic experiences as part of the healing process, it is equally important to build on the child’s strengths and teach skills that foster a sense of mastery and hope. Therapists and parents must be aware of becoming frustrated, overwhelmed, and pessimistic. It is crucial to remain calm, positive, use a language of hope, and communicate an expectation of success. Positive psychology teaches that resilience, recovery, and posttraumatic growth following trauma are associated with several factors: hope, sense of meaning and purpose, positive emotions, social support, acts of kindness, and internal locus of control (“I can create change”).

Theory- and Evidence-based

Treatment is based on a variety of theories and paradigms. The underpinnings of the current model are trauma theory (posttraumatic stress disorder, neurobiology of stress and trauma); family systems theory (dynamic, structural, strategic approaches); attachment theory and research (internal working model, developmental research, disorganized-disoriented attachment, parent-infant bonding); experiential therapy (affective expression, process orientation); cognitive-behavioral treatment (cognitive rescripting, developing coping skills); psychoanalytical theory (object relations); and positive psychology (signature strengths, resilience). Current research findings are incorporated into the treatment methods and procedures in order to bring about safe and effective outcomes.

Solution-focused

The primary goal of treatment is positive change—new choices, perspectives, options, behaviors, coping skills, and relationships. Every aspect of treatment is oriented towards the growth and evolution of the child and family. It is crucial to have a conceptual framework that defines the process of change. Our theoretical framework is revisit, revise, and revitalize. This framework provides a structure for determining therapeutic goals and methods during the course of treatment. Specific goals for the treatment of child and family are determined. A four-step model guides treatment interventions: assess → set goals → intervene (method) → reassess. All methods are based on specific goals for the child, parents, family system, and larger social network (e.g., extended family, community, and agency support).

Culturally sensitive

Behavior, as well as the personal meaning of events, varies depending on cultural background and tradition. The therapist must be aware of the cultural orientation of the child and family, and be careful not to project his or her own cultural biases, perceptions, or beliefs on those individuals. The therapist communicates acceptance and respect for the cultural beliefs and traditions of each family member. Therapists and parents must understand and respect the diversity of beliefs and practices of different ethnic, racial, and cultural groups, and understand the way in which children are affected.

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