Creating the Guidelines for the Treatment of Traumatic Bereavement in Infancy and Early Childhood - PowerPoint PPT Presentation

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Creating the Guidelines for the Treatment of Traumatic Bereavement in Infancy and Early Childhood

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... loss of a caregiver in early childhood is traumatic. Intended Audience ... Early childhood development: relationships central to. Regulation of bodily rhythms ... – PowerPoint PPT presentation

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Title: Creating the Guidelines for the Treatment of Traumatic Bereavement in Infancy and Early Childhood


1
Creating the Guidelines for the Treatment of
Traumatic Bereavement in Infancy and Early
Childhood
2
Underlying Rationale
  • Goal is to communicate a state of mind that
    relationships are essential to the healthy
    development of infants and young children
  • However it happens, loss of a caregiver in early
    childhood is traumatic

3
Intended Audience
  • Clinicians experienced in the treatment of young
    children
  • Clinicians in training to learn to treat young
    children

4
Theory Driven
  • Caregivers are essential protectors from threat
    (psychoanalytic/attachment theory)
  • Understanding of the impact of stress and trauma
  • Early childhood development relationships
    central to
  • Regulation of bodily rhythms
  • Modulation of emotion
  • Formation and socialization of relationships
  • Learning from exploration of environment

5
Approach to Teaching
  • Immerse readers in a way of thinking about
    caregiver loss and its impact on the very young
    child
  • Learning is not linear for infants and young
    children
  • Using vignettes to communicate essential skills

6
Process
  • Gather together our theoretical knowledge and
    clinical material
  • Create drafts for review by experts in early
    childhood and trauma
  • Revise
  • Resubmit for review

7
Skills Assessment
  • The childs functioning before the death
  • What the child knows about the death
  • Traumatic reminders
  • Nature/quality of childs relationship with
    deceased parent
  • Childs present network of relationships
    including attachment figures

8
Skills Assessment
  • Continuity versus disruption of daily routines
  • Family childrearing values and plans to care for
    the child
  • Cultural and family traditions regarding death
    and dying
  • Surviving caregivers response to the death
  • Familys strengths and vulnerabilities in caring
    for the child

9
Skills Treatment
  • Comfort in viewing clinical material through both
    a trauma lens and a loss lens
  • Understanding of young childs short attention
    span for grief
  • Creating a safe frame for treatment
  • Identifying surrogate primary caregiver
  • Preserving reassuring reminders of the lost
    parent
  • Helping caregiver maintain predictable routines

10
Skills Treatment
  • Helping young children understand the idea of
    death as a permanent loss a process that extends
    over time
  • Calming fears
  • Will it happen to me?
  • Will it happen to my other parent?
  • Did I cause it?
  • Helping tell the child the why and how of a
    parents death

11
Concrete Techniques
  • Using play to put feelings into words
  • Using stories
  • Using body-based interventions
  • Creating a memory book
  • Rituals to maintain the childs connection to the
    lost parent
  • Using books

12
Skills Managing Clinician Stress
  • Empathizing with both the child and the surrogate
    caregiver
  • Experiencing intense feelings of grief and horror
    without becoming overwhelmed or shut down
  • Examining countertransference responses to avoid
    acting them out
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